NURS456 Community Midterm Test Questions and Answers Fully Solved Latest Version 2025-2026
Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be
related to exacerbation of asthma symptoms in the student population. Which would be the most
effective approach in decreasing absenteeism among this population?
A) Develop an asthma education and surveillance program that addresses students,
families, and faculty
members.
B) Develop a policy to exclude students with a diagnosis of asthma from admission to the school.
C) Create an asthma prevention plan within the school environment, based in the school nurse's office.
D) Create an education program for faculty related to the prevention of exacerbation of asthma systems.
- AnswersA) Develop an asthma education and surveillance program that addresses students,
families, and faculty
members.
(consider things that can be changed when people face disease)
Which key factors contribute to the rise of noncommunicable diseases in low- and middle-income
countries? (Select all that apply.)
A) Tobacco use
B) Insufficient physical activity
C) Unclean water
D) High blood pressure
E) Lack of contraceptive use - AnswersAns: A, B, D
Several levels of public health surveillance are necessary to protect the nation's health. At what level are
healthcare providers and health facilities required to report certain infectious diseases?
A Local
B State
C Federal
D International - AnswersAns: B
,In infectious disease epidemiology, just the presence of an infectious agent is not sufficient to produce
an infectious disease. Which host factors determine whether a person is at risk for an infection or an
infectious
disease? (Select all that apply.)
A) Age
B) Sex
C) Occupation
D) Physical and emotional health
E) Immune status - AnswersAns: A, B, D, E
Agents - AnswersCauses of disease
Agents can have structural or biochemical properties that make the more virulent or difficult
to treat such as biofilms, antibiotic resistance & toxins
Biofilms - Answersmulticellular complex of organisms that help evade host response
EX. plaque on teeth
Toxigenicity - AnswersThe ability if an agent to produce toxins that increase virulence by causing tissue
damage
Ex. Botulism
Antibiotic resistance - AnswersGrowing health problem
Lack of compliance & overuse has lead to development of strains that are resistant
Borrellia Burgdorferi - AnswersA County in which 2 confirmed cases have previously been acquired or in
which established populations of known tick vectors are infected with
Borellia Burgdorferi.
, History of tick bite is not required
What pathogen comes from eating raw or undercooked poultry? - AnswersCampylobacter is widespread
in the intestinal tract of many wild &
domestic animals
Nursing students in an enclosed classroom begin to become ill with a gastrointestinal illness. The public
health department identifies this occurrence as an emerging epidemic and isolates the population that is
ill. According to microbial adaptation, those who survive the illness will then do which of the following?
A) Recover with adaptive organism reintroduction into the environment
B) Develop improved defenses against reinfection
C) Become hosts to the organism, which is symbiotic in nature
Physical and emotional health
Immune status
D) Become carriers of the infection, ultimately leading to an epidemic - AnswersAns: B
An 80-year-old client is being treated for chronic urinary tract infections. She has received multiple
antibiotics in the past 6 months. The physician orders a urine culture. The results of the urine culture are
as follows: Staphylococcus aureus >100,000 colonies and demonstrated resistance to sulfamethoxazole
and trimethoprim (Bactrim), penicillin, methicillin, and erythromycin. The client is diagnosed with
methicillin-resistant Staphylococcus aureus (MRSA) on the basis of the findings of her urine test. Based
on the client's history, a cause of the MRSA might be microbial:
A) Rejection
B) Assimilation
C) Adaptation
D) Stagnation - AnswersAns: C
Primary Prevention - Answersaising awareness about violence
Secondary Prevention - Answersidentifying those at risk for being abused or perpetrating abuse
Tertiary Prevention - Answersidentified victim or perpetrator
The local clinic is dedicated to adults and children. It has evening hours and offers varied programs for
the community. The programs include immunizations and classes on fire safety, health education, and
car safety, to name a few. How would the nurse explain the level of prevention used in this setting to
your colleagues?
