NR 222/NR222 Health and Wellness Guide Exam
Blueprint Replica Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION
(Questions 1–17)
Q1: A community health nurse is developing a health promotion program for older
adults. Which Healthy People 2030 overarching goal should guide the nurse's planning?
A. Reduce healthcare costs through early disease detection
B. Eliminate health disparities, achieve improved health for all, and attain health literacy
[CORRECT]
C. Increase the number of federally funded health clinics
D. Mandate annual physical examinations for all adults
Correct Answer: B
Rationale: Correct because Healthy People 2030's second overarching goal specifically
addresses eliminating health disparities, achieving health equity, and attaining health
literacy to improve health and well-being for all populations. This goal frames all health
promotion planning across the lifespan.
Q2: A nurse is teaching a group of adolescents about primary prevention. Which activity
best exemplifies primary prevention?
A. Administering insulin to a newly diagnosed diabetic patient
B. Conducting blood pressure screenings at a community health fair
C. Providing childhood immunizations according to the CDC schedule [CORRECT]
D. Teaching a patient with hypertension how to monitor blood pressure at home
Correct Answer: C
,Rationale: Correct because primary prevention aims to prevent disease before it occurs.
Childhood immunizations protect individuals from infectious diseases before exposure,
which is the defining characteristic of primary prevention strategies.
Q3: A school nurse is implementing a secondary prevention program. Which
intervention is most appropriate for this level of prevention?
A. Teaching handwashing techniques to kindergarteners
B. Screening fifth-grade students for scoliosis [CORRECT]
C. Providing physical therapy for a student with a sports injury
D. Counseling a student with asthma about trigger avoidance
Correct Answer: B
Rationale: Correct because secondary prevention focuses on early detection of disease
through screening and prompt treatment. Scoliosis screening identifies spinal
deformities early, allowing for timely intervention before progression occurs.
Q4: A home health nurse is caring for a patient recovering from a stroke. The nurse is
implementing tertiary prevention. Which nursing action best demonstrates this level of
prevention?
A. Teaching the community about stroke risk factors
B. Screening patients for hypertension at a clinic
C. Providing rehabilitation exercises to improve functional mobility [CORRECT]
D. Administering anticoagulant medication to prevent initial clot formation
Correct Answer: C
Rationale: Correct because tertiary prevention aims to reduce complications and
disability after disease has occurred. Rehabilitation exercises following a stroke
minimize functional impairment and improve quality of life, which is the core purpose of
tertiary prevention.
,Q5: A nurse is reviewing the Healthy People 2030 Leading Health Indicators (LHIs).
Which topic is included as a high-priority LHI?
A. Increasing the number of hospital beds per capita
B. Reducing adolescent pregnancy rates
C. Increasing access to healthy foods [CORRECT]
D. Expanding pharmaceutical research funding
Correct Answer: C
Rationale: Correct because access to healthy foods is a Leading Health Indicator in
Healthy People 2030, reflecting high-priority issues that require collaborative action
across sectors to improve population health outcomes.
Q6: A public health nurse is planning a health promotion initiative for a rural community.
According to Healthy People 2030, which social determinant of health should the nurse
prioritize to reduce health disparities?
A. Increasing the number of specialist physicians
B. Improving access to reliable transportation for medical appointments [CORRECT]
C. Mandating employer-sponsored health insurance
D. Expanding luxury fitness center availability
Correct Answer: B
Rationale: Correct because transportation access is a critical social determinant of
health that directly impacts healthcare utilization. Healthy People 2030 emphasizes
addressing social determinants to eliminate health disparities and achieve health equity.
Q7: A nurse is teaching a new mother about infant safety. Which recommendation
aligns with Healthy People 2030 objectives for injury prevention?
A. Place the infant on the stomach for sleep to prevent aspiration
B. Use a rear-facing car seat in the back seat until age 2 [CORRECT]
, C. Introduce solid foods at 3 months to promote growth
D. Allow the infant to sleep in the parent's bed for bonding
Correct Answer: B
Rationale: Correct because rear-facing car seat use in the back seat until at least age 2
is an evidence-based injury prevention recommendation that aligns with Healthy People
2030 objectives to reduce unintentional injuries across the lifespan.
Q8: A nurse is evaluating a community health program designed to reduce childhood
obesity. Which outcome measure best demonstrates program effectiveness?
A. Number of children enrolled in the program
B. Percentage of children achieving healthy BMI-for-age percentile [CORRECT]
C. Total funding allocated to the program
D. Number of educational brochures distributed
Correct Answer: B
Rationale: Correct because program effectiveness in reducing childhood obesity must
be measured by health outcomes. BMI-for-age percentile is the standard clinical
measure for assessing healthy weight status in children and adolescents.
Q9: A nurse is counseling a 45-year-old patient about cardiovascular disease prevention.
Which risk factor is modifiable?
A. Family history of myocardial infarction
B. Age greater than 40 years
C. Cigarette smoking [CORRECT]
D. Male gender
Correct Answer: C
Rationale: Correct because cigarette smoking is a modifiable risk factor for
cardiovascular disease. Unlike nonmodifiable factors such as age, gender, and family
history, smoking cessation can significantly reduce cardiovascular risk.
