2025/2026 with Detailed Rationales | 100% Verified |
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Section 1: Health Promotion & Disease Prevention (8 Questions)
Q1: According to the Healthy People 2030 framework, which level of prevention
focuses on reducing the impact of an existing disease and preventing
complications?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Quaternary prevention
Correct Answer: C
Rationale: Correct because tertiary prevention aims to minimize the effects of
established disease through rehabilitation, complication management, and restoring
functional capacity.
Q2: A nurse is teaching a community group about the leading cause of preventable
death in the United States. Which topic should the nurse prioritize?
A. Obesity
B. Tobacco use [CORRECT]
C. Motor vehicle accidents
D. Infectious diseases
Correct Answer: B
Rationale: Correct because cigarette smoking remains the leading cause of
preventable disease and death in the United States, responsible for more than
480,000 deaths annually.
Q3: Which vaccination is recommended for all adults aged 65 years and older to
prevent pneumococcal disease?
A. Influenza vaccine annually
B. Pneumococcal polysaccharide vaccine (PPSV23) [CORRECT]
C. Hepatitis B vaccine series
, D. Human papillomavirus (HPV) vaccine
Correct Answer: B
Rationale: Correct because the CDC recommends pneumococcal vaccination for all
adults 65 years and older to reduce the risk of pneumonia, meningitis, and
bloodstream infections.
Q4: A nurse is conducting a health screening at a community center. Which finding
requires immediate referral for secondary prevention?
A. A 45-year-old with a family history of hypertension and BP 118/76 mmHg
B. A 50-year-old with a fasting blood glucose of 126 mg/dL [CORRECT]
C. A 30-year-old with total cholesterol of 185 mg/dL
D. A 60-year-old with a BMI of 24.5 kg/m²
Correct Answer: B
Rationale: Correct because a fasting blood glucose ≥126 mg/dL meets the
diagnostic threshold for diabetes mellitus, requiring prompt medical evaluation and
intervention to prevent complications.
Q5: Which level of prevention is exemplified by a nurse administering the measles,
mumps, and rubella (MMR) vaccine to a toddler?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Correct Answer: A
Rationale: Correct because immunization prevents disease occurrence before
exposure, which is the defining characteristic of primary prevention.
Q6: A nurse is developing a community health program focused on reducing
childhood obesity. Which intervention best represents primary prevention?
A. Screening school-age children for elevated BMI
B. Establishing a school-based nutrition and physical activity education program
[CORRECT]
C. Creating a weight management clinic for obese adolescents
D. Providing insulin education for children with type 2 diabetes
Correct Answer: B
Rationale: Correct because school-based education programs target healthy
behaviors before disease develops, aligning with primary prevention principles.