,Nurse Practitioner Certification Examination Test Bank
Chapter 1: Health Promotion and Disease Prevention
Primary Prevention Measures
1. An example of a primary prevention measure for a 78-year-old man with
chronic obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 to FVC ratio.
D. ordering fecal occult blood test (FOBT).
Answer: B
2. Which of the following is an example of a primary prevention activity in a 76-
year-old woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace
Answer: C
3. Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger restraints.
, Answer: A
4. Tertiary prevention measures for a 69-year-old woman with heart failure
include:
A. administering antipneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food.
Answer: B
5. Which of the following products provides passive immunity?
A. hepatitis B immune globulin (HBIG)
B. measles, mumps, and rubella (MMR) vaccine
C. pneumococcal conjugate vaccine
D. live attenuated influenza vaccine (LAIV)
Answer: A
6. Active immunity is defined as:
A. resistance developed in response to an antigen.
B. immunity conferred by an antibody produced in another host.
C. the resistance of a group to an infectious agent.
D. defense against disease acquired naturally by the infant from the mother.
Answer: A
7. Which of the following is usually viewed as the most cost-effective form of
healthcare?
A. primary prevention
B. secondary prevention