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NR 222 HEALTH AND WELLNESS MIDTERM
ACTUAL COMPREHENSIVE EXAM 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY A
GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. A nurse is teaching a client about the importance of regular
exercise. The client states, “I know I should exercise, but I just
don’t have time.” According to the Health Belief Model, this
client’s statement reflects:
A) Perceived susceptibility
B) Perceived severity
C) Perceived barriers
D) Cues to action
Rationale: Perceived barriers are an individual’s assessment of
the obstacles to adopting a health behavior. Lack of time is a
barrier. Perceived susceptibility is belief about getting a
condition; severity is belief about consequences; cues to action
are triggers.
2. A nurse is working with a client who has decided to stop smoking
and has set a quit date for next week. In the Transtheoretical Model
(Stages of Change), this client is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
*Rationale: Preparation is characterized by planning to take
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action within the next month and often making small changes.
Precontemplation = no intention; contemplation = thinking
within 6 months; action = active behavior change.*
3. A nurse provides a community presentation on the benefits of
wearing sunscreen to prevent skin cancer. Which level of
prevention does this represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Rationale: Primary prevention aims to prevent disease before it
occurs (health promotion and specific protection). Sunscreen
education is primary. Secondary is screening; tertiary is
rehabilitation.
4. A client newly diagnosed with diabetes is learning how to monitor
blood glucose levels. The nurse demonstrates the procedure, then
has the client return the demonstration. This teaching method is
based on which learning domain?
A) Cognitive domain
B) Psychomotor domain
C) Affective domain
D) Behavioral domain
Rationale: The psychomotor domain involves physical skills and
coordination (doing). Cognitive domain is knowledge; affective
domain is attitudes and values.
5. According to Maslow’s hierarchy of needs, which priority should
the nurse address first when planning care for a homeless client?
A) Self-esteem needs
B) Love and belonging
C) Physiological needs (food, shelter, warmth)
D) Self-actualization
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Rationale: Basic physiological needs (air, water, food, shelter,
sleep) must be met before higher-level needs such as safety,
belonging, esteem, and self-actualization.
6. A nurse is using the Pender’s Health Promotion Model to guide a
wellness program. Which factor is a key component of this model?
A) Perceived threat of illness
B) Perceived self-efficacy
C) Cues to action from the environment
D) Stages of change
Rationale: Pender’s model emphasizes individual characteristics
and experiences, behavior-specific cognitions (including
self-efficacy), and behavioral outcomes. Perceived threat is more
central to the Health Belief Model; stages of change are from
Transtheoretical Model.
7. A community health nurse is planning a smoking cessation
program for adolescents. Based on Social Cognitive Theory, which
intervention is most likely to be effective?
A) Providing written pamphlets about lung cancer
B) Using peer mentors who successfully quit smoking
C) Threatening punishment for smoking
D) Focusing only on nicotine replacement therapy
Rationale: Social Cognitive Theory emphasizes observational
learning and modeling. Peer mentors serve as role models,
demonstrating that quitting is possible and providing vicarious
reinforcement.
8. A client with hypertension states, “My blood pressure is fine; I
don’t need to take my medication.” The nurse explores the client’s
beliefs about the seriousness of hypertension. This is an example
of assessing:
A) Perceived benefits
B) Perceived severity
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C) Cues to action
D) Self-efficacy
Rationale: Perceived severity refers to the belief about the
seriousness of a condition and its consequences. The nurse is
assessing whether the client understands the potential harm of
uncontrolled hypertension.
9. A nurse is teaching an older adult about fall prevention. Which
teaching strategy best addresses potential age-related sensory
changes?
A) Use small print handouts to minimize paper use
B) Use large-print materials and adequate lighting
C) Provide verbal instructions once without repetition
D) Avoid using any visual aids
Rationale: Older adults may have presbyopia (reduced near
vision) and decreased hearing. Large print and good lighting
improve readability. Repetition and multiple modalities are often
needed.
10. A nurse is implementing a community-wide campaign to
increase physical activity. Which level of prevention is this?
A) Secondary prevention
B) Primary prevention
C) Tertiary prevention
D) Rehabilitation
Rationale: Promoting physical activity prevents cardiovascular
disease, obesity, and other conditions before they develop,
making it primary prevention.
11. A client is in the maintenance stage of change for weight
loss. Which nursing intervention is most appropriate?
