COMPLETE REVISION QUESTIONS

NCLEX-PN Health Promotion and Maintenance Health Promotion

COMPLETE REVISION QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY

GRADED A+

A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 9%. On the basis of this test result, the nurse plans to reinforce teaching the client about the need for which measure? - Answer: Preventing and recognizing hyperglycemia The nurse is assisting to perform a focused data collection process on a client who is complaining of symptoms of a cold, a cough, and lung congestion. Which should the nurse include for this type of data

collection? Select all that apply. - Answer: Listening to lung sounds

Obtaining the client's temperature Obtaining information about the client's respirations The nurse is reinforcing instructions for a client in how to perform a testicular self-examination (TSE).Which instructions should the nurse include? Select all that apply. - Answer: Perform TSE after a shower or bath.

Perform TSE on the same day each month.

Perform TSE by rolling each testicle between the thumb and fingers.Which statement by a nursing student about Kohlberg's theory of moral development indicates the need for further teaching about the theory? - Answer: "Individuals move through all six stages in a sequential fashion." 1 / 3

The parents of an 8-year-old child tell the nurse that they are concerned about the child because the child seems to be more attentive to friends than anyone else. Which is the appropriate nursing response? - Answer: "At this age, the child is developing his or her own personality." The nurse is providing instructions to a new parent regarding the psychosocial development of the infant. Using Erikson's psychosocial development theory, which instruction should the nurse reinforce to

the parents? - Answer: Allow the infant to signal a need.

The parent of a 3-year-old tells the nurse that the child is constantly rebelling and having temper tantrums. Which instruction should the nurse reinforce to the parent? - Answer: Set limits on the child's behavior.The nurse determines a child is in the "preoperational" phase of Piaget's cognitive developmental theory when the child makes which statement? - Answer: "The moon follows me, and goes to bed when I go to bed".The nursing student is preparing a conference on Freud's psychosexual stages of development, specifically the anal stage. Which appropriately relates to this stage? - Answer: Beginning of toilet training When the nurse is collecting data from the older adult, which findings should be considered normal physiological changes? Select all that apply. - Answer: Decline in visual acuity Increased susceptibility to urinary tract infections Increased incidence of awakening after sleep onset The nurse is providing an education class to healthy older adults. Which exercise will bestpromote

health maintenance? - Answer: Walking three to five times a week for 30 minutes

A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse helps determine whether this method of family planning is appropriate? - Answer: "Do you plan to have any other children?" 2 / 3

The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the first day of her last menstrual period (LMP) was October 20, 2019. Using Nägele's rule, the nurse

determines the estimated date of birth is which date? - Answer: July 27, 2020

A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of

gestation? - Answer: 16 and 20 weeks' gestation

The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse should document which as the GTPAL for this client? - Answer: G

= 2, T = 1, P = 0, A = 0, L = 1

The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive.The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of which change that occurs with pregnancy? - Answer: A softening of the cervix The nurse is collecting data from a pregnant client who is currently at 28 weeks' gestation. At her prior prenatal visit, her fundal height measured 22 cm. The nurse measures the fundal height at this visit in

centimeters and should expect which finding? - Answer: 26 cm

A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. Based on this finding, which nursing action is appropriate? - Answer: Tell the client that these are common and they may occur throughout the pregnancy.The nurse is checking a client's record for probable signs of pregnancy. Which are the probable signs of pregnancy that the nurse should note? Select all that apply. - Answer: Ballottement Chadwick's sign Uterine enlargement

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