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Health and Wellness
Pregnancy and Newborn
Developmental Stages
Healthy Lifestyle
*Random*
100
The patient has been overweight for most of her life. She has tried dieting in the past and has lost weight, only to regain it when she stopped dieting. She is visiting the weight loss clinic/health club because she has decided to do it. She states that she will join right after the holidays, in 3 months. The nurse recognizes that the patient is in which stage of the change process?
a. Precontemplation b. Contemplation c. Preparation d. Action
100
You have just been handed a newborn for evaluation using the Apgar score. Which of the following lists contain items evaluated in the correct order?
a. Heart rate, respiratory rate, muscle tone b. Muscle tone, respiratory rate, heart rate c. Respiratory rate, heart rate, muscle tone d. Heart rate, muscle tone, respiratory rate
100
The nurse is assessing a six-month-old child. Which developmental skills are normal and should be expected?
a. Speaks in short sentences. b. Sits alone. c. Can feed self with a spoon. d. Pulling up to a standing position
100
In a nurse-client helping relationship, the nurse should:
A) Problem solve for the client.? B) Distort the truth when the client is to receive bad news to protect the client.? C) Convey acceptance by always agreeing with the client or approving of the client's decisions or actions.? D) Convey nonjudgmental acceptance with a willingness to hear a message or to acknowledge feelings.
100
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the risk of a heart attack or stroke. Which health promotion brochure is most important for the nurse to provide to this client?
a. "Monitoring Your Blood Pressure at Home" b. "Smoking Cessation as a Lifelong Commitment" c. "Decreasing Cholesterol Levels Through Diet" d. "Stress Management for a Healthier You"
200
According to the World Health Organization, what is the best definition for "health"?
a. Simply the absence of disease b. Involving the total person and environment c. Strictly personal in nature d. Status of pathological state
200
A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:
a. Two umbilical veins and one umbilical artery b. Two umbilical arteries and one umbilical vein c. Arteries carrying oxygenated blood to the fetus d. Veins carrying deoxygenated blood to the fetus
200
While giving nursing care to a hospitalized adolescent, the nurse should be aware that the MAJOR threat felt by the hospitalized adolescent is
a. Pain management b. Restricted physical activity c. Altered body image d. Separation from family
200
A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The nurse works with the local health department to put together a team to address the environmental issues responsible for the child's abnormal lead level. Team members should include which of the following specialists?
A) Epidemiologist, pediatric specialist, and sanitarian.? B) Laboratory specialist, contractor whose bid for lead reduction work is the lowest, and public health lead reduction specialist.? C) Public health sanitarian, pediatric generalist, and plumbing inspector. D) Specially trained housing inspector, pediatric specialist, lead-based paint intervention team, and laboratory specialists to test the child's home and the surrounding neighborhood.
200
What percentage of questions are related to Health Promotion and Maintenance on the NCLEX?
a. 5% b. 9% c. 15% d. 19%
300
Many variables influence a patient's health beliefs and practices. Internal and external variables influence how a person thinks and acts. An example of an internal variable would be
a. Perception of functioning. b. Family practices. c. Socioeconomic factors. d. Cultural background.
300
During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?
a. 80 BPM b. 100 BPM c. 150 BPM d. 180 BPM
300
The nurse is assessing a four month-old infant. The nurse would anticipate finding that the infant would be able to
a. Hold a rattle b. Bang two blocks c. Drink from a cup d. Wave “bye-bye”
300
To facilitate communication with an older adult who is hard of hearing the nurse should:
A) Face the client and maintain eye contact.? B) Use lengthy explanations to ensure that the message is made clear.? C) Cover several topics at one time to be most efficient in communication.? D) Help the client by anticipating what he or she is going to say and finishing the client's sentences for him or her.
300
When a child is five years old, what stage of the aging process is he or she in?
a. preschool b. school age c. adolescent d. working-years
400
Models of health offer a perspective by which to understand the relationships between the concepts of health, wellness, and illness. Nurses are in a unique position to assist patients in achieving and maintaining optimal levels of health because nurses (Select all that apply.)
a. Understand the challenges of today's health care system. b. Identify actual and potential risk factors. c. Have coined the term "illness behavior." d. Can minimize the effects of illness and assist to the return of optimal health
400
A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th, 2014. Using Nagele’s rule, the nurse determines the estimated date of confinement as:
a. July 26, 2015 b. June 12, 2016 c. June 26, 2015 d. July 12, 2016
400
The nurse is observing children playing in the hospital playroom. She would expect to see 4 year-old children playing
a. Competitive board games with older children b. With their own toys along side with other children c. Alone with hand held computer games d. Cooperatively with other preschoolers
400
A college health nurse is working with students, faculty, and staff to improve environmental air quality. To address the primary cause of air pollution on campus, the nurse plans a precautionary intervention. Which of the following interventions best demonstrates an appropriate approach?
A) Encourage the use of electric cars and scooters on campus.? B) Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the primary mode of transportation on campus.? C) Make the entire campus a no-smoking zone.? D) Establish a policy to reduce electricity consumption in university buildings by raising the thermostat to 78 degrees in the summer and lowering the thermostat to 70 degrees in the winter.
400
What is the goal of health promotion and maintenance?
a. achieve and enjoy optimal health b. heal from a disease process c. research new healthcare advances d. save the healthcare system money
500
Risk factors can be placed in the following interrelated categories: genetic and physiological factors, age, physical environment, and lifestyle. The presence of any of these risk factors means that
a. A person with the risk factor will get the disease. b. The chances of getting the disease are increased. c. The disease is guaranteed not to develop if the risk factor is controlled. d. Risk modification will have no effect on disease prevention.
500
Prior to going home, a new mother expresses to the nurse that she is worried that she will not know when to call a doctor or take her baby to the emergency room. The nurse explains that which of the following complications would require medical advice? (select all that apply)
a. Vomits more than once in 24 hours b. Has a fever higher than 100.4 F c. Experiencing coryza d. Not breathing easily
500
The nurse is caring for residents in a long term care setting for the elderly. Which of the following activities will be MOST effective in meeting the growth and development needs for persons in this age group?
a. Aerobic exercise classes b. Transportation for shopping trips c. Reminiscence groups d. Regularly scheduled social activities
500
When teaching an adolescent about a health related issue, which would be the best approach to take?
a. reading a brochure b. drawing pictures c. using dolls and stuffed animals d. point them to trusted Internet sites
500
Which of the following areas is not considered part of health promotion and maintenance?
a. aging process b. lifestyle choices c. chemotherapy d. health screening