NU 155 FINAL EXAM: MEDICAL-SURGICAL NURSING I 2026 |
Galen College of Nursing | Comprehensive Cumulative
Assessment | Detailed Rationales | Pass Guaranteed - A+
Graded
Section 1: Health Promotion & Illness Models (15 Questions)
Q1: A nurse is providing education to a patient about the importance of mammograms
for early breast cancer detection. According to the Health Belief Model, which factor
would most likely influence the patient's decision to schedule the screening?
A. The patient's age and family history of breast cancer
B. The patient's perception that breast cancer is a serious disease
C. The patient's belief that mammograms are painful and embarrassing
D. The patient's observation that her friend was cured after early detection
Correct Answer: D
Rationale: According to the Health Belief Model, "cues to action" are factors that trigger
health behavior change. Observing a friend's positive outcome after early detection
,serves as a powerful cue to action. [CORRECT] Option A represents demographic
variables (modifying factors), option B represents perceived severity (a component but
not the primary trigger for action), and option C represents perceived barriers (which
would decrease likelihood of action).
Q2: A 45-year-old patient with a family history of diabetes is considering lifestyle
modifications. Which statement by the patient demonstrates the concept of "perceived
susceptibility" from the Health Belief Model?
A. "I know diabetes can cause kidney failure and blindness"
B. "I think I'm likely to develop diabetes because of my family history"
C. "I believe eating healthy and exercising will prevent diabetes"
D. "The cost of healthy food is too high for my budget"
Correct Answer: B
Rationale: Perceived susceptibility refers to an individual's belief about their personal
risk of developing a condition. [CORRECT] The patient acknowledging their likelihood of
developing diabetes due to family history demonstrates this concept. Option A
demonstrates perceived severity, option C demonstrates perceived benefits, and option
D demonstrates perceived barriers.
,Q3: Which nursing intervention represents primary prevention?
A. Screening school children for scoliosis
B. Administering insulin to a patient with type 1 diabetes
C. Teaching a community group about healthy eating habits
D. Providing cardiac rehabilitation after myocardial infarction
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and education. [CORRECT] Teaching healthy eating habits prevents obesity
and related diseases. Option A is secondary prevention (early detection), option B is
tertiary prevention (disease management), and option D is tertiary prevention
(rehabilitation).
Q4: A patient is recovering from hip replacement surgery and is participating in physical
therapy to regain mobility. This represents which level of prevention?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention focuses on reducing complications and restoring function
after illness or injury has occurred. [CORRECT] Rehabilitation following surgery aims to
maximize recovery and prevent further disability. Primary prevention prevents disease
onset, secondary prevention involves early detection, and health promotion encourages
wellness behaviors.
Q5: According to Pender's Health Promotion Model, which factor is considered an
individual characteristic and experience that influences health behaviors?
A. The patient's perceived benefits of exercise
B. The patient's prior experience with successful weight loss
C. The patient's perceived barriers to healthy eating
D. The patient's self-efficacy for smoking cessation
Correct Answer: B
Galen College of Nursing | Comprehensive Cumulative
Assessment | Detailed Rationales | Pass Guaranteed - A+
Graded
Section 1: Health Promotion & Illness Models (15 Questions)
Q1: A nurse is providing education to a patient about the importance of mammograms
for early breast cancer detection. According to the Health Belief Model, which factor
would most likely influence the patient's decision to schedule the screening?
A. The patient's age and family history of breast cancer
B. The patient's perception that breast cancer is a serious disease
C. The patient's belief that mammograms are painful and embarrassing
D. The patient's observation that her friend was cured after early detection
Correct Answer: D
Rationale: According to the Health Belief Model, "cues to action" are factors that trigger
health behavior change. Observing a friend's positive outcome after early detection
,serves as a powerful cue to action. [CORRECT] Option A represents demographic
variables (modifying factors), option B represents perceived severity (a component but
not the primary trigger for action), and option C represents perceived barriers (which
would decrease likelihood of action).
Q2: A 45-year-old patient with a family history of diabetes is considering lifestyle
modifications. Which statement by the patient demonstrates the concept of "perceived
susceptibility" from the Health Belief Model?
A. "I know diabetes can cause kidney failure and blindness"
B. "I think I'm likely to develop diabetes because of my family history"
C. "I believe eating healthy and exercising will prevent diabetes"
D. "The cost of healthy food is too high for my budget"
Correct Answer: B
Rationale: Perceived susceptibility refers to an individual's belief about their personal
risk of developing a condition. [CORRECT] The patient acknowledging their likelihood of
developing diabetes due to family history demonstrates this concept. Option A
demonstrates perceived severity, option C demonstrates perceived benefits, and option
D demonstrates perceived barriers.
,Q3: Which nursing intervention represents primary prevention?
A. Screening school children for scoliosis
B. Administering insulin to a patient with type 1 diabetes
C. Teaching a community group about healthy eating habits
D. Providing cardiac rehabilitation after myocardial infarction
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and education. [CORRECT] Teaching healthy eating habits prevents obesity
and related diseases. Option A is secondary prevention (early detection), option B is
tertiary prevention (disease management), and option D is tertiary prevention
(rehabilitation).
Q4: A patient is recovering from hip replacement surgery and is participating in physical
therapy to regain mobility. This represents which level of prevention?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention focuses on reducing complications and restoring function
after illness or injury has occurred. [CORRECT] Rehabilitation following surgery aims to
maximize recovery and prevent further disability. Primary prevention prevents disease
onset, secondary prevention involves early detection, and health promotion encourages
wellness behaviors.
Q5: According to Pender's Health Promotion Model, which factor is considered an
individual characteristic and experience that influences health behaviors?
A. The patient's perceived benefits of exercise
B. The patient's prior experience with successful weight loss
C. The patient's perceived barriers to healthy eating
D. The patient's self-efficacy for smoking cessation
Correct Answer: B