Blueprint Replica Actual 2026/2027 with Detailed
Rationales | 100% Verified | Pass Guaranteed
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION
(Questions 1–17)
Q1: A community health nurse is developing a health promotion program for older
adults. Which Healthy People 2030 overarching goal should guide the nurse's planning?
A. Reduce healthcare costs through early disease detection
B. Eliminate health disparities, achieve improved health for all, and attain health literacy
[CORRECT]
C. Increase the number of federally funded health clinics
D. Mandate annual physical examinations for all adults
Correct Answer: B
Rationale: Correct because Healthy People 2030's second overarching goal specifically
addresses eliminating health disparities, achieving health equity, and attaining health
literacy to improve health and well-being for all populations. This goal frames all health
promotion planning across the lifespan.
Q2: A nurse is teaching a group of adolescents about primary prevention. Which activity
best exemplifies primary prevention?
A. Administering insulin to a newly diagnosed diabetic patient
B. Conducting blood pressure screenings at a community health fair
C. Providing childhood immunizations according to the CDC schedule [CORRECT]
D. Teaching a patient with hypertension how to monitor blood pressure at home
Correct Answer: C
,Rationale: Correct because primary prevention aims to prevent disease before it occurs.
Childhood immunizations protect individuals from infectious diseases before exposure,
which is the defining characteristic of primary prevention strategies.
Q3: A school nurse is implementing a secondary prevention program. Which
intervention is most appropriate for this level of prevention?
A. Teaching handwashing techniques to kindergarteners
B. Screening fifth-grade students for scoliosis [CORRECT]
C. Providing physical therapy for a student with a sports injury
D. Counseling a student with asthma about trigger avoidance
Correct Answer: B
Rationale: Correct because secondary prevention focuses on early detection of disease
through screening and prompt treatment. Scoliosis screening identifies spinal
deformities early, allowing for timely intervention before progression occurs.
Q4: A home health nurse is caring for a patient recovering from a stroke. The nurse is
implementing tertiary prevention. Which nursing action best demonstrates this level of
prevention?
A. Teaching the community about stroke risk factors
B. Screening patients for hypertension at a clinic
C. Providing rehabilitation exercises to improve functional mobility [CORRECT]
D. Administering anticoagulant medication to prevent initial clot formation
Correct Answer: C
Rationale: Correct because tertiary prevention aims to reduce complications and
disability after disease has occurred. Rehabilitation exercises following a stroke
minimize functional impairment and improve quality of life, which is the core purpose of
tertiary prevention.
,Q5: A nurse is reviewing the Healthy People 2030 Leading Health Indicators (LHIs).
Which topic is included as a high-priority LHI?
A. Increasing the number of hospital beds per capita
B. Reducing adolescent pregnancy rates
C. Increasing access to healthy foods [CORRECT]
D. Expanding pharmaceutical research funding
Correct Answer: C
Rationale: Correct because access to healthy foods is a Leading Health Indicator in
Healthy People 2030, reflecting high-priority issues that require collaborative action
across sectors to improve population health outcomes.
Q6: A public health nurse is planning a health promotion initiative for a rural community.
According to Healthy People 2030, which social determinant of health should the nurse
prioritize to reduce health disparities?
A. Increasing the number of specialist physicians
B. Improving access to reliable transportation for medical appointments [CORRECT]
C. Mandating employer-sponsored health insurance
D. Expanding luxury fitness center availability
Correct Answer: B
Rationale: Correct because transportation access is a critical social determinant of
health that directly impacts healthcare utilization. Healthy People 2030 emphasizes
addressing social determinants to eliminate health disparities and achieve health equity.
Q7: A nurse is teaching a new mother about infant safety. Which recommendation
aligns with Healthy People 2030 objectives for injury prevention?
A. Place the infant on the stomach for sleep to prevent aspiration
B. Use a rear-facing car seat in the back seat until age 2 [CORRECT]
, C. Introduce solid foods at 3 months to promote growth
D. Allow the infant to sleep in the parent's bed for bonding
Correct Answer: B
Rationale: Correct because rear-facing car seat use in the back seat until at least age 2
is an evidence-based injury prevention recommendation that aligns with Healthy People
2030 objectives to reduce unintentional injuries across the lifespan.
Q8: A nurse is evaluating a community health program designed to reduce childhood
obesity. Which outcome measure best demonstrates program effectiveness?
A. Number of children enrolled in the program
B. Percentage of children achieving healthy BMI-for-age percentile [CORRECT]
C. Total funding allocated to the program
D. Number of educational brochures distributed
Correct Answer: B
Rationale: Correct because program effectiveness in reducing childhood obesity must
be measured by health outcomes. BMI-for-age percentile is the standard clinical
measure for assessing healthy weight status in children and adolescents.
Q9: A nurse is counseling a 45-year-old patient about cardiovascular disease prevention.
Which risk factor is modifiable?
A. Family history of myocardial infarction
B. Age greater than 40 years
C. Cigarette smoking [CORRECT]
D. Male gender
Correct Answer: C
Rationale: Correct because cigarette smoking is a modifiable risk factor for
cardiovascular disease. Unlike nonmodifiable factors such as age, gender, and family
history, smoking cessation can significantly reduce cardiovascular risk.
