Free NCLEX-PN Health Promotion and Maintenance Practice Test – Part 2 (Updated 2026)

1. A pregnant client asks the practical nurse why folic acid supplementation is important during pregnancy. Which response by the nurse is most accurate?

2. A client at 32 weeks gestation calls the prenatal clinic reporting a severe headache that has not responded to acetaminophen, accompanied by visual disturbances described as “flashing lights.” Which action should the practical nurse take first?

3. A primigravida client in labor asks the practical nurse to explain what is happening during the first stage of labor. Which statement by the nurse accurately describes this phase?

4. A client in active labor at 6 cm dilation is experiencing strong contractions every 2-3 minutes lasting 50-60 seconds. She states, “I can’t do this anymore. I want to go home.” Her partner appears anxious and asks what they can do to help. The client’s breathing is rapid and she is clutching the bed rails tightly. Which nursing interventions should the practical nurse implement? Select all that apply, then identify the priority intervention.

5. The practical nurse is teaching a postpartum client about expected lochia changes. Which statement accurately describes the normal progression of lochia?

6. During a postpartum assessment, the practical nurse notes that a client’s fundus is firm and located at the level of the umbilicus. There is moderate lochia rubra. The client reports cramping and asks if something is wrong. Which response by the nurse is most appropriate?

7. The practical nurse is assisting with a newborn assessment immediately after delivery. Which Apgar score component is assessed at 1 and 5 minutes of life? Select all that apply.

8. A practical nurse is teaching new parents about newborn reflexes. The parent asks why their baby turns their head toward anything that touches the cheek. Which reflex is the nurse describing, and what is the appropriate response?

9. A 3-day-old newborn is being assessed during a home visit. The practical nurse notes visible jaundice extending from the face to the chest. The mother reports the baby is breastfeeding well approximately 8-12 times per day with 6-8 wet diapers and 3-4 yellow stools. The baby’s skin temperature is stable, and the anterior fontanelle is soft and flat. Which action should the nurse take?

10. During a postpartum home visit on day 5, a client tells the practical nurse she feels overwhelmed, has been crying daily, and cannot sleep even when the baby sleeps. She mentions she does not feel like herself but does not have thoughts of harming herself or the baby. Her mother is visiting to help, and she has been eating and showering regularly. Which condition does the nurse suspect, and what is the priority action?

11. A client asks the practical nurse about the recommended daily servings of vegetables according to MyPlate guidelines for a 2,000-calorie diet. What is the appropriate response?

12. A client with newly diagnosed hypertension receives discharge teaching about a low-sodium diet. Which food choice by the client indicates a need for further teaching?

13. A client’s body mass index (BMI) is calculated to be 27. How should the practical nurse interpret this finding?

14. A 55-year-old client with no significant health history asks the practical nurse about starting an exercise program. According to current guidelines, what should the nurse recommend?

15. A client who follows a strict vegan diet for 3 years reports increasing fatigue, weakness, and tingling sensations in the hands and feet. Which nutritional deficiency should the practical nurse suspect?

16. What is the general daily fluid intake recommendation for a healthy adult that the practical nurse should reinforce during health teaching?

17. A client being admitted mentions drinking “a few cocktails” most evenings to relax. The practical nurse uses the CAGE questionnaire. Which response indicates a potential alcohol use problem?

18. A client who smokes 1 pack per day tells the practical nurse, “I’ve tried to quit smoking three times this year, but I always start again within a week.” What is the best response by the nurse?

19. A client admitted for surgery reports drinking a pint of vodka daily for the past 5 years. The last drink was 8 hours ago. Which finding should the practical nurse report immediately to the RN?

20. A client with type 2 diabetes mellitus asks the practical nurse about carbohydrate intake. Which statement indicates correct understanding of diabetic diet teaching?

21. A 42-year-old female client asks the practical nurse when she should begin having mammograms. According to current screening guidelines, what is the MOST appropriate response by the PN?

22. A 46-year-old male client with no family history of colon cancer comes to the clinic for a wellness visit. The PN knows that colon cancer screening should begin at what age for average-risk adults?

23. The PN is preparing to assist with a Pap smear on a 24-year-old female client. The PN understands that cervical cancer screening guidelines recommend:

24. A 52-year-old male client asks the PN about prostate cancer screening. The PN knows that prostate screening typically includes which TWO tests? (Select the primary screening methods the PN should discuss with the provider.)

