UNIVERSITY OF TEXAS AT ARLINGTON - COLLEGE OF NURSING
NURS 5434 Prevention Case Study
Official Practice Exam - Fall 2026/2027 Edition
Questions Minutes Passing Score Recertification
50 60 80% Semester
TABLE OF CONTENTS
Section 1: Primary Prevention & Health Promotion (15 Questions)
Section 2: Secondary Prevention & Screening (15 Questions)
Section 3: Tertiary Prevention & Chronic Disease Management (10 Questions)
Section 4: Community & Population Health Assessment (10 Questions)
INSTRUCTIONS
This practice exam contains 50 multiple-choice questions across 4 sections.
You have 60 minutes to complete the exam. A passing score of 80% (40/50) is required.
Each question has exactly one correct answer. Select the best answer from the four choices provided.
Scenario-based questions reflect real clinical and community health prevention situations.
Correct answers and detailed rationales are provided immediately after each question for learning purposes.
No external resources, electronic devices, or reference materials are permitted during the exam.
Review each rationale carefully, as understanding the reasoning is key to exam success.
This exam is aligned with the NURS 5434 Prevention Case Study course at UTA, Fall 2026/2027.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 1 of 25
, Section 1: Primary Prevention & Health Promotion - 2026/2027
Q1. Question 1 of 50
A 34-year-old woman with a BMI of 32 and a family history of type 2 diabetes presents to the
community health clinic for a routine visit. She reports a sedentary lifestyle and a diet high in
processed foods. The nurse practitioner develops a primary prevention plan. What intervention best
exemplifies primary prevention for this patient?
A. Prescribing metformin to prevent the onset of diabetes
B. Implementing a structured lifestyle modification program targeting diet and physical activity
C. Ordering a hemoglobin A1c test to screen for prediabetes
D. Referring the patient to an endocrinologist for diabetes management
Correct Answer: B
Rationale:
Primary prevention aims to prevent disease before it occurs by reducing risk factors. A structured lifestyle
modification program targeting diet and exercise directly addresses the modifiable risk factors (obesity,
sedentary lifestyle, poor diet) before disease develops. Metformin is chemoprevention (still primary but
pharmacologic), HbA1c testing is secondary prevention (screening), and endocrinology referral is tertiary
prevention.
Q2. Question 2 of 50
A public health nurse is planning a community-wide immunization campaign for influenza in a rural
county with a 35% vaccination rate. The nurse identifies that vaccine hesitancy is the primary
barrier. What strategy best addresses this barrier at the primary prevention level?
A. Mandating influenza vaccination for all school-age children
B. Implementing a culturally tailored education program that addresses specific community concerns
about vaccine safety
C. Providing free vaccines at all healthcare facilities without addressing beliefs
D. Distributing pamphlets with statistical data about influenza mortality rates
Correct Answer: B
Rationale:
Culturally tailored education that directly addresses community concerns about vaccine safety targets the
root cause of vaccine hesitancy, making it the most effective primary prevention strategy. Mandates may
increase rates but do not address underlying hesitancy. Free vaccines alone remove cost barriers but not
attitudinal ones. Statistical pamphlets without cultural context rarely change deeply held beliefs.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 2 of 25
, Q3. Question 3 of 50
A school nurse at an elementary school notices a significant increase in childhood obesity rates
over the past three years. The nurse wants to implement a primary prevention program. What
approach would be most effective according to the socio-ecological model?
A. Providing individual nutrition counseling to overweight students
B. Implementing a multi-level intervention that includes school nutrition policy changes, physical
activity programs, and parent education workshops
C. Sending letters to parents of overweight children recommending dietary changes
D. Creating a weight-loss competition among students with prizes for winners
Correct Answer: B
Rationale:
The socio-ecological model recognizes that health behaviors are influenced by multiple levels (individual,
interpersonal, organizational, community, policy). A multi-level intervention addressing school policy,
physical activity, and family involvement is most effective because it targets obesity determinants at several
levels simultaneously. Individual counseling alone is limited in scope, and weight competitions can create
shame and disordered eating.
Q4. Question 4 of 50
A 28-year-old male construction worker presents for an occupational health visit. He smokes one
pack of cigarettes per day, reports occasional binge drinking on weekends, and does not wear
sunscreen despite working outdoors. What primary prevention intervention should the nurse
prioritize?
A. Ordering a chest X-ray to screen for lung cancer
B. Conducting motivational interviewing to address tobacco use and sun protection behaviors
C. Prescribing nicotine replacement therapy and scheduling follow-up in 6 months
D. Referring the patient to a dermatologist for a skin check
Correct Answer: B
Rationale:
Motivational interviewing addresses both tobacco use and sun protection behaviors through a
patient-centered approach that enhances intrinsic motivation for change, representing the most
comprehensive primary prevention strategy. A chest X-ray is secondary prevention (screening), NRT alone
without counseling is less effective, and dermatology referral is secondary prevention.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 3 of 25
NURS 5434 Prevention Case Study
Official Practice Exam - Fall 2026/2027 Edition
Questions Minutes Passing Score Recertification
50 60 80% Semester
TABLE OF CONTENTS
Section 1: Primary Prevention & Health Promotion (15 Questions)
Section 2: Secondary Prevention & Screening (15 Questions)
Section 3: Tertiary Prevention & Chronic Disease Management (10 Questions)
Section 4: Community & Population Health Assessment (10 Questions)
INSTRUCTIONS
This practice exam contains 50 multiple-choice questions across 4 sections.
