Nursing Fundamental Concepts
Questions and Verified Answers
Correct Grade A - Herzing
1. 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
Correct Answer A
Explanation: Immunizations are an example of primary prevention
aimed at preventing disease before it occurs.
2. 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
,Correct Answer C
Explanation: Cardiac rehabilitation aims to help the patient recover and
prevent further disability, which is tertiary prevention.
3. 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."
Correct Answer C
Explanation: The patient is in precontemplation stage, not ready to
change. An open-ended question helps motivate awareness.
4. 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."
Correct Answer B
Explanation: The patient appears in contemplation stage; the response
affirms the value of walking and sets a realistic goal.
5. A male patient has been laid off from his construction job and has
many unpaid bills. He is going through a divorce and has been seeing
his pastor for support. He has never been sick and has no primary care
provider. Which external variables influence his health practices?
(Select all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as support
C) Family practice of not routinely seeing a healthcare provider
D) Stress from divorce and job loss
Correct Answers: A, B, C, D
Explanation: External factors include economic status, social support,
and family health behaviors.
6. The nurse is conducting a home visit with an older adult couple. She
observes poor lighting, throw rugs, and a low footstool. She discusses
removing rugs and improving lighting. The nurse is addressing which
level of need according to Maslow?
A) Physiological
B) Safety and security
C) Love and belonging
D) Self-actualization
, Correct Answer B
Explanation: Addressing hazards to prevent falls relates to safety needs.
7. When taking care of patients, the nurse routinely asks about
vitamins or herbal medications, plays relaxing music, and prays with
patients if appropriate. Which model is the nurse practicing?
A) Holistic
B) Health belief
C) Transtheoretical
D) Health promotion
Correct Answer A
Explanation: The holistic model considers physical, emotional, spiritual,
and social dimensions.
8. When illness occurs, different attitudes cause people to react
differently. What do medical sociologists call this reaction?
A) Health belief
B) Illness behavior
C) Health promotion
D) Illness prevention
Correct Answer B
Explanation: Illness behavior involves how individuals perceive and
respond to symptoms.