EXAM 1 NR222: NR222 HEALTH &
WELLNESS REVIEW, (LATEST 2026/2027
UPDATE) WITH CORRE T/ACCURATE
ANSWERS
AT CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING.
PART 1: Questions 1–25
Question 1
The patient is admitted to the emergency department from home with reports of chest
discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases
drawn, and is given an electrocardiogram and breathing treatments. Which level of
preventive care is the patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
✅ Correct Answer: B. Secondary prevention
Rationale:
Secondary prevention focuses on early detection and prompt treatment of illness to prevent
progression. Diagnostic tests such as ECGs, lab work, and blood gases are used to identify
disease early. These interventions do not prevent disease onset but aim to reduce severity and
complications.
Question 2
,A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided
paralysis and is unable to speak. The patient will be receiving physical therapy and speech
therapy. Which level of preventive care is the patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Disease prevention
✅ Correct Answer: C. Tertiary prevention
Rationale:
Tertiary prevention focuses on reducing disability and restoring function after a disease has
occurred. Rehabilitation therapies help patients regain abilities and adapt to limitations. This
level of prevention aims to improve quality of life.
Question 3
Upon completing a health history, the nurse finds that a patient has multiple risk factors for
developing lung disease. How should the nurse interpret this finding?
A. The disease is unavoidable
B. The patient is already diagnosed
C. The chances of developing the disease are increased
D. The patient requires immediate treatment
✅ Correct Answer: C. The chances of developing the disease are increased
Rationale:
Risk factors do not guarantee disease development but increase the likelihood. Identifying
risk factors allows nurses to implement prevention strategies. Early education and monitoring
can reduce progression.
Question 4
The nurse is caring for a patient who is trying to quit smoking. The patient has been smoke-
free for 2 weeks but smoked several cigarettes last night and this morning. What should the
nurse anticipate?
,A. The patient is in the maintenance phase
B. The patient has failed cessation
C. The patient has returned to contemplation or precontemplation
D. The patient is in the action phase
✅ Correct Answer: C. The patient has returned to contemplation or precontemplation
Rationale:
Relapse is common during behavior change. Returning to smoking suggests the patient is
reconsidering change or minimizing readiness. Nurses should provide support and reassess
motivation rather than judge failure.
Question 5
The nurse is working in a drug rehabilitation clinic and is admitting a patient for
detoxification. What should the nurse do next?
A. Begin withdrawal treatment
B. Educate about long-term recovery
C. Identify the patient’s stage of change
D. Contact family members
✅ Correct Answer: C. Identify the patient’s stage of change
Rationale:
Understanding the stage of change allows the nurse to tailor interventions appropriately.
Treatment strategies differ depending on readiness. This assessment improves patient
engagement and outcomes.
Question 6
A female patient who has struggled with weight loss states she will join a weight loss clinic
after the holidays in three months. Which stage of change is the patient demonstrating?
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
✅ Correct Answer: B. Contemplation
, Rationale:
In contemplation, individuals acknowledge a problem but delay action. The patient is
considering change but not yet ready to commit. Nurses should encourage motivation and
planning.
Question 7
Upon assessment, the nurse learns that a patient has been alcohol-free for the past 2 years.
Which stage of change does this represent?
A. Action
B. Contemplation
C. Maintenance
D. Preparation
✅ Correct Answer: C. Maintenance
Rationale:
Maintenance involves sustaining behavior change over time. Long-term abstinence reflects
successful lifestyle modification. Continued support prevents relapse.
Question 8
A patient who had a colostomy placed 1 week ago refuses to discuss it or learn care
techniques. How should the nurse evaluate this stage of adjustment?
A. Acceptance
B. Anger
C. Withdrawal
D. Bargaining
✅ Correct Answer: C. Withdrawal
Rationale:
Withdrawal is characterized by avoidance and refusal to engage. This reaction is common
during early adjustment to body image changes. Nurses should provide emotional support
and avoid forcing education.
