National Council Licensure Examination: Health Promotion

1.New parents ask how 2-week-old Nora should be put down for sleep. Which teaching is correct?

2.A grandparent wants to dip 8-month-old Eli's pacifier in honey for teething. Which teaching is correct?

3.Parents of 9-month-old Sofia ask if cow's milk can replace formula to save money. Which teaching is correct?

4.Ms. Okonkwo exclusively breastfeeds 6-week-old Jonah. Which supplement teaching is correct?

5.Parents ask when 5-month-old Amira, who holds her head well, should start solid foods. Which teaching is correct?

6.A caregiver offers 2-year-old Luis whole grapes and round hot-dog slices. Which teaching is correct?

7.Parents are taking 14-month-old Maya home. She is within the rear-facing limit of her car seat. Which teaching is correct?

8.During a home visit, the nurse measures the water heater at 150 degrees Fahrenheit in a home with a toddler. Which teaching is correct?

9.A new father says he sometimes feels rage when 3-week-old Owen will not stop crying. Which teaching is the priority?

10.Parents ask how to care for 5-day-old Leila's umbilical cord. Which teaching is correct?

11.On day 3 after circumcision, parents see a yellow film on the glans and think it is pus. Which teaching is correct?

12.Breastfed 5-day-old Hugo is 12 percent below birth weight and has had only two wet diapers today. Which teaching is the priority?

13.A quiet 4-month-old has a bulging anterior fontanel, a high fever, and a shrill cry. Which teaching to the parent is the priority?

14.During a hot day, 7-month-old Imani has a sunken fontanel, no tears, and a dry mouth. Which teaching is correct?

15.Parents ask when their baby's first dental visit should be. The first tooth just erupted at 8 months. Which teaching is correct?

16.A nurse is planning care for 4-month-old Beatrice in the hospital. Which approach best supports trust?

17.Two-year-old Theo wants to put on his own shirt and melts down when rushed. Which approach supports autonomy?

18.Nine-year-old Isaac is proud of a school project and asks the nurse to look at it during a clinic visit. Which response supports industry?

19.Fifteen-year-old Noor asks to speak with the nurse without a parent in the room. Which approach best supports her developmental stage?

20.9-month-old Felix cries when a toy is covered with a cloth, then pulls the cloth away. Which concept is he showing?

21.5-year-old Grace believes her angry wish made her mother get sick. Which teaching is correct?

22.8-month-old Hana cries when an unfamiliar nurse enters, then calms with her father. Which teaching is correct?

23.At a well visit, 6-month-old Owen weighs twice his birth weight. Which teaching is correct?

24.The anterior fontanel of 14-month-old Leila is still open and flat. Which teaching is correct?

25.24-month-old Mateo says only 'mama' and does not combine two words. Which teaching is correct?

26.18-month-old Rosa does not walk, does not cruise, and cannot stand holding on. Which teaching is correct?

27.Parents want to start toilet training 20-month-old Felix because a relative says he is late. He cannot stay dry for two hours and does not notice a wet diaper. Which teaching is correct?

28.3-year-old Camille, who was dry, begins bed-wetting after heart surgery and wants her old blanket. Which teaching is correct?

29.Mr. Adler has a stuffy nose and a temperature of 99.2 Fahrenheit and is due for an inactivated vaccine. Which teaching is correct?

30.Ms. Rahman is 10 weeks pregnant and asks for the measles, mumps, and rubella vaccine because her titer is negative. Which teaching is correct?

31.Ms. Cho is 30 weeks pregnant and has not had tetanus, diphtheria, and pertussis vaccine this pregnancy. Which teaching is correct?

32.Ms. Petrova is pregnant in October and asks about influenza vaccine. Which teaching is correct?

33.21-year-old Amina has never had a Pap test and is asymptomatic. Which teaching is correct?

34.46-year-old Ms. Brennan, at average risk, has never had a mammogram and asks if she should start. Which teaching is correct?

35.48-year-old Mr. Silva has no family history of colon cancer and asks when to start screening. Which teaching is correct?

36.66-year-old Ms. Grant has never had a bone-density test and is at average risk. Which teaching is correct?

