NCLEX RN Health Promotion and
Maintenance Exam 1 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
Q1. A nurse is teaching a client about primary prevention. Which intervention
is an example of primary prevention?
A. Screening for colorectal cancer
B. Administering an influenza vaccine
C. Providing physical therapy after a stroke
D. Monitoring blood glucose in a client with diabetes
Answer: Administering an influenza vaccine
Rationale: Primary prevention prevents disease before it occurs.
Immunization is a classic primary-prevention intervention. Screening is
secondary prevention, while rehabilitation is tertiary prevention.
Q2. The nurse is assessing an infant during a routine health visit. Which finding
requires the most immediate follow-up?
A. Birth weight doubled by 6 months
B. Infant rolls from abdomen to back at 4 months
C. Infant has a persistent head lag at 6 months
D. Infant transfers an object from one hand to the other at 7 months
Answer: Infant has a persistent head lag at 6 months
Rationale: Persistent head lag beyond approximately 4 months can indicate
neuromuscular or developmental problems and requires further evaluation.
,Q3. A nurse is teaching parents about preventing sudden infant death
syndrome (SIDS). Which statement indicates correct understanding?
A. “I will place my baby on the stomach to sleep.”
B. “I will use a soft pillow to support my baby.”
C. “I will place my baby on the back to sleep.”
D. “I will cover my baby with a heavy blanket.”
Answer: “I will place my baby on the back to sleep.”
Rationale: Infants should be placed supine on a firm, flat sleep surface
without pillows, loose bedding, or soft objects to reduce the risk of sleep-
related infant death.
Q4. Which developmental behavior should the nurse expect from a 2-year-old
child?
A. Using scissors accurately
B. Riding a bicycle without assistance
C. Using two-word phrases
D. Reading simple sentences
Answer: Using two-word phrases
Rationale: A 2-year-old commonly uses two-word phrases and has a
vocabulary of approximately 50 or more words. More advanced language
and motor skills develop later.
Q5. A nurse is assessing a 4-year-old child. Which developmental milestone is
expected?
A. Hops on one foot
B. Uses a pincer grasp
C. Rolls from back to abdomen
D. Sits without support
Answer: Hops on one foot
,Rationale: Hopping on one foot is an expected gross-motor milestone during
the preschool period.
Q6. A nurse is providing anticipatory guidance to parents of a school-age child.
Which activity should the nurse encourage?
A. Allowing unlimited screen time
B. Encouraging participation in physical activity
C. Discouraging peer relationships
D. Eliminating responsibility for household tasks
Answer: Encouraging participation in physical activity
Rationale: Regular physical activity supports healthy growth, cardiovascular
fitness, bone health, and psychosocial development in school-age children.
Q7. A nurse is assessing an adolescent. Which behavior is most characteristic of
normal adolescent development?
A. Complete dependence on parents
B. Increasing importance of peer relationships
C. Loss of interest in personal appearance
D. Inability to develop abstract thinking
Answer: Increasing importance of peer relationships
Rationale: Peer relationships become increasingly important during
adolescence as the individual develops independence and a personal identity.
Q8. Which finding in an adolescent should the nurse identify as requiring
further assessment?
A. Concern about body image
B. Desire for increased privacy
C. Occasional disagreement with parents
D. Persistent withdrawal from friends and activities
, Answer: Persistent withdrawal from friends and activities
Rationale: Persistent social withdrawal and loss of interest in usual activities
may indicate depression or another mental health concern and require
further assessment.
Q9. A nurse is teaching a pregnant client about folic acid. Why is folic acid
important during pregnancy?
A. It prevents gestational diabetes
B. It reduces the risk of neural tube defects
C. It prevents all congenital heart defects
D. It eliminates morning sickness
Answer: It reduces the risk of neural tube defects
Rationale: Adequate folic acid before conception and during early pregnancy
significantly reduces the risk of neural tube defects such as spina bifida.
Q10. Which nutritional recommendation is appropriate for a pregnant client?
A. Avoid all fish
B. Consume a balanced diet with adequate protein, vitamins, and minerals
C. Double calorie intake during the first trimester
D. Eliminate dairy products
Answer: Consume a balanced diet with adequate protein, vitamins, and
minerals
Rationale: Pregnancy increases nutritional requirements, but excessive
calorie intake is unnecessary. A varied, balanced diet supports maternal and
fetal health.
Q11. A pregnant client reports painless bright-red vaginal bleeding at 32 weeks.
