Test Actual 2025/2026 with Detailed Rationales | 100%
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SECTION 1: Health Promotion & Disease Prevention (Questions
1–8)
Q1: A nurse is teaching a community group about strategies to prevent heart
disease. The nurse explains that encouraging regular exercise and a healthy diet to
prevent the onset of disease is an example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: C
Rationale: Primary prevention aims to prevent disease before it occurs through
health promotion activities such as immunizations, healthy diet, exercise, and
avoidance of risk factors.
Q2: A nurse is screening adults for hypertension at a community health fair. This
activity is an example of:
A. Primary prevention
,B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and prompt treatment of
disease through screening and diagnostic testing, such as blood pressure screening,
mammograms, and colonoscopies, to identify conditions before symptoms develop.
Q3: A nurse is developing a rehabilitation program for stroke survivors to maximize
function and prevent complications. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Disease prevention
Correct Answer: C
Rationale: Tertiary prevention aims to reduce the impact of an established disease
by minimizing disability, maximizing function, and preventing complications through
rehabilitation, chronic disease management, and supportive care.
Q4: The nurse is reviewing the Healthy People 2030 objectives. Which goal is a
central focus of this initiative?
A. Increasing healthcare costs
, B. Attaining healthy, thriving lives and well-being, free of preventable disease,
disability, injury, and premature death
C. Eliminating all hospitals
D. Reducing the nursing workforce
Correct Answer: B
Rationale: Healthy People 2030 is a national initiative that sets data-driven objectives
to improve health and well-being over the decade, with overarching goals including
attaining healthy lives, eliminating health disparities, and creating social and physical
environments that promote good health.
Q5: A nurse is teaching a client about lifestyle modifications to reduce the risk of
type 2 diabetes. Which level of prevention is the nurse implementing?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Acute care
Correct Answer: C
Rationale: Teaching lifestyle modifications (healthy diet, physical activity, weight
management) to prevent the development of type 2 diabetes in at-risk individuals is
primary prevention, as it targets risk reduction before disease onset.
Q6: A community health nurse organizes a mobile mammography unit to serve rural
areas. This initiative represents:
A. Primary prevention