37.68-year-old Mr. Doyle smoked for 20 years and quit at 50. He asks about aneurysm screening. Which teaching is correct?

38.62-year-old Ms. Carter smoked a pack a day for 30 years and still smokes. She has no symptoms. Which screening teaching is correct?

39.Baby Jonah is leaving the birth hospital at 36 hours. Which screening must not be skipped?

40.55-year-old Mr. Klein asks for a prostate-specific antigen test 'because every man needs one at 40.' Which teaching is correct?

41.17-year-old Noor received the human papillomavirus vaccine and asks if she can skip future cervical screening. Which teaching is correct?

42.Parents of a healthy 6-month-old who has never received rotavirus vaccine ask to start the series today. Which teaching is correct?

43.Ms. Abebe is planning a pregnancy and asks about vitamins. Which teaching is correct?

44.Ms. Duarte is 8 weeks pregnant and drank a glass of wine at a party. She asks if any amount is safe to continue. Which teaching is correct?

45.Mr. Bennett's blood pressure is 138/88 at two clinic visits. He asks what he can do besides waiting for a pill. Which teaching is correct?

46.64-year-old Ms. Vogel wants to prevent fractures. She swims twice a week and does no walking. Which teaching is correct?

47.45-year-old Mr. Costa says he has no time for exercise. Which teaching matches adult activity guidance?

48.Parents of 8-year-old Diego ask how much activity he needs. Which teaching is correct?

49.62-year-old Ms. Ortiz has smoked for 40 years and says quitting is pointless now. Which teaching is correct?

50.Parents want to give aspirin to 6-year-old Grace for a viral fever. Which teaching is correct?

51.A family has been stretching powdered infant formula by adding extra water. Which teaching is correct?

52.Ms. Haddad's 5-day-old newborn is breastfeeding about every 4 hours and has few wet diapers. Which teaching is correct?

53.84-year-old Mr. Gallagher says he rarely feels thirsty and has had little to drink in two days. Which teaching is correct?

54.76-year-old Ms. Friedman eats little meat and has numbness in her feet. Which teaching is correct?

55.The clinic nurse is teaching MyPlate to Mr. Young, who wants a simple starting point. Which teaching is correct?

56.Ms. Wright rinses raw chicken in the sink before cooking. Which teaching is correct?

57.Parents put apple juice in 10-month-old Sofia's bottle at naps. Which teaching is correct?

58.Ms. Laurent is pregnant and plans to double her calories in the first trimester because she is 'eating for two.' Which teaching is correct?

59.After teaching Mr. Santos how to use a new inhaler, which evaluation is best?

60.Ms. Ellison is in severe pain from a new fracture and the nurse planned a long lesson on a new anticoagulant. Which decision is correct?

61.Clinic materials for Ms. Nowak are written at a graduate-school level. She asks few questions. Which change is best?

62.16-year-old Priya comes for a sports physical with a parent. Which plan respects adolescent care?

63.Mr. Chen needs discharge teaching and does not speak English. His child offers to interpret. Which plan is correct?

64.At a community class, Mr. Brooks suddenly has facial drooping and slurred speech that started 20 minutes ago. Which teaching is the priority?

65.A toddler swallowed an unknown number of his grandmother's iron tablets. The family asks about syrup of ipecac. Which teaching is correct?

66.Mr. Holt is at home with a nosebleed that started 5 minutes ago. He tilts his head back. Which teaching is correct?

67.8-year-old Isaac spilled hot soup on his forearm. The skin is red with a few closed blisters. His parent reaches for butter. Which teaching is correct?

68.On a hot afternoon, an older neighbor is confused, hot, and dry, and is not sweating. Which community teaching is the priority?

69.The Alvarez family has headaches and nausea every evening. Their carbon monoxide detector was unplugged. Which teaching is the priority?

70.Parents smoke in the car with 6-month-old Amira. Which teaching is correct?

71.Parents want to use sunscreen on 3-month-old Leila at the beach. Which teaching is correct?

72.Mr. Mensah found a tick attached to his calf after a hike. Which removal teaching is correct?

73.19-year-old Malik asks if a condom means he cannot get or pass a sexually transmitted infection. Which teaching is correct?

