NR 442 Week 3 Community Health Nursing Exam 1 (2026/2027) | PRACTICE QUESTIONS
WITH CORRECT ANSWER
NR 442: Community Health Nursing - Exam 1 (Comprehensive Practice) | Core Domains: Foundations
of Public & Community Health Nursing, Epidemiology & Health Statistics, Community Assessment &
Diagnosis, Health Promotion & Disease Prevention Strategies, Environmental Health & Safety,
Vulnerable Populations & Health Disparities, Disaster Preparedness & Response, and Ethical/Legal
Issues in Community Health | Community Health Nursing Focus | Foundational Course Exam Format
Exam Structure
The NR 442 Week 3 Community Health Nursing Exam 1 for the 2026/2027 academic cycle is a
75-question, multiple-choice question (MCQ) examination.
Introduction
This NR 442 Week 3 Community Health Nursing Exam 1 practice guide for the 2026/2027 cycle prepares
nursing students for the initial assessment in community health. The content establishes the fundamental
principles of population-focused care, emphasizing epidemiological concepts, community assessment
methodologies, health promotion across diverse populations, and the unique role of the nurse in public
health settings.
1. A community health nurse is conducting a windshield survey. Which activity best
describes this method?
A. Interviewing key informants about local health resources
B. Driving or walking through a community to observe physical and social conditions
C. Analyzing vital statistics from the state health department
D. Administering a health risk appraisal to residents
B. Driving or walking through a community to observe physical and social conditions
A windshield survey is a direct observational method used in community assessment to gather data on
housing quality, safety, sanitation, traffic, availability of services, and signs of poverty or neglect. It
provides a quick overview of the community’s physical and social environment, which informs further
assessment and intervention planning based on social determinants of health.
2. Which level of prevention is demonstrated when a nurse provides influenza vaccinations
at a senior center?
, A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
A. Primary prevention
Primary prevention aims to prevent disease before it occurs. Influenza vaccination protects individuals
from contracting the virus, thereby reducing incidence in the population. This aligns with health
promotion and disease prevention strategies targeting vulnerable populations like older adults to
reduce health disparities and improve community immunity.
3. The number of new cases of diabetes diagnosed in a county during 2025 is an example
of:
A. Prevalence
B. Incidence
C. Mortality rate
D. Morbidity rate
B. Incidence
Incidence measures the number of new cases of a disease in a specific population during a defined time
period. It helps identify emerging health problems and evaluate the effectiveness of primary prevention
efforts. Prevalence, in contrast, includes all existing cases (new and pre-existing) at a given point in
time.
4. Which population is considered a vulnerable group in community health nursing?
A. Middle-aged professionals with employer-sponsored insurance
B. Homeless individuals
, C. College students living on campus
D. Retirees with fixed incomes but stable housing
B. Homeless individuals
Vulnerable populations experience increased risk for adverse health outcomes due to limited access to
care, poverty, discrimination, or social marginalization. Homeless individuals face barriers such as lack
of insurance, transportation, and safe living conditions, leading to higher rates of infectious disease,
mental illness, and premature death—key concerns in addressing health disparities.
5. A community health nurse uses the Mobilizing for Action through Planning and
Partnerships (MAPP) framework. What is the primary purpose of this tool?
A. To conduct individual patient assessments
B. To guide strategic community health planning and collaboration
C. To calculate epidemiological rates
D. To manage hospital infection control
B. To guide strategic community health planning and collaboration
MAPP is a nationally recognized community-driven strategic planning tool developed by NACCHO and
CDC. It helps communities prioritize public health issues, strengthen partnerships among stakeholders,
and align resources to address root causes of poor health through a structured assessment process that
includes community themes, local public health system, and forces of change.
6. Which principle is foundational to public health ethics?
A. Autonomy over beneficence
B. Justice and equity in health resource distribution
C. Profit maximization for healthcare systems
D. Individual treatment over population health
, B. Justice and equity in health resource distribution
Public health ethics emphasizes justice, fairness, and equitable access to health resources and
interventions. Unlike clinical ethics that prioritizes individual autonomy, public health focuses on the
collective good while minimizing infringement on personal liberties. Addressing social determinants
and reducing health disparities are ethical imperatives in community health nursing.
7. During a natural disaster, a community health nurse participates in triage at a shelter.
This role aligns with which phase of disaster management?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
C. Response
The response phase involves immediate actions to save lives, meet basic human needs, and minimize
harm during or just after a disaster. Triage, first aid, disease surveillance, and mental health support
are core nursing functions in this phase. Preparedness includes planning and training; mitigation
reduces risk before an event; recovery focuses on long-term restoration.
