NURS4110 Community & Mental
Health Nursing Examination Review
2026–2027 | 150 Original Practice
Questions with Detailed Rationales
Question 1
The primary goal of community health nursing is to:
A. Promote and protect the health of populations
B. Provide hospital-based treatment only
C. Focus exclusively on acute illnesses
D. Replace primary care providers
Correct Answer: A
Rationale: Community health nursing emphasizes health promotion, disease prevention,
population assessment, and improving health outcomes within communities.
Question 2
A population-focused nursing intervention primarily addresses:
A. Health needs of groups or communities
B. One patient's immediate symptoms only
C. Hospital administrative concerns
D. Individual medication schedules exclusively
Correct Answer: A
Rationale: Population-focused nursing considers the health status, risks, resources, and
needs of groups rather than focusing only on individual patients.
Question 3
Primary prevention is intended to:
,A. Prevent disease before it occurs
B. Detect disease at an early stage
C. Manage complications of established disease
D. Provide rehabilitation after disability
Correct Answer: A
Rationale: Primary prevention includes interventions such as immunization, health
education, exercise promotion, and risk reduction before disease develops.
Question 4
Which is an example of secondary prevention?
A. Screening for hypertension
B. Childhood immunization
C. Smoking prevention education
D. Rehabilitation after stroke
Correct Answer: A
Rationale: Secondary prevention focuses on early detection through screening so that
disease can be identified and treated promptly.
Question 5
Tertiary prevention focuses primarily on:
A. Reducing complications and disability from established disease
B. Preventing disease before exposure
C. Screening healthy populations only
D. Eliminating all risk factors
Correct Answer: A
Rationale: Tertiary prevention includes rehabilitation, chronic disease management, and
interventions designed to minimize complications and disability.
Question 6
A community health assessment is conducted primarily to:
A. Identify population health needs and available resources
B. Determine individual medication doses
,C. Replace physical examinations
D. Establish hospital billing procedures
Correct Answer: A
Rationale: Community assessment identifies health problems, risk factors, population
characteristics, strengths, and resources that guide interventions.
Question 7
A nurse assessing a community should examine:
A. Demographic, environmental, social, and health data
B. Medication administration records only
C. Hospital staffing schedules only
D. Individual laboratory results exclusively
Correct Answer: A
Rationale: Comprehensive community assessment requires multiple sources of information
to understand population health.
Question 8
Health promotion is best described as:
A. Helping individuals and communities increase control over factors affecting health
B. Treating disease after complications occur
C. Providing emergency care exclusively
D. Limiting patient participation
Correct Answer: A
Rationale: Health promotion empowers individuals and populations to improve health and
reduce risks.
Question 9
A social determinant of health is:
A. Housing stability
B. Serum sodium concentration
C. Heart rate
D. Body temperature
, Correct Answer: A
Rationale: Social determinants include conditions in which people live, work, learn, and
age, such as housing, education, income, and access to healthcare.
Question 10
Health disparities refer to:
A. Differences in health outcomes associated with social or population characteristics
B. Normal variations in vital signs
C. Differences in medication doses
D. Changes in laboratory values during treatment
Correct Answer: A
Rationale: Health disparities represent preventable differences in health outcomes
experienced by population groups.
Question 11
A community nurse working to reduce health disparities should:
A. Identify barriers to healthcare access and develop appropriate interventions
B. Provide identical interventions regardless of need
C. Avoid assessing social factors
D. Focus only on hospital treatment
Correct Answer: A
Rationale: Addressing barriers such as transportation, language, cost, and access can
improve equitable healthcare outcomes.
Question 12
Epidemiology is the study of:
A. Distribution and determinants of health-related events in populations
B. Individual medication administration
C. Hospital financial management
D. Human anatomy exclusively
Correct Answer: A
Health Nursing Examination Review
2026–2027 | 150 Original Practice
Questions with Detailed Rationales
Question 1
The primary goal of community health nursing is to:
A. Promote and protect the health of populations
B. Provide hospital-based treatment only
C. Focus exclusively on acute illnesses
D. Replace primary care providers
Correct Answer: A
Rationale: Community health nursing emphasizes health promotion, disease prevention,
population assessment, and improving health outcomes within communities.
Question 2
A population-focused nursing intervention primarily addresses:
A. Health needs of groups or communities
B. One patient's immediate symptoms only
C. Hospital administrative concerns
D. Individual medication schedules exclusively
Correct Answer: A
Rationale: Population-focused nursing considers the health status, risks, resources, and
needs of groups rather than focusing only on individual patients.
Question 3
Primary prevention is intended to:
,A. Prevent disease before it occurs
B. Detect disease at an early stage
C. Manage complications of established disease
D. Provide rehabilitation after disability
Correct Answer: A
Rationale: Primary prevention includes interventions such as immunization, health
education, exercise promotion, and risk reduction before disease develops.
Question 4
Which is an example of secondary prevention?
A. Screening for hypertension
B. Childhood immunization
C. Smoking prevention education
D. Rehabilitation after stroke
Correct Answer: A
Rationale: Secondary prevention focuses on early detection through screening so that
disease can be identified and treated promptly.
Question 5
Tertiary prevention focuses primarily on:
A. Reducing complications and disability from established disease
B. Preventing disease before exposure
C. Screening healthy populations only
D. Eliminating all risk factors
Correct Answer: A
Rationale: Tertiary prevention includes rehabilitation, chronic disease management, and
interventions designed to minimize complications and disability.
Question 6
A community health assessment is conducted primarily to:
A. Identify population health needs and available resources
B. Determine individual medication doses
,C. Replace physical examinations
D. Establish hospital billing procedures
Correct Answer: A
Rationale: Community assessment identifies health problems, risk factors, population
characteristics, strengths, and resources that guide interventions.
Question 7
A nurse assessing a community should examine:
A. Demographic, environmental, social, and health data
B. Medication administration records only
C. Hospital staffing schedules only
D. Individual laboratory results exclusively
Correct Answer: A
Rationale: Comprehensive community assessment requires multiple sources of information
to understand population health.
Question 8
Health promotion is best described as:
A. Helping individuals and communities increase control over factors affecting health
B. Treating disease after complications occur
C. Providing emergency care exclusively
D. Limiting patient participation
Correct Answer: A
Rationale: Health promotion empowers individuals and populations to improve health and
reduce risks.
Question 9
A social determinant of health is:
A. Housing stability
B. Serum sodium concentration
C. Heart rate
D. Body temperature
, Correct Answer: A
Rationale: Social determinants include conditions in which people live, work, learn, and
age, such as housing, education, income, and access to healthcare.
Question 10
Health disparities refer to:
A. Differences in health outcomes associated with social or population characteristics
B. Normal variations in vital signs
C. Differences in medication doses
D. Changes in laboratory values during treatment
Correct Answer: A
Rationale: Health disparities represent preventable differences in health outcomes
experienced by population groups.
Question 11
A community nurse working to reduce health disparities should:
A. Identify barriers to healthcare access and develop appropriate interventions
B. Provide identical interventions regardless of need
C. Avoid assessing social factors
D. Focus only on hospital treatment
Correct Answer: A
Rationale: Addressing barriers such as transportation, language, cost, and access can
improve equitable healthcare outcomes.
Question 12
Epidemiology is the study of:
A. Distribution and determinants of health-related events in populations
B. Individual medication administration
C. Hospital financial management
D. Human anatomy exclusively
Correct Answer: A
