NUR 426 EXAM 1: COMMUNITY AND
PUBLIC HEALTH NURSING QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. Which core function of public health involves providing essential services to ensure that
health goals are met, particularly for those who might otherwise lack access to care?
A. Assurance
B. Policy Development
C. Assessment
D. Research
Answer: A
Conceptual Explanation: Assurance refers to the responsibility of public health agencies
to ensure that constituents can access necessary health services and that a competent
public health workforce is available.
2. A community health nurse is conducting a screening for scoliosis at a local middle school.
This activity represents which level of prevention?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
,D. Quaternary Prevention
Answer: A
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages, before clinical signs are apparent.
3. When calculating the prevalence rate of a disease in a specific population, which of the
following represents the numerator?
A. The number of existing cases at a specific point in time.
B. The total population at risk during a specific time period.
C. The number of new cases during a specific time period.
D. The number of deaths attributed to the disease.
Answer: A
Conceptual Explanation: Prevalence includes all existing cases (new and old) at a specific
point in time, whereas incidence only includes new cases.
4. A nurse is using the ‘I PREPARE’ mnemonic to assess environmental exposure. What does
the ‘P’ in PREPARE stand for in the context of taking an environmental history?
A. Present work
B. Pre-existing conditions
C. Potential toxins
D. Past work
, Answer: A
Conceptual Explanation: In the I-PREPARE mnemonic (Investigate, Present work,
Residence, Environmental concerns, Past work, Activities, Resources/Referrals, Educate),
the first P stands for Present work.
5. Which theory of nursing centers on ‘upstream thinking’ and modifying economic, political,
and environmental factors to improve health?
A. Orem’s Self-Care Deficit Theory
B. Milio’s Framework for Prevention
C. Health Belief Model
D. Pender’s Health Promotion Model
Answer: B
Conceptual Explanation: Milio’s framework provides a mechanism for directing attention
upstream and examining opportunities for nursing intervention at the population level.
6. A nurse is assessing a community’s health status by driving through the neighborhood to
observe people, housing, and services. This method is known as a:
A. Focus group
B. Key informant interview
C. Windshield survey
D. Secondary data analysis
PUBLIC HEALTH NURSING QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. Which core function of public health involves providing essential services to ensure that
health goals are met, particularly for those who might otherwise lack access to care?
A. Assurance
B. Policy Development
C. Assessment
D. Research
Answer: A
Conceptual Explanation: Assurance refers to the responsibility of public health agencies
to ensure that constituents can access necessary health services and that a competent
public health workforce is available.
2. A community health nurse is conducting a screening for scoliosis at a local middle school.
This activity represents which level of prevention?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
,D. Quaternary Prevention
Answer: A
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages, before clinical signs are apparent.
3. When calculating the prevalence rate of a disease in a specific population, which of the
following represents the numerator?
A. The number of existing cases at a specific point in time.
B. The total population at risk during a specific time period.
C. The number of new cases during a specific time period.
D. The number of deaths attributed to the disease.
Answer: A
Conceptual Explanation: Prevalence includes all existing cases (new and old) at a specific
point in time, whereas incidence only includes new cases.
4. A nurse is using the ‘I PREPARE’ mnemonic to assess environmental exposure. What does
the ‘P’ in PREPARE stand for in the context of taking an environmental history?
A. Present work
B. Pre-existing conditions
C. Potential toxins
D. Past work
, Answer: A
Conceptual Explanation: In the I-PREPARE mnemonic (Investigate, Present work,
Residence, Environmental concerns, Past work, Activities, Resources/Referrals, Educate),
the first P stands for Present work.
5. Which theory of nursing centers on ‘upstream thinking’ and modifying economic, political,
and environmental factors to improve health?
A. Orem’s Self-Care Deficit Theory
B. Milio’s Framework for Prevention
C. Health Belief Model
D. Pender’s Health Promotion Model
Answer: B
Conceptual Explanation: Milio’s framework provides a mechanism for directing attention
upstream and examining opportunities for nursing intervention at the population level.
6. A nurse is assessing a community’s health status by driving through the neighborhood to
observe people, housing, and services. This method is known as a:
A. Focus group
B. Key informant interview
C. Windshield survey
D. Secondary data analysis
