NCLEX-RN Health Promotion &
Maintenance Exam 5 Practice Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
1. A nurse is teaching a pregnant client about nutrition during pregnancy. Which
statement by the client indicates correct understanding?
A. “I should avoid all fish during pregnancy.”
B. “I should increase my intake of folic acid.”
C. “I should decrease my protein intake.”
D. “I should avoid drinking water with meals.”
Answer: B. Increase my intake of folic acid.
Rationale: Folic acid helps prevent neural tube defects and is especially
important before conception and during early pregnancy.
2. A nurse is assessing a newborn during the first hours after birth. Which
finding requires immediate intervention?
A. Acrocyanosis of hands and feet
B. Heart rate of 140 beats/min
,C. Respiratory rate of 20 breaths/min
D. Central cyanosis of the lips and tongue
Answer: Central cyanosis of the lips and tongue.
Rationale: Central cyanosis indicates inadequate oxygenation and requires
immediate assessment and intervention.
3. A nurse is providing education to a client who wants to stop smoking. Which
intervention is most effective?
A. Encourage gradual reduction without assistance
B. Provide information about nicotine replacement therapy
C. Tell the client smoking is harmful
D. Recommend avoiding all social activities
Answer: B. Provide information about nicotine replacement therapy.
Rationale: Nicotine replacement therapy can reduce withdrawal symptoms and
improve smoking cessation success rates.
4. A nurse is teaching parents about infant safety. Which instruction is
appropriate?
A. Place the infant on the stomach to sleep
B. Use soft blankets in the crib
C. Place the infant on the back to sleep
D. Keep toys in the crib for comfort
Answer: C. Place the infant on the back to sleep.
Rationale: Supine sleeping decreases the risk of sudden infant death syndrome
(SIDS).
,5. A nurse is assessing a toddler’s developmental milestone. Which behavior is
expected at 2 years of age?
A. Reading simple sentences
B. Using two-word phrases
C. Writing their name
D. Riding a bicycle independently
Answer: B. Using two-word phrases.
Rationale: Toddlers around age 2 typically combine words into short phrases.
6. A nurse provides education about immunizations. Which vaccine is commonly
administered during infancy?
A. Human papillomavirus vaccine
B. Hepatitis B vaccine
C. Herpes zoster vaccine
D. Pneumococcal polysaccharide vaccine only
Answer: B. Hepatitis B vaccine.
Rationale: Hepatitis B vaccination begins at birth and continues according to the
recommended schedule.
7. A nurse is teaching a client about breast self-awareness. Which instruction is
appropriate?
A. Report any unusual breast changes to a healthcare provider
B. Perform aggressive breast massage daily
C. Avoid all breast examinations
D. Check only when pain occurs
Answer: A. Report any unusual breast changes to a healthcare provider.
, Rationale: Early reporting of breast changes supports timely evaluation and
possible diagnosis.
8. A nurse is assessing a school-age child. Which finding indicates normal
development?
A. Difficulty following rules
B. Development of logical thinking skills
C. Complete dependence on caregivers
D. Lack of peer relationships
Answer: B. Development of logical thinking skills.
Rationale: School-age children develop concrete operational thinking and
improved problem-solving abilities.
9. A nurse is teaching an adolescent about health promotion. Which topic is
most appropriate?
A. Retirement planning
B. Safe sexual practices
C. Infant nutrition
D. Fall prevention
Answer: B. Safe sexual practices.
Rationale: Adolescents benefit from education regarding sexual health,
prevention of infections, and responsible decision-making.
10. A nurse is teaching a client about osteoporosis prevention. Which
recommendation is appropriate?
A. Avoid weight-bearing exercise
B. Increase calcium and vitamin D intake
Maintenance Exam 5 Practice Exam
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
1. A nurse is teaching a pregnant client about nutrition during pregnancy. Which
statement by the client indicates correct understanding?
A. “I should avoid all fish during pregnancy.”
B. “I should increase my intake of folic acid.”
C. “I should decrease my protein intake.”
D. “I should avoid drinking water with meals.”
Answer: B. Increase my intake of folic acid.
Rationale: Folic acid helps prevent neural tube defects and is especially
important before conception and during early pregnancy.
2. A nurse is assessing a newborn during the first hours after birth. Which
finding requires immediate intervention?
A. Acrocyanosis of hands and feet
B. Heart rate of 140 beats/min
,C. Respiratory rate of 20 breaths/min
D. Central cyanosis of the lips and tongue
Answer: Central cyanosis of the lips and tongue.
Rationale: Central cyanosis indicates inadequate oxygenation and requires
immediate assessment and intervention.
3. A nurse is providing education to a client who wants to stop smoking. Which
intervention is most effective?
A. Encourage gradual reduction without assistance
B. Provide information about nicotine replacement therapy
C. Tell the client smoking is harmful
D. Recommend avoiding all social activities
Answer: B. Provide information about nicotine replacement therapy.
Rationale: Nicotine replacement therapy can reduce withdrawal symptoms and
improve smoking cessation success rates.
4. A nurse is teaching parents about infant safety. Which instruction is
appropriate?
A. Place the infant on the stomach to sleep
B. Use soft blankets in the crib
C. Place the infant on the back to sleep
D. Keep toys in the crib for comfort
Answer: C. Place the infant on the back to sleep.
Rationale: Supine sleeping decreases the risk of sudden infant death syndrome
(SIDS).
,5. A nurse is assessing a toddler’s developmental milestone. Which behavior is
expected at 2 years of age?
A. Reading simple sentences
B. Using two-word phrases
C. Writing their name
D. Riding a bicycle independently
Answer: B. Using two-word phrases.
Rationale: Toddlers around age 2 typically combine words into short phrases.
6. A nurse provides education about immunizations. Which vaccine is commonly
administered during infancy?
A. Human papillomavirus vaccine
B. Hepatitis B vaccine
C. Herpes zoster vaccine
D. Pneumococcal polysaccharide vaccine only
Answer: B. Hepatitis B vaccine.
Rationale: Hepatitis B vaccination begins at birth and continues according to the
recommended schedule.
7. A nurse is teaching a client about breast self-awareness. Which instruction is
appropriate?
A. Report any unusual breast changes to a healthcare provider
B. Perform aggressive breast massage daily
C. Avoid all breast examinations
D. Check only when pain occurs
Answer: A. Report any unusual breast changes to a healthcare provider.
, Rationale: Early reporting of breast changes supports timely evaluation and
possible diagnosis.
8. A nurse is assessing a school-age child. Which finding indicates normal
development?
A. Difficulty following rules
B. Development of logical thinking skills
C. Complete dependence on caregivers
D. Lack of peer relationships
Answer: B. Development of logical thinking skills.
Rationale: School-age children develop concrete operational thinking and
improved problem-solving abilities.
9. A nurse is teaching an adolescent about health promotion. Which topic is
most appropriate?
A. Retirement planning
B. Safe sexual practices
C. Infant nutrition
D. Fall prevention
Answer: B. Safe sexual practices.
Rationale: Adolescents benefit from education regarding sexual health,
prevention of infections, and responsible decision-making.
10. A nurse is teaching a client about osteoporosis prevention. Which
recommendation is appropriate?
A. Avoid weight-bearing exercise
B. Increase calcium and vitamin D intake
