COMMUNITY/PUBLIC HEALTH NURSING
FINAL EXAM/ ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A public health nurse is planning a vaccination campaign for influenza in a
community with low immunization rates. Which strategy is most appropriate?
A. Sending a mail flyer to households
B. Conducting door-to-door education and offering vaccines on-site
C. Posting information on social media only
D. Waiting for patients to come to the clinic voluntarily
Answer: B
Rationale: Community-based interventions, such as door-to-door education and
providing vaccines on-site, are most effective for increasing immunization rates in
underserved or hesitant populations. Passive strategies alone (flyers, social media)
are less effective in reaching high-risk groups.
2. A nurse is assessing a neighborhood after a natural disaster. The community has
inadequate sanitation and unsafe water. The nurse identifies this as a risk factor for
which type of disease?
A. Respiratory infections
B. Vector-borne diseases
C. Waterborne diseases
D. Chronic diseases
Answer: C
Rationale: Unsafe water and poor sanitation increase the risk of waterborne
diseases such as cholera, typhoid, and diarrhea. Vector-borne diseases relate more
to mosquito or tick exposure, while chronic diseases are influenced by lifestyle and
long-term environmental factors.
,3. Which level of prevention is illustrated by a community program teaching
parents about proper nutrition to prevent childhood obesity?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention aims to prevent disease or injury before it occurs.
Teaching about nutrition is proactive, targeting healthy behavior before obesity
develops. Secondary prevention involves early detection, and tertiary focuses on
managing existing conditions.
4. A nurse is developing a health education program for teens about sexually
transmitted infections (STIs). Which teaching strategy is most effective for this
population?
A. Lecture-based presentation
B. Interactive peer group discussions
C. Handing out pamphlets only
D. Showing a documentary
Answer: B
Rationale: Adolescents respond best to interactive and peer-influenced learning.
Peer group discussions encourage engagement, critical thinking, and behavior
change. Passive methods like lectures and pamphlets are less effective alone.
5. A community nurse notices an increase in Type 2 diabetes in adults within a
local population. Which intervention is an example of population-focused care?
A. Providing individualized dietary counseling at the clinic
B. Organizing a community-wide exercise and healthy eating campaign
C. Prescribing medications to affected patients
D. Encouraging patients to monitor blood sugar at home
Answer: B
,Rationale: Population-focused care targets health promotion and disease
prevention for groups, not just individuals. Organizing community-wide
campaigns addresses the broader determinants of health and risk factors.
6. During a home visit, a nurse observes multiple children with untreated dental
caries in a low-income neighborhood. What is the most appropriate first action?
A. Refer the children to a dentist immediately
B. Provide education on oral hygiene and diet
C. Report the family for neglect
D. Document findings and continue with other visits
Answer: B
Rationale: Health education is the first step in addressing preventable conditions.
While referral is important, understanding barriers to care and providing education
is part of a public health nurse’s role. Reporting neglect is only warranted if there
is evidence of abuse or intentional harm.
7. A local government implements a new policy requiring fluoridation of
community water supplies. This is an example of:
A. Individual health promotion
B. Legislative advocacy for population health
C. Secondary prevention
D. Community assessment
Answer: B
Rationale: Legislative actions like water fluoridation represent policy-level
interventions to promote population health. They reflect upstream strategies to
prevent disease at a community level.
, 8. A nurse is conducting a community assessment. Which data is quantitative?
A. Residents report feeling unsafe in their neighborhood
B. 30% of households in the community have children under 5 years old
C. Focus group participants express concern about air quality
D. Interviews reveal dissatisfaction with local healthcare services
Answer: B
Rationale: Quantitative data are numerical and measurable, such as percentages,
rates, or counts. Qualitative data describe perceptions, experiences, or opinions.
9. A nurse is planning a tuberculosis (TB) screening program. Which group should
be prioritized?
A. Healthy college students
B. Homeless individuals in shelters
C. Employees in a corporate office
D. Children in elementary schools
Answer: B
Rationale: TB screening targets high-risk populations, such as those in congregate
living settings (homeless shelters, prisons) or immunocompromised individuals.
Screening healthy populations with low risk is inefficient.
10. A mother brings her 6-year-old child for immunizations. She expresses concern
about vaccine safety after reading online posts. What is the nurse’s best response?
A. “Vaccines are safe; you should not worry.”
B. “I understand your concern; let’s review the benefits and risks together.”
C. “If you don’t vaccinate, your child will get very sick.”
D. “You don’t need to read information online; it’s not reliable.”
Answer: B
Rationale: Acknowledging concerns, providing evidence-based information, and
engaging in shared decision-making builds trust and encourages vaccination.
