NCLEX-RN Health Promotion and
Maintenance 1-5 Complete Bundle
(2025/2026) | 400+ Verified Q&A |
Foundational to Specialist Level
Section 1: Growth and Development Across the Lifespan (0–12 Months,
1–12 Years)
1. At 2 months, which reflex is expected to be present in a newborn?
A. Moro reflex
B. Babinski reflex absent
C. Palmar grasp disappears
D. Stepping reflex
Answer: A. Moro reflex
Rationale: The Moro reflex is present at birth and typically disappears around 4–6 months.
Babinski is expected, palmar grasp disappears around 3–4 months, and stepping reflex
disappears by 2 months.
2. What is the recommended age for the first MMR vaccination?
A. Birth
B. 6 months
C. 12–15 months
D. 18 months
Answer: C. 12–15 months
Rationale: MMR is first given at 12–15 months, with a second dose at 4–6 years.
3. Erickson’s stage for toddlers (1–3 years) is:
A. Trust vs. Mistrust
B. Autonomy vs. Shame & Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
,Answer: B. Autonomy vs. Shame & Doubt
Rationale: Toddlers develop independence and control; successful resolution leads to
autonomy.
4. Which screening is recommended annually for children aged 4–10 years?
A. Blood pressure
B. Lipid profile
C. Pap smear
D. Colonoscopy
Answer: A. Blood pressure
Rationale: Blood pressure should be checked annually in children to detect early hypertension.
5. A 6-year-old child’s BMI falls in the 95th percentile. What is the priority intervention?
A. Refer to bariatric surgery
B. Initiate a weight management program
C. Monitor growth only
D. Encourage high-protein diet
Answer: B. Initiate a weight management program
Rationale: BMI ≥95th percentile indicates obesity. Interventions include diet, exercise, and
family education.
Section 2: Health Promotion and Disease Prevention in Adolescents (12–18
Years)
6. Recommended screening for adolescents includes:
A. Vision, hearing, depression, STI risk
B. Colonoscopy, Pap smear, mammogram
C. Lipid profile every 2 years
D. Bone density scan
Answer: A. Vision, hearing, depression, STI risk
Rationale: Adolescent screening focuses on developmental, mental, and behavioral health.
7. HPV vaccine is recommended starting at:
A. Birth
B. 9–12 years
, C. 18 years
D. 21 years
Answer: B. 9–12 years
Rationale: Early vaccination ensures immunity before sexual activity.
8. Erickson’s psychosocial stage for adolescents:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Generativity vs. Stagnation
Answer: B. Identity vs. Role Confusion
Rationale: Adolescents explore personal identity and independence.
Section 3: Adult Health Promotion (19–64 Years)
9. Recommended blood pressure screening for adults:
A. Every year
B. Every 3–5 years
C. Only if symptomatic
D. Every 10 years
Answer: A. Every year
Rationale: Annual screening detects hypertension early, reducing cardiovascular risk.
10. Colon cancer screening for average-risk adults begins at:
A. 40 years
B. 45 years
C. 50 years
D. 55 years
Answer: B. 45 years
Rationale: Current guidelines recommend starting at age 45 with colonoscopy, FIT, or other
approved tests.
11. Which lifestyle modification is most effective in preventing type 2 diabetes?
A. Reduce saturated fat intake
Maintenance 1-5 Complete Bundle
(2025/2026) | 400+ Verified Q&A |
Foundational to Specialist Level
Section 1: Growth and Development Across the Lifespan (0–12 Months,
1–12 Years)
1. At 2 months, which reflex is expected to be present in a newborn?
A. Moro reflex
B. Babinski reflex absent
C. Palmar grasp disappears
D. Stepping reflex
Answer: A. Moro reflex
Rationale: The Moro reflex is present at birth and typically disappears around 4–6 months.
Babinski is expected, palmar grasp disappears around 3–4 months, and stepping reflex
disappears by 2 months.
2. What is the recommended age for the first MMR vaccination?
A. Birth
B. 6 months
C. 12–15 months
D. 18 months
Answer: C. 12–15 months
Rationale: MMR is first given at 12–15 months, with a second dose at 4–6 years.
3. Erickson’s stage for toddlers (1–3 years) is:
A. Trust vs. Mistrust
B. Autonomy vs. Shame & Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
,Answer: B. Autonomy vs. Shame & Doubt
Rationale: Toddlers develop independence and control; successful resolution leads to
autonomy.
4. Which screening is recommended annually for children aged 4–10 years?
A. Blood pressure
B. Lipid profile
C. Pap smear
D. Colonoscopy
Answer: A. Blood pressure
Rationale: Blood pressure should be checked annually in children to detect early hypertension.
5. A 6-year-old child’s BMI falls in the 95th percentile. What is the priority intervention?
A. Refer to bariatric surgery
B. Initiate a weight management program
C. Monitor growth only
D. Encourage high-protein diet
Answer: B. Initiate a weight management program
Rationale: BMI ≥95th percentile indicates obesity. Interventions include diet, exercise, and
family education.
Section 2: Health Promotion and Disease Prevention in Adolescents (12–18
Years)
6. Recommended screening for adolescents includes:
A. Vision, hearing, depression, STI risk
B. Colonoscopy, Pap smear, mammogram
C. Lipid profile every 2 years
D. Bone density scan
Answer: A. Vision, hearing, depression, STI risk
Rationale: Adolescent screening focuses on developmental, mental, and behavioral health.
7. HPV vaccine is recommended starting at:
A. Birth
B. 9–12 years
, C. 18 years
D. 21 years
Answer: B. 9–12 years
Rationale: Early vaccination ensures immunity before sexual activity.
8. Erickson’s psychosocial stage for adolescents:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Intimacy vs. Isolation
D. Generativity vs. Stagnation
Answer: B. Identity vs. Role Confusion
Rationale: Adolescents explore personal identity and independence.
Section 3: Adult Health Promotion (19–64 Years)
9. Recommended blood pressure screening for adults:
A. Every year
B. Every 3–5 years
C. Only if symptomatic
D. Every 10 years
Answer: A. Every year
Rationale: Annual screening detects hypertension early, reducing cardiovascular risk.
10. Colon cancer screening for average-risk adults begins at:
A. 40 years
B. 45 years
C. 50 years
D. 55 years
Answer: B. 45 years
Rationale: Current guidelines recommend starting at age 45 with colonoscopy, FIT, or other
approved tests.
11. Which lifestyle modification is most effective in preventing type 2 diabetes?
A. Reduce saturated fat intake