74.38-year-old Ms. Blake smokes a pack a day and asks for combined birth-control pills. Which teaching is correct?

75.Ms. Farooq takes a combined oral contraceptive and was just prescribed a 5-day course of amoxicillin. She heard all antibiotics cancel the pill. Which teaching is correct?

76.Ms. Navarro is 34 weeks pregnant and says the baby has moved much less since yesterday. Which teaching is correct?

77.Ms. Kapoor is 32 weeks pregnant and reports a severe headache and seeing spots. Her face is puffy. Which teaching is correct?

78.On postpartum day 4, Ms. Reyes soaks a pad in 40 minutes and passes large clots. Which teaching is correct?

79.Ms. Abebe is Rh-negative, unsensitized, and 28 weeks pregnant. The baby's father is Rh-positive. Which teaching is correct?

80.Ms. Duarte is 30 weeks pregnant and feels a gush of fluid from the vagina. The fluid keeps leaking. Which teaching is correct?

81.Parents are placing newborn Hugo in the car seat for discharge. The chest clip is at his belly, and the harness is loose. Which teaching is correct?

82.After a new baby comes home, 3-year-old Camille wants a bottle again and clings to her mother. Which teaching is correct?

83.During a home visit, 80-year-old Mr. Pike has loose rugs, dim halls, and no bathroom grab bar. He takes a nighttime sedative. Which teaching is the priority?

84.58-year-old Ms. Grant asks about shingles vaccine. She had chickenpox as a child and is otherwise healthy. Which teaching is correct?

85.A 30-year-old transgender man has a cervix and asks if cervical screening still applies. Which teaching is correct?

86.Parents of healthy 6-month-old Amira were told to delay peanut foods until age 3. Which teaching is correct?

87.2-year-old Mateo swallowed a button battery from a toy. He is currently talking. Which teaching is correct?

88.A parent keeps a loaded handgun in an unlocked drawer 'for safety' in a home with children. Which teaching is correct?

89.Parents say 18-month-old Sofia is fine in the bath if they can hear her from another room. Which teaching is correct?

90.Mr. Sato uses a peak-flow meter. His personal best is 500. Today he is speaking in short phrases and the reading is 200. Which teaching is correct?

91.Ms. Levy has diabetes and soaks her feet in hot water, then walks barefoot to the mail. Which teaching is correct?

92.62-year-old Ms. Carter stopped menstruating at 53 and now has vaginal bleeding. Which teaching is correct?

93.19-year-old Malik notices a painless firm lump on one testis. Which teaching is correct?

94.Mr. Lange has a mole that has become irregular, darker in several shades, and larger over two months. Which teaching is correct?

95.The nurse is teaching a community handwashing class after a stomach-virus outbreak. Which instruction is correct?

96.Parents ask about screen use for 12-month-old Jonah. Which teaching is correct?

97.10-year-old Diego says classmates call him names every day and he dreads school. Which teaching is correct?

98.15-year-old Noor says vaping is safe because it is only water vapor. Which teaching is correct?

99.Mr. Dalal is starting a home blood-pressure log. Which teaching is correct?

100.Ms. Romano's fasting glucose is 118 mg/dL and the repeat is similar. Her A1C is 6.0 percent. Which teaching is correct?

101.The nurse is teaching a prenatal class about foods to avoid. Which instruction is correct?

102.Parents of a newborn ask about pacifier use and sleep. Which teaching is correct?

103.The nurse teaches caregivers of 3-month-old Owen about awake time. Which instruction is correct?

104.9-month-old Imani's eyes still turn inward all the time. The parent says babies outgrow crossed eyes. Which teaching is correct?

105.A school nurse finds live lice on 7-year-old Maya. The parent asks about fumigating the classroom. Which teaching is correct?

106.A community nurse is teaching adult hands-only cardiopulmonary resuscitation. Which instruction is correct?

107.An infant in the community center is coughing silently and turning blue. The parent is about to do abdominal thrusts. Which teaching is correct?

108.The school plan says 8-year-old Diego carries an epinephrine auto-injector for peanut allergy. The only device is locked in an office far from the playground. Which change is correct?