Page 1 of 51
Community Health Exam 2 Questions , Community Health & Community
Health -NCLEX Questions C0MBINATION EXAMINATION 2026 – 2027
WITH QUESTIONS WITH CORRECT ANSWERS VERIFIED 100% GRADED
A+
Community Health -NCLEX Questions
A state public health region reported 39 cases of meningitis in children 15
years of age and younger to date this year. Seven of those children died. The
total population of the region is 780,000, of whom 84,000 are children 15 years
old and younger. What is the age-specific meningitis death rate for children
age 15 years and younger for this region to date this year?
A) 0.08/1000
B) 0.46/1000
C) 1/1000
D) 8/1000
A
A state public health region reported 39 cases of meningitis in children 15
years of age and younger to date this year. Seven of those children died. The
total population of the region is 780,000, of whom 84,000 are children age 15
years old and younger. Only four cases of meningitis were reported in the
public health region during the previous year. No other public health region in
the state has an incidence of meningitis that is higher than expected for that
region. Based on the information given, the relative frequency of meningitis in
the region at this time can best be described as:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
B
John Snow played a critical role in the development of modern disease
surveillance when he:
A) Devised a more statistically valid method of analyzing epidemiologic data.
B) Discovered causal agents for anthrax, tuberculosis, and cholera.
C) Tracked the incidence of tuberculosis in the tenements of New York City.
D) Used geographic mapping to demonstrate the connection between water
supply and cholera.
D
A business executive develops flu-like symptoms 1 day after returning by air
from a trans-Atlantic 2-day conference that involved lengthy meetings into the
evening. The scenario best illustrates the interaction of:
A) Host and agent.
B) Host, agent, and environment.
, Page 2 of 51
C) Risk and causality.
D) Morbidity and disease.
B
A nurse teaches an asthmatic client to recognize and avoid exposure to
asthma triggers and assists the client's family in implementing specific
protection strategies in the home, such as removing carpets and avoiding
pets. This nurse's activities can best be described as:
A) Comprehensive assessment.
B) Primary prevention.
C) Secondary prevention.
D) Treatment intervention.
B
A nurse is concerned about the accuracy of the purified protein derivative
(tuberculin) test in screening individuals with tuberculosis exposure for
followup chest radiography. The nurse's concern is related to which aspect of
the test's validity?
A) Reliability.
B) Sensitivity.
C) Specificity.
D) Variability.
B
Case fatality from breast cancer has decreased in recent years, although the
incidence of breast cancer has increased. Descriptive epidemiology would use
the component of time to explain this change in terms of:
A) Cyclical patterns.
B) Even-related clusters.
C) Point epidemic.
D) Secular trends.
D
When the association between maternal alcohol use and low birth weight is
being studied, the nurse investigator's failure to consider the variable of
smoking could introduce bias into the observed association, because smoking
has a correlation with both factors. This effect could best be described as: A)
Causality.
B) Confounding.
C) Information bias.
D) Selection bias.
B
A local health department in the Midwest reports cases of certain diseases to
the state health department for inclusion in the National Notifiable Diseases
Surveillance System (NNDSS). From the perspective of community-level
disease monitoring, which of the following 3-year trends in incidence rates for
hepatitis A would be of local, state, and national interest?
A) 1998 = 2/100,000; 1999 = 3/100,000; 2000 = 1/100,000
, Page 3 of 51
B) 1998 = 4/100,000; 1999 = 8/100,000; 2000 = 6/100,000
C) 1998 = 12/100,000; 1999 = 8/100,000; 2000 = 31/100,000
D) 1998 = 16/100,000; 1999 = 24/100,000; 2000 = 9/100,000
C
A 6-year-old is brought to the emergency department with a full-body rash and
fever. During the nursing assessment, which of the following findings would be
most relevant to recognizing the case as potential smallpox rather than
varicella?
A) Fever has responded to acetaminophen, and the child is playful when
temperature is not elevated.
B) Fever of 101° F was present for several days before the rash appeared.
C) Low-grade fever (100° F or less) has been present ever since the rash
became obvious.
D) Rash is primarily on the trunk of the body.
B
A school nurse notes that 60 children have missed days of high school
because of pertussis this past year and this rate has been relatively constant
for the past 5 years. The nurse plans to work with the community to increase
awareness of the seriousness of this disease for children younger than 6
months of age and to raise and maintain the immunization rates, because in
this community the pertussis is:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
A
The World Health Organization (WHO) developed the Five Keys to Safer Food
campaign in 2001 to address the problem of foodborne and waterborne
diarrheal diseases worldwide. This campaign emphasizes which of the
following practices?
A) Keep clean, separate raw and cooked, cook thoroughly.
