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NCLEX PRACTICE Exam Questions with 100% Correct Answers

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NCLEX PRACTICE Exam Questions with 100% Correct Answers The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Quate...

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  • October 12, 2024
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  • 2024/2025
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©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
NCLEX PRACTICE Exam Questions with

100% Correct Answers


The nurse is participating at a health fair at the local mall giving influenza

vaccines to senior citizens. What level of prevention is the nurse

practicing?

A) Primary prevention

B) Secondary prevention

C) Tertiary prevention

D) Quaternary prevention - ✔✔Primary prevention is aimed at health

promotion and includes health-education programs, immunizations, and

physical and nutritional fitness activities. It can be provided to an individual

and includes activities that focus on maintaining or improving the general

health of individuals, families, and communities. It also includes specific

protection such as immunization for influenza.

A patient experienced a myocardial infarction 4 weeks ago and is currently

participating in the daily cardiac rehabilitation sessions at the local fitness

center. In what level of prevention is the patient participating?

A) Primary prevention

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
B) Secondary prevention

C) Tertiary prevention

D) Quaternary prevention - ✔✔Tertiary prevention involves minimizing

the effects of long-term disease or disability by interventions directed at

preventing complications and deterioration following the myocardial

infarction. Tertiary-prevention activities are directed at rehabilitation rather

than diagnosis and treatment. Care at this level aims to help patients

achieve as high a level of functioning as possible, despite the limitations

caused by illness or impairment. This level of care is called preventive care

because it involves preventing further disability or reduced functioning.

Based on the transtheoretical model of change, what is the most

appropriate response to a patient who states: "Me, exercise? I haven't done

that since junior high gym class, and I hated it then!"

A) "That's fine. Exercise is bad for you anyway."

B) "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1

month."

C) "I understand. Can you think of one reason why being more active

would be helpful for you?"

D) "I'd like you to ride your bike 3 times this week and eat at least four fruits

and vegetables every day." - ✔✔The patient's response indicates that

,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
the patient is in the precontemplation stage and does not intend to change

his behavior in the next 6 months. In this stage the patient is not interested

in information about the behavior and may be defensive when confronted

with it. Asking an open-ended question may stimulate the patient to identify

a reason to begin a behavior change. Nurses are challenged to motivate

and facilitate change in health behavior when working with individuals.

A patient comes to the local health clinic and states: "I've noticed how

many people are out walking in my neighborhood. Is walking good for

you?" What is the best response to help the patient through the stages of

change for exercise?

A) "Walking is OK. I really think running is better."

B) "Yes, walking is great exercise. Do you think you could go for a 5-minute

walk next week?"

C) "Yes, I want you to begin walking. Walk for 30 minutes every day and

start to eat more fruits and vegetables."

D) "They probably aren't walking fast enough or far enough. You need to

spend at least 45 minutes if you are going to do any good." - ✔✔The

patient's response indicates that the patient is in the contemplative state,

possibly intending to make a behavior change within the next 6 months.

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
The nurse's statement reinforces the behavior and provides a specific goal

for the patient to begin a walking plan.

A male patient has been laid off from his construction job and has many

unpaid bills. He is going through a divorce from his marriage of 15 years

and has been seeing his pastor to help him through this difficult time. He

does not have a primary health care provider because he has never really

been sick and his parents never took him to the physician when he was a

child. Which external variables influence the patient's health practices?

(Select all that apply.)

A) Difficulty paying his bills

B) Seeing his pastor as a means of support

C) Family practice of not routinely seeing a health care provider

D) Stress from the divorce and the loss of a job - ✔✔External factors

impacting health practices include family beliefs and economic impact. How

patients' families use health care services generally affects their health

practices. Their perceptions of the serious nature of diseases and their

history of preventive care behaviors (or lack of them) influence how

patients will think about health. Economic variables may affect a patient's

level of health by increasing the risk for disease and influencing how or at

what point the patient enters the health care system.

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