NSG 3480 – Nursing Practice: Community Health Exam 2 (Galen College, 2026/2027) — 2026/2027 Off
OBJECTIVE ASSESSMENT - EXAM
NSG 3480
Community Health Exam 2
Galen College | 2026/2027
A+ Verified Edition: 2026/2027 Passing Score: 80% Marks: 50 Total
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Community Health Assessment and Epidemiology (Questions 1-10)
Section 2: Health Promotion and Disease Prevention (Questions 11-20)
Section 3: Vulnerable Populations and Social Determinants of Health (Questions 21-30)
Section 4: Community Health Nursing Roles and Interventions (Questions 31-40)
Section 5: Program Planning, Evaluation, and Policy (Questions 41-50)
EXAM INSTRUCTIONS
This examination assesses baccalaureate-level knowledge of community health nursing,
population health, epidemiology, and public health program planning. Read each question
carefully and select the best answer.
Subject: NSG 3480 – Nursing Practice: Community Health Exam 2 (Galen College, 2026/2027) — 2026/2027 Official Exam
Difficulty: Undergraduate nursing — community health at the baccalaureate level
Question Type: Multiple choice, 4 options (A-D)
Marks: 1 mark per question, 50 marks total
Passing Score: 80%
Bloom's Taxonomy: Application/Analysis
, Section 1: Community Health Assessment and Epidemiology
Question 1
A community health nurse is analyzing data from a county health department report. The infant mortality
rate increased from 6.2 per 1,000 live births in 2023 to 8.9 per 1,000 in 2025. The neonatal mortality rate
remained stable. Which epidemiological interpretation is most accurate?
A. Postneonatal factors such as SIDS, infections, or environmental hazards are likely contributing to the
increase
B. Prenatal care access has improved dramatically during the reporting period
C. The increase reflects a rise in congenital anomalies occurring during delivery
D. Maternal age distribution has shifted toward younger, healthier mothers
Correct Answer: A
Rationale: When infant mortality increases but neonatal mortality remains stable, the increase is occurring in the postneonatal
period (28 days to 1 year). This points to external causes such as SIDS, infections, accidents, or environmental exposures
rather than birth-related or congenital issues.
Question 2
During a windshield survey of a low-income urban neighborhood, the nurse observes boarded-up
housing, absence of grocery stores, a high density of liquor stores, and limited public transportation.
Which social determinant of health framework best organizes these observations?
A. Healthy People 2030's neighborhood and built environment domain
B. The epidemiological triad of host, agent, and environment
C. Maslow's hierarchy of needs physiological level assessment
D. The nursing process diagnosis phase for individual clients
Correct Answer: A
Rationale: Healthy People 2030 organizes social determinants into five domains, including neighborhood and built
environment, which encompasses housing, food access, transportation, and environmental quality. The epidemiological triad
(B) is used for infectious disease investigation, not community assessment.
Question 3
A nurse epidemiologist investigates an outbreak of 34 cases of giardiasis in a rural community over three
weeks. The attack rate among residents who drank from Well A is 42%, compared to 3% among those
who used municipal water. Which measure of association should the nurse calculate to quantify the
strength of this relationship?
A. Relative risk, comparing attack rates between exposed and unexposed groups
B. Odds ratio, because this is a case-control study design
C. Prevalence rate, to determine the total burden of giardiasis
D. Mortality ratio, to assess case fatality from the outbreak
Correct Answer: A
Rationale: In a cohort-type outbreak investigation where exposed and unexposed groups are identified prospectively, relative
risk (attack rate in exposed divided by attack rate in unexposed) is the appropriate measure. An odds ratio (B) is used when
subjects are selected based on disease status, not exposure status.
OBJECTIVE ASSESSMENT - EXAM
NSG 3480
Community Health Exam 2
Galen College | 2026/2027
A+ Verified Edition: 2026/2027 Passing Score: 80% Marks: 50 Total
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Community Health Assessment and Epidemiology (Questions 1-10)
Section 2: Health Promotion and Disease Prevention (Questions 11-20)
Section 3: Vulnerable Populations and Social Determinants of Health (Questions 21-30)
Section 4: Community Health Nursing Roles and Interventions (Questions 31-40)
Section 5: Program Planning, Evaluation, and Policy (Questions 41-50)
EXAM INSTRUCTIONS
This examination assesses baccalaureate-level knowledge of community health nursing,
population health, epidemiology, and public health program planning. Read each question
carefully and select the best answer.
Subject: NSG 3480 – Nursing Practice: Community Health Exam 2 (Galen College, 2026/2027) — 2026/2027 Official Exam
Difficulty: Undergraduate nursing — community health at the baccalaureate level
Question Type: Multiple choice, 4 options (A-D)
Marks: 1 mark per question, 50 marks total
Passing Score: 80%
Bloom's Taxonomy: Application/Analysis
, Section 1: Community Health Assessment and Epidemiology
Question 1
A community health nurse is analyzing data from a county health department report. The infant mortality
rate increased from 6.2 per 1,000 live births in 2023 to 8.9 per 1,000 in 2025. The neonatal mortality rate
remained stable. Which epidemiological interpretation is most accurate?
A. Postneonatal factors such as SIDS, infections, or environmental hazards are likely contributing to the
increase
B. Prenatal care access has improved dramatically during the reporting period
C. The increase reflects a rise in congenital anomalies occurring during delivery
D. Maternal age distribution has shifted toward younger, healthier mothers
Correct Answer: A
Rationale: When infant mortality increases but neonatal mortality remains stable, the increase is occurring in the postneonatal
period (28 days to 1 year). This points to external causes such as SIDS, infections, accidents, or environmental exposures
rather than birth-related or congenital issues.
Question 2
During a windshield survey of a low-income urban neighborhood, the nurse observes boarded-up
housing, absence of grocery stores, a high density of liquor stores, and limited public transportation.
Which social determinant of health framework best organizes these observations?
A. Healthy People 2030's neighborhood and built environment domain
B. The epidemiological triad of host, agent, and environment
C. Maslow's hierarchy of needs physiological level assessment
D. The nursing process diagnosis phase for individual clients
Correct Answer: A
Rationale: Healthy People 2030 organizes social determinants into five domains, including neighborhood and built
environment, which encompasses housing, food access, transportation, and environmental quality. The epidemiological triad
(B) is used for infectious disease investigation, not community assessment.
Question 3
A nurse epidemiologist investigates an outbreak of 34 cases of giardiasis in a rural community over three
weeks. The attack rate among residents who drank from Well A is 42%, compared to 3% among those
who used municipal water. Which measure of association should the nurse calculate to quantify the
strength of this relationship?
A. Relative risk, comparing attack rates between exposed and unexposed groups
B. Odds ratio, because this is a case-control study design
C. Prevalence rate, to determine the total burden of giardiasis
D. Mortality ratio, to assess case fatality from the outbreak
Correct Answer: A
Rationale: In a cohort-type outbreak investigation where exposed and unexposed groups are identified prospectively, relative
risk (attack rate in exposed divided by attack rate in unexposed) is the appropriate measure. An odds ratio (B) is used when
subjects are selected based on disease status, not exposure status.
