NSG 3130 — Exam 1 Practice Test
Fundamental Concepts & Skills for Nursing Practice II — Galen College of Nursing
Units 1–2: Health Beliefs/Practice/Promotion, Ethnicity & Culture, Delegation, Documentation | 50 Questions
Directions: Choose the one best answer unless a question is marked SELECT ALL THAT APPLY, in which case more than one
option may be correct. Questions marked NOT / EXCEPTION ask you to identify the option that does not fit or should be avoided.
Answers and rationales appear in the Answer Key at the end of this test. Recommended time: 75 minutes.
SELECT ALL THAT APPLY Multiple correct answers – mark all NOT / EXCEPTION Identify the exception or option to
that apply with ■ avoid
UNIT 1 — Health Beliefs, Practice & Promotion / Ethnicity & Culture (Questions 1–25)
1. A nurse is teaching a client with a strong family history of colon cancer about screening colonoscopy. The client states, "My uncle
had one and was fine afterward, but I still don't think I need it." Which concept from the Health Belief Model best explains the
client's reluctance?
A. The client has not received enough factual information about the procedure
B. The client is experiencing denial as a stage of the grief response
C. The client lacks a cue to action that would prompt scheduling the test
D. The client has a low perceived susceptibility to developing colon cancer
2. A client with newly diagnosed hypertension tells the nurse, "Taking a pill every day for the rest of my life sounds exhausting, and I
heard the medication makes you feel worse than the high blood pressure ever did." According to the Health Belief Model, which
factor is most directly influencing this client's decision-making?
A. The client perceives the barriers to treatment as outweighing the benefits
B. The client has inadequate health literacy about hypertension management
C. The client is demonstrating denial about the hypertension diagnosis
D. The client has an external locus of control regarding personal health
3. During a wellness visit, a client states they began walking daily after their neighbor had a stroke and could no longer walk
independently. This client's change in behavior is best explained by which element of the Health Belief Model?
A. A cue to action from a personally witnessed event
B. A decrease in the perceived severity of stroke
C. An increase in perceived self-efficacy for exercise
D. A shift toward an internal locus of control
4. A community health nurse organizes a free influenza vaccination clinic for older adults in an assisted living facility. This activity
represents which level of prevention?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Quaternary prevention
5. A 55-year-old client with no current symptoms visits the clinic for a scheduled mammogram based on age-related screening
guidelines. This action is an example of which level of prevention?
A. Primary prevention
B. Health promotion prevention
C. Secondary prevention
D. Tertiary prevention
, SELECT ALL THAT APPLY
6. A nurse is planning tertiary prevention interventions for a client recovering from a myocardial infarction. Select all interventions
that are examples of tertiary prevention for this client.
■ A. Administering the client's first-ever pneumococcal vaccine during a well visit
■ B. Teaching the client to recognize and respond to anginal symptoms
■ C. Coordinating outpatient physical therapy to restore functional endurance
■ D. Scheduling the client's first lipid panel to establish a baseline
■ E. Referring the client to a structured cardiac rehabilitation program
7. A hospital system develops a program to provide transportation vouchers and same-day interpreter services specifically for
low-income clients who have historically missed follow-up appointments at higher rates than other groups. This initiative most
directly supports which Healthy People 2030 overarching goal?
A. Promoting healthy development throughout the lifespan
B. Achieving health equity and eliminating health disparities
C. Creating physical environments that promote community health
D. Attaining longer lives free of preventable disease and injury
8. A client with poorly controlled type 2 diabetes lives in a neighborhood without a grocery store that sells fresh produce and relies
on a nearby convenience store for meals. The nurse recognizes this situation as an example of which social determinant of health
category?
A. Health care access and quality
B. Neighborhood and built environment
C. Social and community context
D. Economic stability and income level
9. A client who has had a persistent cough for three weeks tells the nurse, "I finally decided I'm actually sick and need to stop
pretending I can push through it, so I called off work today to rest." According to Suchman's stages of illness, which stage does this
statement best reflect?
A. Symptom experience
B. Assumption of the sick role
C. Medical care contact
D. Dependent patient role
10. A client calls the clinic to schedule an appointment after self-treating flank pain with over-the-counter medication for several
days without improvement. Which stage of Suchman's illness model does seeking a professional appointment represent?
A. Assumption of the sick role
B. Medical care contact
C. Symptom experience
D. Perceived recovery
11. A nurse is prioritizing care for four clients at the start of a shift. Which client's need should the nurse address first based on a
basic human needs framework?
A. A client reporting new-onset shortness of breath and audible wheezing
B. A client requesting reassurance before an upcoming diagnostic procedure
C. A client asking to have a family photo brought from home for comfort
D. A client who states feeling isolated after transfer to a private room
12. A client with well-controlled type 1 diabetes who independently manages insulin dosing, maintains a full-time job, and reports a
strong sense of purpose describes themselves as "healthy." This self-assessment best illustrates which concept of the health-illness
continuum?
A. Health and wellness can coexist with the presence of chronic disease
B. Wellness requires complete absence of any diagnosed pathology
C. The client has reached the recovery stage of the illness trajectory
D. The client is in denial about the severity of a chronic illness
Fundamental Concepts & Skills for Nursing Practice II — Galen College of Nursing
Units 1–2: Health Beliefs/Practice/Promotion, Ethnicity & Culture, Delegation, Documentation | 50 Questions
Directions: Choose the one best answer unless a question is marked SELECT ALL THAT APPLY, in which case more than one
option may be correct. Questions marked NOT / EXCEPTION ask you to identify the option that does not fit or should be avoided.
Answers and rationales appear in the Answer Key at the end of this test. Recommended time: 75 minutes.
SELECT ALL THAT APPLY Multiple correct answers – mark all NOT / EXCEPTION Identify the exception or option to
that apply with ■ avoid
UNIT 1 — Health Beliefs, Practice & Promotion / Ethnicity & Culture (Questions 1–25)
1. A nurse is teaching a client with a strong family history of colon cancer about screening colonoscopy. The client states, "My uncle
had one and was fine afterward, but I still don't think I need it." Which concept from the Health Belief Model best explains the
client's reluctance?
A. The client has not received enough factual information about the procedure
B. The client is experiencing denial as a stage of the grief response
C. The client lacks a cue to action that would prompt scheduling the test
D. The client has a low perceived susceptibility to developing colon cancer
2. A client with newly diagnosed hypertension tells the nurse, "Taking a pill every day for the rest of my life sounds exhausting, and I
heard the medication makes you feel worse than the high blood pressure ever did." According to the Health Belief Model, which
factor is most directly influencing this client's decision-making?
A. The client perceives the barriers to treatment as outweighing the benefits
B. The client has inadequate health literacy about hypertension management
C. The client is demonstrating denial about the hypertension diagnosis
D. The client has an external locus of control regarding personal health
3. During a wellness visit, a client states they began walking daily after their neighbor had a stroke and could no longer walk
independently. This client's change in behavior is best explained by which element of the Health Belief Model?
A. A cue to action from a personally witnessed event
B. A decrease in the perceived severity of stroke
C. An increase in perceived self-efficacy for exercise
D. A shift toward an internal locus of control
4. A community health nurse organizes a free influenza vaccination clinic for older adults in an assisted living facility. This activity
represents which level of prevention?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Quaternary prevention
5. A 55-year-old client with no current symptoms visits the clinic for a scheduled mammogram based on age-related screening
guidelines. This action is an example of which level of prevention?
A. Primary prevention
B. Health promotion prevention
C. Secondary prevention
D. Tertiary prevention
, SELECT ALL THAT APPLY
6. A nurse is planning tertiary prevention interventions for a client recovering from a myocardial infarction. Select all interventions
that are examples of tertiary prevention for this client.
■ A. Administering the client's first-ever pneumococcal vaccine during a well visit
■ B. Teaching the client to recognize and respond to anginal symptoms
■ C. Coordinating outpatient physical therapy to restore functional endurance
■ D. Scheduling the client's first lipid panel to establish a baseline
■ E. Referring the client to a structured cardiac rehabilitation program
7. A hospital system develops a program to provide transportation vouchers and same-day interpreter services specifically for
low-income clients who have historically missed follow-up appointments at higher rates than other groups. This initiative most
directly supports which Healthy People 2030 overarching goal?
A. Promoting healthy development throughout the lifespan
B. Achieving health equity and eliminating health disparities
C. Creating physical environments that promote community health
D. Attaining longer lives free of preventable disease and injury
8. A client with poorly controlled type 2 diabetes lives in a neighborhood without a grocery store that sells fresh produce and relies
on a nearby convenience store for meals. The nurse recognizes this situation as an example of which social determinant of health
category?
A. Health care access and quality
B. Neighborhood and built environment
C. Social and community context
D. Economic stability and income level
9. A client who has had a persistent cough for three weeks tells the nurse, "I finally decided I'm actually sick and need to stop
pretending I can push through it, so I called off work today to rest." According to Suchman's stages of illness, which stage does this
statement best reflect?
A. Symptom experience
B. Assumption of the sick role
C. Medical care contact
D. Dependent patient role
10. A client calls the clinic to schedule an appointment after self-treating flank pain with over-the-counter medication for several
days without improvement. Which stage of Suchman's illness model does seeking a professional appointment represent?
A. Assumption of the sick role
B. Medical care contact
C. Symptom experience
D. Perceived recovery
11. A nurse is prioritizing care for four clients at the start of a shift. Which client's need should the nurse address first based on a
basic human needs framework?
A. A client reporting new-onset shortness of breath and audible wheezing
B. A client requesting reassurance before an upcoming diagnostic procedure
C. A client asking to have a family photo brought from home for comfort
D. A client who states feeling isolated after transfer to a private room
12. A client with well-controlled type 1 diabetes who independently manages insulin dosing, maintains a full-time job, and reports a
strong sense of purpose describes themselves as "healthy." This self-assessment best illustrates which concept of the health-illness
continuum?
A. Health and wellness can coexist with the presence of chronic disease
B. Wellness requires complete absence of any diagnosed pathology
C. The client has reached the recovery stage of the illness trajectory
D. The client is in denial about the severity of a chronic illness
