Page 1 of 51
COMMUNITY HEALTH EXAM 2 & NCLEX COMBINATION
EXAMINATION COMPREHENSIVE PRACTICE QUESTIONS &
STUDY GUIDE (2026-27)
Community Health -NCLEX Questions
A state public health region reported 39 cases of meningitis in children 15 years of
age and younger to date this year. Seven of those children died. The total population
of the region is 780,000, of whom 84,000 are children 15 years old and younger.
What is the age-specific meningitis death rate for children age 15 years and younger
for this region to date this year?
A) 0.08/1000
B) 0.46/1000
C) 1/1000
D) 8/1000
A
A state public health region reported 39 cases of meningitis in children 15 years of
age and younger to date this year. Seven of those children died. The total population
of the region is 780,000, of whom 84,000 are children age 15 years old and younger.
Only four cases of meningitis were reported in the public health region during the
previous year. No other public health region in the state has an incidence of
meningitis that is higher than expected for that region. Based on the information given,
the relative frequency of meningitis in the region at this time can best be described
as:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
B
John Snow played a critical role in the development of modern disease
surveillance when he:
A) Devised a more statistically valid method of analyzing epidemiologic data.
B) Discovered causal agents for anthrax, tuberculosis, and cholera.
C) Tracked the incidence of tuberculosis in the tenements of New York City.
D) Used geographic mapping to demonstrate the connection between water
supply and cholera.
D
A business executive develops flu-like symptoms 1 day after returning by air from a
trans-Atlantic 2-day conference that involved lengthy meetings into the evening. The
scenario best illustrates the interaction of:
A) Host and agent.
B) Host, agent, and environment.
, Page 2 of 51
C) Risk and causality.
D) Morbidity and disease.
B
A nurse teaches an asthmatic client to recognize and avoid exposure to asthma
triggers and assists the client's family in implementing specific protection
strategies in the home, such as removing carpets and avoiding pets. This nurse's
activities can best be described as:
A) Comprehensive assessment.
B) Primary prevention.
C) Secondary prevention.
D) Treatment intervention.
B
A nurse is concerned about the accuracy of the purified protein derivative
(tuberculin) test in screening individuals with tuberculosis exposure for followup
chest radiography. The nurse's concern is related to which aspect of the test's
validity?
A) Reliability.
B) Sensitivity.
C) Specificity.
D) Variability.
B
Case fatality from breast cancer has decreased in recent years, although the
incidence of breast cancer has increased. Descriptive epidemiology would use the
component of time to explain this change in terms of:
A) Cyclical patterns.
B) Even-related clusters.
C) Point epidemic.
D) Secular trends.
D
When the association between maternal alcohol use and low birth weight is being
studied, the nurse investigator's failure to consider the variable of smoking could
introduce bias into the observed association, because smoking has a correlation with
both factors. This effect could best be described as: A) Causality.
B) Confounding.
C) Information bias.
D) Selection bias.
B
A local health department in the Midwest reports cases of certain diseases to the
state health department for inclusion in the National Notifiable Diseases Surveillance
System (NNDSS). From the perspective of community-level disease monitoring,
which of the following 3-year trends in incidence rates for hepatitis A would be of
local, state, and national interest?
A) 1998 = 2/100,000; 1999 = 3/100,000; 2000 = 1/100,000
, Page 3 of 51
B) 1998 = 4/100,000; 1999 = 8/100,000; 2000 = 6/100,000
C) 1998 = 12/100,000; 1999 = 8/100,000; 2000 = 31/100,000
D) 1998 = 16/100,000; 1999 = 24/100,000; 2000 = 9/100,000
C
A 6-year-old is brought to the emergency department with a full-body rash and fever.
During the nursing assessment, which of the following findings would be most relevant
to recognizing the case as potential smallpox rather than varicella?
A) Fever has responded to acetaminophen, and the child is playful when
temperature is not elevated.
B) Fever of 101° F was present for several days before the rash appeared.
C) Low-grade fever (100° F or less) has been present ever since the rash
became obvious.
D) Rash is primarily on the trunk of the body.
B
A school nurse notes that 60 children have missed days of high school because of
pertussis this past year and this rate has been relatively constant for the past 5
years. The nurse plans to work with the community to increase awareness of the
seriousness of this disease for children younger than 6 months of age and to raise
and maintain the immunization rates, because in this community the pertussis is:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
A
The World Health Organization (WHO) developed the Five Keys to Safer Food
campaign in 2001 to address the problem of foodborne and waterborne diarrheal
diseases worldwide. This campaign emphasizes which of the following practices?
A) Keep clean, separate raw and cooked, cook thoroughly.
