NR 222 / NR222 Health and Wellness Exam 2 Practice
Test Actual 2025/2026 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION (12
Questions)
Q1: A nurse is teaching a community group about levels of prevention. Administering
the influenza vaccine to healthy adults before flu season begins is an example of:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention [CORRECT]
D. Quaternary prevention
Correct Answer: C
Rationale: Correct because primary prevention aims to prevent disease before it
occurs; vaccination prevents infection in healthy individuals who have not yet been
exposed.
Q2: A 55-year-old patient with no symptoms undergoes a routine colonoscopy, which
detects and removes a precancerous polyp. This screening and early intervention
represent:
A. Primary prevention
B. Secondary prevention [CORRECT]
C. Tertiary prevention
,D. Palliative care
Correct Answer: B
Rationale: Correct because secondary prevention involves early detection and
prompt treatment of disease in asymptomatic individuals to halt progression and
improve outcomes.
Q3: A nurse is developing a tertiary prevention program for patients who have
already experienced a myocardial infarction. Which intervention is most appropriate?
A. Teaching a low-sodium diet and cardiac rehabilitation to prevent recurrence
[CORRECT]
B. Administering statins to adults with no cardiac history
C. Screening asymptomatic adults for hypertension
D. Promoting smoking cessation in teenagers
Correct Answer: A
Rationale: Correct because tertiary prevention focuses on reducing complications,
disability, and recurrence in individuals who already have an established disease.
Q4: The U.S. Preventive Services Task Force (USPSTF) recommends which screening
for all adults aged 45–75 years?
A. Annual chest X-ray
B. Colorectal cancer screening [CORRECT]
C. Prostate-specific antigen (PSA) testing for all men
D. Annual electrocardiogram
,Correct Answer: B
Rationale: Correct because the USPSTF recommends colorectal cancer screening for
adults aged 45–75 using stool-based tests, sigmoidoscopy, or colonoscopy.
Q5: A nurse is counseling a patient about the HPV vaccine. Which statement by the
nurse is most accurate?
A. The vaccine treats existing HPV infections
B. The vaccine is recommended for all preteens at age 11–12 years [CORRECT]
C. The vaccine is only indicated for females
D. The vaccine eliminates the need for cervical cancer screening
Correct Answer: B
Rationale: Correct because the CDC recommends routine HPV vaccination at ages
11–12 for all genders to prevent infection before sexual exposure.
Q6: Which level of prevention is demonstrated when a nurse teaches a diabetic
patient proper foot care to prevent amputation?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health promotion
Correct Answer: C
Rationale: Correct because teaching foot care to a patient with existing diabetes
prevents complications and disability, which is the goal of tertiary prevention.
, Q7: A community health nurse implements a program to reduce childhood lead
poisoning by enforcing housing code inspections and abating lead paint. This is an
example of:
A. Individual-level primary prevention
B. Population-level primary prevention [CORRECT]
C. Secondary prevention
D. Tertiary prevention
Correct Answer: B
Rationale: Correct because removing environmental hazards at the community level
prevents disease before exposure occurs, representing population-based primary
prevention.
Q8: The nurse is reviewing immunization records for a 65-year-old patient. Which
vaccine is specifically recommended for this age group?
A. HPV vaccine
B. Meningococcal vaccine
C. Pneumococcal vaccine [CORRECT]
D. Varicella vaccine
Correct Answer: C
Rationale: Correct because the CDC recommends pneumococcal vaccination for all
adults aged 65 years and older to prevent pneumonia, meningitis, and bloodstream
infections.
Test Actual 2025/2026 with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION (12
Questions)
Q1: A nurse is teaching a community group about levels of prevention. Administering
the influenza vaccine to healthy adults before flu season begins is an example of:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention [CORRECT]
D. Quaternary prevention
Correct Answer: C
Rationale: Correct because primary prevention aims to prevent disease before it
occurs; vaccination prevents infection in healthy individuals who have not yet been
exposed.
Q2: A 55-year-old patient with no symptoms undergoes a routine colonoscopy, which
detects and removes a precancerous polyp. This screening and early intervention
represent:
A. Primary prevention
B. Secondary prevention [CORRECT]
C. Tertiary prevention
,D. Palliative care
Correct Answer: B
Rationale: Correct because secondary prevention involves early detection and
prompt treatment of disease in asymptomatic individuals to halt progression and
improve outcomes.
Q3: A nurse is developing a tertiary prevention program for patients who have
already experienced a myocardial infarction. Which intervention is most appropriate?
A. Teaching a low-sodium diet and cardiac rehabilitation to prevent recurrence
[CORRECT]
B. Administering statins to adults with no cardiac history
C. Screening asymptomatic adults for hypertension
D. Promoting smoking cessation in teenagers
Correct Answer: A
Rationale: Correct because tertiary prevention focuses on reducing complications,
disability, and recurrence in individuals who already have an established disease.
Q4: The U.S. Preventive Services Task Force (USPSTF) recommends which screening
for all adults aged 45–75 years?
A. Annual chest X-ray
B. Colorectal cancer screening [CORRECT]
C. Prostate-specific antigen (PSA) testing for all men
D. Annual electrocardiogram
,Correct Answer: B
Rationale: Correct because the USPSTF recommends colorectal cancer screening for
adults aged 45–75 using stool-based tests, sigmoidoscopy, or colonoscopy.
Q5: A nurse is counseling a patient about the HPV vaccine. Which statement by the
nurse is most accurate?
A. The vaccine treats existing HPV infections
B. The vaccine is recommended for all preteens at age 11–12 years [CORRECT]
C. The vaccine is only indicated for females
D. The vaccine eliminates the need for cervical cancer screening
Correct Answer: B
Rationale: Correct because the CDC recommends routine HPV vaccination at ages
11–12 for all genders to prevent infection before sexual exposure.
Q6: Which level of prevention is demonstrated when a nurse teaches a diabetic
patient proper foot care to prevent amputation?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health promotion
Correct Answer: C
Rationale: Correct because teaching foot care to a patient with existing diabetes
prevents complications and disability, which is the goal of tertiary prevention.
, Q7: A community health nurse implements a program to reduce childhood lead
poisoning by enforcing housing code inspections and abating lead paint. This is an
example of:
A. Individual-level primary prevention
B. Population-level primary prevention [CORRECT]
C. Secondary prevention
D. Tertiary prevention
Correct Answer: B
Rationale: Correct because removing environmental hazards at the community level
prevents disease before exposure occurs, representing population-based primary
prevention.
Q8: The nurse is reviewing immunization records for a 65-year-old patient. Which
vaccine is specifically recommended for this age group?
A. HPV vaccine
B. Meningococcal vaccine
C. Pneumococcal vaccine [CORRECT]
D. Varicella vaccine
Correct Answer: C
Rationale: Correct because the CDC recommends pneumococcal vaccination for all
adults aged 65 years and older to prevent pneumonia, meningitis, and bloodstream
infections.
