Actual Exam 2026/2027 | NGN Test Bank |
Questions with Verified Answers | 100%
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PART A: CONCISE STUDY GUIDE
Key Concepts:
Levels of Prevention:
Primary: Prevent disease (immunizations, health education, sanitation).
Secondary: Early detection (screenings, BP checks, TB skin tests).
Tertiary: Reduce complications (stroke rehab, support groups).
Epidemiological Calculations:
Incidence = new cases/population at risk × multiplier.
Prevalence = all existing cases/population × multiplier.
Attack rate = ill/exposed × 100.
Community Assessment Models:
Windshield Survey: systematic observation of neighborhood.
Community-as-Partner: people, place, function, core & subsystems.
Vulnerable Populations:
Homeless: increased TB, HTN, mental illness; need shelters, mobile clinics.
Immigrants: cultural barriers, limited insurance; use interpreters, community health workers.
Disaster Nursing:
Preparedness: plans, drills, stockpiles.
Response: triage, shelter, surveillance.
Recovery: restoring services, mental-health support.
Mitigation: reducing future impact (building codes, education).
PART B: NGN-STYLE TEST BANK
Module 1: Foundations & Epidemiology
Q1 (Bowtie):
Scenario: A rural county reports 24 new cases of hepatitis A in the past 4 weeks among
food-service workers.
Task: Select the ONE most significant antecedent and ONE most significant consequence.
Antecedents:
A. Inadequate public sanitation
B. High restaurant density
, C. Low literacy rates
D. Cold climate
Consequences:
E. Localized epidemic
F. Restaurant closures
G. Vaccine shortage
H. Decreased birth rate
Correct Selections: A (Inadequate public sanitation) & E (Localized epidemic)
Rationale: Poor sanitation links directly to fecal-oral transmission (host-agent-environment
triad). An uncontrolled outbreak is the most serious consequence; other options are secondary
effects.
Q2 (Matrix):
Scenario: A nurse is prioritizing health-fair screenings for a low-income community with high
rates of DM, HTN, and TB exposure.
Task: Drag each screening to the correct priority column.
Activities:
Random blood glucose
BP check
TB symptom survey
Visual acuity
Table
Copy
Highest Priority Intermediate Priority Lowest Priority
1, 2, 3 — 4
Rationale: DM/HTN/TB carry major community burden; visual acuity is important but less
urgent for this population.
Q3 (Cloze):
Scenario: A nurse calculates the attack rate after a church picnic. Of 120 attendees, 30 developed
gastroenteritis. The attack rate is ___ %.
Drop-down options: 15, 20, 25, 30
Correct Answer: 25
Rationale: (30 ÷ 120) × 100 = 25%; demonstrates severity of exposure.
Q4 (Enhanced MC):
Scenario: Which example best illustrates primary prevention in community health?
A. Conducting a diabetic foot screening clinic
B. Providing hepatitis A vaccine to food handlers
C. Teaching wound care to post-stroke clients
D. Referring COPD clients to pulmonary rehab
Correct Answer: B