NURS 340 Public Health Nursing (PH) Quizzes 1, 2
and 3 | 150 Multiple-Choice Questions |
Comprehensive Exam Review | 2026/2027 | 100%
Correct - West Coast University.
1. Which measure best quantifies the excess disease burden attributable to a specific
exposure in a community?
A. Population attributable risk percent
B. Relative risk
C. Odds ratio
D. Incidence rate
Answer: A
Rationale: Population attributable risk percent estimates the proportion of disease in the
population that would be eliminated if the exposure were removed, directly quantifying excess
burden. Relative risk and odds ratio measure association strength, not population impact.
Incidence rate describes new cases over time without attributing to exposure.
2. A community health assessment reveals high obesity and limited grocery stores. Which
intervention best addresses the social determinant?
A. Mobile produce market with nutrition education
B. Free gym memberships for residents
C. Television campaign on diet
D. Individual dietary counseling at clinic
Answer: A
Rationale: Limited grocery access is a built-environment determinant; a mobile produce market
directly improves access while adding education. Gym memberships address physical activity
but not food access. Media campaigns and individual counseling do not alter the environmental
barrier.
3. During a disaster, which ethical framework prioritizes saving the most lives with scarce
resources?
A. Utilitarian approach
B. Deontological approach
C. Virtue ethics
D. Principilism
Page 1
,Answer: A
Rationale: Utilitarianism focuses on maximizing overall benefit, aligning with triage to save the
most lives. Deontology emphasizes duties and rules regardless of outcome. Virtue ethics centers
on character, and principlism balances four principles without a sole focus on population
outcomes.
4. A nurse uses the Community as Partner model. Which action reflects the model's core
principle?
A. Assessing community strengths and engaging residents in planning
B. Implementing a pre-designed program from the health department
C. Focusing solely on disease prevalence data
D. Prioritizing provider-driven goals over community input
Answer: A
Rationale: The Community as Partner model emphasizes community strengths, empowerment,
and participation in all phases. Pre-designed programs, disease-only focus, and provider-driven
goals contradict its participatory philosophy.
5. Which primary prevention strategy best reduces incidence of a communicable disease in
a community?
A. Immunization campaign
B. Contact tracing
C. Isolation of cases
D. Antibiotic prophylaxis
Answer: A
Rationale: Immunization prevents disease before exposure, constituting primary prevention and
reducing incidence. Contact tracing and isolation are secondary prevention (early detection and
containment). Antibiotic prophylaxis is targeted and not a population-wide primary strategy.
6. Which action best demonstrates cultural competence in a public health nursing
intervention?
A. Adapting education to the community's language and health beliefs
B. Using standard materials translated verbatim
C. Relying on evidence-based guidelines without adaptation
D. Having providers from the same culture only
Answer: A
Rationale: Cultural competence involves adapting interventions to the community's language,
beliefs, and practices to enhance relevance and uptake. Verbatim translation may miss cultural
nuances. Ignoring context reduces effectiveness, and requiring same-culture providers is neither
necessary nor sufficient.
Page 2
,7. A public health nurse advocates for a policy increasing minimum wage. Which
determinant is primarily addressed?
A. Social determinant of health
B. Environmental determinant
C. Genetic determinant
D. Behavioral determinant
Answer: A
Rationale: Minimum wage is a social and economic factor influencing health, thus a social
determinant. Environmental determinants involve physical surroundings; genetic are inherited;
behavioral are individual actions.
8. Which epidemiological measure is most useful for planning healthcare services for a
chronic disease?
A. Prevalence
B. Incidence
C. Mortality rate
D. Case fatality rate
Answer: A
Rationale: Prevalence indicates the total number of existing cases, reflecting the burden of
disease and needed service capacity. Incidence measures new cases, useful for studying risk.
Mortality and case fatality describe outcomes, not ongoing service needs.
9. In disaster preparedness, which phase involves activities to reduce vulnerability before
an event?
A. Mitigation
B. Response
C. Recovery
D. Preparedness
Answer: A
Rationale: Mitigation refers to long-term measures to reduce or eliminate risk before a disaster.
