NCLEX RN Health Promotion and
Maintenance Practice Exam 2 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is teaching a client about measures to reduce the risk of osteoporosis.
Which instruction is most appropriate?
A. Avoid weight-bearing exercise
B. Increase calcium and vitamin D intake
C. Limit exposure to sunlight completely
D. Consume a high-protein diet only
Answer: B. Increase calcium and vitamin D intake
Rationale: Adequate calcium and vitamin D, combined with weight-bearing
exercise, help maintain bone density and reduce the risk of osteoporosis.
Question 2
The nurse is assessing a newborn immediately after birth. Which finding
requires further evaluation?
A. Heart rate of 140/min
B. Respiratory rate of 44/min
C. Acrocyanosis of the hands and feet
D. Central cyanosis of the lips and tongue
Answer: D. Central cyanosis of the lips and tongue
,Rationale: Acrocyanosis can be normal shortly after birth, but central
cyanosis suggests inadequate oxygenation and requires immediate
evaluation.
Question 3
Which developmental milestone should the nurse expect in a 6-month-old
infant?
A. Walking independently
B. Saying several meaningful words
C. Sitting with support
D. Riding a tricycle
Answer: C. Sitting with support
Rationale: Around 6 months, infants commonly begin sitting with support and
may demonstrate improved head and trunk control.
Question 4
A nurse is providing anticipatory guidance to parents of a toddler. Which safety
measure is most important?
A. Allow the child to play with small objects
B. Store medications in an unlocked cabinet
C. Use a rear-facing car seat according to current safety recommendations
D. Allow the child to sleep with a bottle
Answer: C. Use a rear-facing car seat according to current safety
recommendations
Rationale: Proper car-seat use is a major injury-prevention strategy for young
children.
Question 5
A pregnant client asks why folic acid is recommended before and during
pregnancy. What is the nurse's best response?
A. "It prevents gestational diabetes."
B. "It reduces the risk of neural tube defects."
,C. "It prevents all congenital abnormalities."
D. "It eliminates the need for iron supplementation."
Answer: B. It reduces the risk of neural tube defects.
Rationale: Adequate folic acid before conception and during early pregnancy
significantly reduces the risk of fetal neural tube defects.
Question 6
Which assessment finding in a pregnant client should the nurse report
immediately?
A. Mild nausea in the morning
B. Urinary frequency during early pregnancy
C. Vaginal bleeding accompanied by abdominal pain
D. Increased breast tenderness
Answer: C. Vaginal bleeding accompanied by abdominal pain
Rationale: Vaginal bleeding with abdominal pain can indicate miscarriage,
ectopic pregnancy, or another pregnancy complication and requires prompt
evaluation.
Question 7
A nurse is teaching a pregnant client about nutrition. Which statement
indicates correct understanding?
A. "I should avoid all fish during pregnancy."
B. "I should consume a balanced diet with adequate protein, iron, folate, and
calcium."
C. "I should double my calorie intake during the first trimester."
D. "I should eliminate carbohydrates."
Answer: B. I should consume a balanced diet with adequate protein, iron,
folate, and calcium.
Rationale: Pregnancy increases nutritional requirements, including the need
for protein, iron, folate, calcium, and other nutrients.
Question 8
, Which finding is expected in a healthy newborn during the first few days of life?
A. Persistent projectile vomiting
B. Passage of meconium
C. Severe abdominal distention
D. Persistent grunting
Answer: B. Passage of meconium
Rationale: Passage of meconium is an expected newborn finding and
generally occurs within the first 24–48 hours after birth.
Question 9
The nurse is teaching parents about infant sleep safety. Which statement is
correct?
A. "Place the infant prone for sleep."
B. "Place the infant supine on a firm sleep surface."
C. "Use loose blankets around the infant."
D. "Allow the infant to sleep on a soft pillow."
Answer: B. Place the infant supine on a firm sleep surface.
Rationale: Infants should be placed on their backs on a firm, flat sleep surface
without loose bedding or soft objects to reduce the risk of sleep-related infant
death.
Question 10
Which behavior is expected in a preschool-aged child?
A. Developing a sense of initiative
B. Developing formal abstract reasoning
C. Establishing a permanent occupational identity
D. Developing complete emotional independence
Answer: A. Developing a sense of initiative
Rationale: According to Erikson, preschool children are in the initiative-
versus-guilt stage and develop initiative through exploration and purposeful
activity.
