NCLEX-RN Health Promotion and
Maintenance 3 (2025/2026) | 80 Verified Q&A
| Expert-Level Preventive Care & Global
Health Initiatives
1.
A nurse provides teaching to a group of adults about colon cancer screening. Which statement
indicates a need for further teaching?
A. “I should have my first colonoscopy at age 45.”
B. “If I have a family history, I might need screening earlier.”
C. “I only need a colonoscopy once every 20 years.”
✅
D. “I’ll follow up if I notice blood in my stool.”
Answer: C
Rationale: Colonoscopy is recommended every 10 years for adults starting at age 45, or
earlier/more frequent if at high risk.
2.
Which primary prevention strategy best reduces cervical cancer incidence?
A. Pap smear testing every 3 years
B. HPV vaccination
C. Early detection of cervical dysplasia
✅
D. Chemotherapy for pre-cancerous lesions
Answer: B
Rationale: HPV vaccination is primary prevention—it prevents the initial infection that can
cause cervical cancer.
3.
A community nurse promotes environmental health by encouraging safe water and sanitation.
This best reflects which global health goal?
A. SDG 1: No Poverty
,B. SDG 3: Good Health and Well-Being
C. SDG 6: Clean Water and Sanitation
✅
D. SDG 13: Climate Action
Answer: C
Rationale: Clean water and sanitation are essential components of Sustainable Development
Goal 6.
4.
Which statement demonstrates effective use of tertiary prevention?
A. Administering vaccines to prevent disease
B. Providing chemotherapy to a cancer survivor
C. Offering prenatal education to new mothers
✅
D. Screening schoolchildren for scoliosis
Answer: B
Rationale: Tertiary prevention reduces complications and improves quality of life for patients
with established diseases.
5.
A nurse in a refugee camp notices increasing cases of diarrhea. What is the priority nursing
action?
A. Provide antibiotics to all affected individuals
B. Begin education on hand hygiene and safe food handling
C. Arrange for community recreation
✅
D. Schedule immunization for adults
Answer: B
Rationale: Prevention of communicable disease spread starts with hygiene education and
environmental sanitation.
6.
During a community assessment, the nurse identifies high teenage pregnancy rates. Which
nursing diagnosis is most appropriate?
A. Ineffective Health Maintenance
B. Readiness for Enhanced Family Processes
C. Risk for Ineffective Sexual Health
✅
D. Deficient Knowledge (reproductive health)
Answer: D
Rationale: Lack of reproductive health knowledge contributes to adolescent pregnancy rates.
, 7.
Which screening should be prioritized for a 52-year-old woman with a family history of breast
cancer?
A. Pap test
B. Mammogram
C. Colonoscopy
✅
D. Bone density test
Answer: B
Rationale: Women aged 50+ or with family history should undergo annual or biennial
mammography.
8.
A nurse develops a smoking cessation program for a rural community. Which health promotion
level is this?
A. Primary
B. Secondary
C. Tertiary
✅
D. Quaternary
Answer: A
Rationale: Smoking cessation prevents disease onset—primary prevention.
9.
In a postnatal clinic, the nurse promotes exclusive breastfeeding. What global initiative supports
this?
A. Baby-Friendly Hospital Initiative (BFHI)
B. UNICEF’s Global Water Program
C. Global Vaccine Action Plan
✅
D. World Food Programme
Answer: A
Rationale: BFHI, by WHO/UNICEF, promotes breastfeeding and maternal-infant bonding.
10.
Which immunization is recommended for adults ≥65 years to prevent pneumococcal disease?
A. MMR
Maintenance 3 (2025/2026) | 80 Verified Q&A
| Expert-Level Preventive Care & Global
Health Initiatives
1.
A nurse provides teaching to a group of adults about colon cancer screening. Which statement
indicates a need for further teaching?
A. “I should have my first colonoscopy at age 45.”
B. “If I have a family history, I might need screening earlier.”
C. “I only need a colonoscopy once every 20 years.”
✅
D. “I’ll follow up if I notice blood in my stool.”
Answer: C
Rationale: Colonoscopy is recommended every 10 years for adults starting at age 45, or
earlier/more frequent if at high risk.
2.
Which primary prevention strategy best reduces cervical cancer incidence?
A. Pap smear testing every 3 years
B. HPV vaccination
C. Early detection of cervical dysplasia
✅
D. Chemotherapy for pre-cancerous lesions
Answer: B
Rationale: HPV vaccination is primary prevention—it prevents the initial infection that can
cause cervical cancer.
3.
A community nurse promotes environmental health by encouraging safe water and sanitation.
This best reflects which global health goal?
A. SDG 1: No Poverty
,B. SDG 3: Good Health and Well-Being
C. SDG 6: Clean Water and Sanitation
✅
D. SDG 13: Climate Action
Answer: C
Rationale: Clean water and sanitation are essential components of Sustainable Development
Goal 6.
4.
Which statement demonstrates effective use of tertiary prevention?
A. Administering vaccines to prevent disease
B. Providing chemotherapy to a cancer survivor
C. Offering prenatal education to new mothers
✅
D. Screening schoolchildren for scoliosis
Answer: B
Rationale: Tertiary prevention reduces complications and improves quality of life for patients
with established diseases.
5.
A nurse in a refugee camp notices increasing cases of diarrhea. What is the priority nursing
action?
A. Provide antibiotics to all affected individuals
B. Begin education on hand hygiene and safe food handling
C. Arrange for community recreation
✅
D. Schedule immunization for adults
Answer: B
Rationale: Prevention of communicable disease spread starts with hygiene education and
environmental sanitation.
6.
During a community assessment, the nurse identifies high teenage pregnancy rates. Which
nursing diagnosis is most appropriate?
A. Ineffective Health Maintenance
B. Readiness for Enhanced Family Processes
C. Risk for Ineffective Sexual Health
✅
D. Deficient Knowledge (reproductive health)
Answer: D
Rationale: Lack of reproductive health knowledge contributes to adolescent pregnancy rates.
, 7.
Which screening should be prioritized for a 52-year-old woman with a family history of breast
cancer?
A. Pap test
B. Mammogram
C. Colonoscopy
✅
D. Bone density test
Answer: B
Rationale: Women aged 50+ or with family history should undergo annual or biennial
mammography.
8.
A nurse develops a smoking cessation program for a rural community. Which health promotion
level is this?
A. Primary
B. Secondary
C. Tertiary
✅
D. Quaternary
Answer: A
Rationale: Smoking cessation prevents disease onset—primary prevention.
9.
In a postnatal clinic, the nurse promotes exclusive breastfeeding. What global initiative supports
this?
A. Baby-Friendly Hospital Initiative (BFHI)
B. UNICEF’s Global Water Program
C. Global Vaccine Action Plan
✅
D. World Food Programme
Answer: A
Rationale: BFHI, by WHO/UNICEF, promotes breastfeeding and maternal-infant bonding.
10.
Which immunization is recommended for adults ≥65 years to prevent pneumococcal disease?
A. MMR
