Health Promotion and Maintenance Exam Questions and Answers

165 Questions and Answers

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Promoting wellness and preventing illness are foundational pillars of modern nursing and healthcare practice. This Health Promotion and Maintenance Practice Exam is designed to test and strengthen your knowledge of preventative care strategies, developmental milestones, patient education, and wellness interventions across the lifespan. Whether you’re preparing for the NCLEX or seeking to enhance your clinical practice, this resource offers a comprehensive and practical review.

The Health Promotion and Maintenance Exam Questions and Answers focus on essential content areas including growth and development, immunizations, nutrition, prenatal and postnatal care, risk factor reduction, screening guidelines, and health teaching strategies. You’ll also explore cultural competence, family dynamics, and psychosocial considerations, reflecting a holistic approach to promoting health in individuals, families, and communities.

Each question is crafted to reflect real-world clinical scenarios and evidence-based guidelines. With detailed explanations provided for every answer, you’ll gain a clearer understanding of core concepts and improve your ability to apply them in clinical settings. This helps boost critical thinking and decision-making—key skills for any healthcare professional working in prevention and education roles.

This exam is especially beneficial for nursing students, public health practitioners, and those preparing for standardized exams that emphasize wellness, disease prevention, and patient-centered care. It aligns with national guidelines and supports lifelong learning by reinforcing the principles of anticipatory guidance, early detection, and health literacy.

Key Topics Covered:

  • Developmental Milestones and Family Health

  • Nutrition and Weight Management

  • Immunization Schedules and Preventative Screenings

  • Prenatal, Infant, Child, and Geriatric Health Promotion

  • Risk Factor Identification and Reduction

  • Health Literacy and Culturally Sensitive Teaching

  • Community Health and Vulnerable Populations

  • Patient Advocacy and Preventative Interventions

This exam resource is an excellent tool for mastering the content needed to deliver proactive, compassionate, and evidence-based care throughout the continuum of life.

Sample Questions and Answers

Which of the following is the most important health promotion strategy for a client with hypertension?

A. Reducing sodium intake
B. Increasing caloric intake
C. Limiting fluid intake
D. Reducing physical activity

Answer: A. Reducing sodium intake

The nurse is teaching a patient about smoking cessation. Which of the following interventions is most appropriate?

A. Encouraging the patient to quit without support
B. Offering nicotine replacement therapy
C. Suggesting the patient reduce alcohol consumption
D. Advising the patient to quit only on weekends

Answer: B. Offering nicotine replacement therapy

What is the primary purpose of prenatal care during the first trimester?

A. Monitor fetal development
B. Assess maternal and fetal risks
C. Provide education on childbirth techniques
D. Screen for genetic disorders

Answer: B. Assess maternal and fetal risks

Which of the following would be an appropriate recommendation for a 45-year-old woman to prevent osteoporosis?

A. Limiting calcium-rich foods
B. Regular weight-bearing exercises
C. Avoiding vitamin D supplements
D. Reducing weight-bearing exercises

Answer: B. Regular weight-bearing exercises

A 60-year-old male client has been diagnosed with prediabetes. Which of the following is the nurse’s best action for health promotion?

Recommend a low-fat diet
B. Encourage regular blood glucose monitoring
C. Suggest the patient quit exercise
D. Educate on smoking cessation only

Answer: B. Encourage regular blood glucose monitoring

Which of the following vaccines is recommended for adults aged 65 years or older?

MMR vaccine
B. Tdap vaccine
C. Pneumococcal vaccine
D. Varicella vaccine

Answer: C. Pneumococcal vaccine

The nurse is educating a pregnant woman about nutrition. Which of the following nutrients should be emphasized during pregnancy?

Vitamin C
B. Folate
C. Calcium
D. Iron

Answer: B. Folate

Which of the following is a recommended health promotion measure for the prevention of colorectal cancer in adults over the age of 50?

Avoidance of fiber
B. Regular screening with colonoscopy
C. High-fat diet
D. Limiting exercise to once a week

Answer: B. Regular screening with colonoscopy

A nurse is discussing the importance of exercise with a client. Which of the following benefits should the nurse emphasize as the most significant health promotion benefit of regular exercise?

Improved muscle tone
B. Weight loss
C. Improved cardiovascular health
D. Decreased lung function

Answer: C. Improved cardiovascular health

Which of the following is the most effective method for preventing the spread of respiratory infections in a community?

Using antibiotics for all infections
B. Practicing good hand hygiene
C. Avoiding vaccination
D. Staying indoors during flu season

Answer: B. Practicing good hand hygiene

Which of the following is the most important lifestyle change for a patient with elevated cholesterol?

Increasing caffeine intake
B. Reducing dietary fat intake
C. Increasing alcohol consumption
D. Reducing fiber intake

Answer: B. Reducing dietary fat intake

The nurse is teaching a patient with Type 2 diabetes about diet. Which of the following food choices is best for the patient?

Fried chicken
B. Whole grain bread
C. Soda
D. Candy bars

Answer: B. Whole grain bread

Which of the following is a common warning sign of breast cancer that the nurse should educate a patient to report?

Increased hair growth
B. Nausea and vomiting
C. A lump in the breast
D. Increased appetite

Answer: C. A lump in the breast

What is the most important health promotion strategy for a patient with a family history of heart disease?