Maintenance Practice Exam 2 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is teaching a client about measures to reduce the risk of osteoporosis.
Which instruction is most appropriate?
A. Avoid weight-bearing exercise
B. Increase calcium and vitamin D intake
C. Limit exposure to sunlight completely
D. Consume a high-protein diet only
Answer: B. Increase calcium and vitamin D intake
Rationale: Adequate calcium and vitamin D, combined with weight-bearing
exercise, help maintain bone density and reduce the risk of osteoporosis.
Question 2
The nurse is assessing a newborn immediately after birth. Which finding
requires further evaluation?
A. Heart rate of 140/min
B. Respiratory rate of 44/min
C. Acrocyanosis of the hands and feet
D. Central cyanosis of the lips and tongue
Answer: D. Central cyanosis of the lips and tongue
,Rationale: Acrocyanosis can be normal shortly after birth, but central
cyanosis suggests inadequate oxygenation and requires immediate
evaluation.
Question 3
Which developmental milestone should the nurse expect in a 6-month-old
infant?
A. Walking independently
B. Saying several meaningful words
C. Sitting with support
D. Riding a tricycle
Answer: C. Sitting with support
Rationale: Around 6 months, infants commonly begin sitting with support and
may demonstrate improved head and trunk control.
Question 4
A nurse is providing anticipatory guidance to parents of a toddler. Which safety
measure is most important?
A. Allow the child to play with small objects
B. Store medications in an unlocked cabinet
C. Use a rear-facing car seat according to current safety recommendations
D. Allow the child to sleep with a bottle
Answer: C. Use a rear-facing car seat according to current safety
recommendations
Rationale: Proper car-seat use is a major injury-prevention strategy for young
children.
Question 5
A pregnant client asks why folic acid is recommended before and during
pregnancy. What is the nurse's best response?
A. "It prevents gestational diabetes."
B. "It reduces the risk of neural tube defects."
,C. "It prevents all congenital abnormalities."
D. "It eliminates the need for iron supplementation."
Answer: B. It reduces the risk of neural tube defects.
Rationale: Adequate folic acid before conception and during early pregnancy
significantly reduces the risk of fetal neural tube defects.
Question 6
Which assessment finding in a pregnant client should the nurse report
immediately?
A. Mild nausea in the morning
B. Urinary frequency during early pregnancy
C. Vaginal bleeding accompanied by abdominal pain
D. Increased breast tenderness
Answer: C. Vaginal bleeding accompanied by abdominal pain
Rationale: Vaginal bleeding with abdominal pain can indicate miscarriage,
ectopic pregnancy, or another pregnancy complication and requires prompt
evaluation.
Question 7
A nurse is teaching a pregnant client about nutrition. Which statement
indicates correct understanding?
A. "I should avoid all fish during pregnancy."
B. "I should consume a balanced diet with adequate protein, iron, folate, and
calcium."
C. "I should double my calorie intake during the first trimester."
D. "I should eliminate carbohydrates."
Answer: B. I should consume a balanced diet with adequate protein, iron,
folate, and calcium.
Rationale: Pregnancy increases nutritional requirements, including the need
for protein, iron, folate, calcium, and other nutrients.
Question 8
, Which finding is expected in a healthy newborn during the first few days of life?
A. Persistent projectile vomiting
B. Passage of meconium
C. Severe abdominal distention
D. Persistent grunting
Answer: B. Passage of meconium
Rationale: Passage of meconium is an expected newborn finding and
generally occurs within the first 24–48 hours after birth.
Question 9
The nurse is teaching parents about infant sleep safety. Which statement is
correct?
A. "Place the infant prone for sleep."
B. "Place the infant supine on a firm sleep surface."
C. "Use loose blankets around the infant."
D. "Allow the infant to sleep on a soft pillow."
Answer: B. Place the infant supine on a firm sleep surface.
Rationale: Infants should be placed on their backs on a firm, flat sleep surface
without loose bedding or soft objects to reduce the risk of sleep-related infant
death.
Question 10
Which behavior is expected in a preschool-aged child?
A. Developing a sense of initiative
B. Developing formal abstract reasoning
C. Establishing a permanent occupational identity
D. Developing complete emotional independence
Answer: A. Developing a sense of initiative
Rationale: According to Erikson, preschool children are in the initiative-
versus-guilt stage and develop initiative through exploration and purposeful
activity.