Preparedness involves planning and training; response is immediate action during; recovery is
post-event restoration.
10. Which environmental health intervention best prevents lead poisoning in an older
housing community?
A. Lead abatement of older homes
B. Blood lead screening for children
C. Nutritional counseling on iron intake
D. Public education on handwashing
Answer: A
Page 3
, Rationale: Lead abatement removes the source of exposure, a primary prevention strategy. Screening is secondary
prevention. Nutritional counseling and handwashing are supportive but do not eliminate the hazard.
11. Which best explains why public health nurses must report notifiable diseases to local
health authorities?
A. To ensure individual patients receive timely antibiotics
B. To enable rapid outbreak detection and control measures
C. To satisfy insurance billing requirements for reimbursement
D. To track immunization status for school entry compliance
Answer: B
Rationale: Reporting notifiable diseases allows public health authorities to detect outbreaks
early, implement control measures, and monitor trends. Individual treatment and billing are not
the primary purpose, and immunization tracking is a separate function.
12. A community health nurse is prioritizing interventions. Which social determinant most
directly influences health equity?
A. Access to genetic testing services
B. Availability of safe housing and transportation
C. Number of specialty care physicians per capita
D. Frequency of health education workshops
Answer: B
Rationale: Safe housing and transportation are fundamental social determinants that shape
access to resources and opportunities for health, directly impacting health equity. The other
options are important but less foundational to structural equity.
13. During a disaster, which action best reflects the nurse's role in the recovery phase?
A. Conducting rapid needs assessments and triage
B. Coordinating community resources for long-term rebuilding
C. Providing immediate first aid and emergency care
D. Implementing isolation protocols for infectious diseases
Answer: B
Rationale: Recovery involves restoring infrastructure and supporting community resilience,
which includes coordinating resources for long-term rebuilding. Triage, first aid, and isolation
are primarily response-phase activities.
14. Which epidemiological measure best quantifies the excess risk of disease attributable to
a specific exposure in a population?
A. Odds ratio
B. Relative risk
C. Attributable risk
Page 4
and 3 | 150 Multiple-Choice Questions |
Comprehensive Exam Review | 2026/2027 | 100%
Correct - West Coast University.
1. Which measure best quantifies the excess disease burden attributable to a specific
exposure in a community?
A. Population attributable risk percent
B. Relative risk
C. Odds ratio
D. Incidence rate
Answer: A
Rationale: Population attributable risk percent estimates the proportion of disease in the
population that would be eliminated if the exposure were removed, directly quantifying excess
burden. Relative risk and odds ratio measure association strength, not population impact.
Incidence rate describes new cases over time without attributing to exposure.
2. A community health assessment reveals high obesity and limited grocery stores. Which
intervention best addresses the social determinant?
A. Mobile produce market with nutrition education
B. Free gym memberships for residents
C. Television campaign on diet
D. Individual dietary counseling at clinic
Answer: A
Rationale: Limited grocery access is a built-environment determinant; a mobile produce market
directly improves access while adding education. Gym memberships address physical activity
but not food access. Media campaigns and individual counseling do not alter the environmental
barrier.
3. During a disaster, which ethical framework prioritizes saving the most lives with scarce
resources?
A. Utilitarian approach
B. Deontological approach
C. Virtue ethics
D. Principilism
Page 1
,Answer: A
Rationale: Utilitarianism focuses on maximizing overall benefit, aligning with triage to save the
most lives. Deontology emphasizes duties and rules regardless of outcome. Virtue ethics centers
on character, and principlism balances four principles without a sole focus on population
outcomes.
4. A nurse uses the Community as Partner model. Which action reflects the model's core
principle?
A. Assessing community strengths and engaging residents in planning
B. Implementing a pre-designed program from the health department
C. Focusing solely on disease prevalence data
D. Prioritizing provider-driven goals over community input
Answer: A
Rationale: The Community as Partner model emphasizes community strengths, empowerment,
and participation in all phases. Pre-designed programs, disease-only focus, and provider-driven
goals contradict its participatory philosophy.
