EXAM 2: NR222/NR 222 HEALTH AND
WELLNESS, (LATEST 2026/2027 UPDATE)
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING
PART 1: QUESTIONS 1–50
1. A nurse is using Healthy People 2030 to establish goals for the community. Which goal is
the priority?
A. Reduce hospital readmissions
B. Increase life expectancy
C. Improve hospital technology
D. Increase access to specialty care
✅ Correct Answer: B. Increase life expectancy
Rationale: Healthy People 2030 focuses on improving overall population health outcomes. Increasing life
expectancy reflects improvements in disease prevention, health promotion, and access to care. While access
and technology are important, they are means to the overarching goal of longer, healthier lives.
2. A nurse is providing screening at a health fair. Which finding indicates the person may
be a vulnerable patient most likely to develop health problems?
A. A person with adequate insurance
B. A person who exercises daily
C. A person with excessive risk factors
D. A person with regular provider visits
✅ Correct Answer: C. A person with excessive risk factors
Rationale: Vulnerability is associated with increased exposure to health risks such as poverty, chronic
illness, poor nutrition, or lack of access to care. Individuals with multiple risk factors are more likely to
experience health disparities and negative outcomes.
,3. A student asks why not all poor individuals are considered part of vulnerable
populations. How should the nurse respond?
A. Poverty always leads to vulnerability
B. Vulnerable groups are defined only by income
C. Members of vulnerable groups often have multiple risk factors
D. Vulnerability is determined by age only
✅ Correct Answer: C. Members of vulnerable groups often have multiple risk factors
Rationale: Poverty alone does not define vulnerability. Vulnerable populations typically experience a
combination of risks such as limited education, poor housing, discrimination, and limited access to
healthcare, which together increase negative health outcomes.
4. A nurse makes a home visit to a Korean mother whose spouse presses areas of the hand
and arm to relieve a headache. What is the nurse’s next action?
A. Stop the procedure immediately
B. Teach Western pain management techniques
C. Ask the mother or spouse to explain the procedure
D. Document the behavior as unsafe
✅ Correct Answer: C. Ask the mother or spouse to explain the procedure
Rationale: This action demonstrates cultural competence. The nurse should seek understanding before
making judgments. Many cultures use traditional healing practices that are safe and meaningful to the
patient.
5. Before discharge of a patient with early-stage Alzheimer’s disease, what is the major
focus of the community-based nurse’s home visit?
A. Assessing medication compliance
B. Demonstrating techniques for providing care
C. Evaluating home safety modifications
D. Reviewing legal documentation
✅ Correct Answer: B. Demonstrating techniques for providing care
Rationale: Family education is critical early in Alzheimer’s disease. Teaching caregivers proper techniques
promotes patient safety, delays institutionalization, and reduces caregiver stress.
,6. A community-based nurse works with families. Which areas require strong knowledge?
A. Pharmacology and diagnostics
B. Family theory, communication, group dynamics, cultural diversity
C. Advanced pathophysiology
D. Acute care interventions
✅ Correct Answer: B
Rationale: Community and family nursing require understanding family systems, effective communication,
group interactions, and cultural influences. These areas allow nurses to provide holistic and culturally
appropriate care.
7. Which activity demonstrates the nurse’s role as an educator in the community?
A. Performing home wound care
B. Conducting prenatal classes and child safety programs
C. Administering vaccines
D. Case management
✅ Correct Answer: B
Rationale: Education-focused activities empower individuals and communities to improve health outcomes.
Prenatal education and safety programs promote prevention and long-term wellness.
8. A nurse cares for vulnerable populations. Which patients qualify? (Select all that apply)
A. 47-year-old immigrant who speaks only Spanish
B. 40-year-old client with schizophrenia
C. 15-year-old rape victim
D. 30-year-old healthy adult
✅ Correct Answers: A, B, C
Rationale: Vulnerable populations experience increased risk due to factors such as language barriers, mental
illness, trauma, or age. These groups often face healthcare disparities requiring advocacy.
9. What is the fastest-growing racial/ethnic group in the U.S. by 2060?
A. Hispanic
B. Asian
, C. African American
D. Multiracial
✅ Correct Answer: D. Multiracial
Rationale: Census data projects multiracial populations as the fastest-growing group due to increasing
diversity and interracial families, impacting healthcare delivery and cultural competence needs.
10. When caring for a low-income immigrant, which factor should the nurse consider?
A. Lower disease incidence
B. Increased disease incidence
C. Higher access to care
D. Improved preventive services
✅ Correct Answer: B. Increased disease incidence
Rationale: Immigrants with low income often face barriers such as limited access to care, language
difficulties, and lack of preventive services, increasing disease prevalence.
11. A nurse monitors healthcare disparities. Which area is being assessed?
A. Provider satisfaction
B. Accessibility of healthcare services
C. Medical technology advancement
D. Hospital staffing ratios
✅ Correct Answer: B
Rationale: Health disparities are linked to unequal access, quality, and availability of healthcare services.
Monitoring access identifies gaps affecting vulnerable populations.
