Health Promotion and Maintenance Practice Test for the Nclex-PN® Exam PDF

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These practice exam questions are similar to the NCLEX PN exam. They come with answers and rationale at the end....

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Health Promotion and Maintenance Practice Test for the NCLEX-PN® Exam

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Table of Contents Answers Questions Hints Answer Summary Answer Explanations

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Answers 1

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Questions 1) Note: These questions include ones similar to alternative format questions as seen on the NCLEX-PN exam. The LPN is performing an assessment on a 4-day-old 8-pound, 6-ounce newborn with a head circumference of 33 cm. Given this information, what would the nurse expect the child’s chest circumference to be? A) about 31 cm B) about 36 cm C) about 29 cm D) about 33 cm

2) The LPN is caring for a client newly diagnosed with HIV. Which statement made by the client regarding antiretroviral therapy (ART) would require correction from the nurse? A) “If I start ART and use condoms, I’m less likely to transmit HIV to my partner.” B) “I can still use ART even though I am Hepatitis C positive.” C) “I will need to be on ART indefinitely.” D) “I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3.”

3) A pregnant client asks how she can prevent getting Group B Strep. What is the LPN’s best response? A) “You should have your partner wear a condom every time you have intercourse.” B) “You cannot prevent getting Group B Strep, you can only treat it.” C) “You should be extra vigilant about hand-washing, especially in the third trimester.” D) “The Group B Strep vaccine is the only proven way to prevent the disease.”

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4) You are caring for a 78-year-old woman who is wondering why she was diagnosed with glaucoma. Although she has several risk factors, which of these is not one of them? A) age B) blood pressure reading of 143/89 C) Mexican-American heritage D) 20/80 vision

5) The LPN is caring for a 9 month-old infant. Which of these behaviors exhibited by the child warrants further investigation? A) She prefers crawling and is making no attempt to walk. B) She seems distressed with new adults. C) She does not respond to her own name. D) She only babbles “mama” and “dada.”

6) An LPN is taking care of an elderly client who experiences the effects of Sundowner’s Syndrome almost every evening. Which of these interventions implemented by the nurse would be the most helpful? A) Place a nightlight in the client’s room. B) Administer the PRN sedative prescribed by the attending physician. C) Remind the client the things and people they are seeing are not real and that they are safe. D) Turn on the TV or radio to a station the client enjoys.

7) A laboring client is experiencing late decelerations. Which position should she be placed in? A) left lateral B) lithotomy C) semi-Fowler’s D) right lateral

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8) The LPN is teaching a first-time mother about breastfeeding her newborn. Which statement, if made by the mother, would reflect that the teaching had been successful? A) “My baby should be having at least 4-6 wet diapers a day until 1 month.” B) “It’s nice that breastfed babies eat a bit less than formula fed babies.” C) “My baby should be nursing 8-12 times a day during this period.” D) “I’m a little nervous about my milk coming in tomorrow. I’ve heard it’s uncomfortable.”

9) The LPN needs to determine the client’s respiratory rate. What is the best technique to do this? A) Tell the client you need to count their respiratory rate. B) Subtly watch the client from across the room when they are doing an activity. C) Ask the client to sit still for 30 seconds. D) Count respirations while pretending to check the client’s pulse.

10) The LPN is teaching a 25-year-old client about HPV. Which statements made by the client indicate understanding of the teaching? Select all that apply. A. “I can only get HPV if my boyfriend has symptoms.” B. “HPV can cause cancers later in life, which is why it is important to prevent it now.” C. “I feel a bit better about having HPV now that I know that almost all sexually active people have it at some point.” D. “It’s a bummer that I’m too old for the vaccine.” E. “If I take my birth control diligently, I can significantly reduce my risk for HPV.” A) D, E B) B, C C) A, C, D, E D) A, B, C

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11) When caring for pediatric clients, the nurse should pay special attention to the psychosocial development stages credited to ____? A) Robert Peck B) Erik Erikson C) Sigmund Freud D) Jean Piaget

12) Around what age do children start to develop “stranger anxiety”? A) 9 months B) 6 months C) 3 months D) 12 months

13) The nurse is assessing an 18-month-old. Which of these statements made by the parent or caregiver would require follow-up? A) I’m worried that my child is not using two-word phrases yet. B) My child has recently taken a few steps but does not seem stable when standing. C) My child seems to have developed separation anxiety when I leave. D) I’m letting my child use a spoon to eat.

14) The nurse is caring for a 4-year-old client. What is the most appropriate pain scale for the nurse to use during the assessment? A) McGill Pain Scale B) FLACC Pain Scale C) CRIES Pain Scale D) Wong-Baker Pain Scale

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15) The nurse is caring for an elderly client and providing education. Which of the following would be least appropriate? A) The nurse speaks in a loud voice. B) The nurse allows additional time after each instruction to allow the client to process. C) The nurse provides supplemental written resources. D) The nurse breaks up the education into multiple shorter sessions.

