COMPLETE ACCURATE TEST EXAM ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED SOLUTIONS)
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A nurse is teaching a client about health promotion. Which statement best describes
wellness?
a. Absence of disease only
b. A dynamic state of physical, mental, and social well-being
,c. Ability to avoid hospitals
d. Genetic predisposition to good health
✔️ Correct Answer: B
Rationale: Wellness is a holistic concept that includes physical, emotional, and social
well-being, not just absence of illness. Option A is incorrect as it defines illness absence,
not wellness. Option C is incorrect as it does not define wellness. Option D is incorrect
as genetics are only one factor. NCLEX focus: Health promotion. DIF: Knowledge. REF:
Health Promotion Concepts. OBJ: Define wellness. TOP: Health Promotion.
A client reports smoking daily and wants to quit. What is the nurse's best initial action?
a. Tell the client to quit immediately
b. Assess readiness to change
c. Provide nicotine replacement therapy immediately
d. Ignore the request until follow-up
✔️ Correct Answer: B
Rationale: Assessing readiness to change is essential in behavioral modification using
the stages of change model. Option A is incorrect as it does not assess readiness.
Option C is incorrect as it bypasses assessment. Option D is incorrect as it ignores the
client's request. NCLEX focus: Behavioral change theory. DIF: Application. REF: Behavioral
Change Theory. OBJ: Apply motivational interviewing. TOP: Health Behavior.
A client is in the precontemplation stage of change. What intervention is appropriate?
a. Set a quit date
b. Provide education and awareness
c. Reinforce maintenance strategies
d. Focus on relapse prevention
✔️ Correct Answer: B
,Rationale: In precontemplation, clients are not yet considering change; education
increases awareness. Option A is for the preparation stage. Option C is for the
maintenance stage. Option D is for the maintenance stage. NCLEX focus: Stages of
change. DIF: Application. REF: Stages of Change. OBJ: Identify stage-based interventions.
TOP: Health Behavior.
A nurse is assessing a client's health beliefs. Which factor most influences health
behavior?
a. Hair color
b. Cultural beliefs
c. Shoe size
d. Eye color
✔️ Correct Answer: B
Rationale: Culture strongly influences perceptions of illness, health practices, and
decision-making. Option A, C, and D are not health determinants. NCLEX focus: Cultural
health beliefs. DIF: Knowledge. REF: Cultural Health Beliefs. OBJ: Identify health
determinants. TOP: Health Promotion.
A client reports high stress and poor coping. What is the best nursing intervention?
a. Ignore stress levels
b. Teach stress management techniques
c. Increase workload
d. Avoid discussing emotions
✔️ Correct Answer: B
Rationale: Stress management strategies improve coping and reduce physiological
effects of stress. Option A is incorrect as it ignores the issue. Option C is incorrect as it
would increase stress. Option D is incorrect as it avoids addressing emotions. NCLEX
focus: Stress and coping. DIF: Application. REF: Stress and Coping. OBJ: Promote coping
skills. TOP: Psychosocial Health.
, A nurse is teaching about healthy diet choices. Which food is most appropriate for
cardiovascular health?
a. Fried foods
b. Fresh fruits and vegetables
c. Processed meats
d. Sugary drinks
✔️ Correct Answer: B
Rationale: Fruits and vegetables support cardiovascular health by reducing cholesterol
and blood pressure. Option A, C, and D are associated with increased cardiovascular risk.
NCLEX focus: Nutrition and health. DIF: Knowledge. REF: Nutrition and Health. OBJ:
Identify healthy diet choices. TOP: Nutrition.
A client with obesity is setting a weight-loss goal. What is a SMART goal example?
a. "I will lose weight someday."
b. "I will lose 1 pound per week by walking 30 minutes daily."
c. "I will stop eating."
d. "I will exercise randomly."
✔️ Correct Answer: B
Rationale: SMART goals are specific, measurable, achievable, relevant, and time-bound.
Option A is vague. Option C is extreme and unsafe. Option D is not specific or
measurable. NCLEX focus: Goal setting. DIF: Application. REF: Goal Setting. OBJ: Develop
SMART goals. TOP: Health Promotion.
A nurse is assessing a client's BMI of 32. What does this indicate?
a. Underweight
b. Normal weight