Test Prep NCLEX-PN Exam
National Council Licensure Examination(NCLEX-PN) (Page 18 )

Updated On: 30-Jan-2026

The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder.

Which of the following behaviors is consistent with this disorder?

  1. slow speech development
  2. overreaction to stimuli from the surroundings
  3. inability to carry on a conversation
  4. concrete thinking

Answer(s): B

Explanation:

Children with attention deficit disorder are easily distracted but are able to carry on a conversation.
Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities.



Who should receive the hepatitis A vaccine?

  1. children who are 18 months of age
  2. infants, who should receive the vaccination at birth
  3. people who travel to other countries
  4. individuals who might come into contact with blood

Answer(s): C

Explanation:

Hepatitis A is for individuals who travel or persons with chronic liver disease. Infants receive the hepatitis B vaccine at birth.
DTaP is administered at 18 months of age.
Individuals who come into contact with blood should be immunized against hepatitis B.



Which of the following vaccines are not part of the regular schedule of immunizations for children?

  1. DTaP
  2. MMR
  3. Hib
  4. hepatitis A

Answer(s): D

Explanation:

Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.



A client asks the nurse what risk factors increase the chances of getting skin cancer. The risk factors include all except ______________.

  1. light or fair complexion.
  2. exposure to sun for great periods of time.
  3. certain diet and foods.
  4. history of bad sunburns.

Answer(s): C

Explanation:

Conditions that increase risks for skin cancer are: light or fair complexion, history of having bad sunburns or scars from previous burns, personal or family history of skin cancer, frequently working or playing outdoors with exposure to the sun, exposure to X-rays or radiation, exposure to certain chemicals through work or hobbies (coal, pitch, asphalt, petroleum), repeated trauma or injury to an area resulting in scars, older than age 50, male gender, and living in a geographic location near the equator or at high altitudes.
Ways to prevent skin cancer are avoiding exposure to the sun, wearing a hat to protect the face, avoiding all sun lamps, and using a sunscreen with a minimum of 15 sun protection factor (SPF) if exposure to the sun is unavoidable.
Teaching clients how to recognize a potential problem involves inspecting the skin frequently; noting all birthmarks, freckles, and moles; and seeking medical assistance if any of the following are noted: change in color, change in shape, change in surface texture, change in size, change in the surrounding skin, or a new mole or a sore that does not heal.



To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

  1. drinking a six-pack of beer each day
  2. eating an occasional chocolate bar
  3. exercising twice a week
  4. using relaxation exercises to deal with stress

Answer(s): A

Explanation:

Health promotion is motivated by the desire to increase people’s well-being and health potential. The nurse promotes health by maximizing the client’s own strengths.
Identification and analysis of the client’s strengths are a component of preventing illness, restoring health, and facilitating coping with disability or death.
The nurse facilitates decisions about lifestyle that enhance one’s quality of life and encourage acceptance of responsibility for one’s own health.



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