,NSG 3480 Nursing Practice –
Community Health Exam Prep —
Comprehensive Review + Practice
MCQs — Galen College of Nursing
2025/2026
1. A community health nurse is conducting a windshield survey in an urban neighborhood. Which observation
represents primary data collected directly from community members?
A. The number of boarded-up buildings observed
B. Direct interviews with residents about their health concerns
C. Local health department vaccination statistics
D. Census data on household income
Correct Answer: B. Direct interviews with residents about their health concerns
Rationale: Primary data is collected directly from the source through interviews, focus groups, or surveys.
Windshield survey observations and existing statistics are forms of secondary data.
2. According to Galen College of Nursing’s NSG 3480 course description, the course emphasizes evidence-
based approaches to guide community health promotion. Which activity best reflects this emphasis?
A. Implementing a program solely because it was used at another hospital
B. Using data from a community needs assessment to design a hypertension screening program
C. Continuing a health fair because “it has always been done”
,D. Adopting a policy based on a single nurse’s personal experience
Correct Answer: B. Using data from a community needs assessment to design a hypertension screening
program
Rationale: Evidence-based practice integrates the best available evidence with community assessment data
and clinical expertise. Options A, C, and D rely on tradition or anecdote rather than evidence.
3. A nurse at a local health department is tracking reported cases of salmonellosis over a three-month period.
This activity is best described as:
A. Primary prevention
B. Disease surveillance
C. Tertiary prevention
D. Health promotion
Correct Answer: B. Disease surveillance
Rationale: Surveillance involves the systematic collection, analysis, and interpretation of health data to detect
outbreaks and guide public health action.
4. A community health nurse partners with a school district to implement a policy requiring 30 minutes of daily
physical activity for all students. This intervention primarily addresses which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
, D. Quaternary prevention
Correct Answer: A. Primary prevention
Rationale: Primary prevention occurs before disease develops and focuses on reducing risk factors across a
population. Physical activity policies reduce obesity risk before it occurs.
5. The epidemiological triangle consists of which three components?
A. Agent, host, environment
B. Incidence, prevalence, mortality
C. Assessment, planning, evaluation
D. Primary, secondary, tertiary
Correct Answer: A. Agent, host, environment
Rationale: The epidemiological triangle is a foundational model for understanding infectious disease causation.
The agent is the causative factor, the host is the susceptible organism, and the environment includes external
factors that facilitate transmission.
6. A nurse is using the PRECEDE-PROCEED model to plan a community diabetes prevention program. During
which phase would the nurse assess the community’s quality of life and social indicators?
A. Phase 1 — Social Assessment
B. Phase 2 — Epidemiological Assessment
C. Phase 3 — Behavioral Assessment
Community Health Exam Prep —
Comprehensive Review + Practice
MCQs — Galen College of Nursing
2025/2026
1. A community health nurse is conducting a windshield survey in an urban neighborhood. Which observation
represents primary data collected directly from community members?
A. The number of boarded-up buildings observed
B. Direct interviews with residents about their health concerns
C. Local health department vaccination statistics
D. Census data on household income
Correct Answer: B. Direct interviews with residents about their health concerns
Rationale: Primary data is collected directly from the source through interviews, focus groups, or surveys.
Windshield survey observations and existing statistics are forms of secondary data.
2. According to Galen College of Nursing’s NSG 3480 course description, the course emphasizes evidence-
based approaches to guide community health promotion. Which activity best reflects this emphasis?
A. Implementing a program solely because it was used at another hospital
B. Using data from a community needs assessment to design a hypertension screening program
C. Continuing a health fair because “it has always been done”
,D. Adopting a policy based on a single nurse’s personal experience
Correct Answer: B. Using data from a community needs assessment to design a hypertension screening
program
Rationale: Evidence-based practice integrates the best available evidence with community assessment data
and clinical expertise. Options A, C, and D rely on tradition or anecdote rather than evidence.
3. A nurse at a local health department is tracking reported cases of salmonellosis over a three-month period.
This activity is best described as:
A. Primary prevention
B. Disease surveillance
C. Tertiary prevention
D. Health promotion
Correct Answer: B. Disease surveillance
Rationale: Surveillance involves the systematic collection, analysis, and interpretation of health data to detect
outbreaks and guide public health action.
4. A community health nurse partners with a school district to implement a policy requiring 30 minutes of daily
physical activity for all students. This intervention primarily addresses which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
, D. Quaternary prevention
Correct Answer: A. Primary prevention
Rationale: Primary prevention occurs before disease develops and focuses on reducing risk factors across a
population. Physical activity policies reduce obesity risk before it occurs.
5. The epidemiological triangle consists of which three components?
A. Agent, host, environment
B. Incidence, prevalence, mortality
C. Assessment, planning, evaluation
D. Primary, secondary, tertiary
Correct Answer: A. Agent, host, environment
Rationale: The epidemiological triangle is a foundational model for understanding infectious disease causation.
The agent is the causative factor, the host is the susceptible organism, and the environment includes external
factors that facilitate transmission.
6. A nurse is using the PRECEDE-PROCEED model to plan a community diabetes prevention program. During
which phase would the nurse assess the community’s quality of life and social indicators?
A. Phase 1 — Social Assessment
B. Phase 2 — Epidemiological Assessment
C. Phase 3 — Behavioral Assessment
