NR442 / NR 442 Community Health Nursing Exam 2
ACTUAL PRACTICE EXAM 2026/2027 | Verified
Questions and Answers | Population-Focused &
Epidemiology-Based | Grade A Target | Pass Guaranteed
Section 1: Foundations of Public Health & Epidemiology (20 Questions)
Q1: A community health nurse is analyzing data for a county health department. In 2023, there
were 45 new cases of tuberculosis in a population of 300,000. During the same year, 120
individuals were living with tuberculosis (prevalent cases). Which calculation represents the
incidence rate of tuberculosis for this county?
A. ,000 × 100,000 = 15 per 100,000 [CORRECT]
B. ,000 × 100,000 = 40 per 100,000
C. × 100 = 37.5%
D. (45 + 120) / 300,000 × 100,000 = 55 per 100,000
Correct Answer: A
Q2: A public health nurse is planning interventions for a community with high rates of childhood
obesity. Which action represents primary prevention?
A. Establishing a bariatric surgery referral program for obese adolescents
B. Implementing a school-based nutrition education program for all elementary students
[CORRECT]
C. Creating a weight management clinic for children with BMI >95th percentile
D. Providing home health nursing for children with obesity-related type 2 diabetes
Correct Answer: B
Q3: During an outbreak of norovirus at a long-term care facility, a community health nurse
conducts interviews with affected residents, reviews meal logs, and analyzes the timing of
symptom onset. Which step of the outbreak investigation is the nurse performing?
A. Establishing the existence of an epidemic
B. Verifying the diagnosis
,C. Constructing an epidemic curve by time, place, and person [CORRECT]
D. Implementing control and prevention measures
Correct Answer: C
Q4: A community health nurse notes that the infant mortality rate in Community A is 8.5 per
1,000 live births, compared to the state average of 5.2 per 1,000. This disparity is best described
as a difference in:
A. Health status indicator [CORRECT]
B. Health resource allocation
C. Program evaluation outcome
D. Policy development priority
Correct Answer: A
Q5: Which core function of public health is demonstrated when a community health nurse
collaborates with local officials to develop a citywide smoke-free ordinance?
A. Assessment
B. Policy Development [CORRECT]
C. Assurance
D. Surveillance
Correct Answer: B
Q6: A nurse is calculating the attack rate for a foodborne illness outbreak. Of 150 people who ate
at a restaurant, 45 developed gastroenteritis. What is the attack rate?
A. 3.3%
B. 30% [CORRECT]
C. 45%
D. 333 per 1,000
Correct Answer: B
Q7: Which scenario best illustrates the population focus of community health nursing?
A. A nurse provides discharge teaching to a patient with heart failure
B. A nurse conducts home visits for high-risk pregnant women
, C. A nurse analyzes census data to identify neighborhoods with high lead poisoning rates and
advocates for abatement programs [CORRECT]
D. A nurse manages a caseload of patients with diabetes in a clinic
Correct Answer: C
Q8: The Social Determinants of Health framework identifies which factors as primary
influences on population health outcomes? (Select all that apply)
A. Genetic predisposition to chronic disease
B. Access to healthy food and safe housing [CORRECT]
C. Quality of education and employment opportunities [CORRECT]
D. Individual health behaviors and lifestyle choices
E. Availability of community health services and transportation [CORRECT]
Correct Answers: B, C, E
Q9: A community health nurse is using the Epidemiological Triangle to analyze an outbreak of
Lyme disease. Which component represents the environment in this model?
A. The Borrelia burgdorferi bacterium
B. The Ixodes scapularis tick vector
C. Wooded areas with high deer populations and climate conditions [CORRECT]
D. Humans who engage in outdoor recreational activities
Correct Answer: C
Q10: In 2023, the prevalence of hypertension in a community was 28%. In 2024, after a
community-wide screening program, the prevalence increased to 32%. Which explanation is
most likely?
A. The incidence of hypertension decreased
B. More people with hypertension moved into the community
C. Improved case-finding through screening increased detection of existing cases [CORRECT]
D. The mortality rate among hypertensive individuals increased
Correct Answer: C
Q11: A community health nurse is prioritizing health problems using the Core Public Health
Functions framework. Which action aligns with the Assurance function?
