NCLEX-PN Health Promotion & Maintenance Comprehensive Quiz
2026/2027 UPDATE
1. According to Erikson’s stages of psychosocial development, which task should
a nurse expect a 4-year-old child to be working on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: D
Rationale: Preschoolers (ages 3 to 6) are in the Initiative vs. Guilt stage, where they begin
to assert power and control over the world through directing play and other social
interaction.
2. A nurse is teaching a group of older adults about primary prevention. Which
of the following is an example of primary prevention?
A. Receiving an annual influenza vaccination
B. Performing a monthly breast self-examination
C. Attending physical therapy after a stroke
D. Taking daily medication for hypertension
Answer: A
Rationale: Primary prevention focuses on preventing the onset of disease through
interventions such as immunizations. Self-exams are secondary prevention (screening).
,3. Which developmental milestone is typically achieved by a 6-month-old
infant?
A. Walking while holding onto furniture
B. Sitting up steadily without support
C. Using a pincer grasp to pick up small objects
D. Rolling from back to abdomen
Answer: D
Rationale: By 6 months, infants should be able to roll from back to abdomen. Sitting
without support usually occurs around 8 months, and pincer grasp around 9 months.
4. A nurse is providing discharge instructions to a postpartum client. At which
age should the nurse instruct the client to introduce solid foods to the infant?
A. 4 to 6 months
B. 2 to 3 months
C. 8 to 10 months
D. 12 months
Answer: A
Rationale: The American Academy of Pediatrics recommends introducing solid foods
around 4 to 6 months of age, when the extrusion reflex disappears and the infant can sit
with support.
5. Which of the following is a normal physiological change associated with aging
in the integumentary system?
A. Increased subcutaneous fat
B. Decreased activity of sebaceous glands
C. Increased skin elasticity
D. Thickening of the epidermal layer
Answer: B
, Rationale: Aging causes decreased activity of sebaceous and sweat glands, leading to drier
skin. Subcutaneous fat and elasticity typically decrease, and the epidermis thins.
6. A nurse is educating a male client about testicular self-examinations (TSE).
Which statement by the client indicates a need for further teaching?
A. I should perform the exam once a month.
B. I will use my fingertips to feel for any changes in the scrotum.
C. I should call my doctor if I feel a firm, painless lump.
D. The best time to do the exam is after a warm shower.
Answer: B
Rationale: The client should use the thumb and fingers (rolling the testicle between them),
not just fingertips, to feel for lumps or changes. Monthly frequency and doing it after a
warm shower are correct.
7. Which of the following interventions is considered secondary prevention?
A. Providing a colonoscopy for a 50-year-old client
B. Teaching a client about a low-sodium diet
C. Administering a Hepatitis B vaccine
D. Referring a client to a cardiac rehab program
Answer: A
Rationale: Secondary prevention focuses on early detection and screening, such as a
colonoscopy. Vaccines and education are primary; rehab is tertiary.
8. A nurse is assessing a 12-month-old child. Which finding should be reported
to the provider as a developmental delay?
A. The child cannot say three-word sentences.
B. The child cannot stand alone without support.
C. The child is unable to use a spoon independently.
D. The child does not have a pincer grasp.
Answer: D
2026/2027 UPDATE
1. According to Erikson’s stages of psychosocial development, which task should
a nurse expect a 4-year-old child to be working on?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: D
Rationale: Preschoolers (ages 3 to 6) are in the Initiative vs. Guilt stage, where they begin
to assert power and control over the world through directing play and other social
interaction.
2. A nurse is teaching a group of older adults about primary prevention. Which
of the following is an example of primary prevention?
A. Receiving an annual influenza vaccination
B. Performing a monthly breast self-examination
C. Attending physical therapy after a stroke
D. Taking daily medication for hypertension
Answer: A
Rationale: Primary prevention focuses on preventing the onset of disease through
interventions such as immunizations. Self-exams are secondary prevention (screening).
,3. Which developmental milestone is typically achieved by a 6-month-old
infant?
A. Walking while holding onto furniture
B. Sitting up steadily without support
C. Using a pincer grasp to pick up small objects
D. Rolling from back to abdomen
Answer: D
Rationale: By 6 months, infants should be able to roll from back to abdomen. Sitting
without support usually occurs around 8 months, and pincer grasp around 9 months.
4. A nurse is providing discharge instructions to a postpartum client. At which
age should the nurse instruct the client to introduce solid foods to the infant?
A. 4 to 6 months
B. 2 to 3 months
C. 8 to 10 months
D. 12 months
Answer: A
Rationale: The American Academy of Pediatrics recommends introducing solid foods
around 4 to 6 months of age, when the extrusion reflex disappears and the infant can sit
with support.
5. Which of the following is a normal physiological change associated with aging
in the integumentary system?
A. Increased subcutaneous fat
B. Decreased activity of sebaceous glands
C. Increased skin elasticity
D. Thickening of the epidermal layer
Answer: B
, Rationale: Aging causes decreased activity of sebaceous and sweat glands, leading to drier
skin. Subcutaneous fat and elasticity typically decrease, and the epidermis thins.
6. A nurse is educating a male client about testicular self-examinations (TSE).
Which statement by the client indicates a need for further teaching?
A. I should perform the exam once a month.
B. I will use my fingertips to feel for any changes in the scrotum.
C. I should call my doctor if I feel a firm, painless lump.
D. The best time to do the exam is after a warm shower.
Answer: B
Rationale: The client should use the thumb and fingers (rolling the testicle between them),
not just fingertips, to feel for lumps or changes. Monthly frequency and doing it after a
warm shower are correct.
7. Which of the following interventions is considered secondary prevention?
A. Providing a colonoscopy for a 50-year-old client
B. Teaching a client about a low-sodium diet
C. Administering a Hepatitis B vaccine
D. Referring a client to a cardiac rehab program
Answer: A
Rationale: Secondary prevention focuses on early detection and screening, such as a
colonoscopy. Vaccines and education are primary; rehab is tertiary.
8. A nurse is assessing a 12-month-old child. Which finding should be reported
to the provider as a developmental delay?
A. The child cannot say three-word sentences.
B. The child cannot stand alone without support.
C. The child is unable to use a spoon independently.
D. The child does not have a pincer grasp.
Answer: D
