NUR 453 EXAM 1 POSSIBLE QUESTIONS AND ANSWERS | STUDY
GUIDE & PRACTICE TEST 2026/2027
Agent- microbe causing disease
o Progression depends on pathogenicity
§ Depends on infectivity, invasiveness, , viruletoxicity- make toxins- severity of disease from exposure to
agent, immunogenicity-ability to make specific immunity in host - ANS ✔✔Ex. Bacteria, viruses,
rickettsiae, fungi, protozoa, helminths
Pathogenicity- ability of agent to cause disease in susceptible host
Infectivity- ability of agent to invade host & replicate, invasiveness- ability to invade/destroy body cells
Invasiveness- ability to invade/destroy body cells
Toxicity- make toxins
Public health nursing is distinguished from other specialties by adherence to eight principles. Which
principle will a public health nurse prioritize when providing care?
1. Will see the population as the "client"
2. Will develop independent agencies to provide care to the community
3. Will focus on research to improve health
4. Will focus on secondary prevention to improve the health of the community - ANS ✔✔1. Will see the
population as the "client"
Which duties were expected of community health nurses in the 1800s?
1. Use of epidemiologic knowledge and methods
2. Assist physicians with surgery in the newly constructed hospitals
3. Encourage community organization
4. Report facts to and ask questions of physicians - ANS ✔✔4. Report facts to and ask questions of
physicians
The nurse is locating populations in the region who are exposed to lead-based paint and providing them
with information regarding the dangers of lead poisoning. Which intervention is the nurse prioritizing?
1. Outreach
2. Case management
3. Screening
4. Surveillance - ANS ✔✔1. Outreach
Demographic characteristics indicate that people in developed countries are living longer, healthier lives.
Yet, tremendous health and social disparities exist. Which factor best represents these social
determinants of health?
1. Context of preventing disease and disability by promoting and protecting the health of the entire
community
2. What society does do collectively to ensure the conditions exist in which people can be healthy?
3. Comprehensive management of health information and its secure exchange between consumers,
providers, government and quality entities and insurers
4. Social conditions in which people live and work - ANS ✔✔4. Social conditions in which people live and
work
, A high school graduate has decided to pursue a career in public health nursing. Which represents the
minimum educational credential that this student will need to obtain entry into public health nursing
practice?
1. Master's
2. Associate's
3. Baccalaureate
4. Doctorate - ANS ✔✔3. Baccalaureate
The nurse conducts a community assessment. The community is large and the members range from
affluent executives to poor migrant workers. Which approach will provide the most accurate assessment
for this nurse?
1. Interview a subpopulation of each group represented
2. Use a questionnaire written on a fifth-grade reading level
3. Use multiple methods or perspectives
4. Analyze census data - ANS ✔✔3. Use multiple methods or perspectives
There are 12 students with confirmed cases of the H1N1 flu in grades 6 to 8 at the local middle school in
the community. The community nurse advises the caregivers of ill children to keep the children home for
a minimum of 5 to7 days. Which should be the nurse's next step?
1. Require each child in the school to undergo a physical evaluation by the school nurse
2. Implement education in the school setting regarding respiratory and hand hygiene
3. Recommend closing the school for 6 weeks
4. Initiate a system of discipline in the school setting for improper handwashing - ANS ✔✔2. Implement
education in the school setting regarding respiratory and hand hygiene
The community health nurse learns that there are statistically high levels of obesity and elevated
cholesterol in the community. In addition, the community has a disproportionately high number of fast-
food restaurants, compared with surrounding communities. Which would be the most appropriate next
step based on these data?
1. Create local exercise programs
2. Target education and support programs
3. Gather support in the community to ban fast foods
4. Gather further information regarding trans fat - ANS ✔✔2. Target education and support programs
The community nurse has been involved with the local community for several years. Which type of
assessment is this nurse utilizing as she keeps data which outlines the basic behaviors of the entire
community during this time period.
1. Asset-based assessment
2. Collaborative model
3. Epidemiologic model
4. Functional health pattern - ANS ✔✔4. Functional health pattern
The nurse is approached by the health department to investigate and assess the rise in developmental
disabilities in an isolated section of the community. To begin the assessment, the nurse should gather
objective data from which source?
