Fundamentals of Nursing: Health & Wellness Exam | 2025/2026 Edition | Verified Exam
Questions with Correct Answers
Fundamentals of Nursing: Health & Wellness Examination | Core Domains: Health Promotion &
Disease Prevention, Levels of Prevention, Healthy People 2030 Objectives, Wellness Models, Holistic
Health, Cultural Influences on Health, Health Belief Models, Risk Factor Identification, Patient
Education, Nutrition & Exercise, Stress Management, Sleep & Rest, Spirituality, Complementary &
Alternative Medicine, Developmental Stages & Health, Community Health Resources, Nursing Roles in
Health Promotion | Pre-Licensure Nursing Curriculum | 2025/2026 Academic Cycle
Exam Structure
● 50-60 multiple-choice questions
● 5-10 alternate format questions (Select All That Apply, Ordered Response)
● 90-minute time limit
● Focus on health promotion concepts and nursing applications
● Requires 75% or higher to pass
● Integrates Healthy People 2030 objectives
Introduction
This Fundamentals of Nursing: Health & Wellness Exam study guide for the 2025/2026 academic cycle
reflects the current nursing curriculum and testing blueprint with emphasis on health promotion, disease
prevention, and wellness concepts. The examination evaluates foundational knowledge and clinical
judgment in promoting health across the lifespan. Content integrates wellness models, health belief
theories, risk factor identification, patient education principles, and evidence-based health promotion
strategies required for safe, competent nursing practice in all settings.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined, clinically focused
rationales that reinforce health promotion principles, patient education strategies, and evidence-based
wellness interventions aligned with nursing fundamentals standards.
1. According to the World Health Organization (WHO), health is defined as:
● A. The absence of disease or infirmity.
● B. A state of complete physical, mental, and social well-being.
● C. The ability to perform daily activities without assistance.
● D. A dynamic state influenced solely by genetic factors.
B. A state of complete physical, mental, and social well-being.
Rationale: The World Health Organization (WHO) defines health as "a state of complete physical,
mental, and social well-being and not merely the absence of disease or infirmity." This definition
emphasizes a holistic view of health beyond just the physical body, integrating mental and social aspects
,as crucial components of overall well-being. Options A, C, and D are incomplete or inaccurate
interpretations of the comprehensive WHO definition.
2. A nurse is explaining the wellness-illness continuum to a client. Which statement
accurately describes this concept?
● A. Health and illness are two static, opposing states.
● B. Individuals can move back and forth along the continuum at any point.
● C. Once a person achieves high-level wellness, they remain there indefinitely. D. Illness always
indicates a complete absence of physical health.
B. Individuals can move back and forth along the continuum at any point.
Rationale: The wellness-illness continuum illustrates health as a dynamic, ever-changing state, not a
static one. Individuals can experience varying degrees of health and illness, moving fluidly along the
continuum based on lifestyle choices, environmental factors, and personal circumstances. Health is not
merely the absence of disease, and even individuals with chronic illnesses can strive for and achieve high
levels of wellness.
3. A client struggling with recent job loss reports feelings of hopelessness, difficulty
concentrating, and a lack of interest in previously enjoyed activities. Which dimension of
wellness is primarily affected in this client?
● A. Physical wellness
● B. Intellectual wellness
● C. Emotional wellness
● D. Occupational wellness
C. Emotional wellness
Rationale: Emotional wellness involves the ability to understand, express, and manage one's feelings
effectively, as well as cope with life's challenges and build satisfying relationships. Feelings of
hopelessness, lack of interest (anhedonia), and difficulty concentrating are hallmarks of emotional
distress, particularly depression, directly impacting emotional wellness. While job loss affects
occupational wellness (D), the presented symptoms specifically point to emotional impact. Intellectual
wellness (B) relates to learning and critical thinking, and physical wellness (A) to bodily functions.
4. (SATA) A nurse is conducting a health promotion seminar. The nurse emphasizes that
all dimensions of wellness are interconnected and influence overall health. Which aspects
are considered dimensions of wellness? (Select all that apply.)
● A. Spiritual
● B. Environmental
● C. Economic
● D. Occupational
● E. Social
● F. Intellectual
A. Spiritual, B. Environmental, D. Occupational, E. Social, F. Intellectual
Rationale: The generally recognized dimensions of wellness include physical, emotional, intellectual,
social, spiritual, and occupational wellness. Environmental wellness is also frequently included,
recognizing the impact of surroundings on health. Economic status (C) is a social determinant of health,
but not typically considered a core dimension of wellness itself, though it strongly influences several
dimensions.
