NCLEX-RN Health Promotion &
Maintenance Exam 1 Practice Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
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1. A nurse is teaching a pregnant client about folic acid intake. Which
statement by the client indicates correct understanding?
A. “Folic acid prevents gestational diabetes.”
B. “Folic acid helps prevent neural tube defects in the fetus.”
C. “Folic acid eliminates the need for prenatal vitamins.”
D. “Folic acid should only be taken after delivery.”
Answer: Folic acid helps prevent neural tube defects in the fetus.
Rationale: Folic acid supplementation before and during pregnancy reduces the
risk of neural tube defects such as spina bifida.
2. A nurse is providing health education to an older adult. Which
recommendation promotes healthy aging?
A. Avoid all physical activity
B. Limit social interactions
,C. Participate in regular exercise appropriate for ability
D. Increase intake of processed foods
Answer: Participate in regular exercise appropriate for ability
Rationale: Regular physical activity supports mobility, cardiovascular health,
independence, and mental well-being in older adults.
3. A nurse is assessing a newborn during the first hours after birth. Which
finding requires immediate follow-up?
A. Sleeping after feeding
B. Respiratory rate of 70 breaths/minute
C. Flexed posture
D. Sneezing occasionally
Answer: Respiratory rate of 70 breaths/minute
Rationale: A respiratory rate above the expected newborn range may indicate
respiratory distress and requires further assessment.
4. A nurse is teaching a client about immunizations. Which statement is
correct?
A. Vaccines weaken the immune system
B. Vaccines provide protection against specific diseases
C. Vaccines eliminate the need for hygiene practices
D. Vaccines are only needed during childhood
Answer: Vaccines provide protection against specific diseases
Rationale: Immunizations stimulate immune responses that help prevent
infectious diseases throughout life.
, 5. A nurse is educating a pregnant client about warning signs. Which symptom
should the client report immediately?
A. Mild fatigue
B. Increased appetite
C. Vaginal bleeding
D. Occasional nausea
Answer: Vaginal bleeding
Rationale: Vaginal bleeding during pregnancy may indicate complications
requiring immediate evaluation.
6. A nurse is assessing a toddler’s development. Which behavior is expected at
age 2?
A. Reading independently
B. Speaking in short phrases
C. Riding a bicycle without help
D. Writing complete sentences
Answer: Speaking in short phrases
Rationale: Toddlers typically begin combining words and using short phrases
around age 2.
7. A nurse is teaching parents about infant safety. Which instruction is
appropriate?
A. Place the infant on the stomach to sleep
B. Use soft pillows in the crib
C. Place the infant on the back to sleep
D. Allow loose blankets in the crib
Answer: Place the infant on the back to sleep
, Rationale: Supine sleeping reduces the risk of sudden infant death syndrome
(SIDS).
8. A nurse is teaching a client about nutrition. Which food is a good source of
calcium?
A. White bread
B. Milk
C. Apples
D. Rice
Answer: Milk
Rationale: Dairy products such as milk provide calcium needed for bone health.
9. A nurse is caring for a client who wants to stop smoking. Which intervention
is most appropriate?
A. Tell the client to quit immediately without assistance
B. Assess readiness to change
C. Ignore smoking history
D. Recommend increasing cigarette use temporarily
Answer: Assess readiness to change
Rationale: Assessing readiness helps nurses provide appropriate smoking
cessation support.
10.A nurse is teaching adolescents about injury prevention. Which
recommendation is appropriate?
A. Avoid wearing helmets
B. Use seat belts consistently
Maintenance Exam 1 Practice Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A nurse is teaching a pregnant client about folic acid intake. Which
statement by the client indicates correct understanding?
A. “Folic acid prevents gestational diabetes.”
B. “Folic acid helps prevent neural tube defects in the fetus.”
C. “Folic acid eliminates the need for prenatal vitamins.”
D. “Folic acid should only be taken after delivery.”
Answer: Folic acid helps prevent neural tube defects in the fetus.
Rationale: Folic acid supplementation before and during pregnancy reduces the
risk of neural tube defects such as spina bifida.
2. A nurse is providing health education to an older adult. Which
recommendation promotes healthy aging?
A. Avoid all physical activity
B. Limit social interactions
,C. Participate in regular exercise appropriate for ability
D. Increase intake of processed foods
Answer: Participate in regular exercise appropriate for ability
Rationale: Regular physical activity supports mobility, cardiovascular health,
independence, and mental well-being in older adults.
3. A nurse is assessing a newborn during the first hours after birth. Which
finding requires immediate follow-up?
A. Sleeping after feeding
B. Respiratory rate of 70 breaths/minute
C. Flexed posture
D. Sneezing occasionally
Answer: Respiratory rate of 70 breaths/minute
Rationale: A respiratory rate above the expected newborn range may indicate
respiratory distress and requires further assessment.
4. A nurse is teaching a client about immunizations. Which statement is
correct?
A. Vaccines weaken the immune system
B. Vaccines provide protection against specific diseases
C. Vaccines eliminate the need for hygiene practices
D. Vaccines are only needed during childhood
Answer: Vaccines provide protection against specific diseases
Rationale: Immunizations stimulate immune responses that help prevent
infectious diseases throughout life.
, 5. A nurse is educating a pregnant client about warning signs. Which symptom
should the client report immediately?
A. Mild fatigue
B. Increased appetite
C. Vaginal bleeding
D. Occasional nausea
Answer: Vaginal bleeding
Rationale: Vaginal bleeding during pregnancy may indicate complications
requiring immediate evaluation.
6. A nurse is assessing a toddler’s development. Which behavior is expected at
age 2?
A. Reading independently
B. Speaking in short phrases
C. Riding a bicycle without help
D. Writing complete sentences
Answer: Speaking in short phrases
Rationale: Toddlers typically begin combining words and using short phrases
around age 2.
7. A nurse is teaching parents about infant safety. Which instruction is
appropriate?
A. Place the infant on the stomach to sleep
B. Use soft pillows in the crib
C. Place the infant on the back to sleep
D. Allow loose blankets in the crib
Answer: Place the infant on the back to sleep
, Rationale: Supine sleeping reduces the risk of sudden infant death syndrome
(SIDS).
8. A nurse is teaching a client about nutrition. Which food is a good source of
calcium?
A. White bread
B. Milk
C. Apples
D. Rice
Answer: Milk
Rationale: Dairy products such as milk provide calcium needed for bone health.
9. A nurse is caring for a client who wants to stop smoking. Which intervention
is most appropriate?
A. Tell the client to quit immediately without assistance
B. Assess readiness to change
C. Ignore smoking history
D. Recommend increasing cigarette use temporarily
Answer: Assess readiness to change
Rationale: Assessing readiness helps nurses provide appropriate smoking
cessation support.
10.A nurse is teaching adolescents about injury prevention. Which
recommendation is appropriate?
A. Avoid wearing helmets
B. Use seat belts consistently
