West Coast University NURS 340 Public Health Nursing:
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. Local health departments in the US derive public health authority primarily from:
A. The federal government only
B. States (police power reserved to states)
C. Hospitals
D. Insurance companies
Correct Answer: B. States (police power reserved to states)
Rationale: 10th Amendment.
2. In the Intervention Wheel, the three levels of practice are:
A. Primary, secondary and tertiary
B. Individual/family, community and systems
C. Local, state and federal
D. Acute, chronic and palliative
Correct Answer: B. Individual/family, community and systems
Rationale: Levels.
3. The federal agency primarily responsible for disease surveillance and prevention in the US is:
A. CDC
B. FDA
C. CMS
D. OSHA
Correct Answer: A. CDC
Rationale: Centers for Disease Control and Prevention.
4. Ensuring a competent public health workforce is part of which core function?
A. Assessment
B. Policy development
C. Surveillance
D. Assurance
Correct Answer: D. Assurance
Rationale: Assurance.
5. Florence Nightingale's contributions to public health include:
A. Founding the American Red Cross
B. Using statistics to show that sanitation reduced soldier deaths
C. Creating the Frontier Nursing Service
D. Developing the polio vaccine
Correct Answer: B. Using statistics to show that sanitation reduced soldier deaths
Rationale: Crimean War data, polar area diagrams.
6. Who founded the Henry Street Settlement and coined the term 'public health nurse'?
A. Florence Nightingale
B. Clara Barton
C. Lillian Wald
D. Margaret Sanger
Correct Answer: C. Lillian Wald
Rationale: 1893, New York City.
,7. The Shattuck Report of 1850 recommended:
A. Establishing state and local health departments and vital statistics
B. Building hospitals only
C. Creating Medicare
D. Founding nursing schools
Correct Answer: A. Establishing state and local health departments and vital statistics
Rationale: Massachusetts sanitary survey.
8. A cardiac rehabilitation program after myocardial infarction is:
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primordial prevention
Correct Answer: B. Tertiary prevention
Rationale: Limits disability.
9. Frieden's Health Impact Pyramid places which interventions at the base with the greatest
population impact?
A. Counseling and education
B. Clinical interventions
C. Long-lasting protective interventions
D. Socioeconomic factors
Correct Answer: D. Socioeconomic factors
Rationale: Base = broadest impact.
10. Mary Breckinridge is known for founding:
A. The Frontier Nursing Service in rural Kentucky
B. Henry Street Settlement
C. The American Red Cross
D. Planned Parenthood
Correct Answer: A. The Frontier Nursing Service in rural Kentucky
Rationale: Nurse-midwifery for rural families, 1925.
11. Quarantine and isolation orders illustrate a tension between:
A. Beneficence and fidelity
B. Veracity and confidentiality only
C. Profit and quality
D. Individual liberty and community protection
Correct Answer: D. Individual liberty and community protection
Rationale: Public health ethics.
12. The overarching goal of Healthy People is to:
A. Improve health and well-being of the nation over a decade with measurable objectives
B. Regulate hospitals
C. Fund individual care
D. License nurses
Correct Answer: A. Improve health and well-being of the nation over a decade with
measurable objectives
Rationale: Released every 10 years.
, 13. Community-based nursing differs from community/public health nursing in that
community-based nursing:
A. Focuses on populations and prevention
B. Only occurs in hospitals
C. Focuses on illness care of individuals and families where they live
D. Avoids the community
Correct Answer: C. Focuses on illness care of individuals and families where they live
Rationale: Setting vs focus.
14. A mammography screening program is an example of:
A. Primary prevention
B. Tertiary prevention
C. Primordial prevention
D. Secondary prevention
Correct Answer: D. Secondary prevention
Rationale: Early detection.
15. Clara Barton founded:
A. The Visiting Nurse Service
B. The American Red Cross
C. The CDC
D. The Frontier Nursing Service
Correct Answer: B. The American Red Cross
Rationale: 1881.
16. A new treatment that prolongs life without curing a disease will:
A. Decrease prevalence
B. Decrease incidence
C. Increase prevalence
D. Not affect prevalence
Correct Answer: C. Increase prevalence
Rationale: Longer duration.
17. Attack rate is used primarily in:
A. Outbreak investigations, as the proportion of exposed people who become ill
B. Chronic disease surveillance
C. Infant mortality
D. Life expectancy
Correct Answer: A. Outbreak investigations, as the proportion of exposed people who
become ill
Rationale: Cumulative incidence in outbreaks.
18. Surveillance in public health is:
A. A one-time survey
B. Police monitoring
C. Ongoing systematic collection, analysis, interpretation and dissemination of health data
D. Hospital billing review
Correct Answer: C. Ongoing systematic collection, analysis, interpretation and dissemination
of health data
Rationale: For action.