ACTUAL PRACTICE EXAM 2026/2027 | Verified
Questions and Answers | Population-Focused &
Epidemiology-Based | Grade A Target | Pass Guaranteed
Section 1: Foundations of Public Health & Epidemiology (20 Questions)
Q1: A community health nurse is analyzing data for a county health department. In 2023, there
were 45 new cases of tuberculosis in a population of 300,000. During the same year, 120
individuals were living with tuberculosis (prevalent cases). Which calculation represents the
incidence rate of tuberculosis for this county?
A. ,000 × 100,000 = 15 per 100,000 [CORRECT]
B. ,000 × 100,000 = 40 per 100,000
C. × 100 = 37.5%
D. (45 + 120) / 300,000 × 100,000 = 55 per 100,000
Correct Answer: A
Q2: A public health nurse is planning interventions for a community with high rates of childhood
obesity. Which action represents primary prevention?
A. Establishing a bariatric surgery referral program for obese adolescents
B. Implementing a school-based nutrition education program for all elementary students
[CORRECT]
C. Creating a weight management clinic for children with BMI >95th percentile
D. Providing home health nursing for children with obesity-related type 2 diabetes
Correct Answer: B
Q3: During an outbreak of norovirus at a long-term care facility, a community health nurse
conducts interviews with affected residents, reviews meal logs, and analyzes the timing of
symptom onset. Which step of the outbreak investigation is the nurse performing?
A. Establishing the existence of an epidemic
B. Verifying the diagnosis
,C. Constructing an epidemic curve by time, place, and person [CORRECT]
D. Implementing control and prevention measures
Correct Answer: C
Q4: A community health nurse notes that the infant mortality rate in Community A is 8.5 per
1,000 live births, compared to the state average of 5.2 per 1,000. This disparity is best described
as a difference in:
A. Health status indicator [CORRECT]
B. Health resource allocation
C. Program evaluation outcome
D. Policy development priority
Correct Answer: A
Q5: Which core function of public health is demonstrated when a community health nurse
collaborates with local officials to develop a citywide smoke-free ordinance?
A. Assessment
B. Policy Development [CORRECT]
C. Assurance
D. Surveillance
Correct Answer: B
Q6: A nurse is calculating the attack rate for a foodborne illness outbreak. Of 150 people who ate
at a restaurant, 45 developed gastroenteritis. What is the attack rate?
A. 3.3%
B. 30% [CORRECT]
C. 45%
D. 333 per 1,000
Correct Answer: B
Q7: Which scenario best illustrates the population focus of community health nursing?
A. A nurse provides discharge teaching to a patient with heart failure
B. A nurse conducts home visits for high-risk pregnant women
, C. A nurse analyzes census data to identify neighborhoods with high lead poisoning rates and
advocates for abatement programs [CORRECT]
D. A nurse manages a caseload of patients with diabetes in a clinic
Correct Answer: C
Q8: The Social Determinants of Health framework identifies which factors as primary
influences on population health outcomes? (Select all that apply)
A. Genetic predisposition to chronic disease
B. Access to healthy food and safe housing [CORRECT]
C. Quality of education and employment opportunities [CORRECT]
D. Individual health behaviors and lifestyle choices
E. Availability of community health services and transportation [CORRECT]
Correct Answers: B, C, E
Q9: A community health nurse is using the Epidemiological Triangle to analyze an outbreak of
Lyme disease. Which component represents the environment in this model?
A. The Borrelia burgdorferi bacterium
B. The Ixodes scapularis tick vector
C. Wooded areas with high deer populations and climate conditions [CORRECT]
D. Humans who engage in outdoor recreational activities
Correct Answer: C
Q10: In 2023, the prevalence of hypertension in a community was 28%. In 2024, after a
community-wide screening program, the prevalence increased to 32%. Which explanation is
most likely?
A. The incidence of hypertension decreased
B. More people with hypertension moved into the community
C. Improved case-finding through screening increased detection of existing cases [CORRECT]
D. The mortality rate among hypertensive individuals increased
Correct Answer: C
Q11: A community health nurse is prioritizing health problems using the Core Public Health
Functions framework. Which action aligns with the Assurance function?
