Page 1 of 80
NSG 3130: FUNDAMENTAL CONCEPTS AND SKILLS FOR
NURSING PRACTICE II STUDY GUIDE EXAM LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
NSG 3130: Fundamental Concepts and Skills for Nursing Practice II
Complete Exam: 250 Questions with Rationales
SECTION 1: HEALTH PROMOTION AND WELLNESS (Questions 1-30)
1. A nurse teaches the importance of folic acid intake to a group of pregnant
women. This is considered which level of preventive care?
A. Illness behavior
B. Primary prevention
C. Tertiary prevention
D. Secondary prevention
Answer: B. Primary prevention
Rationale: Primary prevention is considered true prevention. It aims at maintaining
physical and emotional health in an already healthy population through health
education, immunizations, and risk assessments . Folic acid education before birth
defects occur is a classic example of primary prevention.
2. According to the World Health Organization, health is defined as:
A. The absence of disease
B. State of complete physical, mental, and social well-being
C. The ability to perform activities of daily living
D. Freedom from pain and discomfort
Answer: B. State of complete physical, mental, and social well-being
, Page 2 of 80
Rationale: The WHO defines health as a state of complete physical, mental, and social
well-being, not merely the absence of disease or infirmity . This holistic definition guides
nursing practice and health promotion activities.
3. The process of self-care achieved by making choices that lead to a healthy life is
called:
A. Health promotion
B. Wellness
C. Disease prevention
D. Self-actualization
Answer: B. Wellness
Rationale: Wellness is the process of self-care achieved by making choices that lead to
a healthy life . It is an active process of becoming aware of and making choices toward a
healthy and fulfilling life.
4. According to Maslow's hierarchy of needs, which needs must be met first?
A. Self-esteem needs
B. Love and belonging needs
C. Physiological needs
D. Self-actualization needs
Answer: C. Physiological needs
Rationale: Maslow's hierarchy prioritizes physiological needs (oxygen, food, water,
sleep) as the most basic needs that must be met before higher-level needs can be
addressed. This model is used to prioritize nursing care .
5. Which model describes health as a positive dynamic state where behavior is
motivated by a desire to increase well-being?
A. Health Belief Model
B. Health Promotion Model
C. Holistic Health Model
D. Basic Human Needs Model
Answer: B. Health Promotion Model
, Page 3 of 80
Rationale: The Health Promotion Model describes health as a positive dynamic state;
behavior is motivated by the desire to increase well-being rather than simply avoid
disease . This model guides nursing interventions that promote optimal health.
6. The Health Belief Model explains that people take preventive actions based on:
A. Economic status only
B. Perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy
C. Provider recommendations only
D. Family history of disease
Answer: B. Perceived susceptibility, severity, benefits, barriers, cues to action, and
self-efficacy
Rationale: The Health Belief Model explains why people take preventive actions based
on their perceived susceptibility to illness, perceived severity of the condition, perceived
benefits of action, barriers to action, cues to action, and self-efficacy .
7. A nurse encourages a patient to quit smoking and exercise regularly. This is an
example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Risk factor reduction
Answer: D. Risk factor reduction
Rationale: Risk factor reduction involves the gradual improvement of health behaviors to
lower the likelihood of disease. Examples include exercise, smoking cessation, and
dietary modifications .
8. Which level of prevention involves early detection and treatment of disease
through screenings?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: B. Secondary prevention
, Page 4 of 80
Rationale: Secondary prevention involves early detection and treatment of disease
through screenings such as mammograms, blood pressure checks, and cholesterol
testing .
9. A patient with diabetes is receiving education on preventing complications. This
is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: C. Tertiary prevention
Rationale: Tertiary prevention focuses on preventing complications and managing
chronic disease after it has occurred. It aims to reduce disability and restore function .
10. External variables that influence health include:
A. Genetic predisposition
B. Environmental, socioeconomic, cultural, and social support
C. Personal attitudes
D. Knowledge and beliefs
Answer: B. Environmental, socioeconomic, cultural, and social support
Rationale: External variables are environmental, socioeconomic, cultural, and social
support factors that influence health behaviors and outcomes .
SECTION 2: CULTURAL COMPETENCE AND DIVERSITY (Questions 11-25)
11. What intervention should be initiated first by a nurse assigned to care for a
culturally diverse patient with significant body odor?
