NCLEX-RN Health Promotion & Maintenance – Set 3
(2025/2026) | 80 Q&A
1. A nurse is planning a community health fair to reduce the incidence of
Type 2 Diabetes. Which preventive strategy is primary prevention?
A. Screening fasting blood glucose
B. Teaching healthy eating and exercise
C. Administering insulin to diagnosed clients
D. Referring patients to an endocrinologist
Answer: B. Teaching healthy eating and exercise
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and risk reduction strategies. Screening is secondary prevention, and treating
diabetes is tertiary prevention.
2. During a well-child visit, the nurse educates parents about the
importance of the MMR vaccine. Which concept is being applied?
A. Herd immunity
B. Passive immunity
C. Secondary prevention
D. Risk factor modification
Answer: A. Herd immunity
Rationale: Vaccination contributes to herd immunity by reducing disease spread in the
population, protecting those who cannot be immunized.
3. Which intervention is most appropriate for tertiary prevention in older
adults with hypertension?
A. Nutritional counseling for at-risk adults
B. Administering antihypertensive medications
C. Educating about smoking cessation
D. Screening for high blood pressure in clinics
,Answer: B. Administering antihypertensive medications
Rationale: Tertiary prevention aims to reduce complications and manage disease after
diagnosis. Lifestyle counseling is primary or secondary prevention.
4. A nurse is teaching a community class on global health initiatives. Which
initiative is focused on eradicating a specific infectious disease?
A. WHO’s Expanded Program on Immunization (EPI)
B. UNICEF’s Nutrition Program
C. The Global Fund to Fight AIDS, Tuberculosis, and Malaria
D. Millennium Development Goals
Answer: A. WHO’s Expanded Program on Immunization (EPI)
Rationale: EPI targets specific diseases through widespread immunization campaigns to
reduce morbidity and mortality.
5. What is the most effective way for a nurse to promote cardiovascular
health in young adults?
A. Encourage routine blood pressure checks only
B. Recommend lifestyle modifications including diet and exercise
C. Prescribe statins for all adults over 20
D. Focus on early detection of hypertension only
Answer: B. Recommend lifestyle modifications including diet and exercise
Rationale: Promoting healthy behaviors in young adults is primary prevention and most
effective for long-term cardiovascular health.
6. A community health nurse notices high rates of obesity in adolescents.
Which intervention demonstrates secondary prevention?
A. School-based nutrition education
B. Annual BMI screening
C. Offering weight-loss support groups
D. Advocating for safe recreational spaces
Answer: B. Annual BMI screening
Rationale: Secondary prevention involves early detection of risk factors or diseases to prevent
progression.
, 7. Which population is the priority for seasonal influenza vaccination
according to global guidelines?
A. Healthy adults aged 20–30
B. Pregnant women and older adults
C. Adolescents in high school
D. All school-aged children
Answer: B. Pregnant women and older adults
Rationale: High-risk populations (pregnant women, elderly, chronic illness) are prioritized to
prevent severe illness and complications.
8. A nurse is creating a program to reduce tobacco use in adolescents.
Which strategy is primary prevention?
A. Providing nicotine replacement therapy
B. Counseling adolescents about risks of smoking
C. Offering lung cancer screening
D. Treating nicotine withdrawal symptoms
Answer: B. Counseling adolescents about risks of smoking
Rationale: Primary prevention focuses on health education and risk avoidance before disease
develops.
9. Which of the following is an example of a modifiable risk factor for
coronary artery disease?
A. Age over 65
B. Family history of heart disease
C. High LDL cholesterol
D. Male sex
Answer: C. High LDL cholesterol
Rationale: Modifiable risk factors can be changed or controlled through lifestyle, diet, or
medication.
(2025/2026) | 80 Q&A
1. A nurse is planning a community health fair to reduce the incidence of
Type 2 Diabetes. Which preventive strategy is primary prevention?
A. Screening fasting blood glucose
B. Teaching healthy eating and exercise
C. Administering insulin to diagnosed clients
D. Referring patients to an endocrinologist
Answer: B. Teaching healthy eating and exercise
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and risk reduction strategies. Screening is secondary prevention, and treating
diabetes is tertiary prevention.
2. During a well-child visit, the nurse educates parents about the
importance of the MMR vaccine. Which concept is being applied?
A. Herd immunity
B. Passive immunity
C. Secondary prevention
D. Risk factor modification
Answer: A. Herd immunity
Rationale: Vaccination contributes to herd immunity by reducing disease spread in the
population, protecting those who cannot be immunized.
3. Which intervention is most appropriate for tertiary prevention in older
adults with hypertension?
A. Nutritional counseling for at-risk adults
B. Administering antihypertensive medications
C. Educating about smoking cessation
D. Screening for high blood pressure in clinics
,Answer: B. Administering antihypertensive medications
Rationale: Tertiary prevention aims to reduce complications and manage disease after
diagnosis. Lifestyle counseling is primary or secondary prevention.
4. A nurse is teaching a community class on global health initiatives. Which
initiative is focused on eradicating a specific infectious disease?
A. WHO’s Expanded Program on Immunization (EPI)
B. UNICEF’s Nutrition Program
C. The Global Fund to Fight AIDS, Tuberculosis, and Malaria
D. Millennium Development Goals
Answer: A. WHO’s Expanded Program on Immunization (EPI)
Rationale: EPI targets specific diseases through widespread immunization campaigns to
reduce morbidity and mortality.
5. What is the most effective way for a nurse to promote cardiovascular
health in young adults?
A. Encourage routine blood pressure checks only
B. Recommend lifestyle modifications including diet and exercise
C. Prescribe statins for all adults over 20
D. Focus on early detection of hypertension only
Answer: B. Recommend lifestyle modifications including diet and exercise
Rationale: Promoting healthy behaviors in young adults is primary prevention and most
effective for long-term cardiovascular health.
6. A community health nurse notices high rates of obesity in adolescents.
Which intervention demonstrates secondary prevention?
A. School-based nutrition education
B. Annual BMI screening
C. Offering weight-loss support groups
D. Advocating for safe recreational spaces
Answer: B. Annual BMI screening
Rationale: Secondary prevention involves early detection of risk factors or diseases to prevent
progression.
, 7. Which population is the priority for seasonal influenza vaccination
according to global guidelines?
A. Healthy adults aged 20–30
B. Pregnant women and older adults
C. Adolescents in high school
D. All school-aged children
Answer: B. Pregnant women and older adults
Rationale: High-risk populations (pregnant women, elderly, chronic illness) are prioritized to
prevent severe illness and complications.
8. A nurse is creating a program to reduce tobacco use in adolescents.
Which strategy is primary prevention?
A. Providing nicotine replacement therapy
B. Counseling adolescents about risks of smoking
C. Offering lung cancer screening
D. Treating nicotine withdrawal symptoms
Answer: B. Counseling adolescents about risks of smoking
Rationale: Primary prevention focuses on health education and risk avoidance before disease
develops.
9. Which of the following is an example of a modifiable risk factor for
coronary artery disease?
A. Age over 65
B. Family history of heart disease
C. High LDL cholesterol
D. Male sex
Answer: C. High LDL cholesterol
Rationale: Modifiable risk factors can be changed or controlled through lifestyle, diet, or
medication.