Which condition should the nurse suspect?
Maintenance Exam 1 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
Q1. A nurse is teaching a client about primary prevention. Which intervention
is an example of primary prevention?
A. Screening for colorectal cancer
B. Administering an influenza vaccine
C. Providing physical therapy after a stroke
D. Monitoring blood glucose in a client with diabetes
Answer: Administering an influenza vaccine
Rationale: Primary prevention prevents disease before it occurs.
Immunization is a classic primary-prevention intervention. Screening is
secondary prevention, while rehabilitation is tertiary prevention.
Q2. The nurse is assessing an infant during a routine health visit. Which finding
requires the most immediate follow-up?
A. Birth weight doubled by 6 months
B. Infant rolls from abdomen to back at 4 months
C. Infant has a persistent head lag at 6 months
D. Infant transfers an object from one hand to the other at 7 months
Answer: Infant has a persistent head lag at 6 months
Rationale: Persistent head lag beyond approximately 4 months can indicate
neuromuscular or developmental problems and requires further evaluation.
,Q3. A nurse is teaching parents about preventing sudden infant death
syndrome (SIDS). Which statement indicates correct understanding?
A. “I will place my baby on the stomach to sleep.”
B. “I will use a soft pillow to support my baby.”
C. “I will place my baby on the back to sleep.”
D. “I will cover my baby with a heavy blanket.”
Answer: “I will place my baby on the back to sleep.”
Rationale: Infants should be placed supine on a firm, flat sleep surface
without pillows, loose bedding, or soft objects to reduce the risk of sleep-
related infant death.
Q4. Which developmental behavior should the nurse expect from a 2-year-old
child?
A. Using scissors accurately
B. Riding a bicycle without assistance
C. Using two-word phrases
D. Reading simple sentences
Answer: Using two-word phrases
Rationale: A 2-year-old commonly uses two-word phrases and has a
vocabulary of approximately 50 or more words. More advanced language
and motor skills develop later.
Q5. A nurse is assessing a 4-year-old child. Which developmental milestone is
expected?
A. Hops on one foot
B. Uses a pincer grasp
C. Rolls from back to abdomen
D. Sits without support
Answer: Hops on one foot
,Rationale: Hopping on one foot is an expected gross-motor milestone during
the preschool period.
Q6. A nurse is providing anticipatory guidance to parents of a school-age child.
Which activity should the nurse encourage?
A. Allowing unlimited screen time
B. Encouraging participation in physical activity
C. Discouraging peer relationships
D. Eliminating responsibility for household tasks
Answer: Encouraging participation in physical activity
Rationale: Regular physical activity supports healthy growth, cardiovascular
fitness, bone health, and psychosocial development in school-age children.
Q7. A nurse is assessing an adolescent. Which behavior is most characteristic of
normal adolescent development?
A. Complete dependence on parents
B. Increasing importance of peer relationships
C. Loss of interest in personal appearance
D. Inability to develop abstract thinking
Answer: Increasing importance of peer relationships
Rationale: Peer relationships become increasingly important during
adolescence as the individual develops independence and a personal identity.
Q8. Which finding in an adolescent should the nurse identify as requiring
further assessment?
A. Concern about body image
B. Desire for increased privacy
C. Occasional disagreement with parents
D. Persistent withdrawal from friends and activities
, Answer: Persistent withdrawal from friends and activities
Rationale: Persistent social withdrawal and loss of interest in usual activities
may indicate depression or another mental health concern and require
further assessment.
Q9. A nurse is teaching a pregnant client about folic acid. Why is folic acid
important during pregnancy?
A. It prevents gestational diabetes
B. It reduces the risk of neural tube defects
C. It prevents all congenital heart defects
D. It eliminates morning sickness
Answer: It reduces the risk of neural tube defects
Rationale: Adequate folic acid before conception and during early pregnancy
significantly reduces the risk of neural tube defects such as spina bifida.
Q10. Which nutritional recommendation is appropriate for a pregnant client?
A. Avoid all fish
B. Consume a balanced diet with adequate protein, vitamins, and minerals
C. Double calorie intake during the first trimester
D. Eliminate dairy products
Answer: Consume a balanced diet with adequate protein, vitamins, and
minerals
Rationale: Pregnancy increases nutritional requirements, but excessive
calorie intake is unnecessary. A varied, balanced diet supports maternal and
fetal health.
Q11. A pregnant client reports painless bright-red vaginal bleeding at 32 weeks.
Which condition should the nurse suspect?
