NURSING CLINICAL EVALUATION PRACTICE
EXAM 1 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2025
MARYVILLE UNIVERSITY
1. Which of the following best demonstrates a public health nurse’s role
in community-level intervention?
A. Administering flu vaccines in a clinic
B. Leading a city-wide campaign to reduce childhood obesity
C. Teaching wound care to a home-bound patient
D. Collecting patient data for hospital documentation
Public health nursing at the community level focuses on health
promotion and disease prevention through population-level
strategies, like public campaigns.
2. What is the most appropriate initial step when conducting a
community assessment?
, A. Implementing a health fair
B. Distributing surveys
C. Identifying key stakeholders and gathering existing data
D. Writing a health policy proposal
Gathering existing data and engaging stakeholders is essential to
understand community needs and resources before planning
interventions.
3. A public health nurse observes increased asthma rates in a
neighborhood near a factory. What action aligns with advocacy?
A. Teaching inhaler use
B. Partnering with local leaders to address environmental pollution
C. Referring patients to pulmonary rehab
D. Documenting asthma episodes
Advocacy involves addressing upstream factors such as
environmental causes that impact community health.
4. During a home visit, a nurse notes lack of running water. What is the
priority action?
A. Notify social services to ensure access to basic utilities
B. Teach hand hygiene techniques
C. Schedule a follow-up home visit
D. Call the primary care provider
Addressing social determinants of health is crucial. Access to water is
a basic need and priority for public health action.
,5. Which outcome best reflects effective interprofessional collaboration
in public health?
A. A nurse giving educational handouts
B. Social worker arranging housing independently
C. Physician treating patients alone
D. A coordinated care plan developed by a team for at-risk families
Effective collaboration results in integrated care plans that utilize
each profession’s expertise.
6. The most critical purpose of windshield surveys is to:
A. Diagnose health issues directly
B. Collect patient history
C. Observe community resources and risks
D. Recruit individuals for focus groups
Windshield surveys help nurses visually assess environmental and
social conditions in a community.
7. Which is the best example of an upstream approach in public health
nursing?
A. Providing diabetes education classes
B. Lobbying for improved access to healthy foods in underserved
areas
C. Treating diabetic foot ulcers
D. Monitoring A1C levels in clients
, Upstream approaches focus on policy and environmental changes
that prevent disease before it begins.
8. A nurse conducting a community teaching session on STIs is practicing
which level of prevention?
A. Tertiary
B. Secondary
C. Primary
D. Quaternary
Primary prevention aims to prevent the onset of disease through
education and awareness.
9. What defines cultural competence in public health nursing?
A. Delivering care that respects diverse values, beliefs, and behaviors
B. Using interpreters for all encounters
C. Providing equal treatment to all patients
D. Avoiding cultural discussions to prevent bias
Cultural competence involves understanding and integrating clients’
cultural needs into care.
10. A public health nurse notes high rates of hypertension in African
American males aged 40–60 in a community. This reflects:
A. Secondary data collection
B. Identification of a vulnerable population
C. Evidence-based medicine
D. Personal bias