2 Practice Test Actual 2024/2025 with Detailed
Rationales | 100% Verified | Pass Guaranteed – A+
Graded
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (12
Questions)
Q1: Which historical figure is credited with establishing modern public health nursing
through environmental sanitation reforms and data collection in London?
A. Mary Breckinridge
B. Lillian Wald
C. Florence Nightingale
D. Clara Barton
Correct Answer: C
Rationale: Florence Nightingale used statistical data and environmental reforms to
reduce mortality rates, establishing foundational principles of public health nursing
and epidemiology.
Q2: The Institute of Medicine (IOM) defines public health as "what we, as a society,
do collectively to assure the conditions in which people can be healthy." This
definition emphasizes which core function of public health?
A. Individual clinical treatment
,B. Assurance of population-level conditions for health
C. Private insurance coverage expansion
D. Hospital-based acute care delivery
Correct Answer: B
Rationale: Public health focuses on collective societal action to create conditions
that promote health for entire populations, not just individual clinical care.
Q3: A community health nurse is conducting a home visit to assess a family's living
conditions and provide education on infant nutrition. This activity best exemplifies
which role of the community health nurse?
A. Administrator
B. Clinician and educator
C. Researcher
D. Policy analyst
Correct Answer: B
Rationale: Community health nurses function as clinicians by providing direct care
and as educators by teaching health promotion and disease prevention strategies to
individuals and families.
Q4: The core public health functions of assessment, policy development, and
assurance were originally established by which landmark report?
A. The Future of Nursing (IOM, 2010)
B. Healthy People 2030
C. The 1988 Institute of Medicine Report "The Future of Public Health"
,D. The Affordable Care Act (2010)
Correct Answer: C
Rationale: The 1988 IOM report "The Future of Public Health" established the three
core functions of public health: assessment, policy development, and assurance.
Q5: A community health nurse is working with a faith-based organization to provide
free blood pressure screenings after church services. This represents which level of
prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Rationale: Secondary prevention involves early detection of disease through
screening and surveillance; blood pressure screenings identify hypertension before
symptoms develop.
Q6: Which characteristic distinguishes community health nursing from
hospital-based nursing?
A. Community health nursing focuses on individual patient care in a controlled
environment
B. Community health nursing emphasizes population-level outcomes and care
delivered in community settings
C. Community health nursing requires less autonomy than acute care nursing
, D. Community health nursing excludes health promotion and disease prevention
activities
Correct Answer: B
Rationale: Community health nursing is distinguished by its focus on population
health, community partnerships, and delivering care in non-institutional settings
where people live, work, and gather.
Q7: The Minnesota Wheel model of public health nursing interventions includes
which category of practice?
A. Individual psychotherapy only
B. Surveillance, disease investigation, outreach, and policy development
C. Surgical procedures and advanced diagnostics
D. Inpatient medication administration exclusively
Correct Answer: B
Rationale: The Minnesota Wheel identifies 17 public health interventions organized
by practice level (individual, community, systems) including surveillance,
investigation, outreach, screening, and policy development.
Q8: A community health nurse is advocating for the installation of sidewalks in a
neighborhood to promote physical activity. This intervention targets which social
determinant of health?
A. Biological factors
B. Built environment and neighborhood characteristics
C. Genetic predisposition
D. Individual lifestyle choices only