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CMN 571 UNIT 1 EXAM SCRIPT 2026 PREVENTIVE
HEALTHCARE & SCREENING WITH VERIFIED ANSWERS
DETAILED RATIONALES GRADED A+
CMN 571 Unit 1 Exam Script 2026 Preventive Healthcare & Screening
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION FOUNDATIONS (Questions 1–25)
1. A nurse practitioner is developing a plan to reduce the incidence of type 2 diabetes in a
high-risk community. Which level of prevention does this represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Answer: A) Primary prevention
Rationale: Primary prevention aims to prevent disease or injury before it occurs by reducing risk
factors. Community-wide efforts to prevent diabetes (e.g., lifestyle education, diet, and exercise
programs) are primary prevention.
2. Which of the following is an example of secondary prevention?
A) Administering childhood immunizations
B) Screening for hypertension in adults
C) Providing cardiac rehabilitation after a myocardial infarction
D) Counseling on smoking cessation
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Answer: B) Screening for hypertension in adults
Rationale: Secondary prevention involves early detection and prompt treatment of disease.
Screening for hypertension identifies the condition in its asymptomatic stage, allowing early
intervention. Immunizations and smoking cessation are primary prevention; cardiac rehab is
tertiary.
3. A patient with chronic obstructive pulmonary disease (COPD) participates in a pulmonary
rehabilitation program. This is an example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health protection
Answer: C) Tertiary prevention
Rationale: Tertiary prevention focuses on limiting disability and rehabilitating individuals with
an established disease. Pulmonary rehabilitation aims to improve quality of life and functional
capacity in patients with COPD.
4. The natural history of disease refers to:
A) The period between exposure and onset of symptoms
B) The progression of a disease over time without intervention
C) The recovery phase after treatment
D) The incubation period only
Answer: B) The progression of a disease over time without intervention
Rationale: The natural history of disease describes the course of a disease from its earliest stage
(pre-pathogenesis) through pathogenesis, clinical disease, and resolution (recovery, disability, or
death) without medical intervention.
5. Which of the following best describes the FNP's role in population health?
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A) Providing individual-level care only
B) Addressing social determinants of health and promoting health equity
C) Focusing exclusively on disease treatment
D) Limiting practice to hospital settings
Answer: B) Addressing social determinants of health and promoting health equity
Rationale: The FNP's role in population health includes addressing social determinants of health
(e.g., income, education, environment) and promoting health equity across diverse populations.
6. Which of the following is a modifiable risk factor for cardiovascular disease?
A) Family history of premature CAD
B) Age over 65 years
C) Tobacco use
D) Male gender
Answer: C) Tobacco use
Rationale: Tobacco use is a modifiable risk factor for cardiovascular disease. Family history, age,
and male gender are non-modifiable risk factors.
7. The term "herd immunity" refers to:
A) Immunity acquired through vaccination of an individual
B) Indirect protection of unvaccinated individuals when a high proportion of the population is
immune
C) Natural immunity acquired through infection
D) Passive immunity transferred from mother to infant
Answer: B) Indirect protection of unvaccinated individuals when a high proportion of the
population is immune
Rationale: Herd immunity occurs when a sufficient proportion of the population is immune to
an infectious disease, providing indirect protection to those who are not immune.
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8. Which of the following is a goal of the Medicare Annual Wellness Visit?
A) Diagnosing acute illnesses
B) Developing a personalized prevention plan
C) Performing a comprehensive physical examination
D) Prescribing medications for chronic conditions
Answer: B) Developing a personalized prevention plan
Rationale: The Medicare Annual Wellness Visit focuses on developing or updating a
personalized prevention plan, including a health risk assessment, cognitive assessment, and
screening schedule.
9. Which of the following is an example of a social determinant of health?
A) Blood pressure reading
B) Genetic predisposition
C) Food insecurity
D) Body mass index
Answer: C) Food insecurity
Rationale: Social determinants of health include conditions in which people are born, grow, live,
work, and age. Food insecurity is a social determinant that significantly impacts health
outcomes.
10. A nurse practitioner is implementing a community program to improve vaccination rates.
Which of the following strategies is most effective?