, 5. A client states, "My doctor keeps telling me I need to lose weight, but I'm happy with how
I am. I don't see the big deal." The nurse identifies this client as being in which stage of the
Transtheoretical Model (Stages of Change)?
● A. Contemplation
● B. Precontemplation
● C. Preparation
● D. Action
B. Precontemplation
Rationale: In the precontemplation stage, individuals have no intention of changing behavior in the
foreseeable future (typically within the next 6 months) and are often unaware or underaware of the
problem. The client's statement "I don't see the big deal" directly indicates a lack of recognition of the
problem and no desire for change. Contemplation (A) involves considering change within the next 6
months. Preparation (C) involves planning for change. Action (D) involves actively modifying behavior.
6. A client has been consistently exercising 30 minutes a day, five days a week, and eating a
balanced diet for the past 3 months to manage their hypertension. The nurse recognizes
this client is in which stage of the Transtheoretical Model (Stages of Change)?
● A. Preparation
● B. Maintenance
● C. Action
● D. Termination
C. Action
Rationale: The action stage involves individuals actively modifying their behavior, experiences, or
environment to overcome their problems. This stage requires significant commitment of time and energy
and typically lasts for 3 to 6 months. The client's consistent engagement in exercise and diet for 3 months
clearly falls within the action stage. Maintenance (B) involves sustaining the change for over 6 months.
Preparation (A) is planning to change. Termination (D) is when the new behavior is fully integrated and
there is no temptation to relapse.
7. According to Pender's Health Promotion Model, a nurse understands that a client's prior
experiences and knowledge about health behaviors are considered:
● A. Perceived benefits of action
● B. Activity-related affect
● C. Prior related behavior
● D. Interpersonal influences
C. Prior related behavior
Rationale: Pender's Health Promotion Model identifies several factors influencing health-promoting
behaviors. "Prior related behavior" refers to the individual's previous experience with the behavior in
question, which directly affects the likelihood of engaging in it again. This includes past successes,
failures, and learned behaviors. Perceived benefits (A), activity-related affect (B), and interpersonal
influences (D) are other components of the model but do not encompass past experiences and knowledge
as directly as prior related behavior.
8. A community health nurse organizes a blood pressure screening event at a local senior
center. This intervention is an example of which level of prevention?
● A. Primary prevention
Questions with Correct Answers
Fundamentals of Nursing: Health & Wellness Examination | Core Domains: Health Promotion &
Disease Prevention, Levels of Prevention, Healthy People 2030 Objectives, Wellness Models, Holistic
Health, Cultural Influences on Health, Health Belief Models, Risk Factor Identification, Patient
Education, Nutrition & Exercise, Stress Management, Sleep & Rest, Spirituality, Complementary &
Alternative Medicine, Developmental Stages & Health, Community Health Resources, Nursing Roles in
Health Promotion | Pre-Licensure Nursing Curriculum | 2025/2026 Academic Cycle
Exam Structure
● 50-60 multiple-choice questions
● 5-10 alternate format questions (Select All That Apply, Ordered Response)
● 90-minute time limit
● Focus on health promotion concepts and nursing applications
● Requires 75% or higher to pass
● Integrates Healthy People 2030 objectives
Introduction
This Fundamentals of Nursing: Health & Wellness Exam study guide for the 2025/2026 academic cycle
reflects the current nursing curriculum and testing blueprint with emphasis on health promotion, disease
prevention, and wellness concepts. The examination evaluates foundational knowledge and clinical
judgment in promoting health across the lifespan. Content integrates wellness models, health belief
theories, risk factor identification, patient education principles, and evidence-based health promotion
strategies required for safe, competent nursing practice in all settings.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined, clinically focused
rationales that reinforce health promotion principles, patient education strategies, and evidence-based
wellness interventions aligned with nursing fundamentals standards.
1. According to the World Health Organization (WHO), health is defined as:
● A. The absence of disease or infirmity.
● B. A state of complete physical, mental, and social well-being.
● C. The ability to perform daily activities without assistance.
● D. A dynamic state influenced solely by genetic factors.
B. A state of complete physical, mental, and social well-being.
Rationale: The World Health Organization (WHO) defines health as "a state of complete physical,
mental, and social well-being and not merely the absence of disease or infirmity." This definition
emphasizes a holistic view of health beyond just the physical body, integrating mental and social aspects
,as crucial components of overall well-being. Options A, C, and D are incomplete or inaccurate
interpretations of the comprehensive WHO definition.
