1
NR222 / NR 222 Exam 2 Health and
Wellness Review Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Health Promotion Across the Lifespan | Q1 – Q13
Section 2 | Disease Prevention and Risk Reduction | Q14 – Q25
Section 3 | Patient Education and Health Literacy | Q26 – Q37
Section 4 | Cultural Competence and Health Beliefs | Q38 – Q50
SECTION 1: HEALTH PROMOTION ACROSS THE LIFESPAN
Question 1 of 50
A community health nurse is conducting a home visit with a 6-month-old infant who is breastfed
exclusively. The mother expresses concern that the infant seems less satisfied after feedings and
asks when solid foods should be introduced.
A. Introduce rice cereal at 4 months to improve sleep duration
B. Begin with pureed meats at 5 months to boost iron stores
C. Start iron-fortified single-grain cereals at approximately 6 months while continuing
breastfeeding ✓ CORRECT
D. Delay all solid foods until 9 months to prevent food allergies
Correct Answer: C
Rationale: The American Academy of Pediatrics recommends introducing iron-fortified single-
grain cereals around 6 months of age while maintaining breastfeeding as the primary nutrition
source, which supports the infant's developmental readiness and increasing iron needs. Option A
is incorrect because introducing solids at 4 months is not recommended and does not improve
sleep, as infant sleep patterns are neurologically driven rather than dependent on solid food intake.
Nurses should emphasize watching for developmental signs of readiness such as head control and
diminished tongue-thrust reflex.
Question 2 of 50
,2
A school nurse is counseling a 16-year-old adolescent who reports vaping nicotine products daily
and believes this habit is safer than smoking traditional cigarettes.
A. Vaping eliminates all cardiovascular risks because it contains no tobacco
B. Nicotine in vaping products still poses significant risks to adolescent brain development and
cardiovascular health ✓ CORRECT
C. E-cigarettes are FDA-approved smoking cessation devices for teenagers
D. Adolescents can safely vape until age 21 without long-term consequences
Correct Answer: B
Rationale: Nicotine exposure during adolescence can harm the developing brain, particularly
affecting attention, learning, and impulse control, while also increasing heart rate and blood
pressure regardless of delivery method. Option A represents a dangerous misconception because
vaping aerosols contain ultrafine particles and heavy metals that damage cardiovascular
endothelium similarly to combustible cigarettes. School-based health promotion should include
evidence-based cessation resources tailored to adolescent developmental stages.
Question 3 of 50
A prenatal clinic nurse is teaching a 35-year-old pregnant woman in her second trimester about
weight gain recommendations.
A. A total gain of 25 to 35 pounds is recommended for women with a normal pre-pregnancy BMI
✓ CORRECT
B. Weight gain should be limited to 10 pounds regardless of pre-pregnancy BMI
C. The patient should aim to lose 5 pounds to reduce gestational diabetes risk
D. No weight monitoring is necessary during routine prenatal visits
Correct Answer: A
Rationale: The Institute of Medicine guidelines recommend that women with a normal pre-
pregnancy BMI gain between 25 and 35 pounds during pregnancy to support fetal growth,
placental development, and maternal tissue expansion without increasing complication risks.
Option B is incorrect because restricting weight gain to 10 pounds would compromise fetal nutrient
supply and increase the risk of intrauterine growth restriction, particularly in the second and third
trimesters. Prenatal nurses should provide culturally sensitive nutritional counseling that respects
dietary preferences while meeting caloric and micronutrient needs.
Question 4 of 50
A home health nurse is assessing a 72-year-old older adult who lives alone and reports difficulty
preparing meals since recovering from hip replacement surgery.