8. A nurse analyzes data showing that 30% of children in a school district have untreated
dental caries. This information represents:
A. Incidence
B. Prevalence
C. Attack rate
D. Case fatality rate
B. Prevalence
Prevalence refers to the total number of existing cases (both new and pre-existing) in a population at a
specific time. Here, 30% reflects the proportion of children currently affected by dental caries, indicating
WITH CORRECT ANSWER
NR 442: Community Health Nursing - Exam 1 (Comprehensive Practice) | Core Domains: Foundations
of Public & Community Health Nursing, Epidemiology & Health Statistics, Community Assessment &
Diagnosis, Health Promotion & Disease Prevention Strategies, Environmental Health & Safety,
Vulnerable Populations & Health Disparities, Disaster Preparedness & Response, and Ethical/Legal
Issues in Community Health | Community Health Nursing Focus | Foundational Course Exam Format
Exam Structure
The NR 442 Week 3 Community Health Nursing Exam 1 for the 2026/2027 academic cycle is a
75-question, multiple-choice question (MCQ) examination.
Introduction
This NR 442 Week 3 Community Health Nursing Exam 1 practice guide for the 2026/2027 cycle prepares
nursing students for the initial assessment in community health. The content establishes the fundamental
principles of population-focused care, emphasizing epidemiological concepts, community assessment
methodologies, health promotion across diverse populations, and the unique role of the nurse in public
health settings.
1. A community health nurse is conducting a windshield survey. Which activity best
describes this method?
A. Interviewing key informants about local health resources
B. Driving or walking through a community to observe physical and social conditions
C. Analyzing vital statistics from the state health department
D. Administering a health risk appraisal to residents
B. Driving or walking through a community to observe physical and social conditions
A windshield survey is a direct observational method used in community assessment to gather data on
housing quality, safety, sanitation, traffic, availability of services, and signs of poverty or neglect. It
provides a quick overview of the community’s physical and social environment, which informs further
assessment and intervention planning based on social determinants of health.
2. Which level of prevention is demonstrated when a nurse provides influenza vaccinations
at a senior center?
, A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
A. Primary prevention
Primary prevention aims to prevent disease before it occurs. Influenza vaccination protects individuals
from contracting the virus, thereby reducing incidence in the population. This aligns with health
promotion and disease prevention strategies targeting vulnerable populations like older adults to
reduce health disparities and improve community immunity.
3. The number of new cases of diabetes diagnosed in a county during 2025 is an example
of:
A. Prevalence
B. Incidence
C. Mortality rate
D. Morbidity rate
B. Incidence
Incidence measures the number of new cases of a disease in a specific population during a defined time
period. It helps identify emerging health problems and evaluate the effectiveness of primary prevention
efforts. Prevalence, in contrast, includes all existing cases (new and pre-existing) at a given point in
time.
4. Which population is considered a vulnerable group in community health nursing?
A. Middle-aged professionals with employer-sponsored insurance
B. Homeless individuals
, C. College students living on campus
D. Retirees with fixed incomes but stable housing
B. Homeless individuals
Vulnerable populations experience increased risk for adverse health outcomes due to limited access to
care, poverty, discrimination, or social marginalization. Homeless individuals face barriers such as lack
of insurance, transportation, and safe living conditions, leading to higher rates of infectious disease,
mental illness, and premature death—key concerns in addressing health disparities.
5. A community health nurse uses the Mobilizing for Action through Planning and
Partnerships (MAPP) framework. What is the primary purpose of this tool?
A. To conduct individual patient assessments
B. To guide strategic community health planning and collaboration
C. To calculate epidemiological rates
D. To manage hospital infection control
B. To guide strategic community health planning and collaboration
MAPP is a nationally recognized community-driven strategic planning tool developed by NACCHO and
CDC. It helps communities prioritize public health issues, strengthen partnerships among stakeholders,
and align resources to address root causes of poor health through a structured assessment process that
includes community themes, local public health system, and forces of change.
6. Which principle is foundational to public health ethics?
A. Autonomy over beneficence
B. Justice and equity in health resource distribution
C. Profit maximization for healthcare systems
D. Individual treatment over population health
, B. Justice and equity in health resource distribution
Public health ethics emphasizes justice, fairness, and equitable access to health resources and
interventions. Unlike clinical ethics that prioritizes individual autonomy, public health focuses on the
collective good while minimizing infringement on personal liberties. Addressing social determinants
and reducing health disparities are ethical imperatives in community health nursing.
7. During a natural disaster, a community health nurse participates in triage at a shelter.
This role aligns with which phase of disaster management?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
C. Response
The response phase involves immediate actions to save lives, meet basic human needs, and minimize
harm during or just after a disaster. Triage, first aid, disease surveillance, and mental health support
are core nursing functions in this phase. Preparedness includes planning and training; mitigation
reduces risk before an event; recovery focuses on long-term restoration.
8. A nurse analyzes data showing that 30% of children in a school district have untreated
dental caries. This information represents:
A. Incidence
B. Prevalence
C. Attack rate
D. Case fatality rate
B. Prevalence
Prevalence refers to the total number of existing cases (both new and pre-existing) in a population at a
specific time. Here, 30% reflects the proportion of children currently affected by dental caries, indicating
