NR442 FINAL EXAM/NR 442 COMMUNITY HEALTH NURSING
FINAL 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
CORE DOMAINS
Foundations of Community Health Nursing
Epidemiology and Disease Prevention
Community Assessment and Program Planning
Health Promotion Across the Lifespan
Vulnerable Populations and Health Disparities
Environmental and Occupational Health
Disaster Management and Emergency Preparedness
Communicable Disease Control
Family and Community Health
Professional Practice, Ethics, and Advocacy
INTRODUCTION
This comprehensive final examination assesses the community health
nursing knowledge and clinical decision-making skills required of the
baccalaureate-prepared nurse. It evaluates foundational public health
principles, epidemiology, community assessment, health promotion,
disease prevention, and management of vulnerable populations. The
examination employs multiple-choice and scenario-based questions that
simulate realistic community health nursing encounters. Emphasis is
placed on critical thinking, population-focused care, evidence-based
practice, and the application of public health principles to diverse
communities. This assessment prepares candidates for the rigor of
community health nursing certification and real-world practice.
SECTION ONE: QUESTIONS 1–200
1. A patient is admitted to the emergency department of the local
hospital from home with reports of chest discomfort and shortness of
breath. She is placed on oxygen, has labs and blood gases drawn,
,and is given an electrocardiogram and breathing treatments. What
level of preventive care is this patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
B. Secondary prevention
RATIONALE: Secondary prevention focuses on individuals who are
experiencing health problems or illnesses and who are at risk for
developing complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes disease or
dysfunction and is applied to people considered physically and emotionally
healthy. Health promotion includes health education programs,
immunizations, and physical and nutritional fitness activities. Tertiary
prevention occurs when a defect or disability is permanent and irreversible.
It involves minimizing the effects of long-term disease or disability through
interventions directed at preventing complications and deterioration.
2. A patient is admitted to a rehabilitation facility following a stroke.
The patient has right-sided paralysis and is unable to speak. The
patient will be receiving physical therapy and speech therapy. What
are these examples of?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
C. Tertiary prevention
RATIONALE: Tertiary prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the effects of long-term
disease or disability through interventions directed at preventing
complications and deterioration. Secondary prevention focuses on
individuals who are experiencing health problems or illnesses, and who are
at risk for developing complications or worsening conditions. Activities are
,directed at diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physically and
emotionally healthy.
3. Just as health and health behavior are affected by internal and
external variables, so are illness and illness behavior. Which external
variables can affect illness and behavior? (Select all that apply.)
A. Perception of the seriousness of the illness
B. Patient's coping skills
C. Cultural background
D. Social support
E. Socioeconomic status
C, D, E. Cultural background, Social support, Socioeconomic status
RATIONALE: External variables influencing a patient's illness behavior
include the visibility of symptoms, social group, cultural background,
economic variables, accessibility of the health care system, and social
support. Internal variables include the patient's perceptions of symptoms
and the nature of the illness, as well as the patient's coping skills and locus
of control.
4. Risk factors can be placed in the following interrelated categories:
genetic and physiological factors, age, physical environment, and
lifestyle. The presence of any of these risk factors means that:
A. A person with the risk factor will get the disease.
B. The chances of getting the disease are increased.
C. The disease is guaranteed not to develop if the risk factor is controlled.
D. Risk modification will have no effect on disease prevention.
B. The chances of getting the disease are increased.
RATIONALE: The presence of risk factors does not mean that a
disease will develop, but risk factors increase the chances that the
individual will experience a particular disease or dysfunction. Control of risk
factors does not guarantee that a disease will not develop, and risk
modification can have a significant effect on disease prevention.
, 5. A nurse working at a community health clinic is reviewing the staff
schedule and notices the clinic has been working short-staffed for the
past 3 months. Which of the following actions should the nurse take
to address this issue?
A. Cancel and reschedule client appointments to times when staff are
available.
B. Speak to clients and get feedback about the scheduling challenges.
C. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
D. Close the clinic early due to staffing concerns.
C. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
RATIONALE: By speaking to the manager and advocating for better
staffing, the nurse demonstrates an ability to help shape and inform policy
making for this important issue.
6. A nurse is caring for a client who is dying and wishes to
discontinue taking their medications. Which of the following ethical
principles is the nurse demonstrating by respecting the client's
decision?
A. Nonmaleficence
B. Beneficence
C. Autonomy
D. Justice
C. Autonomy
RATIONALE: The nurse is demonstrating autonomy by respecting the
client's wishes to make informed decisions independently.
7. A nurse is reinforcing teaching to a newly licensed nurse about
client advocacy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "I will make sure clients understand treatment options before they sign a
consent form."
