NSG 554 Exam 1 – Nurse Practitioners in Primary Care I | 106 Actual Questions
and Answers | 2026/27 Updates | 100% Correct
1. Primary Prevention
• A) Intervening before health effects occur through measures such as
vaccinations, altering risk behaviors, and banning substances known to be
associated with a disease
• B) Screening to identify diseases in the earliest stages before symptoms appear
• C) Managing disease post-diagnosis to slow or stop progression
• D) Rehabilitative care after a disease has been treated
Correct Answer: A) Intervening before health effects occur through measures such as
vaccinations, altering risk behaviors, and banning substances known to be associated
with a disease
Expert Rationale: Primary prevention aims to prevent disease before it ever occurs. This
includes health promotion and specific protection such as immunizations, lifestyle
modifications, and public health policies (e.g., seatbelt laws, smoking bans).
2. Primary Prevention Examples
• A) Education about not smoking, immunizations, balanced diet education,
seatbelt legislation, needle exchange programs
• B) Mammograms, blood pressure screening, regular health exams
• C) Cardiac rehabilitation, diabetic foot care, chemotherapy
• D) Physical therapy after stroke
Correct Answer: A) Education about not smoking, immunizations, balanced diet
education, seatbelt legislation, needle exchange programs
Expert Rationale: These interventions are implemented before disease onset.
Immunizations prevent infectious diseases; education and legislation reduce risk
behaviors; needle exchange programs prevent bloodborne infections.
,3. Secondary Prevention
• A) Intervening before health effects occur
• B) Screening to identify diseases in the earliest stages, before the onset of signs
and symptoms
• C) Managing disease post-diagnosis to slow or stop progression
• D) Providing palliative care for terminal illness
Correct Answer: B) Screening to identify diseases in the earliest stages, before the
onset of signs and symptoms
Expert Rationale: Secondary prevention focuses on early detection through screening
tools (e.g., mammograms, blood pressure checks) to catch disease early when treatment
is most effective.
4. Secondary Prevention Examples
• A) Immunizations and smoking cessation education
• B) Mammogram screening, blood pressure screening, regular health exams
• C) Cardiac rehabilitation and chemotherapy
• D) Support groups for chronic illness
Correct Answer: B) Mammogram screening, blood pressure screening, regular health
exams
Expert Rationale: These are all screening activities designed to detect disease early.
Mammograms detect breast cancer; BP screening detects hypertension; regular exams
allow for early identification of various conditions.
5. Tertiary Prevention
• A) Intervening before health effects occur
• B) Screening to identify diseases in the earliest stages
• C) Managing disease post-diagnosis to slow or stop disease progression
• D) Health promotion and wellness education
Correct Answer: C) Managing disease post-diagnosis to slow or stop disease
progression
,Expert Rationale: Tertiary prevention occurs after disease diagnosis. It aims to reduce
complications, improve quality of life, and slow progression through rehabilitation,
disease management, and ongoing treatment.
6. Tertiary Prevention Examples
• A) Immunizations and health education
• B) Mammograms and blood pressure screening
• C) Cardiac rehabilitation, diabetic foot care, chemotherapy
• D) Seatbelt legislation and needle exchange programs
Correct Answer: C) Cardiac rehabilitation, diabetic foot care, chemotherapy
Expert Rationale: These interventions occur after disease diagnosis. Cardiac rehab
prevents further cardiac events; diabetic foot care prevents amputation; chemotherapy
treats existing cancer.
7. Social Determinants of Health
• A) The non-medical factors that influence health outcomes, including conditions
in which people are born, grow, work, live, and age
• B) Genetic factors that determine disease susceptibility
• C) Individual lifestyle choices only
• D) Access to healthcare services exclusively
Correct Answer: A) The non-medical factors that influence health outcomes, including
conditions in which people are born, grow, work, live, and age
Expert Rationale: Social determinants of health (SDOH) include economic stability,
education, social and community context, health care access, and neighborhood/built
environment. They significantly impact health outcomes beyond medical care.
8. Wellness Definition
• A) The absence of disease or infirmity
, • B) An active process where individuals choose actions and behaviors that
enhance physical, mental, and social well-being
• C) A state of complete physical, mental, and social well-being
• D) The ability to perform daily activities without assistance
Correct Answer: B) An active process where individuals choose actions and behaviors
that enhance physical, mental, and social well-being
Expert Rationale: Wellness is an intentional, ongoing process of making choices toward
a healthy and fulfilling life. It is multidimensional and proactive, not merely the absence
of illness.
9. Domains of Wellness
• A) Physical, emotional, social, spiritual, environmental, financial, occupational
• B) Physical, mental, social only
• C) Physical, emotional, financial only
• D) Spiritual, occupational, environmental only
Correct Answer: A) Physical, emotional, social, spiritual, environmental, financial,
occupational
Expert Rationale: Wellness is multidimensional. The eight domains include intellectual,
emotional, social, spiritual, environmental, financial, occupational, and physical
wellness—each contributing to overall well-being.