1. Direct observation of the area
2. Client interview-aggregate date
3. Internet-Wikipedia
GUIDE & PRACTICE TEST 2026/2027
Agent- microbe causing disease
o Progression depends on pathogenicity
§ Depends on infectivity, invasiveness, , viruletoxicity- make toxins- severity of disease from exposure to
agent, immunogenicity-ability to make specific immunity in host - ANS ✔✔Ex. Bacteria, viruses,
rickettsiae, fungi, protozoa, helminths
Pathogenicity- ability of agent to cause disease in susceptible host
Infectivity- ability of agent to invade host & replicate, invasiveness- ability to invade/destroy body cells
Invasiveness- ability to invade/destroy body cells
Toxicity- make toxins
Public health nursing is distinguished from other specialties by adherence to eight principles. Which
principle will a public health nurse prioritize when providing care?
1. Will see the population as the "client"
2. Will develop independent agencies to provide care to the community
3. Will focus on research to improve health
4. Will focus on secondary prevention to improve the health of the community - ANS ✔✔1. Will see the
population as the "client"
Which duties were expected of community health nurses in the 1800s?
1. Use of epidemiologic knowledge and methods
2. Assist physicians with surgery in the newly constructed hospitals
3. Encourage community organization
4. Report facts to and ask questions of physicians - ANS ✔✔4. Report facts to and ask questions of
physicians
The nurse is locating populations in the region who are exposed to lead-based paint and providing them
with information regarding the dangers of lead poisoning. Which intervention is the nurse prioritizing?
1. Outreach
2. Case management
3. Screening
4. Surveillance - ANS ✔✔1. Outreach
Demographic characteristics indicate that people in developed countries are living longer, healthier lives.
Yet, tremendous health and social disparities exist. Which factor best represents these social
determinants of health?
1. Context of preventing disease and disability by promoting and protecting the health of the entire
community
2. What society does do collectively to ensure the conditions exist in which people can be healthy?
3. Comprehensive management of health information and its secure exchange between consumers,
providers, government and quality entities and insurers
4. Social conditions in which people live and work - ANS ✔✔4. Social conditions in which people live and
work
, A high school graduate has decided to pursue a career in public health nursing. Which represents the
minimum educational credential that this student will need to obtain entry into public health nursing
practice?
1. Master's
2. Associate's
3. Baccalaureate
4. Doctorate - ANS ✔✔3. Baccalaureate
The nurse conducts a community assessment. The community is large and the members range from
affluent executives to poor migrant workers. Which approach will provide the most accurate assessment
for this nurse?
1. Interview a subpopulation of each group represented
2. Use a questionnaire written on a fifth-grade reading level
3. Use multiple methods or perspectives
4. Analyze census data - ANS ✔✔3. Use multiple methods or perspectives
There are 12 students with confirmed cases of the H1N1 flu in grades 6 to 8 at the local middle school in
the community. The community nurse advises the caregivers of ill children to keep the children home for
a minimum of 5 to7 days. Which should be the nurse's next step?
1. Require each child in the school to undergo a physical evaluation by the school nurse
2. Implement education in the school setting regarding respiratory and hand hygiene
3. Recommend closing the school for 6 weeks
4. Initiate a system of discipline in the school setting for improper handwashing - ANS ✔✔2. Implement
education in the school setting regarding respiratory and hand hygiene
The community health nurse learns that there are statistically high levels of obesity and elevated
cholesterol in the community. In addition, the community has a disproportionately high number of fast-
food restaurants, compared with surrounding communities. Which would be the most appropriate next
step based on these data?
1. Create local exercise programs
2. Target education and support programs
3. Gather support in the community to ban fast foods
4. Gather further information regarding trans fat - ANS ✔✔2. Target education and support programs
The community nurse has been involved with the local community for several years. Which type of
assessment is this nurse utilizing as she keeps data which outlines the basic behaviors of the entire
community during this time period.
1. Asset-based assessment
2. Collaborative model
3. Epidemiologic model
4. Functional health pattern - ANS ✔✔4. Functional health pattern
The nurse is approached by the health department to investigate and assess the rise in developmental
disabilities in an isolated section of the community. To begin the assessment, the nurse should gather
objective data from which source?
1. Direct observation of the area
2. Client interview-aggregate date
3. Internet-Wikipedia
