NCLEX-RN Health Promotion & Maintenance
Questions And Well Graded Solutions With
Rationales Updated 2026-2027
1. A nurse is providing education to a group of young adults about healthy lifestyle
choices. Which topic should the nurse prioritize?
A) Smoking cessation
B) Regular exercise
C) Healthy diet
D) Stress management
Correct Answer: A
Rationale: Smoking cessation (A) is the most important modifiable risk factor
for preventable death. Regular exercise (B), healthy diet (C), and stress
management (D) are important but smoking cessation has the greatest impact
on overall health.
2. A nurse is educating a client about immunizations for older adults. Which vaccine
should the nurse include in the teaching?
A) MMR vaccine
B) Influenza vaccine
C) Varicella vaccine
D) HPV vaccine
Correct Answer: B
Rationale: Influenza vaccine (B) is recommended annually for older adults.
MMR (A) is typically given in childhood. Varicella (C) is given in childhood or to
susceptible adults. HPV (D) is recommended for young adults.
3. A nurse is providing teaching to a pregnant client about prenatal care. Which
instruction should the nurse include?
A) Avoid all exercise
B) Take folic acid supplements
, C) Limit weight gain to 10 pounds
D) Avoid all medications
Correct Answer: B
Rationale: Folic acid (B) is essential during pregnancy to prevent neural tube
defects. Exercise (A) is encouraged. Weight gain (C) depends on BMI. Some
medications (D) are safe during pregnancy.
4. A nurse is providing teaching to a client about breast self-examination. Which
instruction should the nurse include?
A) Perform the exam once a month
B) Perform the exam once a week
C) Perform the exam twice a year
D) Perform the exam once a year
Correct Answer: A
Rationale: Breast self-examination should be performed once a month (A),
ideally 7-10 days after the start of menstruation. Weekly (B), twice a year (C),
and yearly (D) are not recommended.
5. A nurse is providing teaching to a client about testicular self-examination. Which
instruction should the nurse include?
A) Perform the exam once a month
B) Perform the exam once a week
C) Perform the exam twice a year
D) Perform the exam once a year
Correct Answer: A
Rationale: Testicular self-examination should be performed once a month (A),
ideally after a warm shower. Weekly (B), twice a year (C), and yearly (D) are not
recommended.
6. A nurse is providing teaching to a client about colon cancer screening. At what age
should screening begin for average-risk individuals?
, A) 40 years
B) 45 years
C) 50 years
D) 55 years
Correct Answer: B
Rationale: Colorectal cancer screening should begin at age 45 (B) for average-
risk individuals. 40 (A), 50 (C), and 55 (D) are not current recommendations.
7. A nurse is providing teaching to a client about mammography screening. At what
age should screening begin for average-risk women?
A) 40 years
B) 45 years
C) 50 years
D) 55 years
Correct Answer: A
Rationale: Mammography screening for average-risk women should begin at
age 40 (A) with shared decision-making. 45 (B), 50 (C), and 55 (D) are not
current recommendations.
8. A nurse is providing teaching to a client about prostate cancer screening. Which
screening test should the nurse include?
A) Digital rectal exam
B) PSA test
C) Both A and B
D) Neither A nor B
Correct Answer: C
Rationale: Prostate cancer screening includes both digital rectal exam (A) and
PSA test (B). Both are used in screening. Neither (D) is incorrect.
9. A nurse is providing teaching to a client about skin cancer prevention. Which
instruction should the nurse include?
, A) Avoid sun exposure during peak hours
B) Use sunscreen with SPF 15 or higher
C) Wear protective clothing
D) All of the above
Correct Answer: D
Rationale: Skin cancer prevention includes avoiding peak sun exposure (A),
using sunscreen with SPF 15 or higher (B), and wearing protective clothing (C).
All are correct.
10. A nurse is providing teaching to a client about healthy weight management. Which
BMI range is considered healthy?
A) 18.5-24.9 kg/m²
B) 25-29.9 kg/m²
C) 30-34.9 kg/m²
D) 35-39.9 kg/m²
Correct Answer: A
Rationale: A healthy BMI range is 18.5-24.9 kg/m² (A). 25-29.9 (B) is
overweight. 30-34.9 (C) and 35-39.9 (D) are obese.
11. A nurse is providing teaching to a client about the importance of physical activity.
How many minutes of moderate-intensity exercise are recommended per week?
A) 75 minutes
B) 150 minutes
C) 225 minutes
D) 300 minutes
Correct Answer: B
Rationale: The recommendation for moderate-intensity exercise is at least 150
minutes per week (B). 75 minutes (A) is for vigorous-intensity. 225 (C) and 300
(D) are not standard recommendations.