10. Wellness Exam Components
• A) Height, weight, blood pressure, heart/lung/abdominal exam, ear exam, vision
screening, review of chronic conditions, family/social history, screenings,
immunizations
• B) Only vital signs and basic physical exam
• C) Only laboratory testing and imaging
• D) Only review of medications and immunizations
Correct Answer: A) Height, weight, blood pressure, heart/lung/abdominal exam, ear
exam, vision screening, review of chronic conditions, family/social history, screenings,
immunizations
and Answers | 2026/27 Updates | 100% Correct
1. Primary Prevention
• A) Intervening before health effects occur through measures such as
vaccinations, altering risk behaviors, and banning substances known to be
associated with a disease
• B) Screening to identify diseases in the earliest stages before symptoms appear
• C) Managing disease post-diagnosis to slow or stop progression
• D) Rehabilitative care after a disease has been treated
Correct Answer: A) Intervening before health effects occur through measures such as
vaccinations, altering risk behaviors, and banning substances known to be associated
with a disease
Expert Rationale: Primary prevention aims to prevent disease before it ever occurs. This
includes health promotion and specific protection such as immunizations, lifestyle
modifications, and public health policies (e.g., seatbelt laws, smoking bans).
2. Primary Prevention Examples
• A) Education about not smoking, immunizations, balanced diet education,
seatbelt legislation, needle exchange programs
• B) Mammograms, blood pressure screening, regular health exams
• C) Cardiac rehabilitation, diabetic foot care, chemotherapy
• D) Physical therapy after stroke
Correct Answer: A) Education about not smoking, immunizations, balanced diet
education, seatbelt legislation, needle exchange programs
Expert Rationale: These interventions are implemented before disease onset.
Immunizations prevent infectious diseases; education and legislation reduce risk
behaviors; needle exchange programs prevent bloodborne infections.
,3. Secondary Prevention
• A) Intervening before health effects occur
• B) Screening to identify diseases in the earliest stages, before the onset of signs
and symptoms
• C) Managing disease post-diagnosis to slow or stop progression
• D) Providing palliative care for terminal illness
Correct Answer: B) Screening to identify diseases in the earliest stages, before the
onset of signs and symptoms
Expert Rationale: Secondary prevention focuses on early detection through screening
tools (e.g., mammograms, blood pressure checks) to catch disease early when treatment
is most effective.
4. Secondary Prevention Examples
• A) Immunizations and smoking cessation education
• B) Mammogram screening, blood pressure screening, regular health exams
• C) Cardiac rehabilitation and chemotherapy
• D) Support groups for chronic illness
Correct Answer: B) Mammogram screening, blood pressure screening, regular health
exams
Expert Rationale: These are all screening activities designed to detect disease early.
Mammograms detect breast cancer; BP screening detects hypertension; regular exams
allow for early identification of various conditions.
5. Tertiary Prevention
• A) Intervening before health effects occur
• B) Screening to identify diseases in the earliest stages
• C) Managing disease post-diagnosis to slow or stop disease progression
• D) Health promotion and wellness education
Correct Answer: C) Managing disease post-diagnosis to slow or stop disease
progression
,Expert Rationale: Tertiary prevention occurs after disease diagnosis. It aims to reduce
complications, improve quality of life, and slow progression through rehabilitation,
disease management, and ongoing treatment.
6. Tertiary Prevention Examples
• A) Immunizations and health education
• B) Mammograms and blood pressure screening
• C) Cardiac rehabilitation, diabetic foot care, chemotherapy
• D) Seatbelt legislation and needle exchange programs
Correct Answer: C) Cardiac rehabilitation, diabetic foot care, chemotherapy
Expert Rationale: These interventions occur after disease diagnosis. Cardiac rehab
prevents further cardiac events; diabetic foot care prevents amputation; chemotherapy
treats existing cancer.
7. Social Determinants of Health
• A) The non-medical factors that influence health outcomes, including conditions
in which people are born, grow, work, live, and age
• B) Genetic factors that determine disease susceptibility
• C) Individual lifestyle choices only
• D) Access to healthcare services exclusively
Correct Answer: A) The non-medical factors that influence health outcomes, including
conditions in which people are born, grow, work, live, and age
Expert Rationale: Social determinants of health (SDOH) include economic stability,
education, social and community context, health care access, and neighborhood/built
environment. They significantly impact health outcomes beyond medical care.
8. Wellness Definition
• A) The absence of disease or infirmity
, • B) An active process where individuals choose actions and behaviors that
enhance physical, mental, and social well-being
• C) A state of complete physical, mental, and social well-being
• D) The ability to perform daily activities without assistance
Correct Answer: B) An active process where individuals choose actions and behaviors
that enhance physical, mental, and social well-being
Expert Rationale: Wellness is an intentional, ongoing process of making choices toward
a healthy and fulfilling life. It is multidimensional and proactive, not merely the absence
of illness.
9. Domains of Wellness
• A) Physical, emotional, social, spiritual, environmental, financial, occupational
• B) Physical, mental, social only
• C) Physical, emotional, financial only
• D) Spiritual, occupational, environmental only
Correct Answer: A) Physical, emotional, social, spiritual, environmental, financial,
occupational
Expert Rationale: Wellness is multidimensional. The eight domains include intellectual,
emotional, social, spiritual, environmental, financial, occupational, and physical
wellness—each contributing to overall well-being.
10. Wellness Exam Components
• A) Height, weight, blood pressure, heart/lung/abdominal exam, ear exam, vision
screening, review of chronic conditions, family/social history, screenings,
immunizations
• B) Only vital signs and basic physical exam
• C) Only laboratory testing and imaging
• D) Only review of medications and immunizations
Correct Answer: A) Height, weight, blood pressure, heart/lung/abdominal exam, ear
exam, vision screening, review of chronic conditions, family/social history, screenings,
immunizations
