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17 multiple-choice questions and 19 flashcards on Health Promotion and Maintenance, about 10% of the NCLEX-PN bank. Every one carries a written rationale.
Health Promotion and Maintenance is one of 8 chapters in CoStudy's NCLEX-PN bank, and it holds 17 of the bank's 162 multiple-choice questions — roughly 10% of the total. That proportion is not arbitrary: chapters follow the certifying body's published exam outline, and the number of questions in each is set by that domain's published weight, so the share of your practice time this chapter takes matches the share of the real exam it accounts for.
Studying by chapter is worth doing once you have a diagnostic score. A single overall percentage tells you whether you are close; it does not tell you which domain is dragging. Working a weak chapter in isolation, and re-testing it in isolation, is the fastest way to move a score that has stalled — and it is why the mock exams in CoStudy report by domain rather than as one number.
10 questions drawn from this chapter, with the full rationale shown — the controlling principle behind the right answer, and why each wrong option tempts and fails.
A 45-year-old woman asks about mammogram timing. The LPN should reinforce the provider's guidance which generally recommends:
Answer: B — Mammograms every 1-2 years starting between 40 and 50 depending on guideline and risk
A) Too early. B) Correct — guidelines differ but generally begin between 40 and 50 with interval of 1-2 years. C) Asymptomatic screening detects early disease. D) Not lifetime once.
Select all developmental milestones expected by 12 months. Select all that apply.
Answer: ABDE
A,B,D,E) Typical 12-month milestones. C) Running by ~18-24 months. F) 2-word phrases by ~24 months.
A new mother asks how to care for her newborn's umbilical cord stump. The LPN should reinforce teaching to:
Answer: B — Keep the stump clean and dry and fold the diaper below it until it falls off
A) Covering the stump traps moisture and increases infection risk. B) Correct — current guidance is dry cord care: keep the area clean, exposed to air, and the diaper folded below it to prevent friction and contamination; it typically falls off in 1-3 weeks. C) Routine alcohol application is no longer recommended and can delay separation. D) Sponge baths, not tub immersion, are recommended until the stump separates.
Which immunization is given at birth in the US?
Answer: A — Hepatitis B (first dose)
A) Correct — Hepatitis B birth dose. B) MMR at 12-15 months. C) Varicella at 12-15 months. D) Tdap is given later.
Recommended adult sleep duration is:
Answer: C — 7-9 hours per night
A,B) Insufficient for most adults. C) Correct — 7-9 hours per night supports cognitive and metabolic health. D) Excessive for healthy adults.
Which finding in a 70-year-old is an expected age-related change?
Answer: A — Decreased lens accommodation (presbyopia)
A) Correct — presbyopia is expected. B) Acute confusion is not normal aging and needs evaluation. C) Pupillary loss is pathologic. D) Severe headache requires evaluation.
Normal adult respiratory rate is:
Answer: C — 12-20 breaths per minute
A) That's bradypnea. C) Correct — adult normal range. B) That's adult tachypnea or pediatric range. D) Infant range, not adult.
Adult Tdap booster interval is:
Answer: C — Every 10 years
A) Annual is influenza, not Tdap. B) Too frequent for tetanus. C) Correct — adults need Tdap booster every 10 years; pregnant women get one each pregnancy. D) Wrong — boosters are required.
A 60-year-old asks the LPN about colorectal cancer screening. The LPN should reinforce that:
Answer: B — Routine screening is recommended starting at age 45 for average-risk adults
A) Too late. B) Correct — current USPSTF/ACS guidance starts at age 45 for average-risk adults. C) Screening is for asymptomatic detection. D) Too early/too frequent.
Which client behavior MOST reflects effective health promotion?
Answer: D — Walking 30 minutes 5 days per week and following a heart-healthy diet
A) Smoking remains harmful. D) Correct — evidence-based physical activity and dietary patterns. C) Frequency matters but moderation guidelines still apply. B) Skipping meals is not recommended.
4 cards from the 19 in this chapter.
Normal adult respiratory rate?
12-20 breaths per minute.
Infant car seat safety teaching?
Rear-facing car seat in the back seat until at least age 2 (or manufacturer height/weight limit); never place a rear-facing seat in front of an active airbag.
Normal adult oral temperature?
98.6°F / 37.0°C (range ~97-99°F / 36.1-37.2°C).
Normal adult heart rate?
60-100 beats per minute.
These are a sample. The full Health Promotion and Maintenance chapter runs 36 items with per-chapter progress tracking, on the web and in the iOS app.