Health Promotion and
Maintenance
|
Health Promotion and Maintenance accounts for 6-12
percent of the questions on the NCLEX-RN® exam. The nursing
actions included in this subcategory are:
| Aging process |
Ante/intra/postpartum and newborn |
| Developmental stages/transitions |
Expected body image changes |
| Family planning |
Family systems |
| Human sexuality |
Disease prevention |
| Health screening |
Immunizations |
| Health and wellness |
Lifestyle choices |
| Physical assessment techniques |
Health promotion programs |
Typical Questions
The following is an example of a typical health promotion and
maintenance question:
A 21-year old woman in active labor is admitted to the labor
suite. An hour later, the membranes rupture spontaneously. The
nurse observes a glistening white cord protruding from the
vagina. Which of the following actions should be the highest
priority of the nurse?
(1) Return to the nurse's station and place an emergency call
to the physician.
(2) Administer oxygen by mask at 10-12 liters/minute and assess
the mother's vital signs.
(3) Place a clean towel over the cord and wet it with sterile
normal saline.
(4) Apply manual pressure to the presenting part and have the
mother assume a knee-chest position.
The correct answer is (4). A prolapsed cord is an emergency
situation. The nurse must relieve pressure on the cord to prevent
fetal anoxia.
The following is another example of a typical health promotion
and maintenance question:
The nurse in the out-patient clinic is discussing exercise
programs with a group of adults. Which of the following
statements, if made to the nurse by one of the participants,
indicates the need for further teaching?
(1) I should individualize my exercise program to meet my
needs.
(2) I should incorporate the exercise program into my daily
activities.
(3) I should maintain consistent participation in my exercise
program.
(4) I should perform vigorous exercise several times a week.
The correct answer is (4). This is a negative question.
Exercise does not need to be vigorous, it just needs to increase
the client's resting heart rate.
Other Client Needs:
