NSG 552 Wellness, Health Promotion & Disease Prevention
Exam | Complete Practice Questions, Correct Answers &
Rationales 2026/2027
QUESTION 1 Which of the following interventions represents an
example of primary disease prevention?
A. Administering the annual influenza vaccine to a healthy adult
B. Performing a screening mammogram in an asymptomatic 50-year-old
female
C. Cardiac rehabilitation following an acute myocardial infarction
D. Physical therapy for a patient with chronic osteoarthritis
Correct Answer: A. Administering the annual influenza vaccine to a
healthy adult
Detailed Rationale: Primary prevention aims to prevent a disease or
condition from ever occurring by altering susceptibility or reducing
exposure (e.g., immunizations, health education, counseling). Screening
represents secondary prevention, while rehabilitation represents
tertiary prevention.
QUESTION 2 According to the Transtheoretical Model (Stages of
Change), a patient who states, "I know I need to quit smoking, but I am
not ready to do it within the next six months," is in which stage of
change?
A. Precontemplation
B. Contemplation
,C. Preparation
D. Action
Correct Answer: A. Precontemplation
Detailed Rationale: In the precontemplation stage, individuals do not
intend to take action in the foreseeable future (usually defined as within
the next 6 months) and are often unaware or under-aware of their
problems. Contemplation involves intending to change within the next 6
months.
QUESTION 3 According to current U.S. Preventive Services Task Force
(USPSTF) guidelines, at what age should average-risk women begin
regular screening mammography for breast cancer, and at what
frequency?
A. Age 40, biennially (every 2 years) through age 74
B. Age 50, annually through age 80
C. Age 45, every 5 years through age 65
D. Age 35, annually through age 55
Correct Answer: A. Age 40, biennially (every 2 years) through age 74
Detailed Rationale: Updated USPSTF guidelines recommend that all
women start biennial screening mammography at age 40 and continue
through age 74 to reduce breast cancer mortality across diverse
populations.
QUESTION 4 In the Health Belief Model, which construct refers to an
individual's assessment of the personal seriousness and consequences
of contracting a specific health condition?
,A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Cues to action
Correct Answer: B. Perceived severity
Detailed Rationale: Perceived severity represents an individual's
subjective belief about the seriousness or magnitude of harm a disease
or condition will cause them, including medical, social, and economic
consequences.
QUESTION 5 When calculating 10-year atherosclerotic cardiovascular
disease (ASCVD) risk for primary prevention counseling, which clinical
parameters are required by the pooled cohort equations?
A. Age, sex, race, systolic blood pressure, treatment for hypertension,
total cholesterol, HDL cholesterol, smoking status, and diabetes status
B. Body mass index, waist circumference, and resting heart rate alone
C. Serum triglycerides, fasting blood glucose, and family history of
longevity
D. Serum creatinine, liver enzymes, and C-reactive protein
Correct Answer: A. Age, sex, race, systolic blood pressure, treatment for
hypertension, total cholesterol, HDL cholesterol, smoking status, and
diabetes status
Detailed Rationale: The ACC/AHA ASCVD risk estimator incorporates
these specific variables to estimate an individual's 10-year risk of a first
, hard atherosclerotic event, guiding decisions on statin therapy and
lifestyle modification.
QUESTION 6 What is the recommended first-step framework for
clinicians addressing tobacco use in primary care patients, commonly
known as the "5 A's"?
A. Ask, Advise, Assess, Assist, Arrange
B. Assess, Analyze, Apply, Adapt, Audit
C. Anticipate, Avoid, Attenuate, Authorize, Appraise
D. Alert, Activate, Administer, Appraise, Assign
Correct Answer: A. Ask, Advise, Assess, Assist, Arrange
Detailed Rationale: The 5 A's evidence-based clinical counseling
framework guides providers to Ask about tobacco use, Advise users to
quit, Assess willingness to make a quit attempt, Assist in quitting, and
Arrange follow-up support.
QUESTION 7 What is the recommended frequency for routine tetanus,
diphtheria, and pertussis (Tdap) booster vaccination in healthy adults
after receiving their initial adolescent/adult dose?
