NCLEX-PN practice test

NCLEX-PN Health Promotion Practice Test

Pregnancy, newborns, growth and development, screening, immunizations and aging. Here are 5 NCLEX-PN health promotion questions, each with the answer and the reason.

Updated by the Tigertest team. Based on the NCSBN 2026 NCLEX-PN Test Plan Client Needs categories. Original questions, not affiliated with NCSBN.

  1. 1.

    A client at 10 weeks of pregnancy asks the PN which foods to avoid. Which food should the PN say to avoid?

    • A.

      Unpasteurized soft cheese

    • B.

      Cooked salmon twice a week

    • C.

      Pasteurized yogurt

    • D.

      Peanut butter on toast

    Answer: A.

    Unpasteurized dairy can carry Listeria, which crosses the placenta and can cause miscarriage or stillbirth. Low-mercury cooked fish, pasteurized dairy and peanut butter are safe and nutritious in pregnancy.

  2. 2.

    The PN is reinforcing teaching with the parents of a 2-day-old newborn. Which statement shows the teaching was effective?

    • A.

      "We'll put a small pillow in the crib for comfort."

    • B.

      "We'll place the baby on the back to sleep."

    • C.

      "We'll keep the bedroom at 80 degrees."

    • D.

      "We'll give water between feedings."

    Answer: B.

    Back sleeping on a firm, bare surface is the main way to lower the risk of sudden infant death. Pillows and soft bedding, an overheated room and water feedings in a newborn are all unsafe.

  3. 3.

    A parent asks the PN whether a 12-month-old's development is on track. Which milestone is expected at 12 months?

    • A.

      Walks up stairs alternating feet

    • B.

      Builds a tower of six blocks

    • C.

      Pulls to a stand

    • D.

      Speaks in two-word sentences

    Answer: C.

    By 12 months most infants pull to stand, cruise along furniture and say one or two words. A tower of six blocks and two-word sentences come around age 2, and walking up stairs with alternating feet around age 3.

  4. 4.

    A 42-year-old client at average risk asks the PN at what age colorectal cancer screening should start. Which response is accurate?

    • A.

      "At age 40."

    • B.

      "At age 50."

    • C.

      "At age 60."

    • D.

      "At age 45."

    Answer: D.

    Current guidelines recommend that adults at average risk begin colorectal cancer screening at age 45. Earlier screening is for people with a family history or other risk factors, and 50 was the former starting age.

  5. 5.

    The PN is collecting data on a 78-year-old resident. Which finding is an expected change of aging?

    • A.

      Decreased sense of thirst

    • B.

      New confusion in the evening

    • C.

      Loss of bladder control

    • D.

      Resting tremor in one hand

    Answer: A.

    Thirst sensation declines with age, which is why older adults are at risk for dehydration and need fluids offered regularly. Confusion, incontinence and a resting tremor are signs of illness, not normal aging, and are reported to the RN.

Drill every health promotion question in the NCLEX-PN Health Promotion drill: questions you miss come back until you have mastered them. Then take a timed practice test with the NCLEX-PN section in it.

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