B) Never use raw, always cook, buy better.
C) Wash, cut, cook, and throw away.
D) Wash, cover, and always refrigerate.
A
An American takes a long-awaited vacation in sunny Mexico, spending days on
the beach eating fresh raspberries from a nearby vendor and drinking bottled
water. The tourist may be altering:
A) Agent-host-environment interaction.
B) Circadian rhythms.
C) Herd immunity.
D) Host resistance.
A
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An example of secondary prevention of infectious disease is:
A) Malaria chemoprophylaxis.
B) Pneumocystis carinii pneumonia chemoprophylaxis for people with AIDS.
C) Quarantine.
D) Restaurant inspections.
C
In an effort to address West Nile virus, a community increased livestock
immunization, began a vector control program, and initiated a community
campaign to eliminate standing water reservoirs. This best exemplifies
communicable disease control through:
A) Health education.
B) Multisystem approach.
C) Improved public health infrastructure.
D) Reduction of environmental hazards.
B
When a situation exists in which there is potential contact with blood or body fluids,
health care workers must always perform hand hygiene and wear gloves, masks,
protective clothing, and other indicated personal protective barriers. The underlying
reason for requiring these practices, known as universal precautions, is that:
A) Blood and body fluids of all clients need to be handled as if they were
infected.
B) Effective infection control surveillance programs are in place.
C) Health care settings are reservoirs of infection.
D) Health care workers do not effectively use hand hygiene.
A
Although infectious disease epidemics are still the major cause of death worldwide,
they have subsided in the United States because of improvements in nutrition and
sanitation, the discovery of antibiotics, and the development of vaccines. Infectious
diseases have not vanished, however, and remain a continuing cause of concern.
Healthy People 2020 has a number of objectives aimed at reducing these illnesses
because of the morbidity, mortality, and costs associated with infectious diseases.
One such costly disease trend related to an increase in the performance of invasive
diagnostic and surgical procedures, the use of broad-spectrum antibiotics, and
treatment with
immunosuppressive drugs is the rise of:
A) Escherichia coli 0157:H7.
B) Multisyndrome effect.
C) Hospital acquired infections.
D) Severe acute respiratory syndrome.
C
Emerging infectious diseases may arise as a result of factors operating singly or in
combination, and these factors may include which of the following (select all that
apply)?
COMMUNITY HEALTH EXAM 2 & NCLEX COMBINATION
EXAMINATION COMPREHENSIVE PRACTICE QUESTIONS &
STUDY GUIDE (2026-27)
Community Health -NCLEX Questions
A state public health region reported 39 cases of meningitis in children 15 years of
age and younger to date this year. Seven of those children died. The total population
of the region is 780,000, of whom 84,000 are children 15 years old and younger.
What is the age-specific meningitis death rate for children age 15 years and younger
for this region to date this year?
A) 0.08/1000
B) 0.46/1000
C) 1/1000
D) 8/1000
A
A state public health region reported 39 cases of meningitis in children 15 years of
age and younger to date this year. Seven of those children died. The total population
of the region is 780,000, of whom 84,000 are children age 15 years old and younger.
Only four cases of meningitis were reported in the public health region during the
previous year. No other public health region in the state has an incidence of
meningitis that is higher than expected for that region. Based on the information given,
the relative frequency of meningitis in the region at this time can best be described
as:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
B
John Snow played a critical role in the development of modern disease
surveillance when he:
A) Devised a more statistically valid method of analyzing epidemiologic data.
B) Discovered causal agents for anthrax, tuberculosis, and cholera.
C) Tracked the incidence of tuberculosis in the tenements of New York City.
D) Used geographic mapping to demonstrate the connection between water
supply and cholera.
D
A business executive develops flu-like symptoms 1 day after returning by air from a
trans-Atlantic 2-day conference that involved lengthy meetings into the evening. The
scenario best illustrates the interaction of:
A) Host and agent.
B) Host, agent, and environment.
, Page 2 of 51
C) Risk and causality.
D) Morbidity and disease.
B
A nurse teaches an asthmatic client to recognize and avoid exposure to asthma
triggers and assists the client's family in implementing specific protection
strategies in the home, such as removing carpets and avoiding pets. This nurse's
activities can best be described as:
A) Comprehensive assessment.
B) Primary prevention.
C) Secondary prevention.
D) Treatment intervention.
B
A nurse is concerned about the accuracy of the purified protein derivative
(tuberculin) test in screening individuals with tuberculosis exposure for followup
chest radiography. The nurse's concern is related to which aspect of the test's
validity?
A) Reliability.
B) Sensitivity.
C) Specificity.
