HEALTH PROMOTION AND DISEASE
PREVENTION CHAPTER 1 EXAM
PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED AND LATEST
2026-27
An 18-year-old woman with allergic rhinitis presents for primary care. She is sexually active with a male
partner and is 1year post-coitarche; during that time, she had two sex partners. An example of a primary
prevention activity for this patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. -Correct ANS-B
When a critical portion of a population is immunized against a contagious disease, most members of the
group, even the unimmunized, are protected against that disease because there is little opportunity for an
outbreak. This is known as ______ immunity.
A. passive
B. humoral
C. epidemiologic
D. community -Correct ANS-D
When advising a patient about injectable influenza immunization, the nurse practitioner (NP) considers
the following about the use of this vaccine: A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited because it contains live virus.
D. Its use is recommended for virtually all members of the population. --
CORRECT ANSWER--D
,A middle-aged man with chronic obstructive pulmonary disease who is about to receive injectable
influenza vaccine should be advised that: A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the immunization are fairly
common.
D. a short, intense, flu-like syndrome typically occurs after immunization. --
CORRECT ANSWER--C
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 (force expired volume at 1 second) to FVC (forced vital capacity) ratio.
D. ordering fecal occult blood test (FOBT). -Correct ANS-B
Which of the following is an example of a primary prevention activity in a 76year-old woman with
osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace -Correct ANS-C
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. --CORRECT
ANSWER--A
Tertiary prevention measures for a 69-year-old woman with heart failure include:
, A. administering pneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food. -Correct ANS-B
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) -Correct ANS-A
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 --
CORRECT ANSWER--A
Which of the following is usually viewed as the most cost-effective form of healthcare?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. cancer-reduction measures -Correct ANS-A
A 44-year-old woman with asthma presents asking for a "flu shot." She is seen today for an urgent care
visit, is diagnosed with a lower urinary tract infection, and is prescribed trimethoprim-sulfamethoxazole.
She is without fever or gastrointestinal upset with stable respiratory status. You inform her that she:
A. should return for the immunization after completing her antibiotic therapy.
B. would likely develop a significant reaction if immunized today.
PREVENTION CHAPTER 1 EXAM
PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS NEW MODIFIED AND LATEST
2026-27
An 18-year-old woman with allergic rhinitis presents for primary care. She is sexually active with a male
partner and is 1year post-coitarche; during that time, she had two sex partners. An example of a primary
prevention activity for this patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. -Correct ANS-B
When a critical portion of a population is immunized against a contagious disease, most members of the
group, even the unimmunized, are protected against that disease because there is little opportunity for an
outbreak. This is known as ______ immunity.
A. passive
B. humoral
C. epidemiologic
D. community -Correct ANS-D
When advising a patient about injectable influenza immunization, the nurse practitioner (NP) considers
the following about the use of this vaccine: A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited because it contains live virus.
D. Its use is recommended for virtually all members of the population. --
CORRECT ANSWER--D
,A middle-aged man with chronic obstructive pulmonary disease who is about to receive injectable
influenza vaccine should be advised that: A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the immunization are fairly
common.
D. a short, intense, flu-like syndrome typically occurs after immunization. --
CORRECT ANSWER--C
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 (force expired volume at 1 second) to FVC (forced vital capacity) ratio.
D. ordering fecal occult blood test (FOBT). -Correct ANS-B
Which of the following is an example of a primary prevention activity in a 76year-old woman with
osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace -Correct ANS-C
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. --CORRECT
ANSWER--A
Tertiary prevention measures for a 69-year-old woman with heart failure include:
, A. administering pneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
C. surveying skin for precancerous lesions.
D. reviewing safe handling of food. -Correct ANS-B
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) -Correct ANS-A
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 --
CORRECT ANSWER--A
Which of the following is usually viewed as the most cost-effective form of healthcare?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. cancer-reduction measures -Correct ANS-A
A 44-year-old woman with asthma presents asking for a "flu shot." She is seen today for an urgent care
visit, is diagnosed with a lower urinary tract infection, and is prescribed trimethoprim-sulfamethoxazole.
She is without fever or gastrointestinal upset with stable respiratory status. You inform her that she:
A. should return for the immunization after completing her antibiotic therapy.
B. would likely develop a significant reaction if immunized today.
