NR 222 Health and Wellness Final
Exam Practice Examination 2026–2027
| Comprehensive Question Practice
Test with Answers & Rationales| Free
Pdf Access
1. A nurse is teaching a community group about wellness. Which statement best
describes wellness?
A. The absence of illness and disease
B. A dynamic process of achieving optimal functioning and well-being
C. The ability to avoid all chronic diseases
D. A state achieved only through medical treatment
Correct Answer: B
Rationale: Wellness is an active, ongoing process of making choices toward a healthy and
fulfilling life. It extends beyond the absence of disease and includes physical, emotional,
social, intellectual, spiritual, occupational, and environmental dimensions.
2. Which nursing intervention is an example of health promotion?
A. Administering antibiotics for pneumonia
B. Teaching smoking cessation strategies
C. Performing wound debridement
D. Treating dehydration with IV fluids
Correct Answer: B
Rationale: Health promotion focuses on improving well-being and preventing disease
before it occurs. Smoking cessation education helps reduce future health risks.
3. Which is considered a primary prevention activity?
A. Mammography screening
B. Physical therapy after a stroke
,C. Immunization administration
D. Chemotherapy treatment
Correct Answer: C
Rationale: Primary prevention prevents disease before it develops. Immunizations are
classic examples of primary prevention.
4. A nurse performs a blood pressure screening at a health fair. This activity is classified
as:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Correct Answer: B
Rationale: Secondary prevention involves early detection and prompt intervention to
identify disease in its early stages.
5. Cardiac rehabilitation after a myocardial infarction is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention aims to minimize disability and restore function after
disease or injury.
6. Which statement reflects the Health Belief Model?
A. People engage in health behaviors when they believe they are at risk and that action will
reduce the risk.
B. Health behaviors are determined only by genetics.
C. Lifestyle choices have little impact on health outcomes.
D. Environmental factors do not influence health decisions.
Correct Answer: A
, Rationale: The Health Belief Model suggests that perceptions of susceptibility, severity,
benefits, and barriers influence health behavior decisions.
7. A patient states, "I know smoking causes cancer, but I don't think it will happen to
me." Which Health Belief Model concept is demonstrated?
A. Perceived benefits
B. Perceived barriers
C. Low perceived susceptibility
D. Self-efficacy
Correct Answer: C
Rationale: The patient does not believe they are personally at risk, demonstrating low
perceived susceptibility.
8. Which stage of the Transtheoretical Model involves planning to change behavior
within the next month?
A. Precontemplation
B. Contemplation
C. Preparation
D. Maintenance
Correct Answer: C
Rationale: During the preparation stage, individuals intend to take action soon and often
begin making small changes.
9. A patient who has maintained a healthy diet for over six months is in which stage of
change?
A. Action
B. Preparation
C. Contemplation
D. Maintenance
Correct Answer: D
Rationale: Maintenance involves sustaining behavior changes and preventing relapse over
time.
Exam Practice Examination 2026–2027
| Comprehensive Question Practice
Test with Answers & Rationales| Free
Pdf Access
1. A nurse is teaching a community group about wellness. Which statement best
describes wellness?
A. The absence of illness and disease
B. A dynamic process of achieving optimal functioning and well-being
C. The ability to avoid all chronic diseases
D. A state achieved only through medical treatment
Correct Answer: B
Rationale: Wellness is an active, ongoing process of making choices toward a healthy and
fulfilling life. It extends beyond the absence of disease and includes physical, emotional,
social, intellectual, spiritual, occupational, and environmental dimensions.
2. Which nursing intervention is an example of health promotion?
A. Administering antibiotics for pneumonia
B. Teaching smoking cessation strategies
C. Performing wound debridement
D. Treating dehydration with IV fluids
Correct Answer: B
Rationale: Health promotion focuses on improving well-being and preventing disease
before it occurs. Smoking cessation education helps reduce future health risks.
3. Which is considered a primary prevention activity?
A. Mammography screening
B. Physical therapy after a stroke
,C. Immunization administration
D. Chemotherapy treatment
Correct Answer: C
Rationale: Primary prevention prevents disease before it develops. Immunizations are
classic examples of primary prevention.
4. A nurse performs a blood pressure screening at a health fair. This activity is classified
as:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Correct Answer: B
Rationale: Secondary prevention involves early detection and prompt intervention to
identify disease in its early stages.
5. Cardiac rehabilitation after a myocardial infarction is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Correct Answer: C
Rationale: Tertiary prevention aims to minimize disability and restore function after
disease or injury.
6. Which statement reflects the Health Belief Model?
A. People engage in health behaviors when they believe they are at risk and that action will
reduce the risk.
B. Health behaviors are determined only by genetics.
C. Lifestyle choices have little impact on health outcomes.
D. Environmental factors do not influence health decisions.
Correct Answer: A
, Rationale: The Health Belief Model suggests that perceptions of susceptibility, severity,
benefits, and barriers influence health behavior decisions.
7. A patient states, "I know smoking causes cancer, but I don't think it will happen to
me." Which Health Belief Model concept is demonstrated?
A. Perceived benefits
B. Perceived barriers
C. Low perceived susceptibility
D. Self-efficacy
Correct Answer: C
Rationale: The patient does not believe they are personally at risk, demonstrating low
perceived susceptibility.
8. Which stage of the Transtheoretical Model involves planning to change behavior
within the next month?
A. Precontemplation
B. Contemplation
C. Preparation
D. Maintenance
Correct Answer: C
Rationale: During the preparation stage, individuals intend to take action soon and often
begin making small changes.
9. A patient who has maintained a healthy diet for over six months is in which stage of
change?
A. Action
B. Preparation
C. Contemplation
D. Maintenance
Correct Answer: D
Rationale: Maintenance involves sustaining behavior changes and preventing relapse over
time.