A. The patient should rely solely on canned soups and crackers for convenience
, 3
B. Family members must move in permanently to ensure adequate nutrition
C. Skipping meals is acceptable as long as the patient takes a daily multivitamin
D. Referring the patient to Meals on Wheels provides nutritionally balanced home-delivered meals
that support recovery ✓ CORRECT
Correct Answer: D
Rationale: Meals on Wheels delivers nutritionally balanced, temperature-appropriate meals that
address both the dietary requirements of post-surgical healing and the social isolation risks
common among homebound older adults. Option A is incorrect because a diet consisting primarily
of processed soups and crackers lacks sufficient protein, fiber, and micronutrients needed for
wound healing and maintaining lean muscle mass in older adults. Home health nurses should
conduct comprehensive functional assessments that identify community resource gaps before
malnutrition or dehydration compromises recovery.
Question 5 of 50
A pediatric nurse is discussing sleep hygiene with the parents of a 4-year-old preschooler who
resists bedtime and wakes frequently during the night.
A. Allow the child to fall asleep while watching television in the parental bedroom
B. Maintain inconsistent bedtimes on weekends to compensate for weekday schedules
C. Establish a consistent bedtime routine with calming activities and a fixed sleep schedule every
night ✓ CORRECT
D. Give the child caffeinated soda after dinner to promote earlier fatigue
Correct Answer: C
Rationale: A consistent bedtime routine with calming pre-sleep activities and a fixed schedule
reinforces circadian rhythm regulation and reduces nighttime arousals in preschool-aged children
who are developing self-soothing capabilities. Option A is incorrect because screen exposure
before bed suppresses melatonin production and creates sleep onset associations that require
parental presence, leading to fragmented sleep architecture for the entire family. Nurses should
teach parents that preschoolers require 10 to 13 hours of sleep daily and that environmental
consistency supports emotional regulation and cognitive development.
Question 6 of 50
A women's health nurse is counseling a 55-year-old postmenopausal woman about bone health
during a routine wellness examination.
A. Calcium supplementation alone prevents all osteoporotic fractures without exercise
B. Weight-bearing exercise combined with adequate calcium and vitamin D intake supports bone
density maintenance ✓ CORRECT
NR222 / NR 222 Exam 2 Health and
Wellness Review Actual Exam 2026/2027 |
Complete Exam-Style Questions | 100%
Verified – Detailed Rationales – Pass
Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Health Promotion Across the Lifespan | Q1 – Q13
Section 2 | Disease Prevention and Risk Reduction | Q14 – Q25
Section 3 | Patient Education and Health Literacy | Q26 – Q37
Section 4 | Cultural Competence and Health Beliefs | Q38 – Q50
SECTION 1: HEALTH PROMOTION ACROSS THE LIFESPAN
Question 1 of 50
A community health nurse is conducting a home visit with a 6-month-old infant who is breastfed
exclusively. The mother expresses concern that the infant seems less satisfied after feedings and
asks when solid foods should be introduced.
A. Introduce rice cereal at 4 months to improve sleep duration
B. Begin with pureed meats at 5 months to boost iron stores
C. Start iron-fortified single-grain cereals at approximately 6 months while continuing
breastfeeding ✓ CORRECT
D. Delay all solid foods until 9 months to prevent food allergies
Correct Answer: C
Rationale: The American Academy of Pediatrics recommends introducing iron-fortified single-
grain cereals around 6 months of age while maintaining breastfeeding as the primary nutrition
source, which supports the infant's developmental readiness and increasing iron needs. Option A
is incorrect because introducing solids at 4 months is not recommended and does not improve
sleep, as infant sleep patterns are neurologically driven rather than dependent on solid food intake.
Nurses should emphasize watching for developmental signs of readiness such as head control and
diminished tongue-thrust reflex.
Question 2 of 50
,2
A school nurse is counseling a 16-year-old adolescent who reports vaping nicotine products daily
and believes this habit is safer than smoking traditional cigarettes.