WELLNESS REVIEW, (LATEST 2026/2027
UPDATE) WITH CORRE T/ACCURATE
ANSWERS
AT CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING.
PART 1: Questions 1–25
Question 1
The patient is admitted to the emergency department from home with reports of chest
discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases
drawn, and is given an electrocardiogram and breathing treatments. Which level of
preventive care is the patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
✅ Correct Answer: B. Secondary prevention
Rationale:
Secondary prevention focuses on early detection and prompt treatment of illness to prevent
progression. Diagnostic tests such as ECGs, lab work, and blood gases are used to identify
disease early. These interventions do not prevent disease onset but aim to reduce severity and
complications.
Question 2
,A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided
paralysis and is unable to speak. The patient will be receiving physical therapy and speech
therapy. Which level of preventive care is the patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Disease prevention
✅ Correct Answer: C. Tertiary prevention
Rationale:
Tertiary prevention focuses on reducing disability and restoring function after a disease has
occurred. Rehabilitation therapies help patients regain abilities and adapt to limitations. This
level of prevention aims to improve quality of life.
Question 3
Upon completing a health history, the nurse finds that a patient has multiple risk factors for
developing lung disease. How should the nurse interpret this finding?
A. The disease is unavoidable
B. The patient is already diagnosed
C. The chances of developing the disease are increased
D. The patient requires immediate treatment
✅ Correct Answer: C. The chances of developing the disease are increased
Rationale:
Risk factors do not guarantee disease development but increase the likelihood. Identifying
risk factors allows nurses to implement prevention strategies. Early education and monitoring
can reduce progression.
Question 4
The nurse is caring for a patient who is trying to quit smoking. The patient has been smoke-
free for 2 weeks but smoked several cigarettes last night and this morning. What should the
nurse anticipate?
,A. The patient is in the maintenance phase
B. The patient has failed cessation
C. The patient has returned to contemplation or precontemplation
D. The patient is in the action phase
✅ Correct Answer: C. The patient has returned to contemplation or precontemplation
Rationale:
Relapse is common during behavior change. Returning to smoking suggests the patient is
reconsidering change or minimizing readiness. Nurses should provide support and reassess
motivation rather than judge failure.
Question 5
The nurse is working in a drug rehabilitation clinic and is admitting a patient for
detoxification. What should the nurse do next?
A. Begin withdrawal treatment
B. Educate about long-term recovery
C. Identify the patient’s stage of change
D. Contact family members
✅ Correct Answer: C. Identify the patient’s stage of change
Rationale:
Understanding the stage of change allows the nurse to tailor interventions appropriately.
Treatment strategies differ depending on readiness. This assessment improves patient
engagement and outcomes.
Question 6
A female patient who has struggled with weight loss states she will join a weight loss clinic
after the holidays in three months. Which stage of change is the patient demonstrating?
A. Precontemplation
B. Contemplation
C. Action
D. Maintenance
✅ Correct Answer: B. Contemplation
, Rationale:
In contemplation, individuals acknowledge a problem but delay action. The patient is
considering change but not yet ready to commit. Nurses should encourage motivation and
planning.
Question 7
Upon assessment, the nurse learns that a patient has been alcohol-free for the past 2 years.
Which stage of change does this represent?
A. Action
B. Contemplation
C. Maintenance
D. Preparation
✅ Correct Answer: C. Maintenance
Rationale:
Maintenance involves sustaining behavior change over time. Long-term abstinence reflects
successful lifestyle modification. Continued support prevents relapse.
Question 8
A patient who had a colostomy placed 1 week ago refuses to discuss it or learn care
techniques. How should the nurse evaluate this stage of adjustment?
A. Acceptance
B. Anger
C. Withdrawal
D. Bargaining
✅ Correct Answer: C. Withdrawal
Rationale:
Withdrawal is characterized by avoidance and refusal to engage. This reaction is common
during early adjustment to body image changes. Nurses should provide emotional support
and avoid forcing education.
