NR 222/NR222 Health and Wellness Exam Blueprint
Replica Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION (Questions 1–16)
Q1: A nurse is conducting a community health assessment. Which Healthy People 2030
objective focuses on increasing the proportion of adults who receive evidence-based
preventive services?
A. Reduce the proportion of adults with undiagnosed hypertension
B. Increase the proportion of adults who receive recommended preventive care services
[CORRECT]
C. Eliminate health disparities among minority populations
D. Improve access to primary care services in rural areas
Correct Answer: B
Rationale: Correct because Healthy People 2030 specifically includes objectives
targeting increased utilization of evidence-based preventive services by adults, aligning
with national health promotion priorities.
Q2: A nurse is educating a group of adults about primary prevention strategies. Which
activity best exemplifies primary prevention?
A. Administering chemotherapy to a patient with breast cancer
B. Teaching a class on smoking cessation to adolescents who have never smoked
[CORRECT]
C. Conducting mammography screening for early detection of breast cancer
D. Providing cardiac rehabilitation to a patient post-myocardial infarction
Correct Answer: B
Rationale: Correct because primary prevention aims to prevent disease before it occurs;
teaching smoking cessation to never-smokers prevents initiation of tobacco use.
Q3: A nurse is reviewing the leading causes of death in the United States for adults aged
25–44. According to current data, which is the leading cause?
,A. Malignant neoplasms
B. Unintentional injuries [CORRECT]
C. Heart disease
D. Suicide
Correct Answer: B
Rationale: Correct because unintentional injuries, including motor vehicle accidents and
drug overdoses, remain the leading cause of death among adults aged 25–44.
Q4: A nurse is developing a health promotion program for older adults. Which
intervention addresses a tertiary prevention strategy?
A. Teaching fall prevention exercises
B. Administering influenza vaccines
C. Providing cardiac rehabilitation after coronary artery bypass surgery [CORRECT]
D. Screening for colorectal cancer
Correct Answer: C
Rationale: Correct because tertiary prevention focuses on reducing complications and
improving quality of life after disease has occurred; cardiac rehabilitation fits this
definition.
Q5: A nurse is caring for a client who asks, "What does 'health disparity' mean?" Which
response by the nurse is most accurate?
A. "It means some people choose not to seek healthcare."
B. "It refers to preventable differences in health outcomes among population groups."
[CORRECT]
C. "It describes the gap between healthcare providers and patients."
D. "It refers to differences in health insurance coverage only."
Correct Answer: B
Rationale: Correct because health disparities are defined as preventable differences in
the burden of disease, injury, violence, or opportunities to achieve optimal health
experienced by socially disadvantaged populations.
Q6: A nurse is implementing a school-based health promotion program. Which activity
best represents secondary prevention?
A. Teaching handwashing techniques to prevent infection
B. Conducting vision screenings to detect refractive errors early [CORRECT]
C. Providing physical therapy for a student with a sports injury
, D. Offering nutrition education to prevent obesity
Correct Answer: B
Rationale: Correct because secondary prevention involves early detection of disease
through screening; vision screenings identify problems before significant impairment
occurs.
Q7: A nurse is reviewing Healthy People 2030 goals with a community group. Which
statement about Healthy People 2030 is accurate?
A. It focuses exclusively on reducing healthcare costs
B. It sets national objectives to improve health and well-being over the decade
[CORRECT]
C. It is a state-level initiative only
D. It primarily addresses infectious disease control
Correct Answer: B
Rationale: Correct because Healthy People 2030 is a federal initiative that establishes
science-based, 10-year national objectives for improving the health of all Americans.
Q8: A nurse is assessing a client's risk factors for cardiovascular disease. Which
modifiable risk factor should the nurse prioritize for intervention?
A. Family history of myocardial infarction
B. Age over 65 years
C. Cigarette smoking [CORRECT]
D. Male gender
Correct Answer: C
Rationale: Correct because smoking is a major modifiable risk factor for cardiovascular
disease; unlike age, gender, and family history, it can be changed through intervention.
Q9: A nurse is planning a community health fair. Which screening activity represents
secondary prevention for diabetes?