D) Variability.
B
Case fatality from breast cancer has decreased in recent years, although the
incidence of breast cancer has increased. Descriptive epidemiology would use the
component of time to explain this change in terms of:
A) Cyclical patterns.
B) Even-related clusters.
C) Point epidemic.
D) Secular trends.
D
When the association between maternal alcohol use and low birth weight is being
studied, the nurse investigator's failure to consider the variable of smoking could
introduce bias into the observed association, because smoking has a correlation with
both factors. This effect could best be described as: A) Causality.
B) Confounding.
C) Information bias.
D) Selection bias.
B
A local health department in the Midwest reports cases of certain diseases to the
state health department for inclusion in the National Notifiable Diseases Surveillance
System (NNDSS). From the perspective of community-level disease monitoring,
which of the following 3-year trends in incidence rates for hepatitis A would be of
local, state, and national interest?
A) 1998 = 2/100,000; 1999 = 3/100,000; 2000 = 1/100,000
, Page 3 of 51
B) 1998 = 4/100,000; 1999 = 8/100,000; 2000 = 6/100,000
C) 1998 = 12/100,000; 1999 = 8/100,000; 2000 = 31/100,000
D) 1998 = 16/100,000; 1999 = 24/100,000; 2000 = 9/100,000
C
A 6-year-old is brought to the emergency department with a full-body rash and fever.
During the nursing assessment, which of the following findings would be most relevant
to recognizing the case as potential smallpox rather than varicella?
A) Fever has responded to acetaminophen, and the child is playful when
temperature is not elevated.
B) Fever of 101° F was present for several days before the rash appeared.
C) Low-grade fever (100° F or less) has been present ever since the rash
became obvious.
D) Rash is primarily on the trunk of the body.
B
A school nurse notes that 60 children have missed days of high school because of
pertussis this past year and this rate has been relatively constant for the past 5
years. The nurse plans to work with the community to increase awareness of the
seriousness of this disease for children younger than 6 months of age and to raise
and maintain the immunization rates, because in this community the pertussis is:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
A
The World Health Organization (WHO) developed the Five Keys to Safer Food
campaign in 2001 to address the problem of foodborne and waterborne diarrheal
diseases worldwide. This campaign emphasizes which of the following practices?
A) Keep clean, separate raw and cooked, cook thoroughly.
B) Never use raw, always cook, buy better.
C) Wash, cut, cook, and throw away.
D) Wash, cover, and always refrigerate.
A
An American takes a long-awaited vacation in sunny Mexico, spending days on
the beach eating fresh raspberries from a nearby vendor and drinking bottled
water. The tourist may be altering:
A) Agent-host-environment interaction.
B) Circadian rhythms.
C) Herd immunity.
D) Host resistance.
A
, Page 4 of 51
An example of secondary prevention of infectious disease is:
A) Malaria chemoprophylaxis.
B) Pneumocystis carinii pneumonia chemoprophylaxis for people with AIDS.
C) Quarantine.
D) Restaurant inspections.
C
In an effort to address West Nile virus, a community increased livestock
immunization, began a vector control program, and initiated a community
campaign to eliminate standing water reservoirs. This best exemplifies
communicable disease control through:
A) Health education.
B) Multisystem approach.
C) Improved public health infrastructure.
D) Reduction of environmental hazards.
B
When a situation exists in which there is potential contact with blood or body fluids,
health care workers must always perform hand hygiene and wear gloves, masks,
protective clothing, and other indicated personal protective barriers. The underlying
reason for requiring these practices, known as universal precautions, is that:
A) Blood and body fluids of all clients need to be handled as if they were
infected.
B) Effective infection control surveillance programs are in place.
C) Health care settings are reservoirs of infection.
D) Health care workers do not effectively use hand hygiene.
A
Although infectious disease epidemics are still the major cause of death worldwide,
they have subsided in the United States because of improvements in nutrition and
sanitation, the discovery of antibiotics, and the development of vaccines. Infectious
diseases have not vanished, however, and remain a continuing cause of concern.
Healthy People 2020 has a number of objectives aimed at reducing these illnesses
because of the morbidity, mortality, and costs associated with infectious diseases.
One such costly disease trend related to an increase in the performance of invasive
diagnostic and surgical procedures, the use of broad-spectrum antibiotics, and
treatment with
immunosuppressive drugs is the rise of:
A) Escherichia coli 0157:H7.
B) Multisyndrome effect.
C) Hospital acquired infections.
D) Severe acute respiratory syndrome.
C
Emerging infectious diseases may arise as a result of factors operating singly or in
combination, and these factors may include which of the following (select all that
apply)?
