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NR 442/ NR442 Exam 1 : Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
Subject: NR 442 Community Health Nursing Practice Exam
Source: Chamberlain University
Format: 50 multiple-choice practice questions with answer keys and
rationales.
1. A community health nurse is planning a presentation for adults
who have a family history of Alzheimer's disease. Which of the
following behaviors should the nurse include as an early
manifestation of Alzheimer's disease?
a. Withdrawal from social activities
b. Forgetting the location of common objects
c. Experiencing incontinence
d. Neglecting personal hygiene
Answer: b
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Rationale: Forgetting the location of common objects is an early sign
of Alzheimer’s disease.
2. A community health nurse identifies an increase in the
occurrence of osteoporosis-related fractures in women
experiencing menopause. Which of the following primary
prevention strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-bearing
activities.
c. Educate the women about the importance of limiting sun exposure.
d. Instruct at-risk women to increase their intake of foods high in
vitamin E.
Answer: b
Rationale: Weight-bearing exercise helps prevent osteoporosis by
strengthening bones.
3. A nurse is caring for a client who has terminal lung cancer and is
receiving hospice care. Which of the following statements should
the nurse identify as an indication that the client is in the denial
stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
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c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
Answer: a
Rationale: Denial involves rejecting the reality of impending loss.
4. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse ask the
client to determine if he is socially isolated?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?"
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Answer: c
Rationale: This question directly assesses frequency of social
contact.
5. A community health nurse is discussing the role of a faith
community nurse with a chaplain. Which of the following
information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic pain
management for clients who have a terminal illness.
b. The faith community nurse can plan safety training for employees
NR 442/ NR442 Exam 1 : Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
Subject: NR 442 Community Health Nursing Practice Exam
Source: Chamberlain University
Format: 50 multiple-choice practice questions with answer keys and
rationales.
1. A community health nurse is planning a presentation for adults
who have a family history of Alzheimer's disease. Which of the
following behaviors should the nurse include as an early
manifestation of Alzheimer's disease?
a. Withdrawal from social activities
b. Forgetting the location of common objects
c. Experiencing incontinence
d. Neglecting personal hygiene
Answer: b
, 2|Page
Rationale: Forgetting the location of common objects is an early sign
of Alzheimer’s disease.
2. A community health nurse identifies an increase in the
occurrence of osteoporosis-related fractures in women
experiencing menopause. Which of the following primary
prevention strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-bearing
activities.
c. Educate the women about the importance of limiting sun exposure.
d. Instruct at-risk women to increase their intake of foods high in
vitamin E.
Answer: b
Rationale: Weight-bearing exercise helps prevent osteoporosis by
strengthening bones.
3. A nurse is caring for a client who has terminal lung cancer and is
receiving hospice care. Which of the following statements should
the nurse identify as an indication that the client is in the denial
stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
, 3|Page
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
Answer: a
Rationale: Denial involves rejecting the reality of impending loss.
4. A home care nurse is visiting an older adult and notes that
unwashed dishes are piled up and newspapers cover the front
steps. Which of the following questions should the nurse ask the
client to determine if he is socially isolated?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?"
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Answer: c
Rationale: This question directly assesses frequency of social
contact.
5. A community health nurse is discussing the role of a faith
community nurse with a chaplain. Which of the following
information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic pain
management for clients who have a terminal illness.
b. The faith community nurse can plan safety training for employees
