Page 1 of 53
NR 222 HEALTH AND WELLNESS FINAL
ACTUAL COMPREHENSIVE EXAM 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY A
GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. A nurse is providing education to a community group about healthy
eating. Which level of prevention is this activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Rationale: Primary prevention aims to prevent disease before it occurs
through health education, immunizations, and lifestyle modifications.
This activity promotes healthy eating to prevent obesity and related
diseases.
2. A patient with diabetes is learning how to monitor blood glucose
levels and adjust insulin accordingly. This is an example of which level
of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Tertiary prevention focuses on managing established
disease, preventing complications, and improving quality of life.
,Page 2 of 53
Diabetes self-management education reduces complications and
hospitalizations.
3. According to the World Health Organization (WHO), health is
defined as:
A) Absence of disease or infirmity
B) A state of complete physical, mental, and social well-being, not
merely the absence of disease or infirmity
C) The ability to perform activities of daily living
D) Freedom from pain and suffering
Rationale: The WHO definition (1948) is holistic, recognizing that
health encompasses physical, mental, and social dimensions, not
merely the absence of disease.
4. A nurse is assessing a patient's readiness to quit smoking. The patient
states, "I know I should quit, but I'm not ready to think about it yet."
According to the Transtheoretical Model (Stages of Change), this patient
is in which stage?
A) Contemplation
B) Precontemplation
C) Preparation
D) Action
Rationale: Precontemplation is characterized by not intending to take
action within the next 6 months and often being unaware of the need
to change. Contemplation involves thinking about change but not yet
committed.
5. A patient newly diagnosed with hypertension asks the nurse, "Why do
I need to take medication if I feel fine?" The nurse explains that
hypertension is often asymptomatic but can lead to serious
complications. This teaching addresses which component of the Health
Belief Model?
A) Perceived susceptibility
,Page 3 of 53
B) Perceived severity
C) Perceived benefits
D) Cues to action
Rationale: Perceived severity is the belief about the seriousness of a
condition and its potential consequences. Explaining complications
increases perceived severity, motivating adherence.
6. A nurse is teaching a patient about the importance of annual
mammograms for early detection of breast cancer. This is an example of
which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Secondary prevention focuses on early detection and
screening to identify disease at an early, treatable stage. Mammograms
are a screening tool for breast cancer.
7. A patient with a family history of heart disease decides to start
exercising 30 minutes daily after attending a health fair. The health fair
served as which component of the Health Belief Model?
A) Perceived susceptibility
B) Perceived barriers
C) Cues to action
D) Self-efficacy
Rationale: Cues to action are external triggers that prompt health
behavior change. The health fair provided information and motivation
that led the patient to act.
8. According to Maslow's hierarchy of needs, which need must be met
before a patient will be motivated to learn about diabetes self-
management?
A) Self-esteem
, Page 4 of 53
B) Love and belonging
C) Safety and security
D) Physiological needs (air, water, food, elimination)
Rationale: Maslow's hierarchy places physiological needs at the base.
A patient who is in pain, hungry, or short of breath will not be ready to
learn. The nurse must address basic needs before teaching.
9. A nurse is planning a community flu vaccination clinic. This activity
represents which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health restoration
Rationale: Vaccination prevents disease before it occurs, making it
primary prevention. It is a classic example of health protection.
10. A patient with osteoarthritis attends a water aerobics class to
maintain joint mobility. This is best described as:
A) Illness prevention
B) Health promotion
C) Health protection
D) Tertiary prevention
Rationale: Health promotion includes activities that improve health
and well-being, such as exercise. While also tertiary prevention
(managing existing condition), the focus here is on enhancing
function and quality of life.
11. A nurse is using motivational interviewing to help a patient who is
ambivalent about losing weight. Which statement reflects the spirit of
motivational interviewing?
A) "You need to lose weight or you will have a heart attack."
B) "Tell me about your concerns regarding changing your eating
habits."