Limiting salt intake
B. Regular physical activity
C. Increased alcohol consumption
D. Avoiding exercise

Answer: B. Regular physical activity

A nurse is educating a client on the importance of sleep. Which of the following is the best advice to promote healthy sleep?

Use caffeine to stay alert
B. Maintain a consistent sleep schedule
C. Exercise in the evening before bedtime
D. Avoid sleep aids entirely

Answer: B. Maintain a consistent sleep schedule

A 30-year-old female patient asks the nurse about breast cancer screening. Which of the following is the most appropriate response?

“You should start mammograms at age 40.”
B. “Breast cancer screening is not necessary until age 50.”
C. “You should perform breast self-exams regularly and discuss mammograms with your healthcare provider.”
D. “No breast cancer screening is necessary for you at this time.”

Answer: C. “You should perform breast self-exams regularly and discuss mammograms with your healthcare provider.”

What is the most effective way to promote oral health in children?

Giving sugary snacks between meals
B. Regular brushing with fluoride toothpaste
C. Avoiding all dairy products
D. Using mouthwash only

Answer: B. Regular brushing with fluoride toothpaste

A client has been diagnosed with hypertension. What is the most important health promotion intervention?

Decrease salt intake
B. Avoid caffeine
C. Increase red meat consumption
D. Avoid exercise

Answer: A. Decrease salt intake

What is the most effective method of preventing cervical cancer?

Smoking cessation
B. HPV vaccination
C. Regular exercise
D. Avoiding all forms of birth control

Answer: B. HPV vaccination

Which of the following is the most significant risk factor for developing lung cancer?

High-fat diet
B. Exposure to secondhand smoke
C. Physical inactivity
D. Chronic dehydration

Answer: B. Exposure to secondhand smoke

Which of the following interventions is most appropriate for a patient with a history of stroke?

Encourage a sedentary lifestyle
B. Recommend a low-sodium, low-fat diet
C. Advise avoidance of blood pressure medications
D. Encourage heavy alcohol consumption

Answer: B. Recommend a low-sodium, low-fat diet

Which of the following vaccines should be administered to a 6-month-old infant?

Tetanus
B. Hepatitis B
C. Measles
D. Rotavirus

Answer: D. Rotavirus

The nurse is teaching a pregnant woman about nutritional needs during pregnancy. Which of the following should be emphasized?

Reducing calories
B. Consuming adequate protein
C. Limiting dairy products
D. Increasing sugar intake

Answer: B. Consuming adequate protein

A patient with a BMI of 40 is at increased risk for which of the following health problems?

Anemia
B. Type 2 diabetes
C. Osteoporosis
D. Tuberculosis

Answer: B. Type 2 diabetes

A nurse is discussing the importance of screening for depression in adolescents. Which of the following is the most significant reason for screening?

To prevent suicide
B. To promote exercise
C. To encourage weight loss
D. To prevent eating disorders

Answer: A. To prevent suicide

Which of the following is the primary goal of primary prevention?

Treating existing health problems
B. Preventing the development of disease
C. Providing palliative care
D. Managing chronic illnesses

Answer: B. Preventing the development of disease

What is the most important health promotion measure for an obese patient with a family history of heart disease?

Limiting salt intake
B. Weight loss through diet and exercise
C. Increased fat intake
D. Avoiding all exercise

Answer: B. Weight loss through diet and exercise

The nurse is educating a client with a family history of breast cancer. What is the most effective way to reduce the risk?

Perform monthly breast self-exams
B. Get regular mammograms
C. Avoid high-fat foods
D. Avoid caffeine

Answer: B. Get regular mammograms

Which of the following interventions is most effective in promoting maternal health during pregnancy?

Limiting prenatal visits
B. Avoiding prenatal vitamins
C. Early and regular prenatal care
D. Abstaining from exercise

Answer: C. Early and regular prenatal care

Which of the following is the best health promotion strategy for preventing injuries in older adults?

Encouraging use of seat belts
B. Reducing physical activity
C. Limiting alcohol consumption
D. Avoiding exercise altogether

Answer: A. Encouraging use of seat belts

 

31. What is the recommended frequency for a mammogram for a woman aged 40 to 44?

Every year
B. Every two years
C. Only when symptomatic
D. Every three years

Answer: A. Every year

32. A nurse is educating a pregnant patient about nutrition. Which of the following should the nurse recommend to support fetal development?

Low-fat diet
B. High-protein diet
C. High-sodium diet
D. Low-fiber diet

Answer: B. High-protein diet

33. Which of the following is the most important goal of health promotion for an elderly client?

Avoiding all physical activity
B. Maintaining independence in activities of daily living
C. Limiting social interactions
D. Reducing caloric intake to a minimum

Answer: B. Maintaining independence in activities of daily living

34. What is the most effective strategy to prevent the spread of HIV?

Condom use during sexual activity
B. Taking antibiotics regularly
C. Getting the flu vaccine
D. Avoiding crowded areas

Answer: A. Condom use during sexual activity

35. A nurse is teaching a patient with asthma about health promotion strategies. Which of the following is the most important?

Engaging in rigorous exercise daily
B. Reducing exposure to asthma triggers
C. Avoiding all medications
D. Staying indoors at all times

Answer: B. Reducing exposure to asthma triggers

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