NUR 206 / NUR206 EXAM 2 – COMMUNITY
NURSING CONCEPTS REVIEW | FORTIS
COLLEGE | 2026/2027 STUDY EDITION | 100
ORIGINAL PRACTICE QUESTIONS WITH
ANSWERS, RATIONALES & EXAM-FOCUSED
REVIEW
SECTION 1 — FOUNDATIONS OF COMMUNITY HEALTH NURSING
Question 1
Which statement best describes the primary focus of community health nursing?
A. Promoting health and preventing disease within populations
B. Providing intensive care to critically ill clients
C. Performing only administrative duties
D. Treating acute illnesses in emergency departments
Answer: A
Rationale: Community health nursing emphasizes population health rather than only
individual illness treatment. The nurse works to promote wellness, prevent disease, reduce
health disparities, and improve the health of communities. Individual care can occur in
community settings, but the broader population perspective distinguishes community health
nursing from acute-care nursing.
Question 2
A nurse is conducting a windshield survey before developing a community health program.
Which observation is most appropriate?
A. The number of medications prescribed by local providers
B. Housing conditions, transportation, businesses, and environmental hazards
C. The private medical histories of residents
D. Individual laboratory results
Answer: B
,Rationale: A windshield survey involves systematic observation of the community
environment. The nurse assesses visible characteristics such as housing, transportation,
sanitation, businesses, recreational areas, and environmental risks. These observations help
identify community strengths and potential health concerns before more detailed
assessment methods are used.
Question 3
Which activity represents primary prevention?
A. Performing rehabilitation after a stroke
B. Screening adults for colorectal cancer
C. Providing immunizations to prevent infectious disease
D. Teaching a client with diabetes how to prevent complications
Answer: C
Rationale: Primary prevention occurs before disease develops and aims to reduce the
likelihood of illness or injury. Immunization is a classic primary-prevention intervention
because it protects susceptible individuals from developing specific infectious diseases.
Screening is secondary prevention, while rehabilitation and complication management
generally represent tertiary prevention.
Question 4
Which nursing intervention is an example of secondary prevention?
A. Teaching adolescents about healthy nutrition
B. Conducting blood-pressure screening at a community fair
C. Providing rehabilitation following spinal-cord injury
D. Installing playground safety equipment
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt intervention. Blood-
pressure screening identifies individuals who may have hypertension before complications
occur. Primary prevention seeks to prevent disease before it begins, whereas tertiary
prevention reduces disability or complications after a disease or injury has already
developed.
Question 5
A community nurse provides rehabilitation services to adults who have experienced strokes.
Which level of prevention is being implemented?
A. Primary
B. Secondary
,C. Primordial
D. Tertiary
Answer: D
Rationale: Tertiary prevention focuses on limiting disability, preventing complications, and
maximizing function after disease or injury has occurred. Stroke rehabilitation is therefore
tertiary prevention. Primary prevention would attempt to prevent stroke, whereas secondary
prevention would focus on early detection of risk factors or disease.
Question 6
Which population should a community health nurse consider when applying a population-
focused approach?
A. Only hospitalized clients
B. Only individuals with diagnosed disease
C. Individuals, families, groups, and communities
D. Only clients referred by physicians
Answer: C
Rationale: Community health nursing addresses multiple levels of populations. The nurse
may work with individuals, families, groups, aggregates, and entire communities. A
population-focused approach examines patterns of health, risk, resources, and
environmental influences rather than restricting care to individuals who are already ill.
Question 7
Which action best demonstrates the community health nurse's role as an educator?
A. Teaching residents how to reduce cardiovascular risk
B. Prescribing antihypertensive medications
C. Performing surgical procedures
D. Interpreting radiographic studies independently
Answer: A
Rationale: Health education is a central community-health nursing function. Teaching
residents about modifiable risk factors enables individuals and populations to make informed
health decisions. Nurses may collaborate with other professionals regarding diagnosis and
treatment, but prescribing, surgery, and independent radiographic interpretation are outside
the typical educational role.
Question 8
A nurse collaborates with residents to identify community problems and develop solutions.
Which community-health principle is demonstrated?
, A. Community participation
B. Isolation of professional decision-making
C. Acute-care prioritization
D. Individualized hospital discharge planning
Answer: A
Rationale: Community participation involves actively engaging community members in
identifying health concerns, establishing priorities, developing interventions, and evaluating
outcomes. Participation increases community ownership and can improve the cultural
appropriateness and sustainability of health programs.
Question 9
Which activity is most consistent with the role of a community health nurse as an advocate?
A. Making all decisions without community input
B. Helping underserved residents obtain needed health services
C. Limiting services to clients who can pay
D. Referring all community problems to hospitals
Answer: B
Rationale: Advocacy involves supporting individuals and populations in obtaining
appropriate resources and addressing barriers to health. Community nurses may help
vulnerable populations navigate health systems, access preventive services, and
communicate their needs. Advocacy is especially important when socioeconomic or
structural barriers contribute to health disparities.
Question 10
Which statement best reflects the population-health perspective?
A. Health is determined exclusively by individual choices.
B. Environmental and social conditions can influence population health.
C. Hospitals are the only important source of community health.
D. Prevention is less important than treatment.
Answer: B
Rationale: Population health recognizes that health outcomes are influenced by social,
economic, environmental, behavioral, and healthcare factors. Housing, transportation,
income, education, food access, and environmental exposures can significantly affect health.
Therefore, community nurses address conditions that influence health in addition to
individual behaviors.