25. During a community health fair, the PN screens a 38-year-old client whose blood pressure reads 138/88 mmHg. The client states this is the first time their BP has been checked in 2 years. What is the PN’s BEST action?

26. The PN is reviewing lab results for a 32-year-old healthy adult with no cardiovascular risk factors. The PN knows that lipid panel screening for low-risk adults should occur:

27. A 48-year-old client with a BMI of 32, blood pressure of 142/90 mmHg, and sedentary lifestyle comes to the clinic. The client has no previous diabetes diagnosis. The PN recognizes this client needs screening for type 2 diabetes. Which test should the PN anticipate the provider ordering?

28. The PN is scheduling a 67-year-old female client for a bone density scan. The PN knows this screening test is called:

29. A PN working in the newborn nursery is preparing to discharge a 24-hour-old infant. The PN knows that newborn screening typically includes testing for which conditions? (Select the MOST comprehensive answer.)

30. A 35-year-old client who recently immigrated from a country with high tuberculosis prevalence presents for a pre-employment physical. The employer requires TB screening. The client received BCG vaccine in childhood. The PN knows the MOST appropriate screening test is:

31. A parent of a 4-month-old infant asks the LPN when it will be safe to introduce solid foods. What is the most appropriate response by the LPN?

32. The LPN is providing anticipatory guidance to parents of a 15-month-old toddler. Which safety recommendation is the HIGHEST priority at this developmental stage?

33. The LPN is reviewing growth chart data for a 6-month-old infant. The infant’s weight was at the 50th percentile at birth and 2 months but has dropped to the 10th percentile at 6 months. Length and head circumference remain at the 25th percentile. What is the LPN’s priority action?

34. The LPN is conducting a health screening for a 16-year-old adolescent. Which question is MOST important to include when assessing for substance use risk?

35. The LPN is assisting with scoliosis screening for a 13-year-old female student. During the Adams forward bend test, the nurse observes asymmetry of the rib cage on the right side. What is the most appropriate action by the LPN?

36. A parent tells the LPN that their 2-year-old toddler is resisting naptime and going to bed at night. The parent asks how much sleep the toddler needs. What is the LPN’s best response?

37. The LPN is teaching a parent of a 9-month-old infant about appropriate foods. Which food should the LPN recommend AVOIDING at this age?

38. The LPN is providing anticipatory guidance to parents of a 6-month-old infant whose first tooth has just erupted. What recommendation should the LPN include about dental care?

39. The LPN is discussing discipline strategies with the parent of an 18-month-old toddler who has started having tantrums. Which strategy should the LPN recommend as MOST appropriate for this age?

40. The LPN is interviewing a 15-year-old adolescent during a well-visit. The adolescent states, “Everyone at school is stressed about grades and college. I just don’t see the point sometimes.” Which response by the LPN is the PRIORITY?

41. A nurse is preparing to administer the influenza vaccine to a 68-year-old client. Which statement by the client indicates understanding of the vaccine?

42. When performing a physical assessment on an adult client, which technique should the LPN use first?

43. An LPN is caring for a 2-year-old child who is hospitalized. The child’s parents report that the child has started bedwetting after being toilet-trained for 6 months. How should the nurse interpret this behavior?

44. An LPN is assisting with a health fair for older adults. Which screening should the nurse prioritize recommending for a 72-year-old male client who has never been screened?

45. An LPN is reinforcing teaching for a pregnant client at 12 weeks gestation about prenatal nutrition. Which statement by the client indicates a need for further teaching?

46. An LPN is working in a clinic and assessing a client with a BMI of 32. The client asks about weight loss strategies. Which recommendation should the nurse prioritize?

47. An LPN is reviewing the health history of a 45-year-old female client during a wellness visit. The client’s mother was diagnosed with breast cancer at age 52, and her sister was diagnosed at age 48. The client asks when she should start mammography screening. Based on this family history, what should the nurse recommend?

48. An LPN is providing anticipatory guidance to parents of a 9-month-old infant. Which statement by the parents indicates understanding of safety measures appropriate for this developmental stage?

49. An LPN is reviewing data from a community health clinic. The clinic serves a population with high rates of type 2 diabetes. Which intervention should the nurse identify as a tertiary prevention strategy?

50. An LPN is conducting a health assessment on a 55-year-old male client. The client reports drinking 4-5 beers on weekends and 2-3 beers on weeknights after work. When the nurse uses the CAGE screening tool, the client admits to feeling he should Cut down, being Annoyed by criticism, feeling Guilty, and needing an Eye-opener occasionally. What should the nurse do first?