B) Never use raw, always cook, buy better.
C) Wash, cut, cook, and throw away.
D) Wash, cover, and always refrigerate.
A
An American takes a long-awaited vacation in sunny Mexico, spending days
on the beach eating fresh raspberries from a nearby vendor and drinking
bottled water. The tourist may be altering:
A) Agent-host-environment interaction.
B) Circadian rhythms.
C) Herd immunity.
D) Host resistance.
A
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An example of secondary prevention of infectious disease is:
A) Malaria chemoprophylaxis.
B) Pneumocystis carinii pneumonia chemoprophylaxis for people with AIDS.
C) Quarantine.
D) Restaurant inspections.
C
In an effort to address West Nile virus, a community increased livestock
immunization, began a vector control program, and initiated a community
campaign to eliminate standing water reservoirs. This best exemplifies
communicable disease control through:
A) Health education.
B) Multisystem approach.
C) Improved public health infrastructure.
D) Reduction of environmental hazards.
B
When a situation exists in which there is potential contact with blood or body
fluids, health care workers must always perform hand hygiene and wear
gloves, masks, protective clothing, and other indicated personal protective
barriers. The underlying reason for requiring these practices, known as
universal precautions, is that:
A) Blood and body fluids of all clients need to be handled as if they were
infected.
B) Effective infection control surveillance programs are in place.
C) Health care settings are reservoirs of infection.
D) Health care workers do not effectively use hand hygiene.
A
Although infectious disease epidemics are still the major cause of death
worldwide, they have subsided in the United States because of improvements
in nutrition and sanitation, the discovery of antibiotics, and the development of
vaccines. Infectious diseases have not vanished, however, and remain a
continuing cause of concern. Healthy People 2020 has a number of objectives
aimed at reducing these illnesses because of the morbidity, mortality, and
costs associated with infectious diseases. One such costly disease trend
related to an increase in the performance of invasive diagnostic and surgical
procedures, the use of broad-spectrum antibiotics, and treatment with
immunosuppressive drugs is the rise of:
A) Escherichia coli 0157:H7.
B) Multisyndrome effect.
C) Hospital acquired infections.
D) Severe acute respiratory syndrome.
C
Emerging infectious diseases may arise as a result of factors operating singly
or in combination, and these factors may include which of the following (select
all that apply)?
Community Health Exam 2 Questions , Community Health & Community
Health -NCLEX Questions C0MBINATION EXAMINATION 2026 – 2027
WITH QUESTIONS WITH CORRECT ANSWERS VERIFIED 100% GRADED
A+
Community Health -NCLEX Questions
A state public health region reported 39 cases of meningitis in children 15
years of age and younger to date this year. Seven of those children died. The
total population of the region is 780,000, of whom 84,000 are children 15 years
old and younger. What is the age-specific meningitis death rate for children
age 15 years and younger for this region to date this year?
A) 0.08/1000
B) 0.46/1000
C) 1/1000
D) 8/1000
A
A state public health region reported 39 cases of meningitis in children 15
years of age and younger to date this year. Seven of those children died. The
total population of the region is 780,000, of whom 84,000 are children age 15
years old and younger. Only four cases of meningitis were reported in the
public health region during the previous year. No other public health region in
the state has an incidence of meningitis that is higher than expected for that
region. Based on the information given, the relative frequency of meningitis in
the region at this time can best be described as:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
B
John Snow played a critical role in the development of modern disease
surveillance when he:
A) Devised a more statistically valid method of analyzing epidemiologic data.
B) Discovered causal agents for anthrax, tuberculosis, and cholera.
C) Tracked the incidence of tuberculosis in the tenements of New York City.
D) Used geographic mapping to demonstrate the connection between water
supply and cholera.
D
A business executive develops flu-like symptoms 1 day after returning by air
from a trans-Atlantic 2-day conference that involved lengthy meetings into the
evening. The scenario best illustrates the interaction of:
A) Host and agent.
B) Host, agent, and environment.
, Page 2 of 51
C) Risk and causality.
D) Morbidity and disease.
B
A nurse teaches an asthmatic client to recognize and avoid exposure to
asthma triggers and assists the client's family in implementing specific
protection strategies in the home, such as removing carpets and avoiding
pets. This nurse's activities can best be described as:
A) Comprehensive assessment.
B) Primary prevention.
C) Secondary prevention.
D) Treatment intervention.
B
A nurse is concerned about the accuracy of the purified protein derivative
(tuberculin) test in screening individuals with tuberculosis exposure for
followup chest radiography. The nurse's concern is related to which aspect of
the test's validity?
A) Reliability.
B) Sensitivity.
C) Specificity.
D) Variability.