Questions And Well Graded Solutions With
Rationales Updated 2026-2027
1. A nurse is providing education to a group of young adults about healthy lifestyle
choices. Which topic should the nurse prioritize?
A) Smoking cessation
B) Regular exercise
C) Healthy diet
D) Stress management
Correct Answer: A
Rationale: Smoking cessation (A) is the most important modifiable risk factor
for preventable death. Regular exercise (B), healthy diet (C), and stress
management (D) are important but smoking cessation has the greatest impact
on overall health.
2. A nurse is educating a client about immunizations for older adults. Which vaccine
should the nurse include in the teaching?
A) MMR vaccine
B) Influenza vaccine
C) Varicella vaccine
D) HPV vaccine
Correct Answer: B
Rationale: Influenza vaccine (B) is recommended annually for older adults.
MMR (A) is typically given in childhood. Varicella (C) is given in childhood or to
susceptible adults. HPV (D) is recommended for young adults.
3. A nurse is providing teaching to a pregnant client about prenatal care. Which
instruction should the nurse include?
A) Avoid all exercise
B) Take folic acid supplements
, C) Limit weight gain to 10 pounds
D) Avoid all medications
Correct Answer: B
Rationale: Folic acid (B) is essential during pregnancy to prevent neural tube
defects. Exercise (A) is encouraged. Weight gain (C) depends on BMI. Some
medications (D) are safe during pregnancy.
4. A nurse is providing teaching to a client about breast self-examination. Which
instruction should the nurse include?
A) Perform the exam once a month
B) Perform the exam once a week
C) Perform the exam twice a year
D) Perform the exam once a year
Correct Answer: A
Rationale: Breast self-examination should be performed once a month (A),
ideally 7-10 days after the start of menstruation. Weekly (B), twice a year (C),
and yearly (D) are not recommended.
5. A nurse is providing teaching to a client about testicular self-examination. Which
instruction should the nurse include?
A) Perform the exam once a month
B) Perform the exam once a week
C) Perform the exam twice a year
D) Perform the exam once a year
Correct Answer: A
Rationale: Testicular self-examination should be performed once a month (A),
ideally after a warm shower. Weekly (B), twice a year (C), and yearly (D) are not
recommended.
6. A nurse is providing teaching to a client about colon cancer screening. At what age
should screening begin for average-risk individuals?
, A) 40 years
B) 45 years
C) 50 years
D) 55 years
Correct Answer: B
Rationale: Colorectal cancer screening should begin at age 45 (B) for average-
risk individuals. 40 (A), 50 (C), and 55 (D) are not current recommendations.
7. A nurse is providing teaching to a client about mammography screening. At what
age should screening begin for average-risk women?
A) 40 years
B) 45 years
C) 50 years
D) 55 years
Correct Answer: A
Rationale: Mammography screening for average-risk women should begin at
age 40 (A) with shared decision-making. 45 (B), 50 (C), and 55 (D) are not
current recommendations.
8. A nurse is providing teaching to a client about prostate cancer screening. Which
screening test should the nurse include?
A) Digital rectal exam
B) PSA test
C) Both A and B
D) Neither A nor B
Correct Answer: C
Rationale: Prostate cancer screening includes both digital rectal exam (A) and
PSA test (B). Both are used in screening. Neither (D) is incorrect.
9. A nurse is providing teaching to a client about skin cancer prevention. Which
instruction should the nurse include?
, A) Avoid sun exposure during peak hours
B) Use sunscreen with SPF 15 or higher
C) Wear protective clothing
D) All of the above
Correct Answer: D
Rationale: Skin cancer prevention includes avoiding peak sun exposure (A),
using sunscreen with SPF 15 or higher (B), and wearing protective clothing (C).
All are correct.
10. A nurse is providing teaching to a client about healthy weight management. Which
BMI range is considered healthy?
A) 18.5-24.9 kg/m²
B) 25-29.9 kg/m²
C) 30-34.9 kg/m²
D) 35-39.9 kg/m²
Correct Answer: A
Rationale: A healthy BMI range is 18.5-24.9 kg/m² (A). 25-29.9 (B) is
overweight. 30-34.9 (C) and 35-39.9 (D) are obese.
11. A nurse is providing teaching to a client about the importance of physical activity.
How many minutes of moderate-intensity exercise are recommended per week?
A) 75 minutes
B) 150 minutes
C) 225 minutes
D) 300 minutes
Correct Answer: B
Rationale: The recommendation for moderate-intensity exercise is at least 150
minutes per week (B). 75 minutes (A) is for vigorous-intensity. 225 (C) and 300
(D) are not standard recommendations.
