NR 222 Exam 1 Health and Wellness Package Deal, NR
222, Chamberlain College of Nursing, 2025–2026 —
complete exam + practice exam with correct answers
and rationales (A+)
Instructions: Choose the single best answer for each question. Questions are
designed to test application, analysis, and synthesis of core concepts.
NR 222 Exam 1: Health & Wellness
Comprehensive and Challenging Practice Exam
1. During a home visit, a nurse assesses a family using the Family Systems
Theory. The mother, who manages all healthcare decisions, is hospitalized. The
father reports the children's asthma routines have fallen apart. This best
demonstrates which family systems concept?
A. Boundaries
B. Feedback
C. Hierarchy
D. Equilibrium
- Correct answer-: C. Hierarchy
Rationale: Hierarchy refers to the organization of authority and responsibility
within a system. The scenario shows a disruption in the established hierarchy (the
mother, the primary health manager), leading to dysfunction in managing the
children's chronic condition.
2. A nurse using the Transtheoretical Model assesses a client who says, "I signed
up for a smoking cessation class that starts next week." The nurse identifies the
client is in which stage?
A. Contemplation
,B. Preparation
C. Action
D. Maintenance
- Correct answer-: B. Preparation
Rationale: In the Preparation stage, the individual intends to take action in the
immediate future (usually within a month) and has taken some significant
behavioral steps toward change, such as enrolling in a class.
3. A community health nurse is planning a program to increase infant
immunization rates. The nurse focuses on making vaccines available at no cost
at convenient times. According to the PRECEDE-PROCEED model, the nurse is
targeting which factor?
A. Predisposing Factors
B. Enabling Factors
C. Reinforcing Factors
D. Regulatory Factors
- Correct answer-: B. Enabling Factors
Rationale: Enabling factors are skills, resources, or barriers that facilitate or
hinder a behavior. Making vaccines free and convenient removes barriers and
provides a resource, enabling the desired behavior (getting immunized).
4. According to Nola Pender's Health Promotion Model, which statement by a
client indicates a high level of "Perceived Self-Efficacy" related to starting an
exercise program?
A. "My doctor said it would lower my blood pressure."
B. "My friend will go with me, so it will be fun."
C. "I know I can stick with a walking plan, even on busy days."
D. "I read that exercise reduces stress."
- Correct answer-: C. "I know I can stick with a walking plan, even on busy days."
Rationale: Perceived self-efficacy is the judgment of one's capability to organize
and execute a specific course of action. This statement directly reflects confidence
in personal ability to perform and persist with the behavior despite obstacles.
5. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The nurse respects this decision despite believing it is not in the client's
medical best interest. Which ethical principle is the nurse upholding?
,A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
- Correct answer-: C. Autonomy
Rationale: Autonomy is the right to self-determination and decision-making.
Respecting a client's informed choice, even when the nurse disagrees, upholds
the principle of autonomy.
6. When developing a teaching plan for a client newly diagnosed with diabetes,
the nurse first assesses the client's readiness to learn. This action is most
important because it directly impacts which aspect of the teaching-learning
process?
A. The nurse's ability to provide all necessary information.
B. The client's motivation and engagement.
C. The legal requirement for informed consent.
D. The complexity of the medical information.
- Correct answer-: B. The client's motivation and engagement.
Rationale: Readiness to learn is a key factor in adult learning theory. If a client is
not ready (due to anxiety, denial, lack of perceived need), they will not be
motivated or engaged, rendering the teaching ineffective regardless of content
quality.
7. In Gordon's Functional Health Patterns, the "Role-Relationship Pattern"
would be most directly assessed by asking:
A. "How many hours do you sleep each night?"
B. "Who do you turn to for support when you have a problem?"
C. "What do you do to keep yourself safe at home?"
D. "How would you describe your usual mood?"
- Correct answer-: B. "Who do you turn to for support when you have a
problem?"
Rationale: The Role-Relationship Pattern focuses on the client's roles in life
(family, work, community) and the quality and patterns of their relationships,
including support systems.
, 8. A public health campaign promotes the use of bicycle helmets through school
programs and city ordinances. This is an example of prevention at which level?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Health Restoration
- Correct answer-: A. Primary Prevention
Rationale: Primary prevention aims to prevent disease or injury before it occurs.
Promoting helmet use prevents head injuries, making it a primary prevention
strategy.
9. A nurse is implementing an intervention based on Maslow's Hierarchy of
Needs. Which action addresses the client's need for "Love and Belonging"?
A. Administering prescribed pain medication.
B. Encouraging family visits during restricted hours.
C. Ensuring the call light is within reach.
D. Reviewing discharge instructions.
- Correct answer-: B. Encouraging family visits during restricted hours.
Rationale: The need for love and belonging involves affection, intimacy, and
support from family, friends, and community. Facilitating family connection
directly addresses this psychosocial need.
10. When evaluating the reliability of a health information website for a client,
the nurse should prioritize which criterion?
A. The website has a modern, interactive design.
B. The information is reviewed by a medical advisory board.
C. The website is hosted by a ".com" domain.
D. The content matches the nurse's personal beliefs.
- Correct answer-: B. The information is reviewed by a medical advisory board.
Rationale: A key criterion for evaluating online health information is
credibility/authority. Review by medical experts or a reputable board ensures the
information is evidence-based and reliable.