2. A nurse is explaining the wellness-illness continuum to a client. Which statement
accurately describes this concept?
● A. Health and illness are two static, opposing states.
● B. Individuals can move back and forth along the continuum at any point.
● C. Once a person achieves high-level wellness, they remain there indefinitely. D. Illness always
indicates a complete absence of physical health.
B. Individuals can move back and forth along the continuum at any point.
Rationale: The wellness-illness continuum illustrates health as a dynamic, ever-changing state, not a
static one. Individuals can experience varying degrees of health and illness, moving fluidly along the
continuum based on lifestyle choices, environmental factors, and personal circumstances. Health is not
merely the absence of disease, and even individuals with chronic illnesses can strive for and achieve high
levels of wellness.
3. A client struggling with recent job loss reports feelings of hopelessness, difficulty
concentrating, and a lack of interest in previously enjoyed activities. Which dimension of
wellness is primarily affected in this client?
● A. Physical wellness
● B. Intellectual wellness
● C. Emotional wellness
● D. Occupational wellness
C. Emotional wellness
Rationale: Emotional wellness involves the ability to understand, express, and manage one's feelings
effectively, as well as cope with life's challenges and build satisfying relationships. Feelings of
hopelessness, lack of interest (anhedonia), and difficulty concentrating are hallmarks of emotional
distress, particularly depression, directly impacting emotional wellness. While job loss affects
occupational wellness (D), the presented symptoms specifically point to emotional impact. Intellectual
wellness (B) relates to learning and critical thinking, and physical wellness (A) to bodily functions.
4. (SATA) A nurse is conducting a health promotion seminar. The nurse emphasizes that
all dimensions of wellness are interconnected and influence overall health. Which aspects
are considered dimensions of wellness? (Select all that apply.)
● A. Spiritual
● B. Environmental
● C. Economic
● D. Occupational
● E. Social
● F. Intellectual
A. Spiritual, B. Environmental, D. Occupational, E. Social, F. Intellectual
Rationale: The generally recognized dimensions of wellness include physical, emotional, intellectual,
social, spiritual, and occupational wellness. Environmental wellness is also frequently included,
recognizing the impact of surroundings on health. Economic status (C) is a social determinant of health,
but not typically considered a core dimension of wellness itself, though it strongly influences several
dimensions.
, 5. A client states, "My doctor keeps telling me I need to lose weight, but I'm happy with how
I am. I don't see the big deal." The nurse identifies this client as being in which stage of the
Transtheoretical Model (Stages of Change)?
● A. Contemplation
● B. Precontemplation
● C. Preparation
● D. Action
B. Precontemplation
Rationale: In the precontemplation stage, individuals have no intention of changing behavior in the
foreseeable future (typically within the next 6 months) and are often unaware or underaware of the
problem. The client's statement "I don't see the big deal" directly indicates a lack of recognition of the
problem and no desire for change. Contemplation (A) involves considering change within the next 6
months. Preparation (C) involves planning for change. Action (D) involves actively modifying behavior.
6. A client has been consistently exercising 30 minutes a day, five days a week, and eating a
balanced diet for the past 3 months to manage their hypertension. The nurse recognizes
this client is in which stage of the Transtheoretical Model (Stages of Change)?
● A. Preparation
● B. Maintenance
● C. Action
● D. Termination
C. Action
Rationale: The action stage involves individuals actively modifying their behavior, experiences, or
environment to overcome their problems. This stage requires significant commitment of time and energy
and typically lasts for 3 to 6 months. The client's consistent engagement in exercise and diet for 3 months
clearly falls within the action stage. Maintenance (B) involves sustaining the change for over 6 months.
Preparation (A) is planning to change. Termination (D) is when the new behavior is fully integrated and
there is no temptation to relapse.
7. According to Pender's Health Promotion Model, a nurse understands that a client's prior
experiences and knowledge about health behaviors are considered:
● A. Perceived benefits of action
● B. Activity-related affect
● C. Prior related behavior
● D. Interpersonal influences
C. Prior related behavior
Rationale: Pender's Health Promotion Model identifies several factors influencing health-promoting
behaviors. "Prior related behavior" refers to the individual's previous experience with the behavior in
question, which directly affects the likelihood of engaging in it again. This includes past successes,
failures, and learned behaviors. Perceived benefits (A), activity-related affect (B), and interpersonal
influences (D) are other components of the model but do not encompass past experiences and knowledge
as directly as prior related behavior.
8. A community health nurse organizes a blood pressure screening event at a local senior
center. This intervention is an example of which level of prevention?
● A. Primary prevention