NR 222 HEALTH AND WELLNESS FINAL
ACTUAL COMPREHENSIVE EXAM 2026 ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY A
GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. A nurse is providing education to a community group about healthy
eating. Which level of prevention is this activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Rationale: Primary prevention aims to prevent disease before it occurs
through health education, immunizations, and lifestyle modifications.
This activity promotes healthy eating to prevent obesity and related
diseases.
2. A patient with diabetes is learning how to monitor blood glucose
levels and adjust insulin accordingly. This is an example of which level
of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Tertiary prevention focuses on managing established
disease, preventing complications, and improving quality of life.
,Page 2 of 53
Diabetes self-management education reduces complications and
hospitalizations.
3. According to the World Health Organization (WHO), health is
defined as:
A) Absence of disease or infirmity
B) A state of complete physical, mental, and social well-being, not
merely the absence of disease or infirmity
C) The ability to perform activities of daily living
D) Freedom from pain and suffering
Rationale: The WHO definition (1948) is holistic, recognizing that
health encompasses physical, mental, and social dimensions, not
merely the absence of disease.
4. A nurse is assessing a patient's readiness to quit smoking. The patient
states, "I know I should quit, but I'm not ready to think about it yet."
According to the Transtheoretical Model (Stages of Change), this patient
is in which stage?
A) Contemplation
B) Precontemplation
C) Preparation
D) Action
Rationale: Precontemplation is characterized by not intending to take
action within the next 6 months and often being unaware of the need
to change. Contemplation involves thinking about change but not yet
committed.
5. A patient newly diagnosed with hypertension asks the nurse, "Why do
I need to take medication if I feel fine?" The nurse explains that
hypertension is often asymptomatic but can lead to serious
complications. This teaching addresses which component of the Health
Belief Model?
A) Perceived susceptibility
,Page 3 of 53
B) Perceived severity
C) Perceived benefits
D) Cues to action
Rationale: Perceived severity is the belief about the seriousness of a
condition and its potential consequences. Explaining complications
increases perceived severity, motivating adherence.
6. A nurse is teaching a patient about the importance of annual
mammograms for early detection of breast cancer. This is an example of
which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Secondary prevention focuses on early detection and
screening to identify disease at an early, treatable stage. Mammograms
are a screening tool for breast cancer.
7. A patient with a family history of heart disease decides to start
exercising 30 minutes daily after attending a health fair. The health fair
served as which component of the Health Belief Model?
A) Perceived susceptibility
B) Perceived barriers
C) Cues to action
D) Self-efficacy
Rationale: Cues to action are external triggers that prompt health
behavior change. The health fair provided information and motivation
that led the patient to act.
8. According to Maslow's hierarchy of needs, which need must be met
before a patient will be motivated to learn about diabetes self-
management?
A) Self-esteem
, Page 4 of 53
B) Love and belonging
C) Safety and security
D) Physiological needs (air, water, food, elimination)
Rationale: Maslow's hierarchy places physiological needs at the base.
A patient who is in pain, hungry, or short of breath will not be ready to
learn. The nurse must address basic needs before teaching.
9. A nurse is planning a community flu vaccination clinic. This activity
represents which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health restoration
Rationale: Vaccination prevents disease before it occurs, making it
primary prevention. It is a classic example of health protection.
10. A patient with osteoarthritis attends a water aerobics class to
maintain joint mobility. This is best described as:
A) Illness prevention
B) Health promotion
C) Health protection
D) Tertiary prevention
Rationale: Health promotion includes activities that improve health
and well-being, such as exercise. While also tertiary prevention
(managing existing condition), the focus here is on enhancing
function and quality of life.
11. A nurse is using motivational interviewing to help a patient who is
ambivalent about losing weight. Which statement reflects the spirit of
motivational interviewing?
A) "You need to lose weight or you will have a heart attack."
B) "Tell me about your concerns regarding changing your eating
habits."