16) The nurse is caring for a female client who has recently been diagnosed with cancer and will soon begin chemotherapy. Which of these statements would require additional follow-up and education? A) I will be most susceptible to an infection between 7 and 12 days after chemotherapy. B) I should try to get my annual teeth cleaning in before beginning chemotherapy. C) I should wait until all my hair falls out to purchase a wig. D) I should try to drink 8–10 glasses of water a day.

17) The nurse is assessing the newborn’s respirations. Which of these findings would indicate a need for follow-up and further intervention? A) irregular respirations B) abdominal respirations C) shallow respirations D) 70 breaths per minute

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Question 18

18) Which spot is the safest place to administer an IM injection to an infant? Select the correct corresponding letter from the attached graphic. A) C B) B C) A D) D

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19) The nurse is caring for a client who has dysphagia related to a stroke. The nurse works with the client to explain what food and beverages might minimize aspiration. What is this an example of? A) health promotion B) secondary prevention C) tertiary prevention D) primary prevention

20) Which of the following statements is correct about Maslow’s hierarchy of needs? A) There are psychosocial interventions that may be applicable to all of the levels. B) There are physical interventions that may be applicable to all of the levels. C) Two of the levels may require physical intervention while four of the levels may require psychosocial intervention. D) Four of the levels may require physical intervention, while two of the levels may require psychosocial intervention.

21) A 37-year-old female client asks the nurse about contraception options, and says she would like to ask her doctor for a prescription for an oral contraception pill. Which of the following statements would indicate that oral contraception is appropriate for this client? A) “I quit smoking last year, but I started again recently. Maybe I’ll try to quit later this year.” B) “I am very diligent at taking my thyroid medications at the same time every day.” C) “I was hospitalized for deep vein thrombosis five years ago.” D) “I was recently diagnosed with breast cancer.”

22) Which of the following would likely not be a barrier to learning? A) a client who took Ambien® an hour ago B) a bipolar client currently in a manic phase C) a client who states they are not interested D) a client with dysphagia

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23) Which of the following is least appropriate when caring for a stable postpartum client? A) Assess the location and height of the fundus. B) Conduct a family assessment, including the mother’s future plans for going back to work, if applicable. C) Monitor the client for bleeding. D) Provide perineal care.

24) Which of the following of Erikson’s developmental stages are relevant to adults ages 18-64? Select all that apply. A. Ego Integrity vs. Despair B. Generativity vs. Stagnation C. Industry vs. Inferiority D. Initiative vs. Guilt E. Intimacy vs. Isolation A) B and E B) C and E C) B and C D) A and D

25) The nurse is assessing a client who has recently found out she is pregnant. Which of the following statements would be a priority for the nurse to follow up on? A) “I am nervous about how painful labor will be.” B) “I need to review my finances and make sure I am prepared to care for a child.” C) “I hate this nausea that I’ve been having for a week.” D) “I am preparing myself to do this on my own because I do not have any family nearby. But I have always been very independent.”

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Hints Be alert for words like better, best, most, main, major, and primary/primarily in questions. They indicate that there might be other answers that could work, but the correct answer is the one that is the best of the choices given. Be alert for words like better, best, most/mostly, main/mainly, major, highest, greatest, biggest, largest, priority, and primary/primarily in questions. They indicate that there might be other answers that could work, but the correct answer is the one that is the best of the choices given. Be alert for words like not, cannot, except, false, incorrect(ly), least (likely), without, and other negative word forms in questions. These words change the purpose of your search for the correct answer. Be alert for words like not, except, false, incorrect, least (likely), and other negative word forms in questions. These words change the purpose of your search for the correct answer.

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Answer Summary 1

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B

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Answer Explanations 1)

A

about 31 cm

Explanation In newborns, the head circumference should be 2 cm to 3 cm larger than the chest circumference. Note: Due to molding that occurs during the birth process, the head and chest measurement may be nearly equal during the first 48 hours after birth.

2)

D

“I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3.”

Explanation The World Health Organization (WHO) recommends making treatment for those with a CD4 count of ≤350 cells/mm3 a priority, as early intervention can help delay disease progression. Studies have shown that ART can reduce HIV transmission to sexual partners by up to 96%. Conditions such as pregnancy and Hepatitis B and C increase the need to initiate therapy sooner and are in no way contraindicated. ART does not cure HIV, but to maintain viral suppression, it should be continued indefinitely.

3)

B

“You cannot prevent getting Group B Strep, you can only treat it.”

Explanation Group B Strep lives in the vagina, rectum, and intestines of about 25% of the female population. It is considered normal flora and is not a sexually transmitted disease. The same woman can test positive in one pregnancy and negative in another, which is why testing is done every pregnancy, usually within 5 weeks of expected delivery. If a woman tests positive for Group B Strep, she will be given antibiotics during delivery to greatly reduce the risk of complications for her and her baby.

4)

D

20/80 vision

Explanation Age over 60 and Mexican-American ancestry are both risk factors for glaucoma. Elevated blood pressure also is a risk factor as it can cause optic nerve damage. 20/80 vision, while poor, is not a causal factor for glaucoma.

5)

C

She does not respond to her own name.

Explanation By 9 months, children should be babbling simple words and crawling, and they should recognize and respond to their own name. They may begin attempting to walk or may just be starting t...