NR 222 | Health & Wellness | Comprehensive Review Practice
Questions, Answers & Rationales 2026/2027 |Chamberlain College
1. Which level of prevention focuses on health promotion and protection
against specific health problems?
A. Secondary Prevention
B. Tertiary Prevention
C. Primary Prevention
D. Quaternary Prevention
Answer: C
Rationale: Primary prevention precedes disease or dysfunction and is applied to patients
who are considered physically and emotionally healthy.
2. A nurse is providing a blood pressure screening at a local health fair. This is an
example of which level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Health Promotion
Answer: C
Rationale: Secondary prevention focuses on early diagnosis and prompt treatment, such as
screenings to detect diseases in early stages.
,3. Which level of prevention aims to minimize the effects of long-term disease
or disability through rehabilitation?
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Preventive Maintenance
Answer: A
Rationale: Tertiary prevention occurs when a defect or disability is permanent and
irreversible, focusing on rehabilitation and preventing further deterioration.
4. The Health Belief Model (HBM) addresses the relationship between a
person’s beliefs and their:
A. Past medical history
B. Behaviors regarding health
C. Socioeconomic status
D. Genetic predisposition
Answer: B
Rationale: The HBM provides a way of understanding and predicting how patients will
behave in relation to their health and how they will comply with health care therapies.
5. According to the Transtheoretical Model of Change, a patient who says, ‘I am
thinking about quitting smoking in the next six months’ is in which stage?
A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months.
, 6. What is the primary overarching goal of Healthy People 2030?
A. To reduce the cost of healthcare in the United States
B. To focus solely on infectious disease control
C. To mandate health insurance for all citizens
D. To eliminate health disparities and achieve health equity
Answer: D
Rationale: Healthy People 2030 aims to attain healthy, thriving lives and well-being free of
preventable disease, disability, injury, and premature death, while eliminating disparities.
7. Which of the following is considered an external variable influencing health
beliefs and practices?
A. Developmental stage
B. Cultural background
C. Intellectual background
D. Emotional factors
Answer: B
Rationale: External variables include family practices, socioeconomic factors, and cultural
background, whereas developmental and intellectual factors are internal.
8. A nurse is teaching a patient how to self-administer insulin. Which domain of
learning is being utilized?
A. Cognitive
B. Psychomotor
C. Affective
D. Behavioral
Answer: B
Rationale: The psychomotor domain involves acquiring motor skills that require
integration of mental and physical activity, such as self-injection.
Questions, Answers & Rationales 2026/2027 |Chamberlain College
1. Which level of prevention focuses on health promotion and protection
against specific health problems?
A. Secondary Prevention
B. Tertiary Prevention
C. Primary Prevention
D. Quaternary Prevention
Answer: C
Rationale: Primary prevention precedes disease or dysfunction and is applied to patients
who are considered physically and emotionally healthy.
2. A nurse is providing a blood pressure screening at a local health fair. This is an
example of which level of prevention?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Health Promotion
Answer: C
Rationale: Secondary prevention focuses on early diagnosis and prompt treatment, such as
screenings to detect diseases in early stages.
,3. Which level of prevention aims to minimize the effects of long-term disease
or disability through rehabilitation?
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Preventive Maintenance
Answer: A
Rationale: Tertiary prevention occurs when a defect or disability is permanent and
irreversible, focusing on rehabilitation and preventing further deterioration.
4. The Health Belief Model (HBM) addresses the relationship between a
person’s beliefs and their:
A. Past medical history
B. Behaviors regarding health
C. Socioeconomic status
D. Genetic predisposition
Answer: B
Rationale: The HBM provides a way of understanding and predicting how patients will
behave in relation to their health and how they will comply with health care therapies.
5. According to the Transtheoretical Model of Change, a patient who says, ‘I am
thinking about quitting smoking in the next six months’ is in which stage?
A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action
Answer: B
Rationale: In the contemplation stage, the individual is considering a change within the
next 6 months.
, 6. What is the primary overarching goal of Healthy People 2030?
A. To reduce the cost of healthcare in the United States
B. To focus solely on infectious disease control
C. To mandate health insurance for all citizens
D. To eliminate health disparities and achieve health equity
Answer: D
Rationale: Healthy People 2030 aims to attain healthy, thriving lives and well-being free of
preventable disease, disability, injury, and premature death, while eliminating disparities.
7. Which of the following is considered an external variable influencing health
beliefs and practices?
A. Developmental stage
B. Cultural background
C. Intellectual background
D. Emotional factors
Answer: B
Rationale: External variables include family practices, socioeconomic factors, and cultural
background, whereas developmental and intellectual factors are internal.
8. A nurse is teaching a patient how to self-administer insulin. Which domain of
learning is being utilized?
A. Cognitive
B. Psychomotor
C. Affective
D. Behavioral
Answer: B
Rationale: The psychomotor domain involves acquiring motor skills that require
integration of mental and physical activity, such as self-injection.
