1
PNH301 Test 2 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
[SECTION 1: Health Promotion and Disease Prevention - Questions 1-15]
Q1: A nurse is teaching a patient about the three levels of disease prevention. Which patient
statement indicates correct understanding of secondary prevention?
A. "I get a flu shot every year before flu season"
B. "I had a mammogram to screen for breast cancer even though I have no symptoms"
C. "I take insulin daily to manage my diabetes"
D. "I use a cane to prevent falls after my stroke"
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and screening for disease in
asymptomatic individuals to enable earlier intervention and better outcomes. Mammograms,
blood pressure screenings, and colonoscopies are classic examples of secondary prevention.
Primary prevention (flu shot) prevents disease before it occurs. Tertiary prevention (insulin
management, cane use) manages established disease and prevents complications.
Q2: The Health Belief Model suggests that a patient is more likely to engage in preventive health
behaviors if they believe:
A. They will never get any disease regardless of behavior
B. They are susceptible to a condition, the condition is serious, and the recommended action will
reduce the threat
C. Their insurance will cover all treatment costs
D. Their family members have perfect health
Correct Answer: B
,2
Rationale: The Health Belief Model identifies perceived susceptibility (belief that one could get
the condition), perceived severity (belief that the condition would have serious consequences),
perceived benefits (belief that the recommended action would reduce the threat), and perceived
barriers (costs or obstacles to action) as key determinants of health behavior adoption. Without
all three positive beliefs, patients are less likely to act.
Q3: A nurse is counseling an obese patient about weight loss. According to the Transtheoretical
Model (Stages of Change), a patient who says "I've been thinking about joining a gym next
month" is in which stage?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: The contemplation stage is characterized by seriously thinking about making a change
within the next 6 months but not yet taking active steps. The patient is considering a gym
membership but has not yet joined (action) or signed up (preparation for imminent action).
Precontemplation would be not considering change at all. Preparation involves small initial steps
toward action.
Q4: A nurse is teaching about the USPSTF Grade A recommendation for colorectal cancer
screening. This rating indicates:
A. The service has no net benefit and should not be offered
B. There is high certainty of substantial net benefit, and the service is recommended
C. The evidence is insufficient to assess benefits and harms
D. Screening is recommended only for high-risk populations
Correct Answer: B
Rationale: USPSTF Grade A indicates high certainty that the net benefit is substantial, and the
service is recommended for all eligible patients. Grade B recommends the service with high
,3
certainty of moderate benefit or moderate certainty of moderate-to-substantial benefit. Grade C
recommends selective offering based on individual circumstances. Grade D recommends against
the service. Grade I indicates insufficient evidence.
Q5: A community health nurse is implementing a smoking cessation program. Which
intervention represents tertiary prevention?
A. Preventing youth from starting to smoke through education
B. Offering lung cancer screening to current smokers
C. Providing pulmonary rehabilitation to a patient with COPD from smoking
D. Banning smoking in public places
Correct Answer: C
Rationale: Tertiary prevention reduces disability and complications from established disease.
Pulmonary rehabilitation for a patient already diagnosed with COPD from smoking is tertiary
prevention. Secondary prevention (lung cancer screening) detects disease early. Primary
prevention (youth education, smoking bans) prevents initiation or exposure. Understanding these
levels is essential for program planning and resource allocation.
Q6: According to Pender's Health Promotion Model, which factor is a primary influence on a
person's commitment to engaging in health-promoting behaviors?
A. Perceived barriers to action
B. Genetic makeup only
C. Random chance occurrences
D. Insurance deductible amounts
Correct Answer: A
Rationale: Pender's model emphasizes that perceived barriers (or obstacles) to action are
significant cognitive-perceptual factors that influence whether a person engages in health
promotion. While biological factors play a role, modifying cognitive factors like perceived
barriers, self-efficacy, and interpersonal influences is key to nursing interventions aimed at
increasing commitment to health behaviors.
, 4
Q7: A nurse is administering the Human Papillomavirus (HPV) vaccine to an 11-year-old patient.
This intervention is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: The HPV vaccine prevents infection with the virus that causes cervical cancer and
other malignancies, making it a classic example of primary prevention. Primary prevention aims
to prevent disease or injury before it occurs by targeting specific risk factors or pathogens
through immunization, education, or environmental modifications.
Q8: When using motivational interviewing to discuss lifestyle changes with a patient, which
technique demonstrates "rolling with resistance"?
A. Arguing with the patient to convince them to change
B. Telling the patient they are wrong for not wanting to exercise
C. Acknowledging the patient's reluctance and exploring their concerns without judgment
D. Providing a lecture on the dangers of sedentary behavior
Correct Answer: C
Rationale: Rolling with resistance is a core principle of motivational interviewing where the
nurse avoids arguing for change and instead invites the patient to explore their own ambivalence.
This approach reduces defensiveness and helps the patient identify their own motivations for
change. Arguing or lecturing increases resistance and damages the therapeutic relationship.
