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: A community health nurse is analyzing data for influenza in a metropolitan area. In 2024,
there were 450 new cases of influenza in a population of 500,000. What is the annual incidence
rate per 100,000 population?
A. 45 per 100,000 B. 90 per 100,000 [CORRECT] C. 450 per 100,000 D. 0.09 per 100,000
Correct Answer: B
Q2: [SATA] Which activities represent the core public health functions as defined by the
Institute of Medicine? (Select all that apply.)
A. Assessment [CORRECT] B. Policy Development [CORRECT] C. Diagnosis of individual
illness D. Assurance [CORRECT] E. Treatment planning for hospitalized patients
Correct Answers: A, B, D
Q3: A county health department reports that 8,500 residents currently have diagnosed Type 2
diabetes in a population of 200,000. This measure represents:
A. Incidence rate B. Prevalence [CORRECT] C. Attack rate D. Crude mortality rate
Correct Answer: B
Q4: A community health nurse is designing an intervention to reduce childhood obesity. Which
strategy represents primary prevention?
A. Establishing school-based nutrition education and physical activity programs for all
elementary students [CORRECT] B. Screening overweight children for prediabetes C. Providing
insulin management education to children with diagnosed diabetes D. Offering bariatric surgery
referral for morbidly obese adolescents
Correct Answer: A
,Q5: During a foodborne illness outbreak investigation, the nurse identifies 45 people who ate at
a specific restaurant and 12 who became ill. The attack rate is calculated as:
A. 12 ÷ 45 × 100 = 26.7% [CORRECT] B. 12 ÷ total population × 100,000 C. 45 ÷ 12 × 100 =
375% D. (45 − 12) ÷ 45 × 100 = 73.3%
Correct Answer: A
Q6: [SATA] Which factors are considered social determinants of health? (Select all that apply.)
A. Access to healthy food [CORRECT] B. Genetic predisposition to hypertension C. Educational
attainment [CORRECT] D. Neighborhood safety [CORRECT] E. Employment status
[CORRECT]
Correct Answers: A, C, D, E
Q7: A community health nurse notes that the infant mortality rate in Neighborhood A is 12.5 per
1,000 live births compared to 5.8 per 1,000 in the overall city. This disparity represents:
A. An expected variation due to small sample size B. A health inequity requiring population-level
intervention [CORRECT] C. Evidence that individual prenatal care is sufficient D. A problem
best addressed through hospital-based NICU expansion
Correct Answer: B
Q8: The epidemiological triangle consists of:
A. Host, agent, environment [CORRECT] B. Person, place, time C. Incidence, prevalence,
mortality D. Primary, secondary, tertiary prevention
Correct Answer: A
Q9: A community health nurse is investigating a cluster of Legionnaires' disease cases. Mapping
case residences reveals all live within 2 miles of a cooling tower. This describes which
epidemiological concept?
A. Common source outbreak [CORRECT] B. Propagated outbreak C. Sporadic occurrence D.
Endemic pattern
Correct Answer: A
, Q10: [SATA] Which roles are specific to community health nursing? (Select all that apply.)
A. Clinician providing direct care to individuals B. Epidemiologist investigating disease patterns
[CORRECT] C. Educator designing population health programs [CORRECT] D. Advocate
influencing health policy [CORRECT] E. Collaborator partnering with community organizations
[CORRECT]
Correct Answers: B, C, D, E
Q11: A state health department reports 1,200 new cases of chlamydia in 2024 among 15-24 year-
olds, with a population of 400,000 in this age group. The incidence rate is:
A. 300 per 100,000 [CORRECT] B. 120 per 100,000 C. 30 per 100,000 D. 3 per 100,000
Correct Answer: A
Q12: Which level of prevention is represented by a smoking cessation program for adults with
chronic obstructive pulmonary disease?
A. Primary prevention B. Secondary prevention C. Tertiary prevention [CORRECT] D.
Primordial prevention
Correct Answer: C
Q13: [DATA INTERPRETATION] A community health nurse reviews the following mortality
data for two neighborhoods:
Table
Copy
Neighborhood Population Deaths (all causes) Deaths (heart disease)
Riverside 50,000 450 120
Westside 50,000 380 95
What is the crude mortality rate for Riverside?
