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 (Questions 1-20)
Q1: The annual incidence of Lyme disease in a rural county increased from 12 cases per 100,000
population in 2022 to 28 cases per 100,000 in 2024. The state health department attributes this to
expanded deer populations and climate change extending tick season. Which core public health
function is the health department addressing when implementing tick surveillance programs and
public education campaigns?
A. Assessment B. Policy Development C. Assurance [CORRECT] D. Health Promotion
Correct Answer: C
Q2: A community health nurse is planning interventions for a neighborhood with high rates of
childhood asthma. Which action represents primary prevention?
A. Establishing school-based asthma clinics for daily medication administration B. Implementing
home inspection and remediation programs for mold and cockroach allergens [CORRECT] C.
Providing pulmonary rehabilitation for children hospitalized with asthma exacerbations D.
Creating a support group for parents of children with severe asthma
Correct Answer: B
Q3: [SATA] Which activities are components of an outbreak investigation? (Select all that
apply.)
A. Establishing a case definition [CORRECT] B. Calculating attack rates [CORRECT] C.
Providing one-on-one genetic counseling to affected families D. Creating an epidemic curve
[CORRECT] E. Implementing control measures [CORRECT] F. Discharging individual patients
from isolation
Correct Answers: A, B, D, E
,Q4: A county health department reports the following data for influenza: 450 confirmed cases in
a population of 150,000 during the 2023-2024 season. The case fatality rate was 0.4%. Which
calculation represents the cumulative incidence of influenza in this population?
A. (,000) × 100,000 = 300 per 100,000 [CORRECT] B. (,000) × 100 = 0.3%
C. () × 100 = 0.4% D. (450 - 2) / 150,000 × 100,000 = 298.7 per 100,000
Correct Answer: A
Q5: A community health nurse notes that a low-income neighborhood has no grocery stores
within 2 miles, limited public transportation, and three fast-food restaurants within 3 blocks.
Residents have high rates of obesity and Type 2 diabetes. This scenario best illustrates which
social determinant of health?
A. Biological determinism B. Food insecurity and built environment [CORRECT] C. Genetic
predisposition D. Individual lifestyle choices
Correct Answer: B
Q6: The prevalence of depression among adults in Community A is 8.5%, while in Community
B it is 12.3%. Both communities have similar demographic profiles. Which factor most likely
explains this difference?
A. Community B has better case-finding and mental health screening programs [CORRECT] B.
Community A has higher mortality rates among depressed individuals C. Community B has more
effective treatment programs reducing duration of illness D. Community A has lower incidence
of depression
Correct Answer: A
Q7: [SATA] Which roles are specific to the community health nurse as defined by the Quad
Council Coalition? (Select all that apply.)
A. Clinician providing direct care to individuals B. Investigator of health and environmental
problems [CORRECT] C. Educator of clients, other health providers, and the public
[CORRECT] D. Advocate for policies that promote and protect the health of the public
[CORRECT] E. Manager of population-based health services [CORRECT] F. Researcher
evaluating outcomes of care for individual patients
Correct Answers: B, C, D, E
, Q8: A city experiences 35 cases of Legionnaires' disease in a 2-week period, with cases clustered
around a hotel's cooling tower. The attack rate among hotel guests is 15%. This represents which
type of epidemic pattern?
A. Endemic B. Sporadic C. Common source outbreak [CORRECT] D. Propagated epidemic
Correct Answer: C
Q9: A community health nurse calculates that the relative risk of developing lung cancer for
smokers compared to non-smokers is 15.0. Which interpretation is correct?
A. Smokers have a 15% chance of developing lung cancer B. Smokers are 15 times more likely
to develop lung cancer than non-smokers [CORRECT] C. 15% of lung cancers are caused by
smoking D. The attributable risk of smoking is 15 per 100,000
Correct Answer: B
Q10: Which scenario best demonstrates the concept of "herd immunity"?
A. A vaccinated individual does not contract measles after exposure B. 95% of a community is
vaccinated against measles, protecting infants too young for vaccination [CORRECT] C. A
community health nurse provides post-exposure prophylaxis to all contacts of a measles case D.
An individual with measles is isolated to prevent transmission
Correct Answer: B
Q11: [SATA] Which factors are included in the Social Determinants of Health framework
according to Healthy People 2030? (Select all that apply.)
A. Economic stability [CORRECT] B. Education access and quality [CORRECT] C. Healthcare
access and quality [CORRECT] D. Neighborhood and built environment [CORRECT] E. Social
and community context [CORRECT] F. Individual genetic predisposition
Correct Answers: A, B, C, D, E
Q12: A county reports the following mortality data: Infant mortality rate 6.8 per 1,000 live
births; Maternal mortality ratio 18 per 100,000 live births; Life expectancy 78.2 years. These
indicators are best classified as:
A. Leading health indicators B. Health status indicators [CORRECT] C. Risk factor indicators D.
Process indicators
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 (Questions 1-20)
Q1: The annual incidence of Lyme disease in a rural county increased from 12 cases per 100,000
population in 2022 to 28 cases per 100,000 in 2024. The state health department attributes this to
expanded deer populations and climate change extending tick season. Which core public health
function is the health department addressing when implementing tick surveillance programs and
public education campaigns?