Q9: A patient asks the nurse, "Why do I need to exercise if I eat healthy?" The nurse bases a
response on the understanding that physical activity:
A. Is only necessary for weight loss
PNH301 Test 2 Actual Exam 2026/2027 –
Complete Exam-Style Questions with
Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
[SECTION 1: Health Promotion and Disease Prevention - Questions 1-15]
Q1: A nurse is teaching a patient about the three levels of disease prevention. Which patient
statement indicates correct understanding of secondary prevention?
A. "I get a flu shot every year before flu season"
B. "I had a mammogram to screen for breast cancer even though I have no symptoms"
C. "I take insulin daily to manage my diabetes"
D. "I use a cane to prevent falls after my stroke"
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and screening for disease in
asymptomatic individuals to enable earlier intervention and better outcomes. Mammograms,
blood pressure screenings, and colonoscopies are classic examples of secondary prevention.
Primary prevention (flu shot) prevents disease before it occurs. Tertiary prevention (insulin
management, cane use) manages established disease and prevents complications.
Q2: The Health Belief Model suggests that a patient is more likely to engage in preventive health
behaviors if they believe:
A. They will never get any disease regardless of behavior
B. They are susceptible to a condition, the condition is serious, and the recommended action will
reduce the threat
C. Their insurance will cover all treatment costs
D. Their family members have perfect health
Correct Answer: B
,2
Rationale: The Health Belief Model identifies perceived susceptibility (belief that one could get
the condition), perceived severity (belief that the condition would have serious consequences),
perceived benefits (belief that the recommended action would reduce the threat), and perceived
barriers (costs or obstacles to action) as key determinants of health behavior adoption. Without
all three positive beliefs, patients are less likely to act.
Q3: A nurse is counseling an obese patient about weight loss. According to the Transtheoretical
Model (Stages of Change), a patient who says "I've been thinking about joining a gym next
month" is in which stage?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
Correct Answer: B
Rationale: The contemplation stage is characterized by seriously thinking about making a change
within the next 6 months but not yet taking active steps. The patient is considering a gym
membership but has not yet joined (action) or signed up (preparation for imminent action).
Precontemplation would be not considering change at all. Preparation involves small initial steps
toward action.
Q4: A nurse is teaching about the USPSTF Grade A recommendation for colorectal cancer
screening. This rating indicates:
A. The service has no net benefit and should not be offered
B. There is high certainty of substantial net benefit, and the service is recommended
C. The evidence is insufficient to assess benefits and harms
D. Screening is recommended only for high-risk populations
Correct Answer: B
Rationale: USPSTF Grade A indicates high certainty that the net benefit is substantial, and the
service is recommended for all eligible patients. Grade B recommends the service with high
,3
certainty of moderate benefit or moderate certainty of moderate-to-substantial benefit. Grade C
recommends selective offering based on individual circumstances. Grade D recommends against
the service. Grade I indicates insufficient evidence.
Q5: A community health nurse is implementing a smoking cessation program. Which
intervention represents tertiary prevention?
A. Preventing youth from starting to smoke through education
B. Offering lung cancer screening to current smokers
C. Providing pulmonary rehabilitation to a patient with COPD from smoking
D. Banning smoking in public places
Correct Answer: C
Rationale: Tertiary prevention reduces disability and complications from established disease.
Pulmonary rehabilitation for a patient already diagnosed with COPD from smoking is tertiary
prevention. Secondary prevention (lung cancer screening) detects disease early. Primary
prevention (youth education, smoking bans) prevents initiation or exposure. Understanding these
levels is essential for program planning and resource allocation.
Q6: According to Pender's Health Promotion Model, which factor is a primary influence on a
person's commitment to engaging in health-promoting behaviors?
A. Perceived barriers to action
B. Genetic makeup only
C. Random chance occurrences
D. Insurance deductible amounts
Correct Answer: A
Rationale: Pender's model emphasizes that perceived barriers (or obstacles) to action are
significant cognitive-perceptual factors that influence whether a person engages in health
promotion. While biological factors play a role, modifying cognitive factors like perceived
barriers, self-efficacy, and interpersonal influences is key to nursing interventions aimed at
increasing commitment to health behaviors.
, 4
Q7: A nurse is administering the Human Papillomavirus (HPV) vaccine to an 11-year-old patient.
This intervention is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: The HPV vaccine prevents infection with the virus that causes cervical cancer and
other malignancies, making it a classic example of primary prevention. Primary prevention aims
to prevent disease or injury before it occurs by targeting specific risk factors or pathogens
through immunization, education, or environmental modifications.
Q8: When using motivational interviewing to discuss lifestyle changes with a patient, which
technique demonstrates "rolling with resistance"?
A. Arguing with the patient to convince them to change
B. Telling the patient they are wrong for not wanting to exercise
C. Acknowledging the patient's reluctance and exploring their concerns without judgment
D. Providing a lecture on the dangers of sedentary behavior
Correct Answer: C
Rationale: Rolling with resistance is a core principle of motivational interviewing where the
nurse avoids arguing for change and instead invites the patient to explore their own ambivalence.
This approach reduces defensiveness and helps the patient identify their own motivations for
change. Arguing or lecturing increases resistance and damages the therapeutic relationship.
Q9: A patient asks the nurse, "Why do I need to exercise if I eat healthy?" The nurse bases a
response on the understanding that physical activity:
A. Is only necessary for weight loss