You have 60 minutes to complete the exam. A passing score of 80% (40/50) is required.
Each question has exactly one correct answer. Select the best answer from the four choices provided.
Scenario-based questions reflect real clinical and community health prevention situations.
Correct answers and detailed rationales are provided immediately after each question for learning purposes.
No external resources, electronic devices, or reference materials are permitted during the exam.
Review each rationale carefully, as understanding the reasoning is key to exam success.
This exam is aligned with the NURS 5434 Prevention Case Study course at UTA, Fall 2026/2027.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 1 of 25
, Section 1: Primary Prevention & Health Promotion - 2026/2027
Q1. Question 1 of 50
A 34-year-old woman with a BMI of 32 and a family history of type 2 diabetes presents to the
community health clinic for a routine visit. She reports a sedentary lifestyle and a diet high in
processed foods. The nurse practitioner develops a primary prevention plan. What intervention best
exemplifies primary prevention for this patient?
A. Prescribing metformin to prevent the onset of diabetes
B. Implementing a structured lifestyle modification program targeting diet and physical activity
C. Ordering a hemoglobin A1c test to screen for prediabetes
D. Referring the patient to an endocrinologist for diabetes management
Correct Answer: B
Rationale:
Primary prevention aims to prevent disease before it occurs by reducing risk factors. A structured lifestyle
modification program targeting diet and exercise directly addresses the modifiable risk factors (obesity,
sedentary lifestyle, poor diet) before disease develops. Metformin is chemoprevention (still primary but
pharmacologic), HbA1c testing is secondary prevention (screening), and endocrinology referral is tertiary
prevention.
Q2. Question 2 of 50
A public health nurse is planning a community-wide immunization campaign for influenza in a rural
county with a 35% vaccination rate. The nurse identifies that vaccine hesitancy is the primary
barrier. What strategy best addresses this barrier at the primary prevention level?
A. Mandating influenza vaccination for all school-age children
B. Implementing a culturally tailored education program that addresses specific community concerns
about vaccine safety
C. Providing free vaccines at all healthcare facilities without addressing beliefs
D. Distributing pamphlets with statistical data about influenza mortality rates
Correct Answer: B
Rationale:
Culturally tailored education that directly addresses community concerns about vaccine safety targets the
root cause of vaccine hesitancy, making it the most effective primary prevention strategy. Mandates may
increase rates but do not address underlying hesitancy. Free vaccines alone remove cost barriers but not
attitudinal ones. Statistical pamphlets without cultural context rarely change deeply held beliefs.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 2 of 25
, Q3. Question 3 of 50
A school nurse at an elementary school notices a significant increase in childhood obesity rates
over the past three years. The nurse wants to implement a primary prevention program. What
approach would be most effective according to the socio-ecological model?
A. Providing individual nutrition counseling to overweight students
B. Implementing a multi-level intervention that includes school nutrition policy changes, physical
activity programs, and parent education workshops
C. Sending letters to parents of overweight children recommending dietary changes
D. Creating a weight-loss competition among students with prizes for winners
Correct Answer: B
Rationale:
The socio-ecological model recognizes that health behaviors are influenced by multiple levels (individual,
interpersonal, organizational, community, policy). A multi-level intervention addressing school policy,
physical activity, and family involvement is most effective because it targets obesity determinants at several
levels simultaneously. Individual counseling alone is limited in scope, and weight competitions can create
shame and disordered eating.
Q4. Question 4 of 50
A 28-year-old male construction worker presents for an occupational health visit. He smokes one
pack of cigarettes per day, reports occasional binge drinking on weekends, and does not wear
sunscreen despite working outdoors. What primary prevention intervention should the nurse
prioritize?
A. Ordering a chest X-ray to screen for lung cancer
B. Conducting motivational interviewing to address tobacco use and sun protection behaviors
C. Prescribing nicotine replacement therapy and scheduling follow-up in 6 months
D. Referring the patient to a dermatologist for a skin check
Correct Answer: B
Rationale:
Motivational interviewing addresses both tobacco use and sun protection behaviors through a
patient-centered approach that enhances intrinsic motivation for change, representing the most
comprehensive primary prevention strategy. A chest X-ray is secondary prevention (screening), NRT alone
without counseling is less effective, and dermatology referral is secondary prevention.
NURS 5434 Prevention CS -- 2026/2027 | Passing Score: 80% | Page 3 of 25