Absenteeism due to illness has increased recently in the local middle school. The increase is noted to be
related to exacerbation of asthma symptoms in the student population. Which would be the most
effective approach in decreasing absenteeism among this population?
A) Develop an asthma education and surveillance program that addresses students,
families, and faculty
members.
B) Develop a policy to exclude students with a diagnosis of asthma from admission to the school.
C) Create an asthma prevention plan within the school environment, based in the school nurse's office.
D) Create an education program for faculty related to the prevention of exacerbation of asthma systems.
- AnswersA) Develop an asthma education and surveillance program that addresses students,
families, and faculty
members.
(consider things that can be changed when people face disease)
Which key factors contribute to the rise of noncommunicable diseases in low- and middle-income
countries? (Select all that apply.)
A) Tobacco use
B) Insufficient physical activity
C) Unclean water
D) High blood pressure
E) Lack of contraceptive use - AnswersAns: A, B, D
Several levels of public health surveillance are necessary to protect the nation's health. At what level are
healthcare providers and health facilities required to report certain infectious diseases?
A Local
B State
C Federal
D International - AnswersAns: B
,In infectious disease epidemiology, just the presence of an infectious agent is not sufficient to produce
an infectious disease. Which host factors determine whether a person is at risk for an infection or an
infectious
disease? (Select all that apply.)
A) Age
B) Sex
C) Occupation
D) Physical and emotional health
E) Immune status - AnswersAns: A, B, D, E
Agents - AnswersCauses of disease
Agents can have structural or biochemical properties that make the more virulent or difficult
to treat such as biofilms, antibiotic resistance & toxins
Biofilms - Answersmulticellular complex of organisms that help evade host response
EX. plaque on teeth
Toxigenicity - AnswersThe ability if an agent to produce toxins that increase virulence by causing tissue
damage
Ex. Botulism
Antibiotic resistance - AnswersGrowing health problem
Lack of compliance & overuse has lead to development of strains that are resistant
Borrellia Burgdorferi - AnswersA County in which 2 confirmed cases have previously been acquired or in
which established populations of known tick vectors are infected with
Borellia Burgdorferi.
, History of tick bite is not required
What pathogen comes from eating raw or undercooked poultry? - AnswersCampylobacter is widespread
in the intestinal tract of many wild &
domestic animals
Nursing students in an enclosed classroom begin to become ill with a gastrointestinal illness. The public
health department identifies this occurrence as an emerging epidemic and isolates the population that is
ill. According to microbial adaptation, those who survive the illness will then do which of the following?
A) Recover with adaptive organism reintroduction into the environment
B) Develop improved defenses against reinfection
C) Become hosts to the organism, which is symbiotic in nature
Physical and emotional health
Immune status
D) Become carriers of the infection, ultimately leading to an epidemic - AnswersAns: B
An 80-year-old client is being treated for chronic urinary tract infections. She has received multiple
antibiotics in the past 6 months. The physician orders a urine culture. The results of the urine culture are
as follows: Staphylococcus aureus >100,000 colonies and demonstrated resistance to sulfamethoxazole
and trimethoprim (Bactrim), penicillin, methicillin, and erythromycin. The client is diagnosed with
methicillin-resistant Staphylococcus aureus (MRSA) on the basis of the findings of her urine test. Based
on the client's history, a cause of the MRSA might be microbial:
A) Rejection
B) Assimilation
C) Adaptation
D) Stagnation - AnswersAns: C
Primary Prevention - Answersaising awareness about violence
Secondary Prevention - Answersidentifying those at risk for being abused or perpetrating abuse
Tertiary Prevention - Answersidentified victim or perpetrator
The local clinic is dedicated to adults and children. It has evening hours and offers varied programs for
the community. The programs include immunizations and classes on fire safety, health education, and
car safety, to name a few. How would the nurse explain the level of prevention used in this setting to
your colleagues?