11. A client from a culture that values harmony and avoids direct disagreement
nods and says "yes" while the nurse teaches, but later does not follow the
instructions. The nurse should first consider that this behavior may result from:
222, Chamberlain College of Nursing, 2025–2026 —
complete exam + practice exam with correct answers
and rationales (A+)
Instructions: Choose the single best answer for each question. Questions are
designed to test application, analysis, and synthesis of core concepts.
NR 222 Exam 1: Health & Wellness
Comprehensive and Challenging Practice Exam
1. During a home visit, a nurse assesses a family using the Family Systems
Theory. The mother, who manages all healthcare decisions, is hospitalized. The
father reports the children's asthma routines have fallen apart. This best
demonstrates which family systems concept?
A. Boundaries
B. Feedback
C. Hierarchy
D. Equilibrium
- Correct answer-: C. Hierarchy
Rationale: Hierarchy refers to the organization of authority and responsibility
within a system. The scenario shows a disruption in the established hierarchy (the
mother, the primary health manager), leading to dysfunction in managing the
children's chronic condition.
2. A nurse using the Transtheoretical Model assesses a client who says, "I signed
up for a smoking cessation class that starts next week." The nurse identifies the
client is in which stage?
A. Contemplation
,B. Preparation
C. Action
D. Maintenance
- Correct answer-: B. Preparation
Rationale: In the Preparation stage, the individual intends to take action in the
immediate future (usually within a month) and has taken some significant
behavioral steps toward change, such as enrolling in a class.
3. A community health nurse is planning a program to increase infant
immunization rates. The nurse focuses on making vaccines available at no cost
at convenient times. According to the PRECEDE-PROCEED model, the nurse is
targeting which factor?
A. Predisposing Factors
B. Enabling Factors
C. Reinforcing Factors
D. Regulatory Factors
- Correct answer-: B. Enabling Factors
Rationale: Enabling factors are skills, resources, or barriers that facilitate or
hinder a behavior. Making vaccines free and convenient removes barriers and
provides a resource, enabling the desired behavior (getting immunized).
4. According to Nola Pender's Health Promotion Model, which statement by a
client indicates a high level of "Perceived Self-Efficacy" related to starting an
exercise program?
A. "My doctor said it would lower my blood pressure."
B. "My friend will go with me, so it will be fun."
C. "I know I can stick with a walking plan, even on busy days."
D. "I read that exercise reduces stress."
- Correct answer-: C. "I know I can stick with a walking plan, even on busy days."
Rationale: Perceived self-efficacy is the judgment of one's capability to organize
and execute a specific course of action. This statement directly reflects confidence
in personal ability to perform and persist with the behavior despite obstacles.
5. A nurse is caring for a client who refuses a blood transfusion due to religious
beliefs. The nurse respects this decision despite believing it is not in the client's
medical best interest. Which ethical principle is the nurse upholding?
,A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
- Correct answer-: C. Autonomy
Rationale: Autonomy is the right to self-determination and decision-making.
Respecting a client's informed choice, even when the nurse disagrees, upholds
the principle of autonomy.
6. When developing a teaching plan for a client newly diagnosed with diabetes,
the nurse first assesses the client's readiness to learn. This action is most
important because it directly impacts which aspect of the teaching-learning
process?
A. The nurse's ability to provide all necessary information.
B. The client's motivation and engagement.
C. The legal requirement for informed consent.
D. The complexity of the medical information.
- Correct answer-: B. The client's motivation and engagement.
Rationale: Readiness to learn is a key factor in adult learning theory. If a client is
not ready (due to anxiety, denial, lack of perceived need), they will not be
motivated or engaged, rendering the teaching ineffective regardless of content
quality.
7. In Gordon's Functional Health Patterns, the "Role-Relationship Pattern"
would be most directly assessed by asking:
A. "How many hours do you sleep each night?"
B. "Who do you turn to for support when you have a problem?"
C. "What do you do to keep yourself safe at home?"
D. "How would you describe your usual mood?"
- Correct answer-: B. "Who do you turn to for support when you have a
problem?"
Rationale: The Role-Relationship Pattern focuses on the client's roles in life
(family, work, community) and the quality and patterns of their relationships,
including support systems.
, 8. A public health campaign promotes the use of bicycle helmets through school
programs and city ordinances. This is an example of prevention at which level?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Health Restoration
- Correct answer-: A. Primary Prevention
Rationale: Primary prevention aims to prevent disease or injury before it occurs.
Promoting helmet use prevents head injuries, making it a primary prevention
strategy.
9. A nurse is implementing an intervention based on Maslow's Hierarchy of
Needs. Which action addresses the client's need for "Love and Belonging"?
A. Administering prescribed pain medication.
B. Encouraging family visits during restricted hours.
C. Ensuring the call light is within reach.
D. Reviewing discharge instructions.
- Correct answer-: B. Encouraging family visits during restricted hours.
Rationale: The need for love and belonging involves affection, intimacy, and
support from family, friends, and community. Facilitating family connection
directly addresses this psychosocial need.
10. When evaluating the reliability of a health information website for a client,
the nurse should prioritize which criterion?
A. The website has a modern, interactive design.
B. The information is reviewed by a medical advisory board.
C. The website is hosted by a ".com" domain.
D. The content matches the nurse's personal beliefs.
- Correct answer-: B. The information is reviewed by a medical advisory board.
Rationale: A key criterion for evaluating online health information is
credibility/authority. Review by medical experts or a reputable board ensures the
information is evidence-based and reliable.
11. A client from a culture that values harmony and avoids direct disagreement
nods and says "yes" while the nurse teaches, but later does not follow the
instructions. The nurse should first consider that this behavior may result from:
