NSG 554 Exam 1 (Wilkes) Questions with
Answers| Latest Update| Pass Guaranteed
1. Which activity is an example of PRIMARY prevention?
A. Cardiac rehabilitation after myocardial infarction
B. Performing a screening mammogram
C. Administering the hepatitis B vaccine series to an infant
D. Treating diabetic retinopathy with laser therapy
Answer: C. Administering the hepatitis B vaccine series to an infant
Rationale: Primary prevention keeps disease from occurring in the first
place (immunizations, healthy behavior counseling, seat belts, sunscreen).
Screening is secondary and rehabilitation is tertiary.
2. A screening mammogram, Pap smear, and colonoscopy are
examples of which level of prevention?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Answer: B. Secondary prevention
Rationale: Secondary prevention detects disease early in the
asymptomatic stage to allow prompt treatment and improve outcomes.
NSG 554 Exam 1 Practice — Page 1
,3. A patient recovering from a stroke is enrolled in physical and
occupational therapy. This is an example of:
A. Health promotion only
B. Secondary prevention
C. Tertiary prevention
D. Primary prevention
Answer: C. Tertiary prevention
Rationale: Tertiary prevention limits disability and complications, restores
function, and prevents progression in established disease (rehabilitation,
cardiac rehab, foot care in diabetes).
4. A patient with prediabetes (A1C 6.0%) receives dietary counseling
and a referral to a diabetes prevention program to prevent
progression to type 2 diabetes. This is BEST described as:
A. Primary prevention
B. Tertiary prevention
C. No prevention
D. Secondary prevention (early detection and intervention in an early
disease state)
Answer: D. Secondary prevention (early detection and intervention in
an early disease state)
Rationale: Prediabetes is an early, asymptomatic disease state identified
through screening. Intervening to prevent progression is secondary
prevention. Counseling healthy individuals to prevent disease onset is
primary prevention.
5. The NP teaches a patient with diabetic neuropathy to inspect her
feet daily and wear protective footwear. This is which level of
prevention?
A. Primary
B. Tertiary
C. Screening
D. Secondary
Answer: B. Tertiary
Rationale: Foot care reduces complications (ulcers, amputation) of
established disease, which is tertiary prevention.
NSG 554 Exam 1 Practice — Page 2
, 6. Which is an example of primary prevention through health
counseling?
A. Ordering a PSA test in an asymptomatic man
B. Performing a skin biopsy of a suspicious mole
C. Counseling a healthy 20-year-old on sunscreen use and avoiding
tanning beds
D. Referring a patient with heart failure to cardiac rehab
Answer: C. Counseling a healthy 20-year-old on sunscreen use and
avoiding tanning beds
Rationale: Counseling that reduces risk before disease occurs (sunscreen,
tobacco avoidance, physical activity, safe sex) is primary prevention.
7. Which criterion must be met for a condition to be appropriate for
population screening?
A. The disease has no preclinical phase
B. The test has no false positives
C. An effective treatment is available and early treatment improves
outcomes
D. The disease is rare and untreatable
Answer: C. An effective treatment is available and early treatment
improves outcomes
Rationale: Screening programs (Wilson–Jungner) require an important
health problem, a detectable preclinical phase, an acceptable and accurate
test, and treatment that is more effective when started early.
8. A screening test should ideally have which characteristic?
A. High cost
B. High sensitivity, to minimize missed cases (false negatives)
C. Low sensitivity
D. High specificity only
Answer: B. High sensitivity, to minimize missed cases (false
negatives)
Rationale: Sensitivity is the ability to identify people with disease (SnNout:
a negative result on a highly sensitive test rules out). Positive screens are
followed by more specific confirmatory tests.
NSG 554 Exam 1 Practice — Page 3
Answers| Latest Update| Pass Guaranteed
1. Which activity is an example of PRIMARY prevention?
A. Cardiac rehabilitation after myocardial infarction
B. Performing a screening mammogram
C. Administering the hepatitis B vaccine series to an infant
D. Treating diabetic retinopathy with laser therapy
Answer: C. Administering the hepatitis B vaccine series to an infant
Rationale: Primary prevention keeps disease from occurring in the first
place (immunizations, healthy behavior counseling, seat belts, sunscreen).
Screening is secondary and rehabilitation is tertiary.
2. A screening mammogram, Pap smear, and colonoscopy are
examples of which level of prevention?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Answer: B. Secondary prevention
Rationale: Secondary prevention detects disease early in the
asymptomatic stage to allow prompt treatment and improve outcomes.
NSG 554 Exam 1 Practice — Page 1
,3. A patient recovering from a stroke is enrolled in physical and
occupational therapy. This is an example of:
A. Health promotion only
B. Secondary prevention
C. Tertiary prevention
D. Primary prevention
Answer: C. Tertiary prevention
Rationale: Tertiary prevention limits disability and complications, restores
function, and prevents progression in established disease (rehabilitation,
cardiac rehab, foot care in diabetes).
4. A patient with prediabetes (A1C 6.0%) receives dietary counseling
and a referral to a diabetes prevention program to prevent
progression to type 2 diabetes. This is BEST described as:
A. Primary prevention
B. Tertiary prevention
C. No prevention
D. Secondary prevention (early detection and intervention in an early
disease state)
Answer: D. Secondary prevention (early detection and intervention in
an early disease state)
Rationale: Prediabetes is an early, asymptomatic disease state identified
through screening. Intervening to prevent progression is secondary
prevention. Counseling healthy individuals to prevent disease onset is
primary prevention.
5. The NP teaches a patient with diabetic neuropathy to inspect her
feet daily and wear protective footwear. This is which level of
prevention?
A. Primary
B. Tertiary
C. Screening
D. Secondary
Answer: B. Tertiary
Rationale: Foot care reduces complications (ulcers, amputation) of
established disease, which is tertiary prevention.
NSG 554 Exam 1 Practice — Page 2
, 6. Which is an example of primary prevention through health
counseling?
A. Ordering a PSA test in an asymptomatic man
B. Performing a skin biopsy of a suspicious mole
C. Counseling a healthy 20-year-old on sunscreen use and avoiding
tanning beds
D. Referring a patient with heart failure to cardiac rehab
Answer: C. Counseling a healthy 20-year-old on sunscreen use and
avoiding tanning beds
Rationale: Counseling that reduces risk before disease occurs (sunscreen,
tobacco avoidance, physical activity, safe sex) is primary prevention.
7. Which criterion must be met for a condition to be appropriate for
population screening?
A. The disease has no preclinical phase
B. The test has no false positives
C. An effective treatment is available and early treatment improves
outcomes
D. The disease is rare and untreatable
Answer: C. An effective treatment is available and early treatment
improves outcomes
Rationale: Screening programs (Wilson–Jungner) require an important
health problem, a detectable preclinical phase, an acceptable and accurate
test, and treatment that is more effective when started early.
8. A screening test should ideally have which characteristic?
A. High cost
B. High sensitivity, to minimize missed cases (false negatives)
C. Low sensitivity
D. High specificity only
Answer: B. High sensitivity, to minimize missed cases (false
negatives)
Rationale: Sensitivity is the ability to identify people with disease (SnNout:
a negative result on a highly sensitive test rules out). Positive screens are
followed by more specific confirmatory tests.
NSG 554 Exam 1 Practice — Page 3
