NR222 Health and Wellness Quiz 3 Actual Exam
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health Promotion and Disease Prevention Strategies (Questions 1–6)
Q1: A nurse is conducting a health promotion class for adults aged 50–75. According to
USPSTF screening guidelines, which intervention should the nurse prioritize
recommending?
A. Annual low-dose CT scan for lung cancer for all adults in this age group
B. Colorectal cancer screening beginning at age 45 and continuing through age 75
C. Routine screening for thyroid cancer using ultrasound
D. Annual screening for prostate cancer using PSA testing for all men
Correct Answer: B
Rationale: Correct because USPSTF guidelines recommend colorectal cancer screening
for adults aged 45 to 75 years using fecal occult blood testing, sigmoidoscopy, or
colonoscopy. This matches the priority preventive screening for this age group.
Q2: A community health nurse is planning a program to reduce cardiovascular disease
risk in a low-income neighborhood. Which strategy represents primary prevention?
A. Providing cardiac rehabilitation for clients who have had myocardial infarctions
B. Teaching smoking cessation classes to adolescents who have never smoked
C. Screening blood pressure at a community health fair
D. Administering statin therapy to clients with diagnosed hyperlipidemia
Correct Answer: B
Rationale: Correct because primary prevention aims to prevent disease before it occurs.
Teaching smoking cessation to adolescents who have never smoked prevents the
initiation of a risk behavior, aligning with primary prevention principles.
, Q3: A nurse is reviewing a 65-year-old client's immunization record. According to current
CDC recommendations, which vaccine should the nurse verify this client has received?
A. Human papillomavirus (HPV) vaccine series
B. Pneumococcal polysaccharide vaccine (PPSV23)
C. Measles, mumps, rubella (MMR) booster
D. Varicella vaccine series
Correct Answer: B
Rationale: Correct because CDC guidelines recommend pneumococcal vaccination for
all adults aged 65 years and older. PPSV23 or PCV20 is indicated for this age group as
part of routine adult immunization.
Q4: A nurse is using the Healthy People 2030 framework to guide a community wellness
initiative. Which objective aligns with this framework's overarching goals?
A. Reducing health disparities and improving health equity across all populations
B. Increasing the number of hospital beds available in underserved communities
C. Eliminating all chronic disease through mandatory screening programs
D. Prioritizing healthcare funding for urban populations only
Correct Answer: A
Rationale: Correct because Healthy People 2030 emphasizes attaining healthy, thriving
lives and promoting well-being for all people, with specific focus on eliminating health
disparities and achieving health equity.
Q5: A nurse is counseling a client about lifestyle modifications to reduce type 2 diabetes
risk. Which recommendation should the nurse include?
A. Limit physical activity to 60 minutes weekly to prevent joint injury
B. Consume a diet high in refined carbohydrates to maintain energy levels
C. Achieve and maintain a 5–7% weight loss if overweight or obese
D. Avoid all sources of dietary fat to improve insulin sensitivity
Correct Answer: C
Rationale: Correct because evidence-based guidelines recommend a 5–7% weight loss
for overweight or obese individuals at risk for type 2 diabetes as an effective strategy to
prevent or delay disease onset.
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
SECTION 1: Health Promotion and Disease Prevention Strategies (Questions 1–6)
Q1: A nurse is conducting a health promotion class for adults aged 50–75. According to
USPSTF screening guidelines, which intervention should the nurse prioritize
recommending?
A. Annual low-dose CT scan for lung cancer for all adults in this age group
B. Colorectal cancer screening beginning at age 45 and continuing through age 75
C. Routine screening for thyroid cancer using ultrasound
D. Annual screening for prostate cancer using PSA testing for all men
Correct Answer: B
Rationale: Correct because USPSTF guidelines recommend colorectal cancer screening
for adults aged 45 to 75 years using fecal occult blood testing, sigmoidoscopy, or
colonoscopy. This matches the priority preventive screening for this age group.
Q2: A community health nurse is planning a program to reduce cardiovascular disease
risk in a low-income neighborhood. Which strategy represents primary prevention?
A. Providing cardiac rehabilitation for clients who have had myocardial infarctions
B. Teaching smoking cessation classes to adolescents who have never smoked
C. Screening blood pressure at a community health fair
D. Administering statin therapy to clients with diagnosed hyperlipidemia
Correct Answer: B
Rationale: Correct because primary prevention aims to prevent disease before it occurs.
Teaching smoking cessation to adolescents who have never smoked prevents the
initiation of a risk behavior, aligning with primary prevention principles.
, Q3: A nurse is reviewing a 65-year-old client's immunization record. According to current
CDC recommendations, which vaccine should the nurse verify this client has received?
A. Human papillomavirus (HPV) vaccine series
B. Pneumococcal polysaccharide vaccine (PPSV23)
C. Measles, mumps, rubella (MMR) booster
D. Varicella vaccine series
Correct Answer: B
Rationale: Correct because CDC guidelines recommend pneumococcal vaccination for
all adults aged 65 years and older. PPSV23 or PCV20 is indicated for this age group as
part of routine adult immunization.
Q4: A nurse is using the Healthy People 2030 framework to guide a community wellness
initiative. Which objective aligns with this framework's overarching goals?
A. Reducing health disparities and improving health equity across all populations
B. Increasing the number of hospital beds available in underserved communities
C. Eliminating all chronic disease through mandatory screening programs
D. Prioritizing healthcare funding for urban populations only
Correct Answer: A
Rationale: Correct because Healthy People 2030 emphasizes attaining healthy, thriving
lives and promoting well-being for all people, with specific focus on eliminating health
disparities and achieving health equity.
Q5: A nurse is counseling a client about lifestyle modifications to reduce type 2 diabetes
risk. Which recommendation should the nurse include?
A. Limit physical activity to 60 minutes weekly to prevent joint injury
B. Consume a diet high in refined carbohydrates to maintain energy levels
C. Achieve and maintain a 5–7% weight loss if overweight or obese
D. Avoid all sources of dietary fat to improve insulin sensitivity
Correct Answer: C
Rationale: Correct because evidence-based guidelines recommend a 5–7% weight loss
for overweight or obese individuals at risk for type 2 diabetes as an effective strategy to
prevent or delay disease onset.