B
Case fatality from breast cancer has decreased in recent years, although the
incidence of breast cancer has increased. Descriptive epidemiology would use
the component of time to explain this change in terms of:
A) Cyclical patterns.
B) Even-related clusters.
C) Point epidemic.
D) Secular trends.
D
When the association between maternal alcohol use and low birth weight is
being studied, the nurse investigator's failure to consider the variable of
smoking could introduce bias into the observed association, because smoking
has a correlation with both factors. This effect could best be described as: A)
Causality.
B) Confounding.
C) Information bias.
D) Selection bias.
B
A local health department in the Midwest reports cases of certain diseases to
the state health department for inclusion in the National Notifiable Diseases
Surveillance System (NNDSS). From the perspective of community-level
disease monitoring, which of the following 3-year trends in incidence rates for
hepatitis A would be of local, state, and national interest?
A) 1998 = 2/100,000; 1999 = 3/100,000; 2000 = 1/100,000
, Page 3 of 51
B) 1998 = 4/100,000; 1999 = 8/100,000; 2000 = 6/100,000
C) 1998 = 12/100,000; 1999 = 8/100,000; 2000 = 31/100,000
D) 1998 = 16/100,000; 1999 = 24/100,000; 2000 = 9/100,000
C
A 6-year-old is brought to the emergency department with a full-body rash and
fever. During the nursing assessment, which of the following findings would be
most relevant to recognizing the case as potential smallpox rather than
varicella?
A) Fever has responded to acetaminophen, and the child is playful when
temperature is not elevated.
B) Fever of 101° F was present for several days before the rash appeared.
C) Low-grade fever (100° F or less) has been present ever since the rash
became obvious.
D) Rash is primarily on the trunk of the body.
B
A school nurse notes that 60 children have missed days of high school
because of pertussis this past year and this rate has been relatively constant
for the past 5 years. The nurse plans to work with the community to increase
awareness of the seriousness of this disease for children younger than 6
months of age and to raise and maintain the immunization rates, because in
this community the pertussis is:
A) Endemic.
B) Epidemic.
C) Pandemic.
D) Sporadic.
A
The World Health Organization (WHO) developed the Five Keys to Safer Food
campaign in 2001 to address the problem of foodborne and waterborne
diarrheal diseases worldwide. This campaign emphasizes which of the
following practices?
A) Keep clean, separate raw and cooked, cook thoroughly.
B) Never use raw, always cook, buy better.
C) Wash, cut, cook, and throw away.
D) Wash, cover, and always refrigerate.
A
An American takes a long-awaited vacation in sunny Mexico, spending days
on the beach eating fresh raspberries from a nearby vendor and drinking
bottled water. The tourist may be altering:
A) Agent-host-environment interaction.
B) Circadian rhythms.
C) Herd immunity.
D) Host resistance.
A
, Page 4 of 51
An example of secondary prevention of infectious disease is:
A) Malaria chemoprophylaxis.
B) Pneumocystis carinii pneumonia chemoprophylaxis for people with AIDS.
C) Quarantine.
D) Restaurant inspections.
C
In an effort to address West Nile virus, a community increased livestock
immunization, began a vector control program, and initiated a community
campaign to eliminate standing water reservoirs. This best exemplifies
communicable disease control through:
A) Health education.
B) Multisystem approach.
C) Improved public health infrastructure.
D) Reduction of environmental hazards.
B
When a situation exists in which there is potential contact with blood or body
fluids, health care workers must always perform hand hygiene and wear
gloves, masks, protective clothing, and other indicated personal protective
barriers. The underlying reason for requiring these practices, known as
universal precautions, is that:
A) Blood and body fluids of all clients need to be handled as if they were
infected.
B) Effective infection control surveillance programs are in place.
C) Health care settings are reservoirs of infection.
D) Health care workers do not effectively use hand hygiene.
A
Although infectious disease epidemics are still the major cause of death
worldwide, they have subsided in the United States because of improvements
in nutrition and sanitation, the discovery of antibiotics, and the development of
vaccines. Infectious diseases have not vanished, however, and remain a
continuing cause of concern. Healthy People 2020 has a number of objectives
aimed at reducing these illnesses because of the morbidity, mortality, and
costs associated with infectious diseases. One such costly disease trend
related to an increase in the performance of invasive diagnostic and surgical
procedures, the use of broad-spectrum antibiotics, and treatment with
immunosuppressive drugs is the rise of:
A) Escherichia coli 0157:H7.
B) Multisyndrome effect.
C) Hospital acquired infections.
D) Severe acute respiratory syndrome.
C
Emerging infectious diseases may arise as a result of factors operating singly
or in combination, and these factors may include which of the following (select
all that apply)?
