Health Promotion and Wellness and NR 222
Comprehensive Practice Exam Questions and Correct
Answers – Updated 2026 (Graded A+) instant
download pdf
Subject: NR 222 Health & Wellness
Subtopic: Health Promotion, Wellness, and Prevention
Question 1:
A nurse is assessing a client's overall well-being. Which statement best reflects the concept
of wellness?
A) The absence of disease or illness
B) A dynamic process of achieving one's highest level of functioning
C) Freedom from chronic conditions
D) The ability to perform activities of daily living independently
Correct Answer: B - A dynamic process of achieving one's highest level of functioning
Rationale: Wellness is a dynamic, multidimensional process involving physical, emotional,
social, intellectual, and spiritual well-being. It extends beyond the absence of disease.
Options A, C, and D represent narrower aspects of health and do not encompass the broader
concept of wellness.
Question 2:
A nurse provides influenza vaccinations at a community clinic. This intervention is an
example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Restorative care
Correct Answer: A - Primary prevention
Rationale: Primary prevention aims to prevent disease before it occurs. Immunizations are
classic examples. Secondary prevention focuses on early detection, while tertiary prevention
minimizes complications of existing disease.
,Question 3:
Which activity represents secondary prevention?
A) Smoking cessation counseling
B) Administration of childhood vaccines
C) Mammography screening
D) Rehabilitation after stroke
Correct Answer: C - Mammography screening
Rationale: Secondary prevention focuses on early detection and prompt intervention.
Mammograms identify breast cancer before symptoms appear. Vaccinations and lifestyle
counseling are primary prevention, while rehabilitation is tertiary prevention.
Question 4:
A nurse teaches a patient with heart failure how to monitor daily weight and reduce sodium
intake. This is an example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Community prevention
Correct Answer: C - Tertiary prevention
Rationale: Tertiary prevention seeks to reduce complications and improve quality of life after
a disease has been diagnosed. Managing heart failure symptoms helps prevent worsening
disease and hospitalization.
Question 5:
According to Pender's Health Promotion Model, which factor most strongly influences future
health behaviors?
A) Genetic inheritance only
B) Previous related behavior and personal experiences
C) Age alone
D) Healthcare provider recommendations only
Correct Answer: B - Previous related behavior and personal experiences
,Rationale: Pender's model emphasizes that prior behaviors and experiences significantly
influence future health choices. Individuals often repeat behaviors that previously produced
positive outcomes.
Question 6:
A client states, "I know I should exercise, but I'm not planning to start anytime soon."
According to the Transtheoretical Model, the client is in which stage?
A) Preparation
B) Action
C) Contemplation
D) Precontemplation
Correct Answer: D - Precontemplation
Rationale: In precontemplation, individuals are not intending to take action in the
foreseeable future. They may recognize health risks but are not ready to change behavior.
Question 7:
Which statement indicates that a client is in the preparation stage of behavior change?
A) "I don't think my smoking is a problem."
B) "I've started exercising regularly."
C) "I plan to quit smoking next month."
D) "I've maintained my exercise routine for over a year."
Correct Answer: C - "I plan to quit smoking next month."
Rationale: Individuals in the preparation stage intend to take action soon and often begin
making small plans. Action and maintenance occur after behavior change has begun.
Question 8:
Which factor is considered a nonmodifiable risk factor?
A) Smoking
B) Diet
C) Physical inactivity
D) Age
Correct Answer: D - Age
, Rationale: Age cannot be changed and is considered a nonmodifiable risk factor. Smoking,
diet, and activity levels are modifiable through lifestyle changes.
Question 9:
A nurse is teaching about Healthy People initiatives. The primary purpose of Healthy People
is to:
A) Establish hospital accreditation standards
B) Improve national health outcomes through measurable objectives
C) Regulate nursing licensure requirements
D) Develop pharmaceutical guidelines
Correct Answer: B - Improve national health outcomes through measurable objectives
Rationale: Healthy People provides science-based national objectives aimed at improving
population health and reducing health disparities.
Question 10:
Which client demonstrates the highest level of health literacy?
A) Reads instructions but cannot explain them
B) Relies solely on family members for medication management
C) Correctly explains medication instructions using their own words
D) Avoids asking questions during education sessions
Correct Answer: C - Correctly explains medication instructions using their own words
Rationale: The ability to understand and accurately explain health information demonstrates
adequate health literacy and comprehension.
Subtopic: Communication and Patient Education
Question 11:
Which nursing response demonstrates therapeutic communication?
A) "You shouldn't feel that way."
B) "Everything will be fine."
C) "Tell me more about what concerns you."
