NR 222 Health & Wellness Exam 1 Practice
Assessment
75 Original Multiple-Choice Questions with Answers & Rationales
2026/2027 Study Edition
Questions 1–25
1. A nurse is teaching a client about health promotion. Which statement best
describes health promotion?
A. Treating an illness after symptoms develop
B. Helping individuals improve control over factors that influence their health
C. Diagnosing disease through laboratory testing
D. Preventing all exposure to infectious organisms
Correct Answer: B
Rationale: Health promotion focuses on empowering individuals and communities to improve
health and well-being by addressing behaviors, environments, and other factors that influence
health.
2. Which activity is an example of primary prevention?
A. Mammography after an abnormal breast examination
B. Rehabilitation after a stroke
C. Immunization against influenza
D. Physical therapy after a hip replacement
Correct Answer: C
Rationale: Primary prevention occurs before disease develops and includes measures such as
immunizations, healthy nutrition, exercise, and risk-reduction education.
3. Which intervention is an example of secondary prevention?
A. Smoking cessation education
B. Blood pressure screening
,C. Cardiac rehabilitation
D. Hospice care
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment of disease. Screening
for hypertension can identify a problem before complications occur.
4. Which intervention represents tertiary prevention?
A. Childhood vaccination
B. Routine cholesterol screening
C. Rehabilitation following a stroke
D. Teaching adolescents about nutrition
Correct Answer: C
Rationale: Tertiary prevention reduces complications and disability associated with an
established disease or condition. Rehabilitation after stroke is a classic example.
5. Which factor is considered a social determinant of health?
A. Blood type
B. Housing stability
C. Eye color
D. Genetic chromosome number
Correct Answer: B
Rationale: Social determinants include conditions in which people are born, grow, live, work,
and age. Housing, education, income, transportation, and access to health care can substantially
influence health outcomes.
6. A client asks why nurses assess health literacy. What is the nurse's best
response?
A. "It determines your intelligence."
B. "It helps us determine your ability to understand and use health information."
C. "It tells us whether you can read medical journals."
D. "It determines whether you can administer medications independently."
, Correct Answer: B
Rationale: Health literacy refers to the ability to obtain, understand, evaluate, and use health
information and services to make appropriate health decisions.
7. Which client statement demonstrates effective use of the teach-back method?
A. "I understand everything you told me."
B. "I'll read the instructions again later."
C. "Let me explain how I will take this medication when I get home."
D. "My daughter will remember the instructions for me."
Correct Answer: C
Rationale: Teach-back asks the client to explain information in their own words. It allows the
nurse to identify misunderstandings and clarify instructions.
8. Which behavior most directly promotes cardiovascular health?
A. Regular moderate physical activity
B. Skipping breakfast daily
C. Increasing sodium intake
D. Sleeping fewer than five hours nightly
Correct Answer: A
Rationale: Regular physical activity supports cardiovascular fitness and helps reduce several
chronic disease risk factors.
9. A nurse is discussing wellness with a client. Which statement best reflects the
concept of wellness?
A. Wellness means having no diagnosed disease.
B. Wellness is limited to physical health.
C. Wellness involves multiple dimensions of health and ongoing lifestyle choices.
D. Wellness is determined primarily by genetics.
Correct Answer: C
Assessment
75 Original Multiple-Choice Questions with Answers & Rationales
2026/2027 Study Edition
Questions 1–25
1. A nurse is teaching a client about health promotion. Which statement best
describes health promotion?
A. Treating an illness after symptoms develop
B. Helping individuals improve control over factors that influence their health
C. Diagnosing disease through laboratory testing
D. Preventing all exposure to infectious organisms
Correct Answer: B
Rationale: Health promotion focuses on empowering individuals and communities to improve
health and well-being by addressing behaviors, environments, and other factors that influence
health.
2. Which activity is an example of primary prevention?
A. Mammography after an abnormal breast examination
B. Rehabilitation after a stroke
C. Immunization against influenza
D. Physical therapy after a hip replacement
Correct Answer: C
Rationale: Primary prevention occurs before disease develops and includes measures such as
immunizations, healthy nutrition, exercise, and risk-reduction education.
3. Which intervention is an example of secondary prevention?
A. Smoking cessation education
B. Blood pressure screening
,C. Cardiac rehabilitation
D. Hospice care
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment of disease. Screening
for hypertension can identify a problem before complications occur.
4. Which intervention represents tertiary prevention?
A. Childhood vaccination
B. Routine cholesterol screening
C. Rehabilitation following a stroke
D. Teaching adolescents about nutrition
Correct Answer: C
Rationale: Tertiary prevention reduces complications and disability associated with an
established disease or condition. Rehabilitation after stroke is a classic example.
5. Which factor is considered a social determinant of health?
A. Blood type
B. Housing stability
C. Eye color
D. Genetic chromosome number
Correct Answer: B
Rationale: Social determinants include conditions in which people are born, grow, live, work,
and age. Housing, education, income, transportation, and access to health care can substantially
influence health outcomes.
6. A client asks why nurses assess health literacy. What is the nurse's best
response?
A. "It determines your intelligence."
B. "It helps us determine your ability to understand and use health information."
C. "It tells us whether you can read medical journals."
D. "It determines whether you can administer medications independently."
, Correct Answer: B
Rationale: Health literacy refers to the ability to obtain, understand, evaluate, and use health
information and services to make appropriate health decisions.
7. Which client statement demonstrates effective use of the teach-back method?
A. "I understand everything you told me."
B. "I'll read the instructions again later."
C. "Let me explain how I will take this medication when I get home."
D. "My daughter will remember the instructions for me."
Correct Answer: C
Rationale: Teach-back asks the client to explain information in their own words. It allows the
nurse to identify misunderstandings and clarify instructions.
8. Which behavior most directly promotes cardiovascular health?
A. Regular moderate physical activity
B. Skipping breakfast daily
C. Increasing sodium intake
D. Sleeping fewer than five hours nightly
Correct Answer: A
Rationale: Regular physical activity supports cardiovascular fitness and helps reduce several
chronic disease risk factors.
9. A nurse is discussing wellness with a client. Which statement best reflects the
concept of wellness?
A. Wellness means having no diagnosed disease.
B. Wellness is limited to physical health.
C. Wellness involves multiple dimensions of health and ongoing lifestyle choices.
D. Wellness is determined primarily by genetics.
Correct Answer: C