A. Every 5 years
B. Every 10 years
C. Every 20 years
D. Only once in adulthood
Correct Answer: B. Every 10 years
Exam | Complete Practice Questions, Correct Answers &
Rationales 2026/2027
QUESTION 1 Which of the following interventions represents an
example of primary disease prevention?
A. Administering the annual influenza vaccine to a healthy adult
B. Performing a screening mammogram in an asymptomatic 50-year-old
female
C. Cardiac rehabilitation following an acute myocardial infarction
D. Physical therapy for a patient with chronic osteoarthritis
Correct Answer: A. Administering the annual influenza vaccine to a
healthy adult
Detailed Rationale: Primary prevention aims to prevent a disease or
condition from ever occurring by altering susceptibility or reducing
exposure (e.g., immunizations, health education, counseling). Screening
represents secondary prevention, while rehabilitation represents
tertiary prevention.
QUESTION 2 According to the Transtheoretical Model (Stages of
Change), a patient who states, "I know I need to quit smoking, but I am
not ready to do it within the next six months," is in which stage of
change?
A. Precontemplation
B. Contemplation
,C. Preparation
D. Action
Correct Answer: A. Precontemplation
Detailed Rationale: In the precontemplation stage, individuals do not
intend to take action in the foreseeable future (usually defined as within
the next 6 months) and are often unaware or under-aware of their
problems. Contemplation involves intending to change within the next 6
months.
QUESTION 3 According to current U.S. Preventive Services Task Force
(USPSTF) guidelines, at what age should average-risk women begin
regular screening mammography for breast cancer, and at what
frequency?
A. Age 40, biennially (every 2 years) through age 74
B. Age 50, annually through age 80
C. Age 45, every 5 years through age 65
D. Age 35, annually through age 55
Correct Answer: A. Age 40, biennially (every 2 years) through age 74
Detailed Rationale: Updated USPSTF guidelines recommend that all
women start biennial screening mammography at age 40 and continue
through age 74 to reduce breast cancer mortality across diverse
populations.
QUESTION 4 In the Health Belief Model, which construct refers to an
individual's assessment of the personal seriousness and consequences
of contracting a specific health condition?
,A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Cues to action
Correct Answer: B. Perceived severity
Detailed Rationale: Perceived severity represents an individual's
subjective belief about the seriousness or magnitude of harm a disease
or condition will cause them, including medical, social, and economic
consequences.
QUESTION 5 When calculating 10-year atherosclerotic cardiovascular
disease (ASCVD) risk for primary prevention counseling, which clinical
parameters are required by the pooled cohort equations?
A. Age, sex, race, systolic blood pressure, treatment for hypertension,
total cholesterol, HDL cholesterol, smoking status, and diabetes status
B. Body mass index, waist circumference, and resting heart rate alone
C. Serum triglycerides, fasting blood glucose, and family history of
longevity
D. Serum creatinine, liver enzymes, and C-reactive protein
Correct Answer: A. Age, sex, race, systolic blood pressure, treatment for
hypertension, total cholesterol, HDL cholesterol, smoking status, and
diabetes status
Detailed Rationale: The ACC/AHA ASCVD risk estimator incorporates
these specific variables to estimate an individual's 10-year risk of a first
, hard atherosclerotic event, guiding decisions on statin therapy and
lifestyle modification.
QUESTION 6 What is the recommended first-step framework for
clinicians addressing tobacco use in primary care patients, commonly
known as the "5 A's"?
A. Ask, Advise, Assess, Assist, Arrange
B. Assess, Analyze, Apply, Adapt, Audit
C. Anticipate, Avoid, Attenuate, Authorize, Appraise
D. Alert, Activate, Administer, Appraise, Assign
Correct Answer: A. Ask, Advise, Assess, Assist, Arrange
Detailed Rationale: The 5 A's evidence-based clinical counseling
framework guides providers to Ask about tobacco use, Advise users to
quit, Assess willingness to make a quit attempt, Assist in quitting, and
Arrange follow-up support.
QUESTION 7 What is the recommended frequency for routine tetanus,
diphtheria, and pertussis (Tdap) booster vaccination in healthy adults
after receiving their initial adolescent/adult dose?
A. Every 5 years
B. Every 10 years
C. Every 20 years
D. Only once in adulthood
Correct Answer: B. Every 10 years