A. 7.6 per 1,000 B. 9.0 per 1,000 [CORRECT] C. 2.4 per 1,000 D. 0.9 per 1,000
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: A community health nurse is analyzing data for influenza in a metropolitan area. In 2024,
there were 450 new cases of influenza in a population of 500,000. What is the annual incidence
rate per 100,000 population?
A. 45 per 100,000 B. 90 per 100,000 [CORRECT] C. 450 per 100,000 D. 0.09 per 100,000
Correct Answer: B
Q2: [SATA] Which activities represent the core public health functions as defined by the
Institute of Medicine? (Select all that apply.)
A. Assessment [CORRECT] B. Policy Development [CORRECT] C. Diagnosis of individual
illness D. Assurance [CORRECT] E. Treatment planning for hospitalized patients
Correct Answers: A, B, D
Q3: A county health department reports that 8,500 residents currently have diagnosed Type 2
diabetes in a population of 200,000. This measure represents:
A. Incidence rate B. Prevalence [CORRECT] C. Attack rate D. Crude mortality rate
Correct Answer: B
Q4: A community health nurse is designing an intervention to reduce childhood obesity. Which
strategy represents primary prevention?
A. Establishing school-based nutrition education and physical activity programs for all
elementary students [CORRECT] B. Screening overweight children for prediabetes C. Providing
insulin management education to children with diagnosed diabetes D. Offering bariatric surgery
referral for morbidly obese adolescents
Correct Answer: A
,Q5: During a foodborne illness outbreak investigation, the nurse identifies 45 people who ate at
a specific restaurant and 12 who became ill. The attack rate is calculated as:
A. 12 ÷ 45 × 100 = 26.7% [CORRECT] B. 12 ÷ total population × 100,000 C. 45 ÷ 12 × 100 =
375% D. (45 − 12) ÷ 45 × 100 = 73.3%
Correct Answer: A
Q6: [SATA] Which factors are considered social determinants of health? (Select all that apply.)
A. Access to healthy food [CORRECT] B. Genetic predisposition to hypertension C. Educational
attainment [CORRECT] D. Neighborhood safety [CORRECT] E. Employment status
[CORRECT]
Correct Answers: A, C, D, E
Q7: A community health nurse notes that the infant mortality rate in Neighborhood A is 12.5 per
1,000 live births compared to 5.8 per 1,000 in the overall city. This disparity represents:
A. An expected variation due to small sample size B. A health inequity requiring population-level
intervention [CORRECT] C. Evidence that individual prenatal care is sufficient D. A problem
best addressed through hospital-based NICU expansion
Correct Answer: B
Q8: The epidemiological triangle consists of:
A. Host, agent, environment [CORRECT] B. Person, place, time C. Incidence, prevalence,
mortality D. Primary, secondary, tertiary prevention
Correct Answer: A
Q9: A community health nurse is investigating a cluster of Legionnaires' disease cases. Mapping
case residences reveals all live within 2 miles of a cooling tower. This describes which
epidemiological concept?
A. Common source outbreak [CORRECT] B. Propagated outbreak C. Sporadic occurrence D.
Endemic pattern
Correct Answer: A
, Q10: [SATA] Which roles are specific to community health nursing? (Select all that apply.)
A. Clinician providing direct care to individuals B. Epidemiologist investigating disease patterns
[CORRECT] C. Educator designing population health programs [CORRECT] D. Advocate
influencing health policy [CORRECT] E. Collaborator partnering with community organizations
[CORRECT]
Correct Answers: B, C, D, E
Q11: A state health department reports 1,200 new cases of chlamydia in 2024 among 15-24 year-
olds, with a population of 400,000 in this age group. The incidence rate is:
A. 300 per 100,000 [CORRECT] B. 120 per 100,000 C. 30 per 100,000 D. 3 per 100,000
Correct Answer: A
Q12: Which level of prevention is represented by a smoking cessation program for adults with
chronic obstructive pulmonary disease?
A. Primary prevention B. Secondary prevention C. Tertiary prevention [CORRECT] D.
Primordial prevention
Correct Answer: C
Q13: [DATA INTERPRETATION] A community health nurse reviews the following mortality
data for two neighborhoods:
Table
Copy
Neighborhood Population Deaths (all causes) Deaths (heart disease)
Riverside 50,000 450 120
Westside 50,000 380 95
What is the crude mortality rate for Riverside?
A. 7.6 per 1,000 B. 9.0 per 1,000 [CORRECT] C. 2.4 per 1,000 D. 0.9 per 1,000