A. Assessment B. Policy Development C. Assurance [CORRECT] D. Health Promotion
Correct Answer: C
Q2: A community health nurse is planning interventions for a neighborhood with high rates of
childhood asthma. Which action represents primary prevention?
A. Establishing school-based asthma clinics for daily medication administration B. Implementing
home inspection and remediation programs for mold and cockroach allergens [CORRECT] C.
Providing pulmonary rehabilitation for children hospitalized with asthma exacerbations D.
Creating a support group for parents of children with severe asthma
Correct Answer: B
Q3: [SATA] Which activities are components of an outbreak investigation? (Select all that
apply.)
A. Establishing a case definition [CORRECT] B. Calculating attack rates [CORRECT] C.
Providing one-on-one genetic counseling to affected families D. Creating an epidemic curve
[CORRECT] E. Implementing control measures [CORRECT] F. Discharging individual patients
from isolation
Correct Answers: A, B, D, E
,Q4: A county health department reports the following data for influenza: 450 confirmed cases in
a population of 150,000 during the 2023-2024 season. The case fatality rate was 0.4%. Which
calculation represents the cumulative incidence of influenza in this population?
A. (,000) × 100,000 = 300 per 100,000 [CORRECT] B. (,000) × 100 = 0.3%
C. () × 100 = 0.4% D. (450 - 2) / 150,000 × 100,000 = 298.7 per 100,000
Correct Answer: A
Q5: A community health nurse notes that a low-income neighborhood has no grocery stores
within 2 miles, limited public transportation, and three fast-food restaurants within 3 blocks.
Residents have high rates of obesity and Type 2 diabetes. This scenario best illustrates which
social determinant of health?
A. Biological determinism B. Food insecurity and built environment [CORRECT] C. Genetic
predisposition D. Individual lifestyle choices
Correct Answer: B
Q6: The prevalence of depression among adults in Community A is 8.5%, while in Community
B it is 12.3%. Both communities have similar demographic profiles. Which factor most likely
explains this difference?
A. Community B has better case-finding and mental health screening programs [CORRECT] B.
Community A has higher mortality rates among depressed individuals C. Community B has more
effective treatment programs reducing duration of illness D. Community A has lower incidence
of depression
Correct Answer: A
Q7: [SATA] Which roles are specific to the community health nurse as defined by the Quad
Council Coalition? (Select all that apply.)
A. Clinician providing direct care to individuals B. Investigator of health and environmental
problems [CORRECT] C. Educator of clients, other health providers, and the public
[CORRECT] D. Advocate for policies that promote and protect the health of the public
[CORRECT] E. Manager of population-based health services [CORRECT] F. Researcher
evaluating outcomes of care for individual patients
Correct Answers: B, C, D, E
, Q8: A city experiences 35 cases of Legionnaires' disease in a 2-week period, with cases clustered
around a hotel's cooling tower. The attack rate among hotel guests is 15%. This represents which
type of epidemic pattern?
A. Endemic B. Sporadic C. Common source outbreak [CORRECT] D. Propagated epidemic
Correct Answer: C
Q9: A community health nurse calculates that the relative risk of developing lung cancer for
smokers compared to non-smokers is 15.0. Which interpretation is correct?
A. Smokers have a 15% chance of developing lung cancer B. Smokers are 15 times more likely
to develop lung cancer than non-smokers [CORRECT] C. 15% of lung cancers are caused by
smoking D. The attributable risk of smoking is 15 per 100,000
Correct Answer: B
Q10: Which scenario best demonstrates the concept of "herd immunity"?
A. A vaccinated individual does not contract measles after exposure B. 95% of a community is
vaccinated against measles, protecting infants too young for vaccination [CORRECT] C. A
community health nurse provides post-exposure prophylaxis to all contacts of a measles case D.
An individual with measles is isolated to prevent transmission
Correct Answer: B
Q11: [SATA] Which factors are included in the Social Determinants of Health framework
according to Healthy People 2030? (Select all that apply.)
A. Economic stability [CORRECT] B. Education access and quality [CORRECT] C. Healthcare
access and quality [CORRECT] D. Neighborhood and built environment [CORRECT] E. Social
and community context [CORRECT] F. Individual genetic predisposition
Correct Answers: A, B, C, D, E
Q12: A county reports the following mortality data: Infant mortality rate 6.8 per 1,000 live
births; Maternal mortality ratio 18 per 100,000 live births; Life expectancy 78.2 years. These
indicators are best classified as:
A. Leading health indicators B. Health status indicators [CORRECT] C. Risk factor indicators D.
Process indicators
