NR222/ NR 222 Health and Wellness Quiz 3
Actual Exam 2026/2027 – Complete Exam-Style
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Section 1: Health Promotion & Disease Prevention (Questions 1-10)
Q1: A 45-year-old female patient asks the nurse about scheduling a mammogram. The nurse
explains that this is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention [CORRECT]
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Rationale: Secondary prevention focuses on early diagnosis and prompt treatment to prevent
disease progression. Screening tests like mammograms, Pap smears, and blood pressure checks
are classic examples. Primary prevention aims to prevent disease before it occurs (e.g., vaccines).
Tertiary prevention reduces impairment and rehabilitates (e.g., cardiac rehab).
Q2: A patient with diabetes attends an education class on managing blood sugar and preventing
complications. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention [CORRECT]
D. Health protection
Correct Answer: C
,2
Rationale: Tertiary prevention involves managing an existing disease to prevent complications
and disability. Diabetes education aims to manage the chronic condition and prevent sequelae
like neuropathy or retinopathy.
Q3: Which of the following is a primary goal of Healthy People 2030?
A. To eradicate all chronic diseases by 2030.
B. To achieve health equity, eliminate disparities, and improve health and well-being for all.
[CORRECT]
C. To reduce the cost of healthcare by 50%.
D. To mandate universal health insurance coverage.
Correct Answer: B
Rationale: Healthy People 2030 sets data-driven national objectives to improve health and well-
being over the decade. Its overarching goals include attaining healthy, thriving lives and well-
being free of preventable disease, disability, injury, and premature death, and achieving health
equity, eliminating disparities, and improving the health and well-being of all groups.
Q4: The nurse is educating a patient on risk factors for heart disease. Which of the following is a
non-modifiable risk factor?
A. Cigarette smoking
B. High cholesterol diet
C. Family history of heart disease [CORRECT]
D. Sedentary lifestyle
Correct Answer: C
Rationale: Non-modifiable risk factors are those that cannot be changed, such as age, gender,
genetics, and family history. Smoking (A), diet (B), and activity level (D) are modifiable lifestyle
choices.
Q5: The nurse administers the Influenza vaccine to a healthy adult. This is an example of:
, 3
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Correct Answer: A
Rationale: Immunizations are a cornerstone of primary prevention because they protect
individuals from developing infectious diseases in the first place. Health promotion is a broader
concept enhancing well-being, but the specific act of vaccination is primary prevention.
Q6: A nurse is teaching a community group about "Health Protection." Which statement best
describes this concept?
A. Encouraging individuals to eat a balanced diet.
B. Organizing a 5K run to raise awareness.
C. Mandating seatbelt use and ensuring clean water supplies. [CORRECT]
D. Providing rehabilitation after a stroke.
Correct Answer: C
Rationale: Health protection involves organizational and community measures (often regulatory
or environmental) to protect people from disease and injury. Examples include immunization
mandates, water fluoridation, seatbelt laws, and sanitation. Options A and B are health
promotion. Option D is tertiary prevention.
Q7: According to the dimensions of wellness, which dimension involves having a sense of
purpose and meaning in life?
A. Physical wellness
B. Spiritual wellness [CORRECT]
C. Intellectual wellness
D. Social wellness