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. Local health departments in the US derive public health authority primarily from:
A. The federal government only
B. States (police power reserved to states)
C. Hospitals
D. Insurance companies
Correct Answer: B. States (police power reserved to states)
Rationale: 10th Amendment.
2. In the Intervention Wheel, the three levels of practice are:
A. Primary, secondary and tertiary
B. Individual/family, community and systems
C. Local, state and federal
D. Acute, chronic and palliative
Correct Answer: B. Individual/family, community and systems
Rationale: Levels.
3. The federal agency primarily responsible for disease surveillance and prevention in the US is:
A. CDC
B. FDA
C. CMS
D. OSHA
Correct Answer: A. CDC
Rationale: Centers for Disease Control and Prevention.
4. Ensuring a competent public health workforce is part of which core function?
A. Assessment
B. Policy development
C. Surveillance
D. Assurance
Correct Answer: D. Assurance
Rationale: Assurance.
5. Florence Nightingale's contributions to public health include:
A. Founding the American Red Cross
B. Using statistics to show that sanitation reduced soldier deaths
C. Creating the Frontier Nursing Service
D. Developing the polio vaccine
Correct Answer: B. Using statistics to show that sanitation reduced soldier deaths
Rationale: Crimean War data, polar area diagrams.
6. Who founded the Henry Street Settlement and coined the term 'public health nurse'?
A. Florence Nightingale
B. Clara Barton
C. Lillian Wald
D. Margaret Sanger
Correct Answer: C. Lillian Wald
Rationale: 1893, New York City.
,7. The Shattuck Report of 1850 recommended:
A. Establishing state and local health departments and vital statistics
B. Building hospitals only
C. Creating Medicare
D. Founding nursing schools
Correct Answer: A. Establishing state and local health departments and vital statistics
Rationale: Massachusetts sanitary survey.
8. A cardiac rehabilitation program after myocardial infarction is:
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primordial prevention
Correct Answer: B. Tertiary prevention
Rationale: Limits disability.
9. Frieden's Health Impact Pyramid places which interventions at the base with the greatest
population impact?
A. Counseling and education
B. Clinical interventions
C. Long-lasting protective interventions
D. Socioeconomic factors
Correct Answer: D. Socioeconomic factors
Rationale: Base = broadest impact.
10. Mary Breckinridge is known for founding:
A. The Frontier Nursing Service in rural Kentucky
B. Henry Street Settlement
C. The American Red Cross
D. Planned Parenthood
Correct Answer: A. The Frontier Nursing Service in rural Kentucky
Rationale: Nurse-midwifery for rural families, 1925.
11. Quarantine and isolation orders illustrate a tension between:
A. Beneficence and fidelity
B. Veracity and confidentiality only
C. Profit and quality
D. Individual liberty and community protection
Correct Answer: D. Individual liberty and community protection
Rationale: Public health ethics.
12. The overarching goal of Healthy People is to:
A. Improve health and well-being of the nation over a decade with measurable objectives
B. Regulate hospitals
C. Fund individual care
D. License nurses
Correct Answer: A. Improve health and well-being of the nation over a decade with
measurable objectives
Rationale: Released every 10 years.
, 13. Community-based nursing differs from community/public health nursing in that
community-based nursing:
A. Focuses on populations and prevention
B. Only occurs in hospitals
C. Focuses on illness care of individuals and families where they live
D. Avoids the community
Correct Answer: C. Focuses on illness care of individuals and families where they live
Rationale: Setting vs focus.
14. A mammography screening program is an example of:
A. Primary prevention
B. Tertiary prevention
C. Primordial prevention
D. Secondary prevention
Correct Answer: D. Secondary prevention
Rationale: Early detection.
15. Clara Barton founded:
A. The Visiting Nurse Service
B. The American Red Cross
C. The CDC
D. The Frontier Nursing Service
Correct Answer: B. The American Red Cross
Rationale: 1881.
16. A new treatment that prolongs life without curing a disease will:
A. Decrease prevalence
B. Decrease incidence
C. Increase prevalence
D. Not affect prevalence
Correct Answer: C. Increase prevalence
Rationale: Longer duration.
17. Attack rate is used primarily in:
A. Outbreak investigations, as the proportion of exposed people who become ill
B. Chronic disease surveillance
C. Infant mortality
D. Life expectancy
Correct Answer: A. Outbreak investigations, as the proportion of exposed people who
become ill
Rationale: Cumulative incidence in outbreaks.
18. Surveillance in public health is:
A. A one-time survey
B. Police monitoring
C. Ongoing systematic collection, analysis, interpretation and dissemination of health data
D. Hospital billing review
Correct Answer: C. Ongoing systematic collection, analysis, interpretation and dissemination
of health data
Rationale: For action.
