NSG 6440 PREDICTOR TEST: QUESTIONS
AND ANSWERS WITH RATIONALE LATEST
2026
SECTION 1: PREVENTION AND HEALTH PROMOTION
1. Which of the following is a primary prevention measure
for a 76-year-old man newly diagnosed with testosterone
deficiency?
A) Testicular self-examination
B) Bone density test
C) Calcium supplementation
D) Digital rectal examination
Answer: C) Calcium supplementation
Rationale: Primary prevention aims to prevent disease before
it occurs. Testosterone deficiency increases osteoporosis
risk; calcium supplementation is a primary prevention strategy.
Testicular self-examination and DRE are secondary prevention
,(early detection). Bone density testing is tertiary prevention
(monitoring existing disease).
2. Which of the following is an example of secondary
prevention in a 50-year-old woman?
A) Yearly mammogram
B) Low animal fat diet
C) Use of seat belt
D) Daily application of sunscreen
Answer: A) Yearly mammogram
Rationale: Secondary prevention focuses on early detection of
disease through screening. Mammography detects breast
cancer early when treatment is most effective. Low-fat diet
and sunscreen are primary prevention; seat belt use is injury
prevention.
3. Which of the following is an example of tertiary
prevention in a patient with chronic renal failure?
A) Fluid restriction
B) Hemodialysis 4 days a week
, C) High-protein diet
D) Maintenance of blood pressure at 120/80
Answer: B) Hemodialysis 4 days a week
Rationale: Tertiary prevention aims to manage established
disease, prevent complications, and optimize function.
Hemodialysis is a treatment for end-stage renal disease. Fluid
restriction and BP control are management strategies but less
specifically tertiary. High-protein diet is contraindicated.
4. Immunizations are an example of which type of
prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Answer: A) Primary
Rationale: Immunizations prevent disease occurrence before
exposure, making them the classic example of primary
prevention. They reduce susceptibility to infectious diseases
through active immunity.
, 5. A patient with hypertension asks about health promotion
strategies. Which nursing action is most appropriate?
A) Prescribe antihypertensive medication
B) Discuss stress management techniques
C) Schedule a follow-up appointment
D) Order laboratory tests
Answer: B) Discuss stress management techniques
Rationale: Health promotion involves empowering patients to
adopt healthy behaviors. Stress management is a lifestyle
modification that can help control blood pressure. Medication
and lab tests are treatment, not health promotion.
6. The APRN is providing care to a patient with a new
diagnosis of type 2 diabetes. Which intervention
represents tertiary prevention?
A) Screening for diabetic retinopathy
B) Teaching about foot care to prevent ulcers
C) Dietary education for weight loss
D) Prescribing metformin
AND ANSWERS WITH RATIONALE LATEST
2026
SECTION 1: PREVENTION AND HEALTH PROMOTION
1. Which of the following is a primary prevention measure
for a 76-year-old man newly diagnosed with testosterone
deficiency?
A) Testicular self-examination
B) Bone density test
C) Calcium supplementation
D) Digital rectal examination
Answer: C) Calcium supplementation
Rationale: Primary prevention aims to prevent disease before
it occurs. Testosterone deficiency increases osteoporosis
risk; calcium supplementation is a primary prevention strategy.
Testicular self-examination and DRE are secondary prevention
,(early detection). Bone density testing is tertiary prevention
(monitoring existing disease).
2. Which of the following is an example of secondary
prevention in a 50-year-old woman?
A) Yearly mammogram
B) Low animal fat diet
C) Use of seat belt
D) Daily application of sunscreen
Answer: A) Yearly mammogram
Rationale: Secondary prevention focuses on early detection of
disease through screening. Mammography detects breast
cancer early when treatment is most effective. Low-fat diet
and sunscreen are primary prevention; seat belt use is injury
prevention.
3. Which of the following is an example of tertiary
prevention in a patient with chronic renal failure?
A) Fluid restriction
B) Hemodialysis 4 days a week
, C) High-protein diet
D) Maintenance of blood pressure at 120/80
Answer: B) Hemodialysis 4 days a week
Rationale: Tertiary prevention aims to manage established
disease, prevent complications, and optimize function.
Hemodialysis is a treatment for end-stage renal disease. Fluid
restriction and BP control are management strategies but less
specifically tertiary. High-protein diet is contraindicated.
4. Immunizations are an example of which type of
prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Answer: A) Primary
Rationale: Immunizations prevent disease occurrence before
exposure, making them the classic example of primary
prevention. They reduce susceptibility to infectious diseases
through active immunity.
, 5. A patient with hypertension asks about health promotion
strategies. Which nursing action is most appropriate?
A) Prescribe antihypertensive medication
B) Discuss stress management techniques
C) Schedule a follow-up appointment
D) Order laboratory tests
Answer: B) Discuss stress management techniques
Rationale: Health promotion involves empowering patients to
adopt healthy behaviors. Stress management is a lifestyle
modification that can help control blood pressure. Medication
and lab tests are treatment, not health promotion.
6. The APRN is providing care to a patient with a new
diagnosis of type 2 diabetes. Which intervention
represents tertiary prevention?
A) Screening for diabetic retinopathy
B) Teaching about foot care to prevent ulcers
C) Dietary education for weight loss
D) Prescribing metformin
