Health Promotion and Maintenance NCLEX
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse is providing instructions to the mother of a child with human immunodeficiency virus
infection regarding immunizations. Which statement by the mother indicates an understanding of
the immunization schedule? - CORRECT ANSWER - "Family members in the household
need to receive the influenza vaccine."
The nurse is preparing to provide instructions to a new mother regarding cord care for a newborn
infant. Which instructions would the nurse provide? Select all that apply. - CORRECT
ANSWER - 1,4
The nurse is providing instructions about measures to prevent postpartum mastitis to a client who
is breast-feeding her newborn. Which client statement would indicate a need for further
instruction? - CORRECT ANSWER - "I should wash my nipples daily with soap and
water."
The nurse is performing an assessment of a newborn admitted to the nursery after birth. On
assessment of the newborn's head, what should the nurse anticipate to be the most likely findings
related to the fontanels? Select all that apply. - CORRECT ANSWER - 3,5
Which additional daily dietary intake will most closely match the number of additional calories
needed by the breast-feeding mother? - CORRECT ANSWER - Peanut butter and jelly
sandwich and glass of 2% milk
The nurse reviews the findings from a physical exam done on a client for ear or hearing disorders
and notes documentation that the client has hyperacusis. Which would the nurse expect to note
on assessment of the client? - CORRECT ANSWER - Intolerance for sound levels that do
not bother other people
The community health nurse who is conducting a teaching session about the risks of testicular
cancer has reviewed a list of instructions regarding testicular self-examination (TSE) with the
, clients attending the session. Which statement by a client indicates a need for further instruction?
- CORRECT ANSWER - "It is best to do TSE first thing in the morning before a bath or
shower."
The nurse has provided instructions to a client on how to bathe her newborn. The nurse
demonstrates the procedure to the client and on the following day asks the client to perform the
procedure. Which observation, if made by the nurse, indicates that the client is performing the
procedure correctly? - CORRECT ANSWER - The client begins to wash the newborn by
starting with the eyes and face.
A community health nurse is providing an educational session on cancer of the cervix for women
living in the community. The nurse informs the community residents that which is an early sign
of this type of cancer? - CORRECT ANSWER - Irregular vaginal bleeding or spotting
A confrontation test is prescribed for a client seen in the eye and ear clinic. How should the nurse
perform this test? Arrange the actions in the order that they should be performed. All options
must be used. - CORRECT ANSWER - 4. Stands 2 to 3 feet in front of and faces the client
3. Asks the client to report when object is first noted
2. Examiner covers eye opposite to the eye covered by the client
3. Asks the client to report when object is first noted
5. The examiner brings in an object gradually from periphery
The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to
observe in this child? - CORRECT ANSWER - Uses a cup to drink
The nurse is teaching a client who had a stroke how to use a walker for ambulation. Which level
of prevention is the nurse implementing? - CORRECT ANSWER - Tertiary level
The nurse is providing postpartum instructions to a client who will be breast-feeding her
newborn. The nurse determines that the client has understood the instructions if she makes which
statements? Select all that apply. - CORRECT ANSWER - 1,2,3,6
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse is providing instructions to the mother of a child with human immunodeficiency virus
infection regarding immunizations. Which statement by the mother indicates an understanding of
the immunization schedule? - CORRECT ANSWER - "Family members in the household
need to receive the influenza vaccine."
The nurse is preparing to provide instructions to a new mother regarding cord care for a newborn
infant. Which instructions would the nurse provide? Select all that apply. - CORRECT
ANSWER - 1,4
The nurse is providing instructions about measures to prevent postpartum mastitis to a client who
is breast-feeding her newborn. Which client statement would indicate a need for further
instruction? - CORRECT ANSWER - "I should wash my nipples daily with soap and
water."
The nurse is performing an assessment of a newborn admitted to the nursery after birth. On
assessment of the newborn's head, what should the nurse anticipate to be the most likely findings
related to the fontanels? Select all that apply. - CORRECT ANSWER - 3,5
Which additional daily dietary intake will most closely match the number of additional calories
needed by the breast-feeding mother? - CORRECT ANSWER - Peanut butter and jelly
sandwich and glass of 2% milk
The nurse reviews the findings from a physical exam done on a client for ear or hearing disorders
and notes documentation that the client has hyperacusis. Which would the nurse expect to note
on assessment of the client? - CORRECT ANSWER - Intolerance for sound levels that do
not bother other people
The community health nurse who is conducting a teaching session about the risks of testicular
cancer has reviewed a list of instructions regarding testicular self-examination (TSE) with the
, clients attending the session. Which statement by a client indicates a need for further instruction?
- CORRECT ANSWER - "It is best to do TSE first thing in the morning before a bath or
shower."
The nurse has provided instructions to a client on how to bathe her newborn. The nurse
demonstrates the procedure to the client and on the following day asks the client to perform the
procedure. Which observation, if made by the nurse, indicates that the client is performing the
procedure correctly? - CORRECT ANSWER - The client begins to wash the newborn by
starting with the eyes and face.
A community health nurse is providing an educational session on cancer of the cervix for women
living in the community. The nurse informs the community residents that which is an early sign
of this type of cancer? - CORRECT ANSWER - Irregular vaginal bleeding or spotting
A confrontation test is prescribed for a client seen in the eye and ear clinic. How should the nurse
perform this test? Arrange the actions in the order that they should be performed. All options
must be used. - CORRECT ANSWER - 4. Stands 2 to 3 feet in front of and faces the client
3. Asks the client to report when object is first noted
2. Examiner covers eye opposite to the eye covered by the client
3. Asks the client to report when object is first noted
5. The examiner brings in an object gradually from periphery
The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to
observe in this child? - CORRECT ANSWER - Uses a cup to drink
The nurse is teaching a client who had a stroke how to use a walker for ambulation. Which level
of prevention is the nurse implementing? - CORRECT ANSWER - Tertiary level
The nurse is providing postpartum instructions to a client who will be breast-feeding her
newborn. The nurse determines that the client has understood the instructions if she makes which
statements? Select all that apply. - CORRECT ANSWER - 1,2,3,6
