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1. A community health nurse is conducting a windshield survey in a
neighborhood. Which observation provides the most objective data?
A. Residents seem unhappy
B. Streets have visible potholes
C. People report feeling unsafe at night
D. Residents express dissatisfaction with healthcare access
Answer: B
Rationale: Objective data are observable and measurable. Streets with potholes
can be directly seen, whereas the other options are subjective.
2. Which of the following is an example of primary prevention?
A. Screening for hypertension
B. Administering vaccines
C. Rehabilitation after a stroke
D. Prescribing medications for diabetes
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations prevent infection, unlike screening or treatment.
,3. A nurse identifies that a high incidence of asthma in a community is related to
air pollution. In the epidemiological triangle, air pollution is considered the:
A. Host
B. Agent
C. Environment
D. Vector
Answer: C
Rationale: The environment includes external factors that influence disease
occurrence. Air pollution is an environmental factor.
4. During a community assessment, a nurse notes that several residents have
limited access to fresh fruits and vegetables. This best represents:
A. Cultural competence
B. Epidemiological data
C. A social determinant of health
D. A secondary prevention measure
Answer: C
Rationale: Limited access to nutritious food is a social determinant of health,
affecting disease risk and outcomes.
5. A community health nurse teaches proper hand hygiene to reduce the spread of
influenza. This is an example of:
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Surveillance
Answer: C
Rationale: Education to prevent disease is a primary prevention intervention.
,6. Which activity is most appropriate for secondary prevention in a community
health setting?
A. Vaccination clinics
B. Blood pressure screening
C. Nutrition counseling
D. Physical therapy for post-stroke patients
Answer: B
Rationale: Secondary prevention focuses on early detection of disease to prevent
progression. Blood pressure screening detects hypertension early.
7. A nurse is reviewing morbidity rates in a community. Which statement is
accurate?
A. Mortality rate measures the number of deaths in a population
B. Morbidity rate measures deaths related to a disease
C. Morbidity rate measures disease occurrence
D. Mortality and morbidity are interchangeable
Answer: C
Rationale: Morbidity refers to the frequency of illness or disease in a population.
8. A nurse notices that children in a rural area have high rates of dental caries. The
nurse plans a fluoride supplementation program. Which level of prevention does
this represent?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A
Rationale: Fluoride supplementation prevents dental caries, making it a primary
prevention measure.
, 9. Which factor is considered a host factor in the epidemiological triangle?
A. Contaminated water
B. Virulence of a pathogen
C. Immunity of an individual
D. Climate conditions
Answer: C
Rationale: The host refers to the individual’s susceptibility or resistance to
disease, including immunity and genetics.
10. A community health nurse is developing a health promotion program for
diabetes prevention. Which strategy is most effective?
A. Offering free insulin injections
B. Hosting educational workshops on nutrition and exercise
C. Conducting glucose monitoring for diagnosed diabetics
D. Referring patients to endocrinologists
Answer: B
Rationale: Health promotion focuses on lifestyle and behavioral interventions to
prevent disease.
11. Which statement best describes tertiary prevention?
A. Measures to prevent disease before it occurs
B. Early detection and treatment of disease
C. Rehabilitation and reducing disability
D. Community immunization programs
Answer: C
Rationale: Tertiary prevention reduces the impact of chronic illness or injury
through rehabilitation or support.