NURSING CONCEPTS REVIEW | FORTIS
COLLEGE | 2026/2027 STUDY EDITION | 100
ORIGINAL PRACTICE QUESTIONS WITH
ANSWERS, RATIONALES & EXAM-FOCUSED
REVIEW
SECTION 1 — FOUNDATIONS OF COMMUNITY HEALTH NURSING
Question 1
Which statement best describes the primary focus of community health nursing?
A. Promoting health and preventing disease within populations
B. Providing intensive care to critically ill clients
C. Performing only administrative duties
D. Treating acute illnesses in emergency departments
Answer: A
Rationale: Community health nursing emphasizes population health rather than only
individual illness treatment. The nurse works to promote wellness, prevent disease, reduce
health disparities, and improve the health of communities. Individual care can occur in
community settings, but the broader population perspective distinguishes community health
nursing from acute-care nursing.
Question 2
A nurse is conducting a windshield survey before developing a community health program.
Which observation is most appropriate?
A. The number of medications prescribed by local providers
B. Housing conditions, transportation, businesses, and environmental hazards
C. The private medical histories of residents
D. Individual laboratory results
Answer: B
,Rationale: A windshield survey involves systematic observation of the community
environment. The nurse assesses visible characteristics such as housing, transportation,
sanitation, businesses, recreational areas, and environmental risks. These observations help
identify community strengths and potential health concerns before more detailed
assessment methods are used.
Question 3
Which activity represents primary prevention?
A. Performing rehabilitation after a stroke
B. Screening adults for colorectal cancer
C. Providing immunizations to prevent infectious disease
D. Teaching a client with diabetes how to prevent complications
Answer: C
Rationale: Primary prevention occurs before disease develops and aims to reduce the
likelihood of illness or injury. Immunization is a classic primary-prevention intervention
because it protects susceptible individuals from developing specific infectious diseases.
Screening is secondary prevention, while rehabilitation and complication management
generally represent tertiary prevention.
Question 4
Which nursing intervention is an example of secondary prevention?
A. Teaching adolescents about healthy nutrition
B. Conducting blood-pressure screening at a community fair
C. Providing rehabilitation following spinal-cord injury
D. Installing playground safety equipment
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt intervention. Blood-
pressure screening identifies individuals who may have hypertension before complications
occur. Primary prevention seeks to prevent disease before it begins, whereas tertiary
prevention reduces disability or complications after a disease or injury has already
developed.
Question 5
A community nurse provides rehabilitation services to adults who have experienced strokes.
Which level of prevention is being implemented?
A. Primary
B. Secondary
,C. Primordial
D. Tertiary
Answer: D
Rationale: Tertiary prevention focuses on limiting disability, preventing complications, and
maximizing function after disease or injury has occurred. Stroke rehabilitation is therefore
tertiary prevention. Primary prevention would attempt to prevent stroke, whereas secondary
prevention would focus on early detection of risk factors or disease.
Question 6
Which population should a community health nurse consider when applying a population-
focused approach?
A. Only hospitalized clients
B. Only individuals with diagnosed disease
C. Individuals, families, groups, and communities
D. Only clients referred by physicians
Answer: C
Rationale: Community health nursing addresses multiple levels of populations. The nurse
may work with individuals, families, groups, aggregates, and entire communities. A
population-focused approach examines patterns of health, risk, resources, and
environmental influences rather than restricting care to individuals who are already ill.
Question 7
Which action best demonstrates the community health nurse's role as an educator?
A. Teaching residents how to reduce cardiovascular risk
B. Prescribing antihypertensive medications
C. Performing surgical procedures
D. Interpreting radiographic studies independently
Answer: A
Rationale: Health education is a central community-health nursing function. Teaching
residents about modifiable risk factors enables individuals and populations to make informed
health decisions. Nurses may collaborate with other professionals regarding diagnosis and
treatment, but prescribing, surgery, and independent radiographic interpretation are outside
the typical educational role.
Question 8
A nurse collaborates with residents to identify community problems and develop solutions.
Which community-health principle is demonstrated?
, A. Community participation
B. Isolation of professional decision-making
C. Acute-care prioritization
D. Individualized hospital discharge planning
Answer: A
Rationale: Community participation involves actively engaging community members in
identifying health concerns, establishing priorities, developing interventions, and evaluating
outcomes. Participation increases community ownership and can improve the cultural
appropriateness and sustainability of health programs.
Question 9
Which activity is most consistent with the role of a community health nurse as an advocate?
A. Making all decisions without community input
B. Helping underserved residents obtain needed health services
C. Limiting services to clients who can pay
D. Referring all community problems to hospitals
Answer: B
Rationale: Advocacy involves supporting individuals and populations in obtaining
appropriate resources and addressing barriers to health. Community nurses may help
vulnerable populations navigate health systems, access preventive services, and
communicate their needs. Advocacy is especially important when socioeconomic or
structural barriers contribute to health disparities.
Question 10
Which statement best reflects the population-health perspective?
A. Health is determined exclusively by individual choices.
B. Environmental and social conditions can influence population health.
C. Hospitals are the only important source of community health.
D. Prevention is less important than treatment.
Answer: B
Rationale: Population health recognizes that health outcomes are influenced by social,
economic, environmental, behavioral, and healthcare factors. Housing, transportation,
income, education, food access, and environmental exposures can significantly affect health.
Therefore, community nurses address conditions that influence health in addition to
individual behaviors.