FINAL 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
CORE DOMAINS
Foundations of Community Health Nursing
Epidemiology and Disease Prevention
Community Assessment and Program Planning
Health Promotion Across the Lifespan
Vulnerable Populations and Health Disparities
Environmental and Occupational Health
Disaster Management and Emergency Preparedness
Communicable Disease Control
Family and Community Health
Professional Practice, Ethics, and Advocacy
INTRODUCTION
This comprehensive final examination assesses the community health
nursing knowledge and clinical decision-making skills required of the
baccalaureate-prepared nurse. It evaluates foundational public health
principles, epidemiology, community assessment, health promotion,
disease prevention, and management of vulnerable populations. The
examination employs multiple-choice and scenario-based questions that
simulate realistic community health nursing encounters. Emphasis is
placed on critical thinking, population-focused care, evidence-based
practice, and the application of public health principles to diverse
communities. This assessment prepares candidates for the rigor of
community health nursing certification and real-world practice.
SECTION ONE: QUESTIONS 1–200
1. A patient is admitted to the emergency department of the local
hospital from home with reports of chest discomfort and shortness of
breath. She is placed on oxygen, has labs and blood gases drawn,
,and is given an electrocardiogram and breathing treatments. What
level of preventive care is this patient receiving?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
B. Secondary prevention
RATIONALE: Secondary prevention focuses on individuals who are
experiencing health problems or illnesses and who are at risk for
developing complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes disease or
dysfunction and is applied to people considered physically and emotionally
healthy. Health promotion includes health education programs,
immunizations, and physical and nutritional fitness activities. Tertiary
prevention occurs when a defect or disability is permanent and irreversible.
It involves minimizing the effects of long-term disease or disability through
interventions directed at preventing complications and deterioration.
2. A patient is admitted to a rehabilitation facility following a stroke.
The patient has right-sided paralysis and is unable to speak. The
patient will be receiving physical therapy and speech therapy. What
are these examples of?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
C. Tertiary prevention
RATIONALE: Tertiary prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the effects of long-term
disease or disability through interventions directed at preventing
complications and deterioration. Secondary prevention focuses on
individuals who are experiencing health problems or illnesses, and who are
at risk for developing complications or worsening conditions. Activities are
,directed at diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered physically and
emotionally healthy.
3. Just as health and health behavior are affected by internal and
external variables, so are illness and illness behavior. Which external
variables can affect illness and behavior? (Select all that apply.)
A. Perception of the seriousness of the illness
B. Patient's coping skills
C. Cultural background
D. Social support
E. Socioeconomic status
C, D, E. Cultural background, Social support, Socioeconomic status
RATIONALE: External variables influencing a patient's illness behavior
include the visibility of symptoms, social group, cultural background,
economic variables, accessibility of the health care system, and social
support. Internal variables include the patient's perceptions of symptoms
and the nature of the illness, as well as the patient's coping skills and locus
of control.
4. Risk factors can be placed in the following interrelated categories:
genetic and physiological factors, age, physical environment, and
lifestyle. The presence of any of these risk factors means that:
A. A person with the risk factor will get the disease.
B. The chances of getting the disease are increased.
C. The disease is guaranteed not to develop if the risk factor is controlled.
D. Risk modification will have no effect on disease prevention.
B. The chances of getting the disease are increased.
RATIONALE: The presence of risk factors does not mean that a
disease will develop, but risk factors increase the chances that the
individual will experience a particular disease or dysfunction. Control of risk
factors does not guarantee that a disease will not develop, and risk
modification can have a significant effect on disease prevention.
, 5. A nurse working at a community health clinic is reviewing the staff
schedule and notices the clinic has been working short-staffed for the
past 3 months. Which of the following actions should the nurse take
to address this issue?
A. Cancel and reschedule client appointments to times when staff are
available.
B. Speak to clients and get feedback about the scheduling challenges.
C. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
D. Close the clinic early due to staffing concerns.
C. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
RATIONALE: By speaking to the manager and advocating for better
staffing, the nurse demonstrates an ability to help shape and inform policy
making for this important issue.
6. A nurse is caring for a client who is dying and wishes to
discontinue taking their medications. Which of the following ethical
principles is the nurse demonstrating by respecting the client's
decision?
A. Nonmaleficence
B. Beneficence
C. Autonomy
D. Justice
C. Autonomy
RATIONALE: The nurse is demonstrating autonomy by respecting the
client's wishes to make informed decisions independently.
7. A nurse is reinforcing teaching to a newly licensed nurse about
client advocacy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "I will make sure clients understand treatment options before they sign a
consent form."
