NCLEX Practice Test: Health Promotion and Maintenance June 15, 2015 By Rana Waqar Leave a Comment 1. A 20-year-old client has just given birth. The baby looks healthy, with the exception of giving a grimace instead of a cry. Which of the following would the nurse expect the obstetrician to say? 1. “The APGAR score is 3.” 2. “The APGAR score is 6.” 3. “The APGAR score is 9.” 4. “The APGAR score is 12.” 2. The outpatient client is postmenopausal. In discussing breast self-examination, which of the following should the nurse let the client know that she can do? 1. Switch to an annual schedule, because she does not have periods. 2. Discontinue self-examination, because hormone changes decrease her risks. 3. Wait until her mammogram shows some findings. 4. Continue to palpate monthly, picking her own meaningful date. 3. A client with acne has been using isotretinoin (Accutane). She tells the nurse that she recently learned she is pregnant. She asks “Will my pregnancy interfere with the medication’s effectiveness?” Which of the following is the appropriate response by the nurse? 1. “The medication is contraindicated for pregnant women.” 2. “You will have to change the route of administration, because you are pregnant.” 3. “There is no reason you can’t continue taking it.” 4. “If the medication helps you look better, that will help feel better about yourself.” 4. The nurse is preparing for a women’s health fair. The nurse knows that which of the following is correct when teaching about the risks and benefits of hormone replacement therapy (HRT)? 1. HRT is related to a decreased risk of deep vein thrombosis (DVT). 2. HRT is related to an increased risk for coronary artery disease (CAD). 3. HRT is related to an increased risk for osteoporosis-related bone fractures. 4. HRT is related to a decreased risk of breast cancer. 5. The nurse has been working with a 45-year old African American who bicycles to work. Lab tests show low serum lipids. The nurse knows that the client’s risk factors for primary (essential) hypertension include which of the following? 1. Being under the age of 65 2. Race 3. Low serum lipids 4. Active lifestyle Δ
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