A) Providing vaccines only at a single clinic location
B) Offering vaccines at multiple community sites and at convenient times
C) Requiring appointments for all vaccinations
D) Limiting vaccines to insured patients only
Answer: B) Offering vaccines at multiple community sites and at convenient times
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CMN 571 UNIT 1 EXAM SCRIPT 2026 PREVENTIVE
HEALTHCARE & SCREENING WITH VERIFIED ANSWERS
DETAILED RATIONALES GRADED A+
CMN 571 Unit 1 Exam Script 2026 Preventive Healthcare & Screening
SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION FOUNDATIONS (Questions 1–25)
1. A nurse practitioner is developing a plan to reduce the incidence of type 2 diabetes in a
high-risk community. Which level of prevention does this represent?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Answer: A) Primary prevention
Rationale: Primary prevention aims to prevent disease or injury before it occurs by reducing risk
factors. Community-wide efforts to prevent diabetes (e.g., lifestyle education, diet, and exercise
programs) are primary prevention.
2. Which of the following is an example of secondary prevention?
A) Administering childhood immunizations
B) Screening for hypertension in adults
C) Providing cardiac rehabilitation after a myocardial infarction
D) Counseling on smoking cessation
1|Page
,Page 2 of 88
Answer: B) Screening for hypertension in adults
Rationale: Secondary prevention involves early detection and prompt treatment of disease.
Screening for hypertension identifies the condition in its asymptomatic stage, allowing early
intervention. Immunizations and smoking cessation are primary prevention; cardiac rehab is
tertiary.
3. A patient with chronic obstructive pulmonary disease (COPD) participates in a pulmonary
rehabilitation program. This is an example of:
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health protection
Answer: C) Tertiary prevention
Rationale: Tertiary prevention focuses on limiting disability and rehabilitating individuals with
an established disease. Pulmonary rehabilitation aims to improve quality of life and functional
capacity in patients with COPD.
4. The natural history of disease refers to:
A) The period between exposure and onset of symptoms
B) The progression of a disease over time without intervention
C) The recovery phase after treatment
D) The incubation period only
Answer: B) The progression of a disease over time without intervention
Rationale: The natural history of disease describes the course of a disease from its earliest stage
(pre-pathogenesis) through pathogenesis, clinical disease, and resolution (recovery, disability, or
death) without medical intervention.
5. Which of the following best describes the FNP's role in population health?
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A) Providing individual-level care only
B) Addressing social determinants of health and promoting health equity
C) Focusing exclusively on disease treatment
D) Limiting practice to hospital settings
Answer: B) Addressing social determinants of health and promoting health equity
Rationale: The FNP's role in population health includes addressing social determinants of health
(e.g., income, education, environment) and promoting health equity across diverse populations.
6. Which of the following is a modifiable risk factor for cardiovascular disease?
A) Family history of premature CAD
B) Age over 65 years
C) Tobacco use
D) Male gender
Answer: C) Tobacco use
Rationale: Tobacco use is a modifiable risk factor for cardiovascular disease. Family history, age,
and male gender are non-modifiable risk factors.
7. The term "herd immunity" refers to:
A) Immunity acquired through vaccination of an individual
B) Indirect protection of unvaccinated individuals when a high proportion of the population is
immune
C) Natural immunity acquired through infection
D) Passive immunity transferred from mother to infant
Answer: B) Indirect protection of unvaccinated individuals when a high proportion of the
population is immune
Rationale: Herd immunity occurs when a sufficient proportion of the population is immune to
an infectious disease, providing indirect protection to those who are not immune.
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, Page 4 of 88
8. Which of the following is a goal of the Medicare Annual Wellness Visit?
A) Diagnosing acute illnesses
B) Developing a personalized prevention plan
C) Performing a comprehensive physical examination
D) Prescribing medications for chronic conditions
Answer: B) Developing a personalized prevention plan
Rationale: The Medicare Annual Wellness Visit focuses on developing or updating a
personalized prevention plan, including a health risk assessment, cognitive assessment, and
screening schedule.
9. Which of the following is an example of a social determinant of health?
A) Blood pressure reading
B) Genetic predisposition
C) Food insecurity
D) Body mass index
Answer: C) Food insecurity
Rationale: Social determinants of health include conditions in which people are born, grow, live,
work, and age. Food insecurity is a social determinant that significantly impacts health
outcomes.
10. A nurse practitioner is implementing a community program to improve vaccination rates.
Which of the following strategies is most effective?
A) Providing vaccines only at a single clinic location
B) Offering vaccines at multiple community sites and at convenient times
C) Requiring appointments for all vaccinations
D) Limiting vaccines to insured patients only
Answer: B) Offering vaccines at multiple community sites and at convenient times
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