A) Help the client set a quit date to start losing weight
B) Focus on the pros and cons of weight loss
C) Reinforce progress and identify strategies to prevent relapse
NR 222 HEALTH AND WELLNESS MIDTERM
ACTUAL COMPREHENSIVE EXAM 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY A
GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. A nurse is teaching a client about the importance of regular
exercise. The client states, “I know I should exercise, but I just
don’t have time.” According to the Health Belief Model, this
client’s statement reflects:
A) Perceived susceptibility
B) Perceived severity
C) Perceived barriers
D) Cues to action
Rationale: Perceived barriers are an individual’s assessment of
the obstacles to adopting a health behavior. Lack of time is a
barrier. Perceived susceptibility is belief about getting a
condition; severity is belief about consequences; cues to action
are triggers.
2. A nurse is working with a client who has decided to stop smoking
and has set a quit date for next week. In the Transtheoretical Model
(Stages of Change), this client is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
*Rationale: Preparation is characterized by planning to take
,2|Page
action within the next month and often making small changes.
Precontemplation = no intention; contemplation = thinking
within 6 months; action = active behavior change.*
3. A nurse provides a community presentation on the benefits of
wearing sunscreen to prevent skin cancer. Which level of
prevention does this represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Rationale: Primary prevention aims to prevent disease before it
occurs (health promotion and specific protection). Sunscreen
education is primary. Secondary is screening; tertiary is
rehabilitation.
4. A client newly diagnosed with diabetes is learning how to monitor
blood glucose levels. The nurse demonstrates the procedure, then
has the client return the demonstration. This teaching method is
based on which learning domain?
A) Cognitive domain
B) Psychomotor domain
C) Affective domain
D) Behavioral domain
Rationale: The psychomotor domain involves physical skills and
coordination (doing). Cognitive domain is knowledge; affective
domain is attitudes and values.
5. According to Maslow’s hierarchy of needs, which priority should
the nurse address first when planning care for a homeless client?
A) Self-esteem needs
B) Love and belonging
C) Physiological needs (food, shelter, warmth)
D) Self-actualization
,3|Page
Rationale: Basic physiological needs (air, water, food, shelter,
sleep) must be met before higher-level needs such as safety,
belonging, esteem, and self-actualization.
6. A nurse is using the Pender’s Health Promotion Model to guide a
wellness program. Which factor is a key component of this model?
A) Perceived threat of illness
B) Perceived self-efficacy
C) Cues to action from the environment
D) Stages of change
Rationale: Pender’s model emphasizes individual characteristics
and experiences, behavior-specific cognitions (including
self-efficacy), and behavioral outcomes. Perceived threat is more
central to the Health Belief Model; stages of change are from
Transtheoretical Model.
7. A community health nurse is planning a smoking cessation
program for adolescents. Based on Social Cognitive Theory, which
intervention is most likely to be effective?
A) Providing written pamphlets about lung cancer
B) Using peer mentors who successfully quit smoking
C) Threatening punishment for smoking
D) Focusing only on nicotine replacement therapy
Rationale: Social Cognitive Theory emphasizes observational
learning and modeling. Peer mentors serve as role models,
demonstrating that quitting is possible and providing vicarious
reinforcement.
8. A client with hypertension states, “My blood pressure is fine; I
don’t need to take my medication.” The nurse explores the client’s
beliefs about the seriousness of hypertension. This is an example
of assessing:
A) Perceived benefits
B) Perceived severity
, 4|Page
C) Cues to action
D) Self-efficacy
Rationale: Perceived severity refers to the belief about the
seriousness of a condition and its consequences. The nurse is
assessing whether the client understands the potential harm of
uncontrolled hypertension.
9. A nurse is teaching an older adult about fall prevention. Which
teaching strategy best addresses potential age-related sensory
changes?
A) Use small print handouts to minimize paper use
B) Use large-print materials and adequate lighting
C) Provide verbal instructions once without repetition
D) Avoid using any visual aids
Rationale: Older adults may have presbyopia (reduced near
vision) and decreased hearing. Large print and good lighting
improve readability. Repetition and multiple modalities are often
needed.
10. A nurse is implementing a community-wide campaign to
increase physical activity. Which level of prevention is this?
A) Secondary prevention
B) Primary prevention
C) Tertiary prevention
D) Rehabilitation
Rationale: Promoting physical activity prevents cardiovascular
disease, obesity, and other conditions before they develop,
making it primary prevention.
11. A client is in the maintenance stage of change for weight
loss. Which nursing intervention is most appropriate?
A) Help the client set a quit date to start losing weight
B) Focus on the pros and cons of weight loss
C) Reinforce progress and identify strategies to prevent relapse
