NR 442/NR442 Week 1 practice 2 Community Health Nursing NCLEX-Style Practice Questions & Answers with Rationales (Latest 2025/2026 Update) Document Contains  32 Comprehensive Questions  Multi Choice  Answers & Rationales  Answers Key at the Bottom Pa

NR 442/NR442 Week 1 practice 2 Community Health Nursing NCLEX-Style Practice Questions & Answers with Rationales (Latest 2025/2026 Update) Document Contains  32 Comprehensive Questions  Multi Choice  Answers & Rationales  Answers Key at the Bottom Page Questions 1-10 1. A community health nurse is conducting a windshield survey of a neighborhood. Which observation would be MOST concerning from a population health perspective? A) Several well-maintained parks with playground equipment B) Multiple fast-food restaurants and liquor stores with limited grocery stores C) A variety of housing types including apartments and single-family homes D) Public transportation stops located throughout the community Rationale: B is correct. The presence of multiple fast-food restaurants and liquor stores with limited access to healthy food options indicates food deserts and environmental factors that negatively impact population health. This observation suggests limited access to nutritious foods and potential for increased substance abuse, both significant population health concerns. 2. When applying the three levels of prevention to a community aggregate of pregnant teenagers, which intervention represents PRIMARY prevention? A) Providing prenatal vitamins to pregnant teens B) Conducting pregnancy tests at the school health clinic C) Teaching comprehensive sex education in high schools D) Offering parenting classes for teen mothers Rationale: C is correct. Primary prevention focuses on preventing problems before they occur. Comprehensive sex education aims to prevent unintended teenage pregnancies from occurring in the first place. Options A and D are tertiary prevention (managing existing conditions), while B is secondary prevention (early detection). 3. According to the Public Health Intervention Wheel, which intervention is the community health nurse performing when advocating for policy changes to improve air quality standards? A) Health teaching B) Policy development and enforcement C) Community organizing D) Social marketing Rationale: B is correct. Policy development and enforcement involves placing health issues on decision-makers' agendas and working toward laws, rules, regulations, and policies that protect and promote health. Advocating for improved air quality standards directly fits this intervention category. 4. A community health nurse is assessing a population's health status using vital statistics. Which data source would provide the MOST comprehensive information about population health trends? A) Hospital discharge records B) Birth and death certificates C) Insurance claim databases D) Emergency department visits Rationale: B is correct. Birth and death certificates are official vital statistics that provide comprehensive population-level data about mortality patterns, causes of death, birth rates, and demographic trends over time. This data is systematically collected and provides the foundation for understanding population health status and trends. 5. When formulating a community diagnosis, which component is ESSENTIAL for a complete diagnosis statement? A) Nursing interventions planned B) Expected outcomes and timeline C) Etiological or causal statement D) Individual risk factors identified Rationale: C is correct. A community diagnosis must include four components: identification of the health problem/risk, affected aggregate/community, etiological or causal statement, and evidence to support the diagnosis. The etiological statement identifies the underlying causes that must be addressed for effective intervention. 6. A community health nurse is working with a population experiencing high rates of diabetes. Using "thinking upstream" principles, which intervention addresses the ROOT cause? A) Providing blood glucose monitors to diabetic patients B) Advocating for healthy food access in food deserts C) Teaching insulin administration techniques D) Screening for diabetic complications Rationale: B is correct. "Thinking upstream" focuses on addressing social, political, environmental, and economic factors that lead to health problems. Advocating for healthy food access addresses the environmental and economic root causes that contribute to diabetes development in populations. 7. According to Healthy People 2030, which goal reflects the PRIMARY focus of population health improvement? A) Increase individual compliance with medication regimens B) Eliminate health disparities and achieve health equity C) Expand hospital capacity in underserved areas D) Improve physician-to-patient ratios in rural communities Rationale: B is correct. One of Healthy People 2030's overarching goals is to "eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all." This reflects the population health focus on addressing systemic inequities that affect entire communities and populations.