A. Teaching a class on carbohydrate counting
B. Performing fasting blood glucose tests for asymptomatic adults [CORRECT]
C. Providing insulin education for newly diagnosed clients
D. Distributing pedometers to promote physical activity
Correct Answer: B
Replica Actual 2026/2027 with Detailed Rationales | 100%
Verified | Pass Guaranteed
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION (Questions 1–16)
Q1: A nurse is conducting a community health assessment. Which Healthy People 2030
objective focuses on increasing the proportion of adults who receive evidence-based
preventive services?
A. Reduce the proportion of adults with undiagnosed hypertension
B. Increase the proportion of adults who receive recommended preventive care services
[CORRECT]
C. Eliminate health disparities among minority populations
D. Improve access to primary care services in rural areas
Correct Answer: B
Rationale: Correct because Healthy People 2030 specifically includes objectives
targeting increased utilization of evidence-based preventive services by adults, aligning
with national health promotion priorities.
Q2: A nurse is educating a group of adults about primary prevention strategies. Which
activity best exemplifies primary prevention?
A. Administering chemotherapy to a patient with breast cancer
B. Teaching a class on smoking cessation to adolescents who have never smoked
[CORRECT]
C. Conducting mammography screening for early detection of breast cancer
D. Providing cardiac rehabilitation to a patient post-myocardial infarction
Correct Answer: B
Rationale: Correct because primary prevention aims to prevent disease before it occurs;
teaching smoking cessation to never-smokers prevents initiation of tobacco use.
Q3: A nurse is reviewing the leading causes of death in the United States for adults aged
25–44. According to current data, which is the leading cause?
,A. Malignant neoplasms
B. Unintentional injuries [CORRECT]
C. Heart disease
D. Suicide
Correct Answer: B
Rationale: Correct because unintentional injuries, including motor vehicle accidents and
drug overdoses, remain the leading cause of death among adults aged 25–44.
Q4: A nurse is developing a health promotion program for older adults. Which
intervention addresses a tertiary prevention strategy?
A. Teaching fall prevention exercises
B. Administering influenza vaccines
C. Providing cardiac rehabilitation after coronary artery bypass surgery [CORRECT]
D. Screening for colorectal cancer
Correct Answer: C
Rationale: Correct because tertiary prevention focuses on reducing complications and
improving quality of life after disease has occurred; cardiac rehabilitation fits this
definition.
Q5: A nurse is caring for a client who asks, "What does 'health disparity' mean?" Which
response by the nurse is most accurate?
A. "It means some people choose not to seek healthcare."
B. "It refers to preventable differences in health outcomes among population groups."
[CORRECT]
C. "It describes the gap between healthcare providers and patients."
D. "It refers to differences in health insurance coverage only."
Correct Answer: B
Rationale: Correct because health disparities are defined as preventable differences in
the burden of disease, injury, violence, or opportunities to achieve optimal health
experienced by socially disadvantaged populations.
Q6: A nurse is implementing a school-based health promotion program. Which activity
best represents secondary prevention?
A. Teaching handwashing techniques to prevent infection
B. Conducting vision screenings to detect refractive errors early [CORRECT]
C. Providing physical therapy for a student with a sports injury
, D. Offering nutrition education to prevent obesity
Correct Answer: B
Rationale: Correct because secondary prevention involves early detection of disease
through screening; vision screenings identify problems before significant impairment
occurs.
Q7: A nurse is reviewing Healthy People 2030 goals with a community group. Which
statement about Healthy People 2030 is accurate?
A. It focuses exclusively on reducing healthcare costs
B. It sets national objectives to improve health and well-being over the decade
[CORRECT]
C. It is a state-level initiative only
D. It primarily addresses infectious disease control
Correct Answer: B
Rationale: Correct because Healthy People 2030 is a federal initiative that establishes
science-based, 10-year national objectives for improving the health of all Americans.
Q8: A nurse is assessing a client's risk factors for cardiovascular disease. Which
modifiable risk factor should the nurse prioritize for intervention?
A. Family history of myocardial infarction
B. Age over 65 years
C. Cigarette smoking [CORRECT]
D. Male gender
Correct Answer: C
Rationale: Correct because smoking is a major modifiable risk factor for cardiovascular
disease; unlike age, gender, and family history, it can be changed through intervention.
Q9: A nurse is planning a community health fair. Which screening activity represents
secondary prevention for diabetes?
A. Teaching a class on carbohydrate counting
B. Performing fasting blood glucose tests for asymptomatic adults [CORRECT]
C. Providing insulin education for newly diagnosed clients
D. Distributing pedometers to promote physical activity
Correct Answer: B
