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NR 442/ NR442 FINAL Exam: Community
Health Nursing (2026/ 2027 Update) | Q/A |
Grade A| (Verified Answers) -Chamberlain
Subject: NR442 Community Health Nursing Final Exam
Format: 200 multiple-choice practice questions with verified answers and
rationales.
1. A nurse working at a community health clinic is reviewing the
staff schedule and notices the clinic has been working short-
staffed for the past 3 months. Which of the following actions
should the nurse take to address this issue?
a. Cancel and reschedule client appointments to times when staff are
available.
b. Speak to clients and get feedback about the scheduling challenges.
c. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
d. Close the clinic early due to staffing concerns.
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Answer: c
Rationale: By speaking to the manager and advocating for better
staffing, the nurse demonstrates an ability to help shape and inform
policy making for this important issue.
2. A nurse is caring for a client who is dying and wishes to
discontinue taking their medications. Which of the following
ethical principles is the nurse demonstrating by respecting the
client's decision?
a. Nonmaleficence
b. Beneficence
c. Autonomy
d. Justice
Answer: c
Rationale: The nurse is demonstrating autonomy by respecting the
client's wishes to make informed decisions independently.
3. A nurse is reinforcing teaching to a newly licensed nurse about
client advocacy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
a. "I will make sure clients understand treatment options before they
sign a consent form."
b. "I will make sure to speak to my client's adult children on deciding
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if a surgical procedure should be conducted."
c. "I will inform clients they should research health information so
they do not bother providers with questions."
d. "I will not alert my client that they have access to their medical
records via the patient portal."
Answer: a
Rationale: A key duty of a nurse advocating for clients is to ensure
they understand treatment options, risks, and outcomes before giving
informed consent.
4. A community health nurse is reinforcing education on insulin
administration to a client who has diabetes mellitus. Which of
the following elements of Nursing’s Social Contract is the nurse
demonstrating?
a. Collaboration
b. Ethical practice
c. Autonomy of practice
d. Promotion of the health of the public
Answer: c
Rationale: The nurse is demonstrating autonomy of practice by
providing education within the scope and standards of practice for a
community health nurse.
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5. A nurse is preparing an orientation for newly licensed
community health nurses on the standards of professional
practice. Which of the following is a critical thinking model that
describes a competent level of nursing care?
a. Elements and Standards Model
b. The nursing process
c. The Minnesota Model for Public Health Nursing Practice
d. Professional Nursing Model
Answer: b
Rationale: The nursing process is a critical thinking model
describing a competent level of nursing care, using systematic
strategies in community health settings.
6. A nurse working in the family planning clinic is working with an
adolescent client who has expressed interest in birth control
options. Which of the following is an example of how the nurse
can practice with compassion and value the inherent dignity,
worth, and unique attributes of the client?
a. Take responsibility for recommending that the client use hormonal
contraception.
b. Advocate for the right of the minor's parents to authorize
prescribed birth control medication.
NR 442/ NR442 FINAL Exam: Community
Health Nursing (2026/ 2027 Update) | Q/A |
Grade A| (Verified Answers) -Chamberlain
Subject: NR442 Community Health Nursing Final Exam
Format: 200 multiple-choice practice questions with verified answers and
rationales.
1. A nurse working at a community health clinic is reviewing the
staff schedule and notices the clinic has been working short-
staffed for the past 3 months. Which of the following actions
should the nurse take to address this issue?
a. Cancel and reschedule client appointments to times when staff are
available.
b. Speak to clients and get feedback about the scheduling challenges.
c. Speak to the manager and advocate for a strategy that ensures
adequate staffing.
d. Close the clinic early due to staffing concerns.
, 2|Page
Answer: c
Rationale: By speaking to the manager and advocating for better
staffing, the nurse demonstrates an ability to help shape and inform
policy making for this important issue.
2. A nurse is caring for a client who is dying and wishes to
discontinue taking their medications. Which of the following
ethical principles is the nurse demonstrating by respecting the
client's decision?
a. Nonmaleficence
b. Beneficence
c. Autonomy
d. Justice
Answer: c
Rationale: The nurse is demonstrating autonomy by respecting the
client's wishes to make informed decisions independently.
3. A nurse is reinforcing teaching to a newly licensed nurse about
client advocacy. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
a. "I will make sure clients understand treatment options before they
sign a consent form."
b. "I will make sure to speak to my client's adult children on deciding
, 3|Page
if a surgical procedure should be conducted."
c. "I will inform clients they should research health information so
they do not bother providers with questions."
d. "I will not alert my client that they have access to their medical
records via the patient portal."
Answer: a
Rationale: A key duty of a nurse advocating for clients is to ensure
they understand treatment options, risks, and outcomes before giving
informed consent.
4. A community health nurse is reinforcing education on insulin
administration to a client who has diabetes mellitus. Which of
the following elements of Nursing’s Social Contract is the nurse
demonstrating?
a. Collaboration
b. Ethical practice
c. Autonomy of practice
d. Promotion of the health of the public
Answer: c
Rationale: The nurse is demonstrating autonomy of practice by
providing education within the scope and standards of practice for a
community health nurse.
, 4|Page
5. A nurse is preparing an orientation for newly licensed
community health nurses on the standards of professional
practice. Which of the following is a critical thinking model that
describes a competent level of nursing care?
a. Elements and Standards Model
b. The nursing process
c. The Minnesota Model for Public Health Nursing Practice
d. Professional Nursing Model
Answer: b
Rationale: The nursing process is a critical thinking model
describing a competent level of nursing care, using systematic
strategies in community health settings.
6. A nurse working in the family planning clinic is working with an
adolescent client who has expressed interest in birth control
options. Which of the following is an example of how the nurse
can practice with compassion and value the inherent dignity,
worth, and unique attributes of the client?
a. Take responsibility for recommending that the client use hormonal
contraception.
b. Advocate for the right of the minor's parents to authorize
prescribed birth control medication.
