NR 222 EXAM PRACTICE STUDY GUIDE 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ As an art nursing relies on knowledge gained from practice and
reflection on past experiences. As a science nursing relies on (select
all that apply):
A. Experimental research.
B. Nonexperimental research.
C. Research from other disciplines.
D. Professional opinions. Answer: A. Experimental research.
B. Nonexperimental research.
C. Research from other disciplines.
As a science, nursing relies on knowledge gained through research
from nursing and other disciplines and scientifically tested
knowledge applied in the practice setting.
◉ The nurse is participating at a health fair at the local mall giving
influenza vaccines to senior citizens. What level of prevention is the
nurse practicing?
,A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention. Answer: A. Primary prevention
Primary prevention is aimed at health promotion and includes
health-education programs, immunizations, and physical and
nutritional fitness activities. It can be provided to an individual and
includes activities that focus on maintaining or improving the
general health of individuals, families, and communities. It also
includes specific protection such as immunization for influenza.
◉ A patient experienced a myocardial infarction 4 weeks ago and is
currently participating in the daily cardiac rehabilitation sessions at
the local fitness center. In what level of prevention is the patient
participating?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention. Answer: C. Tertiary prevention
,Tertiary prevention involves minimizing the effects of long-term
disease or disability by interventions directed at preventing
complications and deterioration following the myocardial infarction.
Tertiary-prevention activities are directed at rehabilitation rather
than diagnosis and treatment. Care at this level aims to help patients
achieve as high a level of functioning as possible, despite the
limitations caused by illness or impairment. This level of care is
called preventive care because it involves preventing further
disability or reduced functioning.
◉ Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I
haven't done that since junior high gym class, and I hated it then!"
A. "That's fine. Exercise is bad for you anyway."
B. "OK. I want you to walk 3 miles 4 times a week, and I'll see you in
1 month."
C. "I understand. Can you think of one reason why being more active
would be helpful for you?"
D. "I'd like you to ride your bike 3 times this week and eat at least
four fruits and vegetables every day.". Answer: C. "I understand. Can
you think of one reason why being more active would be helpful for
you?"
The patient's response indicates that the patient is in the
precontemplation stage and does not intend to change his behavior
, in the next 6 months. In this stage the patient is not interested in
information about the behavior and may be defensive when
confronted with it. Asking an open-ended question may stimulate
the patient to identify a reason to begin a behavior change. Nurses
are challenged to motivate and facilitate change in health behavior
when working with individuals.
◉ A patient comes to the local health clinic and states: "I've noticed
how many people are out walking in my neighborhood. Is walking
good for you?" What is the best response to help the patient through
the stages of change for exercise?
A. "Walking is OK. I really think running is better."
B. "Yes, walking is great exercise. Do you think you could go for a 5-
minute walk next week?"
C. "Yes, I want you to begin walking. Walk for 30 minutes every day
and start to eat more fruits and vegetables."
D. "They probably aren't walking fast enough or far enough. You
need to spend at least 45 minutes if you are going to do any good.".
Answer: B. "Yes, walking is great exercise. Do you think you could go
for a 5-minute walk next week?"
The patient's response indicates that the patient is in the
contemplative state, possibly intending to make a behavior change
within the next 6 months. The nurse's statement reinforces the
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
◉ As an art nursing relies on knowledge gained from practice and
reflection on past experiences. As a science nursing relies on (select
all that apply):
A. Experimental research.
B. Nonexperimental research.
C. Research from other disciplines.
D. Professional opinions. Answer: A. Experimental research.
B. Nonexperimental research.
C. Research from other disciplines.
As a science, nursing relies on knowledge gained through research
from nursing and other disciplines and scientifically tested
knowledge applied in the practice setting.
◉ The nurse is participating at a health fair at the local mall giving
influenza vaccines to senior citizens. What level of prevention is the
nurse practicing?
,A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention. Answer: A. Primary prevention
Primary prevention is aimed at health promotion and includes
health-education programs, immunizations, and physical and
nutritional fitness activities. It can be provided to an individual and
includes activities that focus on maintaining or improving the
general health of individuals, families, and communities. It also
includes specific protection such as immunization for influenza.
◉ A patient experienced a myocardial infarction 4 weeks ago and is
currently participating in the daily cardiac rehabilitation sessions at
the local fitness center. In what level of prevention is the patient
participating?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention. Answer: C. Tertiary prevention
,Tertiary prevention involves minimizing the effects of long-term
disease or disability by interventions directed at preventing
complications and deterioration following the myocardial infarction.
Tertiary-prevention activities are directed at rehabilitation rather
than diagnosis and treatment. Care at this level aims to help patients
achieve as high a level of functioning as possible, despite the
limitations caused by illness or impairment. This level of care is
called preventive care because it involves preventing further
disability or reduced functioning.
◉ Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I
haven't done that since junior high gym class, and I hated it then!"
A. "That's fine. Exercise is bad for you anyway."
B. "OK. I want you to walk 3 miles 4 times a week, and I'll see you in
1 month."
C. "I understand. Can you think of one reason why being more active
would be helpful for you?"
D. "I'd like you to ride your bike 3 times this week and eat at least
four fruits and vegetables every day.". Answer: C. "I understand. Can
you think of one reason why being more active would be helpful for
you?"
The patient's response indicates that the patient is in the
precontemplation stage and does not intend to change his behavior
, in the next 6 months. In this stage the patient is not interested in
information about the behavior and may be defensive when
confronted with it. Asking an open-ended question may stimulate
the patient to identify a reason to begin a behavior change. Nurses
are challenged to motivate and facilitate change in health behavior
when working with individuals.
◉ A patient comes to the local health clinic and states: "I've noticed
how many people are out walking in my neighborhood. Is walking
good for you?" What is the best response to help the patient through
the stages of change for exercise?
A. "Walking is OK. I really think running is better."
B. "Yes, walking is great exercise. Do you think you could go for a 5-
minute walk next week?"
C. "Yes, I want you to begin walking. Walk for 30 minutes every day
and start to eat more fruits and vegetables."
D. "They probably aren't walking fast enough or far enough. You
need to spend at least 45 minutes if you are going to do any good.".
Answer: B. "Yes, walking is great exercise. Do you think you could go
for a 5-minute walk next week?"
The patient's response indicates that the patient is in the
contemplative state, possibly intending to make a behavior change
within the next 6 months. The nurse's statement reinforces the