A. Seek information to determine the underlying cause of the body odor
B. Approach the patient with washcloths and towels ready to give a bath
C. Contact family members or friends to learn more about their situation
D. Ask the patient to bathe prior to conducting an admission assessment
Answer: A. Seek information to determine the underlying cause of the body odor
NSG 3130: FUNDAMENTAL CONCEPTS AND SKILLS FOR
NURSING PRACTICE II STUDY GUIDE EXAM LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
NSG 3130: Fundamental Concepts and Skills for Nursing Practice II
Complete Exam: 250 Questions with Rationales
SECTION 1: HEALTH PROMOTION AND WELLNESS (Questions 1-30)
1. A nurse teaches the importance of folic acid intake to a group of pregnant
women. This is considered which level of preventive care?
A. Illness behavior
B. Primary prevention
C. Tertiary prevention
D. Secondary prevention
Answer: B. Primary prevention
Rationale: Primary prevention is considered true prevention. It aims at maintaining
physical and emotional health in an already healthy population through health
education, immunizations, and risk assessments . Folic acid education before birth
defects occur is a classic example of primary prevention.
2. According to the World Health Organization, health is defined as:
A. The absence of disease
B. State of complete physical, mental, and social well-being
C. The ability to perform activities of daily living
D. Freedom from pain and discomfort
Answer: B. State of complete physical, mental, and social well-being
, Page 2 of 80
Rationale: The WHO defines health as a state of complete physical, mental, and social
well-being, not merely the absence of disease or infirmity . This holistic definition guides
nursing practice and health promotion activities.
3. The process of self-care achieved by making choices that lead to a healthy life is
called:
A. Health promotion
B. Wellness
C. Disease prevention
D. Self-actualization
Answer: B. Wellness
Rationale: Wellness is the process of self-care achieved by making choices that lead to
a healthy life . It is an active process of becoming aware of and making choices toward a
healthy and fulfilling life.
4. According to Maslow's hierarchy of needs, which needs must be met first?
A. Self-esteem needs
B. Love and belonging needs
C. Physiological needs
D. Self-actualization needs
Answer: C. Physiological needs
Rationale: Maslow's hierarchy prioritizes physiological needs (oxygen, food, water,
sleep) as the most basic needs that must be met before higher-level needs can be
addressed. This model is used to prioritize nursing care .
5. Which model describes health as a positive dynamic state where behavior is
motivated by a desire to increase well-being?
A. Health Belief Model
B. Health Promotion Model
C. Holistic Health Model
D. Basic Human Needs Model
Answer: B. Health Promotion Model
, Page 3 of 80
Rationale: The Health Promotion Model describes health as a positive dynamic state;
behavior is motivated by the desire to increase well-being rather than simply avoid
disease . This model guides nursing interventions that promote optimal health.
6. The Health Belief Model explains that people take preventive actions based on:
A. Economic status only
B. Perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy
C. Provider recommendations only
D. Family history of disease
Answer: B. Perceived susceptibility, severity, benefits, barriers, cues to action, and
self-efficacy
Rationale: The Health Belief Model explains why people take preventive actions based
on their perceived susceptibility to illness, perceived severity of the condition, perceived
benefits of action, barriers to action, cues to action, and self-efficacy .
7. A nurse encourages a patient to quit smoking and exercise regularly. This is an
example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Risk factor reduction
Answer: D. Risk factor reduction
Rationale: Risk factor reduction involves the gradual improvement of health behaviors to
lower the likelihood of disease. Examples include exercise, smoking cessation, and
dietary modifications .
8. Which level of prevention involves early detection and treatment of disease
through screenings?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: B. Secondary prevention
, Page 4 of 80
Rationale: Secondary prevention involves early detection and treatment of disease
through screenings such as mammograms, blood pressure checks, and cholesterol
testing .
9. A patient with diabetes is receiving education on preventing complications. This
is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: C. Tertiary prevention
Rationale: Tertiary prevention focuses on preventing complications and managing
chronic disease after it has occurred. It aims to reduce disability and restore function .
10. External variables that influence health include:
A. Genetic predisposition
B. Environmental, socioeconomic, cultural, and social support
C. Personal attitudes
D. Knowledge and beliefs
Answer: B. Environmental, socioeconomic, cultural, and social support
Rationale: External variables are environmental, socioeconomic, cultural, and social
support factors that influence health behaviors and outcomes .
SECTION 2: CULTURAL COMPETENCE AND DIVERSITY (Questions 11-25)
11. What intervention should be initiated first by a nurse assigned to care for a
culturally diverse patient with significant body odor?
A. Seek information to determine the underlying cause of the body odor
B. Approach the patient with washcloths and towels ready to give a bath
C. Contact family members or friends to learn more about their situation
D. Ask the patient to bathe prior to conducting an admission assessment
Answer: A. Seek information to determine the underlying cause of the body odor