A. Vaping eliminates all cardiovascular risks because it contains no tobacco
B. Nicotine in vaping products still poses significant risks to adolescent brain development and
cardiovascular health ✓ CORRECT
C. E-cigarettes are FDA-approved smoking cessation devices for teenagers
D. Adolescents can safely vape until age 21 without long-term consequences
Correct Answer: B
Rationale: Nicotine exposure during adolescence can harm the developing brain, particularly
affecting attention, learning, and impulse control, while also increasing heart rate and blood
pressure regardless of delivery method. Option A represents a dangerous misconception because
vaping aerosols contain ultrafine particles and heavy metals that damage cardiovascular
endothelium similarly to combustible cigarettes. School-based health promotion should include
evidence-based cessation resources tailored to adolescent developmental stages.
Question 3 of 50
A prenatal clinic nurse is teaching a 35-year-old pregnant woman in her second trimester about
weight gain recommendations.
A. A total gain of 25 to 35 pounds is recommended for women with a normal pre-pregnancy BMI
✓ CORRECT
B. Weight gain should be limited to 10 pounds regardless of pre-pregnancy BMI
C. The patient should aim to lose 5 pounds to reduce gestational diabetes risk
D. No weight monitoring is necessary during routine prenatal visits
Correct Answer: A
Rationale: The Institute of Medicine guidelines recommend that women with a normal pre-
pregnancy BMI gain between 25 and 35 pounds during pregnancy to support fetal growth,
placental development, and maternal tissue expansion without increasing complication risks.
Option B is incorrect because restricting weight gain to 10 pounds would compromise fetal nutrient
supply and increase the risk of intrauterine growth restriction, particularly in the second and third
trimesters. Prenatal nurses should provide culturally sensitive nutritional counseling that respects
dietary preferences while meeting caloric and micronutrient needs.
Question 4 of 50
A home health nurse is assessing a 72-year-old older adult who lives alone and reports difficulty
preparing meals since recovering from hip replacement surgery.
A. The patient should rely solely on canned soups and crackers for convenience
, 3
B. Family members must move in permanently to ensure adequate nutrition
C. Skipping meals is acceptable as long as the patient takes a daily multivitamin
D. Referring the patient to Meals on Wheels provides nutritionally balanced home-delivered meals
that support recovery ✓ CORRECT
Correct Answer: D
Rationale: Meals on Wheels delivers nutritionally balanced, temperature-appropriate meals that
address both the dietary requirements of post-surgical healing and the social isolation risks
common among homebound older adults. Option A is incorrect because a diet consisting primarily
of processed soups and crackers lacks sufficient protein, fiber, and micronutrients needed for
wound healing and maintaining lean muscle mass in older adults. Home health nurses should
conduct comprehensive functional assessments that identify community resource gaps before
malnutrition or dehydration compromises recovery.
Question 5 of 50
A pediatric nurse is discussing sleep hygiene with the parents of a 4-year-old preschooler who
resists bedtime and wakes frequently during the night.
A. Allow the child to fall asleep while watching television in the parental bedroom
B. Maintain inconsistent bedtimes on weekends to compensate for weekday schedules
C. Establish a consistent bedtime routine with calming activities and a fixed sleep schedule every
night ✓ CORRECT
D. Give the child caffeinated soda after dinner to promote earlier fatigue
Correct Answer: C
Rationale: A consistent bedtime routine with calming pre-sleep activities and a fixed schedule
reinforces circadian rhythm regulation and reduces nighttime arousals in preschool-aged children
who are developing self-soothing capabilities. Option A is incorrect because screen exposure
before bed suppresses melatonin production and creates sleep onset associations that require
parental presence, leading to fragmented sleep architecture for the entire family. Nurses should
teach parents that preschoolers require 10 to 13 hours of sleep daily and that environmental
consistency supports emotional regulation and cognitive development.
Question 6 of 50
A women's health nurse is counseling a 55-year-old postmenopausal woman about bone health
during a routine wellness examination.
A. Calcium supplementation alone prevents all osteoporotic fractures without exercise
B. Weight-bearing exercise combined with adequate calcium and vitamin D intake supports bone
density maintenance ✓ CORRECT
