NCLEX-PN Health Promotion and Maintenance

NCLEX-PN Health Promotion and Maintenance Leave the first rating Students also studied Terms in this set (124) Science MedicineNursing Save Basic Care and Comfort NCLEX que...44 terms Jessi_Austin7Preview NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview NCLEX PN- coordinated care 15 terms haileypearl_housdan Preview Exam C 103 term sum 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?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.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.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?"Individuals move through all six stages in a sequential fashion." 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?"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?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?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?"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?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.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?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?"Do you plan to have any other children?" 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?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?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?

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?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?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?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.Ballottement Chadwick's sign Uterine enlargement Braxton Hicks contractions The nursing instructor asks a nursing student to describe the process of quickening. Which statement indicates an understanding of this term?"It is the fetal movement that is felt by the mother." The pregnant woman complains of being awakened frequently by leg cramps. The nurse reinforces instructions to the client's partner and should tell the client to perform which measure?Dorsiflex the client's foot while extending the knee.The nurse is reinforcing instructions to a pregnant client regarding measures to prevent heartburn. The nurse should instruct the client to take which best measure?Drink decaffeinated coffee and tea.A postpartum client is getting ready for discharge. The nurse suspects that the client needs further teaching related to breastfeeding when she makes which statement?"I don't need birth control because I will be breastfeeding." The nurse is assigned to care for the client during the postpartum period. The client asks the nurse what the term involution means. Which description should the nurse give to the client?The progressive descent of the uterus into the pelvic cavity, which occurs at a rate of approximately 1 cm/day

A mother is breastfeeding her newborn baby and experiences breast engorgement. The nurse should encourage the mother to do which to provide relief of the engorgement?Massage the breasts before feeding to stimulate let-down.The nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother should be taught which intervention?Begin with the eyes and face.The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a newborn. Which student statement indicates that further teaching is needed?"I will flush the eyes after instilling the ointment." A school-age child with type 1 diabetes mellitus has soccer practice three afternoons a week. The nurse reinforces instructions regarding how to prevent hypoglycemia during practice. Which should the nurse tell the child?Drink a half a cup of orange juice before soccer practice.The nurse reinforces home-care instructions to the parents of a child with celiac disease. Which food item should the nurse advise the parents to include in the child's diet?Rice The nurse reinforces instructions to a group of clients regarding measures that will assist with the prevention of skin cancer. Which statement by a client indicates the need for further teaching?"I need to avoid sun exposure before 10:00 am and after 4:00 pm." The health education nurse provides instructions to a group of clients regarding measures that will assist with preventing skin cancer. Which instructions should the nurse provide? Select all that apply.Use sunscreen when participating in outdoor activities.Wear a hat, opaque clothing, and sunglasses when in the sun.Examine your body monthly for any lesions that may be suspicious.The nurse is assisting with conducting a health-promotion program to community members regarding testicular cancer. The nurse determines that further teaching is needed if a community member states that which is a sign/symptom of testicular cancer? Select all that apply.Alopecia Elevation in prostate specific antigen (PSA) levels The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan of care?Apply a moisturizing lotion to dry feet, but not between the toes.The nurse is reinforcing instructions to a client with diabetes mellitus who is recovering from diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize?Monitor blood glucose level frequently.