5. Which primary prevention strategy best reduces incidence of a communicable disease in
a community?
A. Immunization campaign
B. Contact tracing
C. Isolation of cases
D. Antibiotic prophylaxis
Answer: A
Rationale: Immunization prevents disease before exposure, constituting primary prevention and
reducing incidence. Contact tracing and isolation are secondary prevention (early detection and
containment). Antibiotic prophylaxis is targeted and not a population-wide primary strategy.
6. Which action best demonstrates cultural competence in a public health nursing
intervention?
A. Adapting education to the community's language and health beliefs
B. Using standard materials translated verbatim
C. Relying on evidence-based guidelines without adaptation
D. Having providers from the same culture only
Answer: A
Rationale: Cultural competence involves adapting interventions to the community's language,
beliefs, and practices to enhance relevance and uptake. Verbatim translation may miss cultural
nuances. Ignoring context reduces effectiveness, and requiring same-culture providers is neither
necessary nor sufficient.
Page 2
,7. A public health nurse advocates for a policy increasing minimum wage. Which
determinant is primarily addressed?
A. Social determinant of health
B. Environmental determinant
C. Genetic determinant
D. Behavioral determinant
Answer: A
Rationale: Minimum wage is a social and economic factor influencing health, thus a social
determinant. Environmental determinants involve physical surroundings; genetic are inherited;
behavioral are individual actions.
8. Which epidemiological measure is most useful for planning healthcare services for a
chronic disease?
A. Prevalence
B. Incidence
C. Mortality rate
D. Case fatality rate
Answer: A
Rationale: Prevalence indicates the total number of existing cases, reflecting the burden of
disease and needed service capacity. Incidence measures new cases, useful for studying risk.
Mortality and case fatality describe outcomes, not ongoing service needs.
9. In disaster preparedness, which phase involves activities to reduce vulnerability before
an event?
A. Mitigation
B. Response
C. Recovery
D. Preparedness
Answer: A
Rationale: Mitigation refers to long-term measures to reduce or eliminate risk before a disaster.
Preparedness involves planning and training; response is immediate action during; recovery is
post-event restoration.
10. Which environmental health intervention best prevents lead poisoning in an older
housing community?
A. Lead abatement of older homes
B. Blood lead screening for children
C. Nutritional counseling on iron intake
D. Public education on handwashing
Answer: A
Page 3
, Rationale: Lead abatement removes the source of exposure, a primary prevention strategy. Screening is secondary
prevention. Nutritional counseling and handwashing are supportive but do not eliminate the hazard.
11. Which best explains why public health nurses must report notifiable diseases to local
health authorities?
A. To ensure individual patients receive timely antibiotics
B. To enable rapid outbreak detection and control measures
C. To satisfy insurance billing requirements for reimbursement
D. To track immunization status for school entry compliance
Answer: B
Rationale: Reporting notifiable diseases allows public health authorities to detect outbreaks
early, implement control measures, and monitor trends. Individual treatment and billing are not
the primary purpose, and immunization tracking is a separate function.
12. A community health nurse is prioritizing interventions. Which social determinant most
directly influences health equity?
A. Access to genetic testing services
B. Availability of safe housing and transportation
C. Number of specialty care physicians per capita
D. Frequency of health education workshops
Answer: B
Rationale: Safe housing and transportation are fundamental social determinants that shape
access to resources and opportunities for health, directly impacting health equity. The other
options are important but less foundational to structural equity.
13. During a disaster, which action best reflects the nurse's role in the recovery phase?
A. Conducting rapid needs assessments and triage
B. Coordinating community resources for long-term rebuilding
C. Providing immediate first aid and emergency care
D. Implementing isolation protocols for infectious diseases
Answer: B
Rationale: Recovery involves restoring infrastructure and supporting community resilience,
which includes coordinating resources for long-term rebuilding. Triage, first aid, and isolation
are primarily response-phase activities.
14. Which epidemiological measure best quantifies the excess risk of disease attributable to
a specific exposure in a population?
A. Odds ratio
B. Relative risk
C. Attributable risk
Page 4
