NR 222 Health & Wellness: COMPREHENSIVE
EXAM 1 REVIEW GUIDE | 600+ Health Promotion
Scenarios & Evidence-Based Strategies |
2026/2027 Edition
This review contains 60 questions covering the core health & wellness concepts from
the 2026/2027 NR 222 curriculum. Use it to master health promotion theory, the nurse's
coaching role, and preventative care across diverse populations. Select the single best
answer.
1. A 28-year-old woman with prediabetes says, “I know I should exercise, but I’m too
tired after work.” Which nurse response best applies Pender’s Health Promotion
Model?
A. “You must exercise 30 minutes daily to prevent diabetes.”
*B. “Let’s explore what activities give you energy and when you feel most
motivated, then set a small, fun goal together.”
C. “Ask your provider for a dietitian referral.”
D. “Your employer should offer gym discounts.”
Rationale: 1) B empowers the client to identify personal motivators and barriers,
aligning with Pender’s focus on perceived benefits and self-efficacy. 2) A is
directive and may decrease autonomy. 3) C defers education prematurely. 4) D
shifts responsibility away from the nurse-client partnership.
2. A 45-year-old man who smokes states he is “not ready” to quit. Using the Stages
of Change model, which coaching question is most appropriate?
A. “Do you agree that smoking is ruining your health?”
*B. “What might make you consider quitting in the next six months?”
C. “Shall I set you up with a quit-line right now?”
D. “Would you like a prescription for nicotine gum?”
Rationale: 1) B respects the contemplation stage and invites reflection,
, supporting movement toward preparation. 2) A is confrontational. 3) C jumps to
action stage. 4) D offers pharmacologic solution before readiness.
3. A 19-year-old college freshman is anxious about gaining the “freshman 15.”
Which coaching strategy best supports self-efficacy?
A. “Just avoid late-night pizza and you’ll be fine.”
B. “Follow this 1,800-calorie meal plan I printed.”
*C. “Let’s practice reading campus dining labels together and plan balanced
snacks you enjoy.”
D. “You should see the campus nutritionist weekly.”
Rationale: 1) C provides skill-building and mastery experience, boosting
self-efficacy. 2) A is dismissive. 3) B imposes external control. 4) D defers
coaching prematurely.
4. During a well-baby visit, a parent asks if her 6-month-old needs juice. Which
response reflects primary prevention?
A. “Juice is fine if you dilute it 50/50.”
B. “Ask your pediatrician at the next sick visit.”
*C. “The American Academy of Pediatrics recommends no juice before age 1;
let’s discuss introducing mashed fruits instead.”
D. “Organic juice is healthier, so choose that brand.”
Rationale: 1) C provides evidence-based guidance to prevent early childhood
caries and obesity. 2) A undermines guidelines. 3) B defers responsibility. 4) D
focuses on product, not prevention.
5. A 35-year-old woman with a family history of breast cancer asks about screening.
Which nurse coaching action is most appropriate?
A. “Schedule your first mammogram tomorrow.”
B. “You’ll need one at 40, so don’t worry now.”
*C. “Let’s review your individual risk factors and current USPSTF guidelines
together so you can decide when to start.”
D. “Genetic testing is mandatory for you.”
Rationale: 1) C supports informed, individualized decision-making. 2) A may be
premature. 3) B is directive without discussion. 4) D overstates necessity.
6. A 50-year-old man with HTN says home readings vary because he “doesn’t have
time to sit quietly.” Which nurse response uses motivational interviewing?
A. “You must sit for 5 minutes or the readings are useless.”
*B. “On a scale of 1-10, how important is accurate BP to you? What small change
could you try this week?”
C. “Buy an automatic cuff—problem solved.”
D. “I’ll tell your doctor you’re non-compliant.”
EXAM 1 REVIEW GUIDE | 600+ Health Promotion
Scenarios & Evidence-Based Strategies |
2026/2027 Edition
This review contains 60 questions covering the core health & wellness concepts from
the 2026/2027 NR 222 curriculum. Use it to master health promotion theory, the nurse's
coaching role, and preventative care across diverse populations. Select the single best
answer.
1. A 28-year-old woman with prediabetes says, “I know I should exercise, but I’m too
tired after work.” Which nurse response best applies Pender’s Health Promotion
Model?
A. “You must exercise 30 minutes daily to prevent diabetes.”
*B. “Let’s explore what activities give you energy and when you feel most
motivated, then set a small, fun goal together.”
C. “Ask your provider for a dietitian referral.”
D. “Your employer should offer gym discounts.”
Rationale: 1) B empowers the client to identify personal motivators and barriers,
aligning with Pender’s focus on perceived benefits and self-efficacy. 2) A is
directive and may decrease autonomy. 3) C defers education prematurely. 4) D
shifts responsibility away from the nurse-client partnership.
2. A 45-year-old man who smokes states he is “not ready” to quit. Using the Stages
of Change model, which coaching question is most appropriate?
A. “Do you agree that smoking is ruining your health?”
*B. “What might make you consider quitting in the next six months?”
C. “Shall I set you up with a quit-line right now?”
D. “Would you like a prescription for nicotine gum?”
Rationale: 1) B respects the contemplation stage and invites reflection,
, supporting movement toward preparation. 2) A is confrontational. 3) C jumps to
action stage. 4) D offers pharmacologic solution before readiness.
3. A 19-year-old college freshman is anxious about gaining the “freshman 15.”
Which coaching strategy best supports self-efficacy?
A. “Just avoid late-night pizza and you’ll be fine.”
B. “Follow this 1,800-calorie meal plan I printed.”
*C. “Let’s practice reading campus dining labels together and plan balanced
snacks you enjoy.”
D. “You should see the campus nutritionist weekly.”
Rationale: 1) C provides skill-building and mastery experience, boosting
self-efficacy. 2) A is dismissive. 3) B imposes external control. 4) D defers
coaching prematurely.
4. During a well-baby visit, a parent asks if her 6-month-old needs juice. Which
response reflects primary prevention?
A. “Juice is fine if you dilute it 50/50.”
B. “Ask your pediatrician at the next sick visit.”
*C. “The American Academy of Pediatrics recommends no juice before age 1;
let’s discuss introducing mashed fruits instead.”
D. “Organic juice is healthier, so choose that brand.”
Rationale: 1) C provides evidence-based guidance to prevent early childhood
caries and obesity. 2) A undermines guidelines. 3) B defers responsibility. 4) D
focuses on product, not prevention.
5. A 35-year-old woman with a family history of breast cancer asks about screening.
Which nurse coaching action is most appropriate?
A. “Schedule your first mammogram tomorrow.”
B. “You’ll need one at 40, so don’t worry now.”
*C. “Let’s review your individual risk factors and current USPSTF guidelines
together so you can decide when to start.”
D. “Genetic testing is mandatory for you.”
Rationale: 1) C supports informed, individualized decision-making. 2) A may be
premature. 3) B is directive without discussion. 4) D overstates necessity.
6. A 50-year-old man with HTN says home readings vary because he “doesn’t have
time to sit quietly.” Which nurse response uses motivational interviewing?
A. “You must sit for 5 minutes or the readings are useless.”
*B. “On a scale of 1-10, how important is accurate BP to you? What small change
could you try this week?”
C. “Buy an automatic cuff—problem solved.”
D. “I’ll tell your doctor you’re non-compliant.”