Scaring or dismissing parents is ineffective.
FINAL EXAM/ ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A public health nurse is planning a vaccination campaign for influenza in a
community with low immunization rates. Which strategy is most appropriate?
A. Sending a mail flyer to households
B. Conducting door-to-door education and offering vaccines on-site
C. Posting information on social media only
D. Waiting for patients to come to the clinic voluntarily
Answer: B
Rationale: Community-based interventions, such as door-to-door education and
providing vaccines on-site, are most effective for increasing immunization rates in
underserved or hesitant populations. Passive strategies alone (flyers, social media)
are less effective in reaching high-risk groups.
2. A nurse is assessing a neighborhood after a natural disaster. The community has
inadequate sanitation and unsafe water. The nurse identifies this as a risk factor for
which type of disease?
A. Respiratory infections
B. Vector-borne diseases
C. Waterborne diseases
D. Chronic diseases
Answer: C
Rationale: Unsafe water and poor sanitation increase the risk of waterborne
diseases such as cholera, typhoid, and diarrhea. Vector-borne diseases relate more
to mosquito or tick exposure, while chronic diseases are influenced by lifestyle and
long-term environmental factors.
,3. Which level of prevention is illustrated by a community program teaching
parents about proper nutrition to prevent childhood obesity?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention aims to prevent disease or injury before it occurs.
Teaching about nutrition is proactive, targeting healthy behavior before obesity
develops. Secondary prevention involves early detection, and tertiary focuses on
managing existing conditions.
4. A nurse is developing a health education program for teens about sexually
transmitted infections (STIs). Which teaching strategy is most effective for this
population?
A. Lecture-based presentation
B. Interactive peer group discussions
C. Handing out pamphlets only
D. Showing a documentary
Answer: B
Rationale: Adolescents respond best to interactive and peer-influenced learning.
Peer group discussions encourage engagement, critical thinking, and behavior
change. Passive methods like lectures and pamphlets are less effective alone.
5. A community nurse notices an increase in Type 2 diabetes in adults within a
local population. Which intervention is an example of population-focused care?
A. Providing individualized dietary counseling at the clinic
B. Organizing a community-wide exercise and healthy eating campaign
C. Prescribing medications to affected patients
D. Encouraging patients to monitor blood sugar at home
Answer: B
,Rationale: Population-focused care targets health promotion and disease
prevention for groups, not just individuals. Organizing community-wide
campaigns addresses the broader determinants of health and risk factors.
6. During a home visit, a nurse observes multiple children with untreated dental
caries in a low-income neighborhood. What is the most appropriate first action?
A. Refer the children to a dentist immediately
B. Provide education on oral hygiene and diet
C. Report the family for neglect
D. Document findings and continue with other visits
Answer: B
Rationale: Health education is the first step in addressing preventable conditions.
While referral is important, understanding barriers to care and providing education
is part of a public health nurse’s role. Reporting neglect is only warranted if there
is evidence of abuse or intentional harm.
7. A local government implements a new policy requiring fluoridation of
community water supplies. This is an example of:
A. Individual health promotion
B. Legislative advocacy for population health
C. Secondary prevention
D. Community assessment
Answer: B
Rationale: Legislative actions like water fluoridation represent policy-level
interventions to promote population health. They reflect upstream strategies to
prevent disease at a community level.
, 8. A nurse is conducting a community assessment. Which data is quantitative?
A. Residents report feeling unsafe in their neighborhood
B. 30% of households in the community have children under 5 years old
C. Focus group participants express concern about air quality
D. Interviews reveal dissatisfaction with local healthcare services
Answer: B
Rationale: Quantitative data are numerical and measurable, such as percentages,
rates, or counts. Qualitative data describe perceptions, experiences, or opinions.
9. A nurse is planning a tuberculosis (TB) screening program. Which group should
be prioritized?
A. Healthy college students
B. Homeless individuals in shelters
C. Employees in a corporate office
D. Children in elementary schools
Answer: B
Rationale: TB screening targets high-risk populations, such as those in congregate
living settings (homeless shelters, prisons) or immunocompromised individuals.
Screening healthy populations with low risk is inefficient.
10. A mother brings her 6-year-old child for immunizations. She expresses concern
about vaccine safety after reading online posts. What is the nurse’s best response?
A. “Vaccines are safe; you should not worry.”
B. “I understand your concern; let’s review the benefits and risks together.”
C. “If you don’t vaccinate, your child will get very sick.”
D. “You don’t need to read information online; it’s not reliable.”
Answer: B
Rationale: Acknowledging concerns, providing evidence-based information, and
engaging in shared decision-making builds trust and encourages vaccination.
Scaring or dismissing parents is ineffective.