D) "I know exactly how you feel."
Comprehensive Practice Exam Questions and Correct
Answers – Updated 2026 (Graded A+) instant
download pdf
Subject: NR 222 Health & Wellness
Subtopic: Health Promotion, Wellness, and Prevention
Question 1:
A nurse is assessing a client's overall well-being. Which statement best reflects the concept
of wellness?
A) The absence of disease or illness
B) A dynamic process of achieving one's highest level of functioning
C) Freedom from chronic conditions
D) The ability to perform activities of daily living independently
Correct Answer: B - A dynamic process of achieving one's highest level of functioning
Rationale: Wellness is a dynamic, multidimensional process involving physical, emotional,
social, intellectual, and spiritual well-being. It extends beyond the absence of disease.
Options A, C, and D represent narrower aspects of health and do not encompass the broader
concept of wellness.
Question 2:
A nurse provides influenza vaccinations at a community clinic. This intervention is an
example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Restorative care
Correct Answer: A - Primary prevention
Rationale: Primary prevention aims to prevent disease before it occurs. Immunizations are
classic examples. Secondary prevention focuses on early detection, while tertiary prevention
minimizes complications of existing disease.
,Question 3:
Which activity represents secondary prevention?
A) Smoking cessation counseling
B) Administration of childhood vaccines
C) Mammography screening
D) Rehabilitation after stroke
Correct Answer: C - Mammography screening
Rationale: Secondary prevention focuses on early detection and prompt intervention.
Mammograms identify breast cancer before symptoms appear. Vaccinations and lifestyle
counseling are primary prevention, while rehabilitation is tertiary prevention.
Question 4:
A nurse teaches a patient with heart failure how to monitor daily weight and reduce sodium
intake. This is an example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Community prevention
Correct Answer: C - Tertiary prevention
Rationale: Tertiary prevention seeks to reduce complications and improve quality of life after
a disease has been diagnosed. Managing heart failure symptoms helps prevent worsening
disease and hospitalization.
Question 5:
According to Pender's Health Promotion Model, which factor most strongly influences future
health behaviors?
A) Genetic inheritance only
B) Previous related behavior and personal experiences
C) Age alone
D) Healthcare provider recommendations only
Correct Answer: B - Previous related behavior and personal experiences
,Rationale: Pender's model emphasizes that prior behaviors and experiences significantly
influence future health choices. Individuals often repeat behaviors that previously produced
positive outcomes.
Question 6:
A client states, "I know I should exercise, but I'm not planning to start anytime soon."
According to the Transtheoretical Model, the client is in which stage?
A) Preparation
B) Action
C) Contemplation
D) Precontemplation
Correct Answer: D - Precontemplation
Rationale: In precontemplation, individuals are not intending to take action in the
foreseeable future. They may recognize health risks but are not ready to change behavior.
Question 7:
Which statement indicates that a client is in the preparation stage of behavior change?
A) "I don't think my smoking is a problem."
B) "I've started exercising regularly."
C) "I plan to quit smoking next month."
D) "I've maintained my exercise routine for over a year."
Correct Answer: C - "I plan to quit smoking next month."
Rationale: Individuals in the preparation stage intend to take action soon and often begin
making small plans. Action and maintenance occur after behavior change has begun.
Question 8:
Which factor is considered a nonmodifiable risk factor?
A) Smoking
B) Diet
C) Physical inactivity
D) Age
Correct Answer: D - Age
, Rationale: Age cannot be changed and is considered a nonmodifiable risk factor. Smoking,
diet, and activity levels are modifiable through lifestyle changes.
Question 9:
A nurse is teaching about Healthy People initiatives. The primary purpose of Healthy People
is to:
A) Establish hospital accreditation standards
B) Improve national health outcomes through measurable objectives
C) Regulate nursing licensure requirements
D) Develop pharmaceutical guidelines
Correct Answer: B - Improve national health outcomes through measurable objectives
Rationale: Healthy People provides science-based national objectives aimed at improving
population health and reducing health disparities.
Question 10:
Which client demonstrates the highest level of health literacy?
A) Reads instructions but cannot explain them
B) Relies solely on family members for medication management
C) Correctly explains medication instructions using their own words
D) Avoids asking questions during education sessions
Correct Answer: C - Correctly explains medication instructions using their own words
Rationale: The ability to understand and accurately explain health information demonstrates
adequate health literacy and comprehension.
Subtopic: Communication and Patient Education
Question 11:
Which nursing response demonstrates therapeutic communication?
A) "You shouldn't feel that way."
B) "Everything will be fine."
C) "Tell me more about what concerns you."
D) "I know exactly how you feel."
