©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
NCLEX PRACTICE Exam Questions with
100% Correct Answers
The nurse is participating at a health fair at the local mall giving influenza
vaccines to senior citizens. What level of prevention is the nurse
practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ✔✔Primary prevention is aimed at health
promotion and includes health-education programs, immunizations, and
physical and nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving the general
health of individuals, families, and communities. It also includes specific
protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness
center. In what level of prevention is the patient participating?
A) Primary prevention
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ✔✔Tertiary prevention involves minimizing
the effects of long-term disease or disability by interventions directed at
preventing complications and deterioration following the myocardial
infarction. Tertiary-prevention activities are directed at rehabilitation rather
than diagnosis and treatment. Care at this level aims to help patients
achieve as high a level of functioning as possible, despite the limitations
caused by illness or impairment. This level of care is called preventive care
because it involves preventing further disability or reduced functioning.
Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I haven't done
that since junior high gym class, and I hated it then!"
A) "That's fine. Exercise is bad for you anyway."
B) "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1
month."
C) "I understand. Can you think of one reason why being more active
would be helpful for you?"
D) "I'd like you to ride your bike 3 times this week and eat at least four fruits
and vegetables every day." - ✔✔The patient's response indicates that
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
the patient is in the precontemplation stage and does not intend to change
his behavior in the next 6 months. In this stage the patient is not interested
in information about the behavior and may be defensive when confronted
with it. Asking an open-ended question may stimulate the patient to identify
a reason to begin a behavior change. Nurses are challenged to motivate
and facilitate change in health behavior when working with individuals.
A patient comes to the local health clinic and states: "I've noticed how
many people are out walking in my neighborhood. Is walking good for
you?" What is the best response to help the patient through the stages of
change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could go for a 5-minute
walk next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes every day and
start to eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far enough. You need to
spend at least 45 minutes if you are going to do any good." - ✔✔The
patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
The nurse's statement reinforces the behavior and provides a specific goal
for the patient to begin a walking plan.
A male patient has been laid off from his construction job and has many
unpaid bills. He is going through a divorce from his marriage of 15 years
and has been seeing his pastor to help him through this difficult time. He
does not have a primary health care provider because he has never really
been sick and his parents never took him to the physician when he was a
child. Which external variables influence the patient's health practices?
(Select all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care provider
D) Stress from the divorce and the loss of a job - ✔✔External factors
impacting health practices include family beliefs and economic impact. How
patients' families use health care services generally affects their health
practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how
patients will think about health. Economic variables may affect a patient's
level of health by increasing the risk for disease and influencing how or at
what point the patient enters the health care system.
NCLEX PRACTICE Exam Questions with
100% Correct Answers
The nurse is participating at a health fair at the local mall giving influenza
vaccines to senior citizens. What level of prevention is the nurse
practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ✔✔Primary prevention is aimed at health
promotion and includes health-education programs, immunizations, and
physical and nutritional fitness activities. It can be provided to an individual
and includes activities that focus on maintaining or improving the general
health of individuals, families, and communities. It also includes specific
protection such as immunization for influenza.
A patient experienced a myocardial infarction 4 weeks ago and is currently
participating in the daily cardiac rehabilitation sessions at the local fitness
center. In what level of prevention is the patient participating?
A) Primary prevention
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention - ✔✔Tertiary prevention involves minimizing
the effects of long-term disease or disability by interventions directed at
preventing complications and deterioration following the myocardial
infarction. Tertiary-prevention activities are directed at rehabilitation rather
than diagnosis and treatment. Care at this level aims to help patients
achieve as high a level of functioning as possible, despite the limitations
caused by illness or impairment. This level of care is called preventive care
because it involves preventing further disability or reduced functioning.
Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I haven't done
that since junior high gym class, and I hated it then!"
A) "That's fine. Exercise is bad for you anyway."
B) "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1
month."
C) "I understand. Can you think of one reason why being more active
would be helpful for you?"
D) "I'd like you to ride your bike 3 times this week and eat at least four fruits
and vegetables every day." - ✔✔The patient's response indicates that
,©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
the patient is in the precontemplation stage and does not intend to change
his behavior in the next 6 months. In this stage the patient is not interested
in information about the behavior and may be defensive when confronted
with it. Asking an open-ended question may stimulate the patient to identify
a reason to begin a behavior change. Nurses are challenged to motivate
and facilitate change in health behavior when working with individuals.
A patient comes to the local health clinic and states: "I've noticed how
many people are out walking in my neighborhood. Is walking good for
you?" What is the best response to help the patient through the stages of
change for exercise?
A) "Walking is OK. I really think running is better."
B) "Yes, walking is great exercise. Do you think you could go for a 5-minute
walk next week?"
C) "Yes, I want you to begin walking. Walk for 30 minutes every day and
start to eat more fruits and vegetables."
D) "They probably aren't walking fast enough or far enough. You need to
spend at least 45 minutes if you are going to do any good." - ✔✔The
patient's response indicates that the patient is in the contemplative state,
possibly intending to make a behavior change within the next 6 months.
, ©JOSHCLAY 2024/2025. YEAR PUBLISHED, 2024.
The nurse's statement reinforces the behavior and provides a specific goal
for the patient to begin a walking plan.
A male patient has been laid off from his construction job and has many
unpaid bills. He is going through a divorce from his marriage of 15 years
and has been seeing his pastor to help him through this difficult time. He
does not have a primary health care provider because he has never really
been sick and his parents never took him to the physician when he was a
child. Which external variables influence the patient's health practices?
(Select all that apply.)
A) Difficulty paying his bills
B) Seeing his pastor as a means of support
C) Family practice of not routinely seeing a health care provider
D) Stress from the divorce and the loss of a job - ✔✔External factors
impacting health practices include family beliefs and economic impact. How
patients' families use health care services generally affects their health
practices. Their perceptions of the serious nature of diseases and their
history of preventive care behaviors (or lack of them) influence how
patients will think about health. Economic variables may affect a patient's
level of health by increasing the risk for disease and influencing how or at
what point the patient enters the health care system.
