2026/2027 | NGN Test Bank | Questions with Verified
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PART A: CONCISE STUDY GUIDE
Key Concepts:
● Levels of Prevention
○ Primary: Prevent disease before it occurs (e.g., immunizations, health
education).
○ Secondary: Early detection & screening (e.g., mammograms, BP checks).
○ Tertiary: Reduce disability & complications from existing disease (e.g.,
stroke rehab).
● Epidemiological Calculations
○ Incidence: New cases / Population at risk × multiplier (usually 1,000 or
100,000).
○ Prevalence: All existing cases / Total population × multiplier.
○ Attack Rate: # of people who develop illness / Total exposed × 100.
○ Case-Fatality Rate: Deaths due to disease / Total diagnosed × 100.
● Community Assessment Models
○ Windshield Survey: Systematic observation of community boundaries,
housing, public spaces, social functioning.
○ Community-as-Partner Model: People, place & functions interacting with
stressors & lines of defense.
● Vulnerable Populations
○ Homeless: High risk for TB, foot problems, mental illness; priority =
primary prevention + linkage to care.
○ Elderly: Fall prevention, polypharmacy screening, caregiver support.
○ Immigrants/Refugees: Screen for HBV, parasites, lead; address language &
cultural barriers.
● Disaster Nursing
, ○ Preparedness: Planning, drills, stockpiling.
○ Response: Triage, sheltering, medical care.
○ Recovery: Mental health, rebuilding infrastructure.
○ Mitigation: Reduce future impact (building codes, vaccination campaigns).
PART B: NGN-STYLE TEST BANK
Module 1: Foundations & Epidemiology
Q1 (Bowtie) – Hepatitis A Outbreak
Scenario: A coastal town reports 50 cases of Hepatitis A in 4 weeks. The nurse is
analyzing antecedents and consequences.
Left Column (Antecedents):
A. Inadequate public sanitation
B. High per-capita seafood consumption
C. Recent flood event
D. Low influenza vaccination rates
Right Column (Consequences):
E. Localized epidemic
F. Increased hepatitis B incidence
G. Tourism revenue loss
H. Rising childhood obesity
Task: Select ONE most significant antecedent and ONE most significant consequence.