Health Promotion & Maintenance for the NCLEX-RN Exam

Common failure modes

These are the patterns that cause most candidates to lose marks on this topic. Recognising them in advance is half the work.

• !Confusing USPSTF screening guidelines with older recommendations
• !Misremembering CDC adult immunisation schedule (annual flu, Tdap every 10 years, Zoster after 50)
• !Wrong developmental-stage match using Erikson or Piaget frameworks
• !Missing the priority lifestyle counsel for high-risk populations

Study tips

• 1Memorize current USPSTF screening recommendations.
• 2Drill CDC adult immunisation schedule — flu annual, Tdap q10y, Zoster ≥ 50, Pneumonia ≥ 65.
• 3Practice Erikson stages for adolescent (identity vs role confusion) and older adult (integrity vs despair).
• 4Know the leading causes of mortality by age group.

Sample NCLEX-RN Health Promotion & Maintenance questions

These sample items mirror the format and difficulty of real NCLEX-RN questions. Practice with thousands more on the free Koydo question bank.

1. 1

   A 55-year-old asks about colorectal-cancer screening. The most appropriate nursing recommendation is:

   • AAnnual fecal occult blood test starting at 60
   • BColonoscopy every 10 years starting at 45Correct
   • CCT colonography every 5 years starting at 50
   • DNo screening unless symptoms develop
   Why this answer?

   USPSTF (2021) lowered the colorectal-cancer screening start age from 50 to 45 for average-risk adults, with colonoscopy every 10 years as one acceptable modality.