NUR 426 COMMUNITY HEALTH EXAM 4 (FINAL) STUDY GUIDE | NUR
426 FINAL PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
COMMUNITY HEALTH NURSING REVIEW 2026/2027
A nurse defines environmental health and the associated factors. The nurse recognizes that all factors
are related to environmental health, with the exception of? Which one is NOT?
1. Chemical
2. Biological
3. Physical
4. Mental - ✔✔4. Mental
A PHN works to prevent bioterrorism in their community. Which of the following would be considered to
be the primary prevention method regarding bioterrorism?
A. Creating a bioterrorism response plan
B. Educating the community regarding the management of disease
C. Implanting decontamination measures
D. Administering vaccines as available - ✔✔A. Creating a bioterrorism response plan
A nurse reviews the American Nurses Association (AMNA) principles of environmental health for
guidance in becoming a health activist in their community; which of the following principles is NOT
relevant to nursing?
A. Advocacy
B. Assessing environmental hazards
C. Creating an environmental policy
D. Understanding the environmental role in public health - ✔✔C. Creating an environmental policy
The ANA principles were designed in order to help support the nurse in their role of health activists for
the environment; which of the following are principles related to a healthy and safe environment? SATA
A. Utilization of risk communication strategies
B. Understanding of legislation related to environmental health
C. Knowledge of the role of the environment in individual health
D. Assessment of environmental health hazards
E. Advocacy - ✔✔A. Utilization of risk communication strategies
B. Understanding of legislation related to environmental health
C. Knowledge of the role of the environment in individual health
D. Assessment of environmental health hazards
E. Advocacy
A public health nurse works to advocate for legislation in order to protect the environment. The nurse
recognizes that the environmental regulations are often in conflict with which of the following at the
industry level?
, A. Economic benefits
B. Employee health benefits
C. Industry safety standards
D. OSHA regulations - ✔✔A. Economic benefits
A nurse assesses a client who has been affected by a hazardous substance for adverse effects. Which of
the following factors should not be included in the nurse's assessment?
A. Substance toxicity
B. Previous hazardous substance contact
C. The amount of substance present
D. If the substance reaches susceptible organs - ✔✔B. Previous hazardous substance contact
A nurse uses a process to evaluate the extent to which a community may suffer health effects from
environmental exposure. What is the name of this process?
A. Exposure risk assessment
B. Point sources
C. Community environmental health assessment
D. Environmental sustainability - ✔✔A. Exposure risk assessment
A nurse conducts an environmental health history in order to protect the health of their community.
Which of the following components should be included in the initial assessment of the environmental
health history?
A. Liability
B. Policy
C. Time (the other is location)
D. Route - ✔✔C. Time (the other is location)
A PHN prepares for a home visit for the family with a child who has a high blood lead level; which of the
following is not an objective of a home visit?
A. Environmental assessment of the home
B. Education regarding dietary actions to reduce lead poisoning
C. Help with abatement in the home
D. Reduce lead in drinking water in the home - ✔✔D. Reduce lead in drinking water in the home
A nurse studies environmental hazards for children in an urban setting in their community. Which of the
following is a relevant hazard for a child in an urban setting?
A. Threats of violence (other are limited playground equipment, faulty equipment, and exposure to
chemicals)
B. Risk of injury from farm equipment
C. Environmental tobacco use smoke
D. Substances crossing the placenta barrier - ✔✔A. Threats of violence (other are limited playground
equipment, faulty equipment, and exposure to
426 FINAL PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
COMMUNITY HEALTH NURSING REVIEW 2026/2027
A nurse defines environmental health and the associated factors. The nurse recognizes that all factors
are related to environmental health, with the exception of? Which one is NOT?
1. Chemical
2. Biological
3. Physical
4. Mental - ✔✔4. Mental
A PHN works to prevent bioterrorism in their community. Which of the following would be considered to
be the primary prevention method regarding bioterrorism?
A. Creating a bioterrorism response plan
B. Educating the community regarding the management of disease
C. Implanting decontamination measures
D. Administering vaccines as available - ✔✔A. Creating a bioterrorism response plan
A nurse reviews the American Nurses Association (AMNA) principles of environmental health for
guidance in becoming a health activist in their community; which of the following principles is NOT
relevant to nursing?
A. Advocacy
B. Assessing environmental hazards
C. Creating an environmental policy
D. Understanding the environmental role in public health - ✔✔C. Creating an environmental policy
The ANA principles were designed in order to help support the nurse in their role of health activists for
the environment; which of the following are principles related to a healthy and safe environment? SATA
A. Utilization of risk communication strategies
B. Understanding of legislation related to environmental health
C. Knowledge of the role of the environment in individual health
D. Assessment of environmental health hazards
E. Advocacy - ✔✔A. Utilization of risk communication strategies
B. Understanding of legislation related to environmental health
C. Knowledge of the role of the environment in individual health
D. Assessment of environmental health hazards
E. Advocacy
A public health nurse works to advocate for legislation in order to protect the environment. The nurse
recognizes that the environmental regulations are often in conflict with which of the following at the
industry level?
, A. Economic benefits
B. Employee health benefits
C. Industry safety standards
D. OSHA regulations - ✔✔A. Economic benefits
A nurse assesses a client who has been affected by a hazardous substance for adverse effects. Which of
the following factors should not be included in the nurse's assessment?
A. Substance toxicity
B. Previous hazardous substance contact
C. The amount of substance present
D. If the substance reaches susceptible organs - ✔✔B. Previous hazardous substance contact
A nurse uses a process to evaluate the extent to which a community may suffer health effects from
environmental exposure. What is the name of this process?
A. Exposure risk assessment
B. Point sources
C. Community environmental health assessment
D. Environmental sustainability - ✔✔A. Exposure risk assessment
A nurse conducts an environmental health history in order to protect the health of their community.
Which of the following components should be included in the initial assessment of the environmental
health history?
A. Liability
B. Policy
C. Time (the other is location)
D. Route - ✔✔C. Time (the other is location)
A PHN prepares for a home visit for the family with a child who has a high blood lead level; which of the
following is not an objective of a home visit?
A. Environmental assessment of the home
B. Education regarding dietary actions to reduce lead poisoning
C. Help with abatement in the home
D. Reduce lead in drinking water in the home - ✔✔D. Reduce lead in drinking water in the home
A nurse studies environmental hazards for children in an urban setting in their community. Which of the
following is a relevant hazard for a child in an urban setting?
A. Threats of violence (other are limited playground equipment, faulty equipment, and exposure to
chemicals)
B. Risk of injury from farm equipment
C. Environmental tobacco use smoke
D. Substances crossing the placenta barrier - ✔✔A. Threats of violence (other are limited playground
equipment, faulty equipment, and exposure to