12. Which action demonstrates cultural competence?
A. Treating all patients the same
B. Providing care based only on evidence
C. Effectively meeting multifaceted healthcare needs
D. Avoiding cultural discussions
✅ Correct Answer: C
WELLNESS, (LATEST 2026/2027 UPDATE)
WITH CORRECT/ACCURATE ANSWERS
AT CHAMBERLAIN UNIVERSITY COLLEGE
OF NURSING
PART 1: QUESTIONS 1–50
1. A nurse is using Healthy People 2030 to establish goals for the community. Which goal is
the priority?
A. Reduce hospital readmissions
B. Increase life expectancy
C. Improve hospital technology
D. Increase access to specialty care
✅ Correct Answer: B. Increase life expectancy
Rationale: Healthy People 2030 focuses on improving overall population health outcomes. Increasing life
expectancy reflects improvements in disease prevention, health promotion, and access to care. While access
and technology are important, they are means to the overarching goal of longer, healthier lives.
2. A nurse is providing screening at a health fair. Which finding indicates the person may
be a vulnerable patient most likely to develop health problems?
A. A person with adequate insurance
B. A person who exercises daily
C. A person with excessive risk factors
D. A person with regular provider visits
✅ Correct Answer: C. A person with excessive risk factors
Rationale: Vulnerability is associated with increased exposure to health risks such as poverty, chronic
illness, poor nutrition, or lack of access to care. Individuals with multiple risk factors are more likely to
experience health disparities and negative outcomes.
,3. A student asks why not all poor individuals are considered part of vulnerable
populations. How should the nurse respond?
A. Poverty always leads to vulnerability
B. Vulnerable groups are defined only by income
C. Members of vulnerable groups often have multiple risk factors
D. Vulnerability is determined by age only
✅ Correct Answer: C. Members of vulnerable groups often have multiple risk factors
Rationale: Poverty alone does not define vulnerability. Vulnerable populations typically experience a
combination of risks such as limited education, poor housing, discrimination, and limited access to
healthcare, which together increase negative health outcomes.
4. A nurse makes a home visit to a Korean mother whose spouse presses areas of the hand
and arm to relieve a headache. What is the nurse’s next action?
A. Stop the procedure immediately
B. Teach Western pain management techniques
C. Ask the mother or spouse to explain the procedure
D. Document the behavior as unsafe
✅ Correct Answer: C. Ask the mother or spouse to explain the procedure
Rationale: This action demonstrates cultural competence. The nurse should seek understanding before
making judgments. Many cultures use traditional healing practices that are safe and meaningful to the
patient.
5. Before discharge of a patient with early-stage Alzheimer’s disease, what is the major
focus of the community-based nurse’s home visit?
A. Assessing medication compliance
B. Demonstrating techniques for providing care
C. Evaluating home safety modifications
D. Reviewing legal documentation
✅ Correct Answer: B. Demonstrating techniques for providing care
Rationale: Family education is critical early in Alzheimer’s disease. Teaching caregivers proper techniques
promotes patient safety, delays institutionalization, and reduces caregiver stress.
,6. A community-based nurse works with families. Which areas require strong knowledge?
A. Pharmacology and diagnostics
B. Family theory, communication, group dynamics, cultural diversity
C. Advanced pathophysiology
D. Acute care interventions
✅ Correct Answer: B
Rationale: Community and family nursing require understanding family systems, effective communication,
group interactions, and cultural influences. These areas allow nurses to provide holistic and culturally
appropriate care.
7. Which activity demonstrates the nurse’s role as an educator in the community?
A. Performing home wound care
B. Conducting prenatal classes and child safety programs
C. Administering vaccines
D. Case management
✅ Correct Answer: B
Rationale: Education-focused activities empower individuals and communities to improve health outcomes.
Prenatal education and safety programs promote prevention and long-term wellness.
8. A nurse cares for vulnerable populations. Which patients qualify? (Select all that apply)
A. 47-year-old immigrant who speaks only Spanish
B. 40-year-old client with schizophrenia
C. 15-year-old rape victim
D. 30-year-old healthy adult
✅ Correct Answers: A, B, C
Rationale: Vulnerable populations experience increased risk due to factors such as language barriers, mental
illness, trauma, or age. These groups often face healthcare disparities requiring advocacy.
9. What is the fastest-growing racial/ethnic group in the U.S. by 2060?
A. Hispanic
B. Asian
, C. African American
D. Multiracial
✅ Correct Answer: D. Multiracial
Rationale: Census data projects multiracial populations as the fastest-growing group due to increasing
diversity and interracial families, impacting healthcare delivery and cultural competence needs.
10. When caring for a low-income immigrant, which factor should the nurse consider?
A. Lower disease incidence
B. Increased disease incidence
C. Higher access to care
D. Improved preventive services
✅ Correct Answer: B. Increased disease incidence
Rationale: Immigrants with low income often face barriers such as limited access to care, language
difficulties, and lack of preventive services, increasing disease prevalence.
11. A nurse monitors healthcare disparities. Which area is being assessed?
A. Provider satisfaction
B. Accessibility of healthcare services
C. Medical technology advancement
D. Hospital staffing ratios
✅ Correct Answer: B
Rationale: Health disparities are linked to unequal access, quality, and availability of healthcare services.
Monitoring access identifies gaps affecting vulnerable populations.
12. Which action demonstrates cultural competence?
A. Treating all patients the same
B. Providing care based only on evidence
C. Effectively meeting multifaceted healthcare needs
D. Avoiding cultural discussions
✅ Correct Answer: C
