NR-612: Population Health Concluding Experience II –
Comprehensive Practice Examination in Advanced Population
Health Management with rationales 2025-2026
1. A community health nurse is planning an intervention to reduce
childhood obesity in a low-income neighborhood. Which is the most
important first step?
A. Implement after-school exercise programs
B. Conduct a community needs assessment
C. Distribute educational pamphlets about nutrition
D. Provide free gym memberships
B. Conduct a community needs assessment
Rationale: Understanding community-specific needs, barriers, and
resources is critical before designing interventions to ensure relevance
and effectiveness.
2. Which level of prevention is targeted when providing
immunizations to children?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
A. Primary
Rationale: Immunizations prevent disease before it occurs, making them
a primary prevention strategy.
,3. A nurse is analyzing epidemiologic data and finds that Disease X has
a prevalence of 200 cases per 10,000 population. What does
prevalence measure?
A. The number of new cases over a time period
B. The total number of existing cases at a point in time
C. The probability of dying from the disease
D. The incidence rate adjusted for risk factors
B. The total number of existing cases at a point in time
Rationale: Prevalence indicates the proportion of a population affected
by a disease at a specific time, including both new and existing cases.
4. Which strategy is most effective in addressing health disparities in
underserved communities?
A. Providing culturally competent care
B. Increasing patient copayments
C. Focusing only on acute care services
D. Offering standard health education materials
A. Providing culturally competent care
Rationale: Culturally competent care improves access, trust, and
outcomes for populations facing health disparities.
5. A nurse evaluates the outcome of a hypertension management
program. Which type of evaluation focuses on results and impact?
A. Formative evaluation
B. Process evaluation
C. Summative evaluation
D. Needs assessment
C. Summative evaluation
,Rationale: Summative evaluation examines the effectiveness and
outcomes of a program, including measurable impact on health
indicators.
6. Which of the following best describes herd immunity?
A. Immunity achieved only through natural infection
B. Protection of an entire population when a sufficient proportion is
immune
C. Individual protection against infection
D. Immunity that only lasts for a few months
B. Protection of an entire population when a sufficient proportion is
immune
Rationale: Herd immunity reduces disease transmission because enough
people are immune to prevent spread.
7. In population health, which model emphasizes the interrelationship
of biological, behavioral, and social factors in health outcomes?
A. Health Belief Model
B. Biopsychosocial Model
C. Transtheoretical Model
D. PRECEDE-PROCEED Model
B. Biopsychosocial Model
Rationale: The biopsychosocial model integrates biological,
psychological, and social determinants of health.
, 8. A nurse identifies an increased rate of asthma attacks in a
community near a factory. Which type of epidemiologic study is most
appropriate to explore a potential cause?
A. Randomized controlled trial
B. Case-control study
C. Cohort study
D. Cross-sectional survey
B. Case-control study
Rationale: Case-control studies compare individuals with a condition
(cases) to those without (controls) to identify potential exposures or risk
factors.
9. Which action reflects primary prevention in workplace health
promotion?
A. Annual blood pressure screenings
B. Smoking cessation program
C. Rehabilitation after a work injury
D. Screening for occupational hearing loss
B. Smoking cessation program
Rationale: Primary prevention reduces risk factors and prevents disease
before it occurs.
10. A nurse is using data to prioritize interventions for a population.
Which measure indicates the likelihood of developing a disease in a
specified period?
A. Prevalence
B. Incidence
C. Mortality rate
Comprehensive Practice Examination in Advanced Population
Health Management with rationales 2025-2026
1. A community health nurse is planning an intervention to reduce
childhood obesity in a low-income neighborhood. Which is the most
important first step?
A. Implement after-school exercise programs
B. Conduct a community needs assessment
C. Distribute educational pamphlets about nutrition
D. Provide free gym memberships
B. Conduct a community needs assessment
Rationale: Understanding community-specific needs, barriers, and
resources is critical before designing interventions to ensure relevance
and effectiveness.
2. Which level of prevention is targeted when providing
immunizations to children?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
A. Primary
Rationale: Immunizations prevent disease before it occurs, making them
a primary prevention strategy.
,3. A nurse is analyzing epidemiologic data and finds that Disease X has
a prevalence of 200 cases per 10,000 population. What does
prevalence measure?
A. The number of new cases over a time period
B. The total number of existing cases at a point in time
C. The probability of dying from the disease
D. The incidence rate adjusted for risk factors
B. The total number of existing cases at a point in time
Rationale: Prevalence indicates the proportion of a population affected
by a disease at a specific time, including both new and existing cases.
4. Which strategy is most effective in addressing health disparities in
underserved communities?
A. Providing culturally competent care
B. Increasing patient copayments
C. Focusing only on acute care services
D. Offering standard health education materials
A. Providing culturally competent care
Rationale: Culturally competent care improves access, trust, and
outcomes for populations facing health disparities.
5. A nurse evaluates the outcome of a hypertension management
program. Which type of evaluation focuses on results and impact?
A. Formative evaluation
B. Process evaluation
C. Summative evaluation
D. Needs assessment
C. Summative evaluation
,Rationale: Summative evaluation examines the effectiveness and
outcomes of a program, including measurable impact on health
indicators.
6. Which of the following best describes herd immunity?
A. Immunity achieved only through natural infection
B. Protection of an entire population when a sufficient proportion is
immune
C. Individual protection against infection
D. Immunity that only lasts for a few months
B. Protection of an entire population when a sufficient proportion is
immune
Rationale: Herd immunity reduces disease transmission because enough
people are immune to prevent spread.
7. In population health, which model emphasizes the interrelationship
of biological, behavioral, and social factors in health outcomes?
A. Health Belief Model
B. Biopsychosocial Model
C. Transtheoretical Model
D. PRECEDE-PROCEED Model
B. Biopsychosocial Model
Rationale: The biopsychosocial model integrates biological,
psychological, and social determinants of health.
, 8. A nurse identifies an increased rate of asthma attacks in a
community near a factory. Which type of epidemiologic study is most
appropriate to explore a potential cause?
A. Randomized controlled trial
B. Case-control study
C. Cohort study
D. Cross-sectional survey
B. Case-control study
Rationale: Case-control studies compare individuals with a condition
(cases) to those without (controls) to identify potential exposures or risk
factors.
9. Which action reflects primary prevention in workplace health
promotion?
A. Annual blood pressure screenings
B. Smoking cessation program
C. Rehabilitation after a work injury
D. Screening for occupational hearing loss
B. Smoking cessation program
Rationale: Primary prevention reduces risk factors and prevents disease
before it occurs.
10. A nurse is using data to prioritize interventions for a population.
Which measure indicates the likelihood of developing a disease in a
specified period?
A. Prevalence
B. Incidence
C. Mortality rate
