NUR 4390 EXAM 1 | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS AND
ANSWERS 2026/2027
Which statement best describes community-based nursing?
a. A practice in which care is provided for individuals and families.
b. Providing care with a focus on the group's needs.
c. Giving care with a focus on the aggregate's needs.
d. A value system in which all clients receive optimal care. - correct answer ✔✔a. A practice in
which care is provided for individuals and families.
Which statement best describes the goal of community-oriented nursing?
a. Providing care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. To preserve, protect, promote, or maintain health and prevent disease - correct answer ✔✔d.
To preserve, protect, promote, or maintain health and prevent disease
Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations - correct answer ✔✔d. Health care of
communities and populations
Which of the following is responsible for the dramatic increase in life expectancy during the
20th century?
,a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections - correct answer ✔✔c. Sanitation and other population-
based prevention programs
A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions
would most likely be implemented by the nurse?
a. Provide free health care to all citizens
b. To increase the number of individuals with access to effective health care benefits
c. Lower the cost of health care to the American population
d. To lessen the governmental burden of providing health care to Americans - correct answer
✔✔b. To increase the number of individuals with access to effective health care benefits
What is the basic assumption stated by Healthy People 2010 as it relates to public health
efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - correct answer
✔✔c. The health of individuals cannot be separated from the health of the community.
Which of the following actions would most likely be performed by a public health nurse?
,a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed
health services
d. Working with community groups to create policies to improve the environment - correct
answer ✔✔d. Working with community groups to create policies to improve the environment
Which public health nurse most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - correct answer
✔✔b. The nurse who spent the day attending meetings of various health agencies
Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group - correct answer ✔✔c. A collection of people who
share one or more characteristics
Which question asked by a novice nurse would be the most reflective of an understanding of
the role of a public health nurse?
a. "Which groups are at the greatest risk for problems?"
b. "Which patients should I see first as I begin my day?"
, c. "With which physicians will I be most closely collaborating?"
d. "With which nursing assistants will I partner the most?" - correct answer ✔✔a. "Which
groups are at the greatest risk for problems?"
Making sure that essential community-oriented health services are available defines which of
the core public health functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care - correct answer ✔✔c. Assurance
When talking to a women's group at the senior citizens' center, the nurse reminded them that
the only way the center would be able
to afford to provide transportation services for them would be for them to continue to write
letters to their local city council
representatives requesting funding for such a service. What was the nurse trying to accomplish
through this action?
a. Ensure that the women did not expect the nurse to solve their problem.
b. Demonstrate that the nurse understood the women's concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action. - correct answer ✔✔d. Help the women engage in
political action.
The public health nurse has a clear vision of what needs to be done and where to begin to
improve the health of the community.
Why would the nurse spend time meeting with community groups to discuss the most
important task to be addressed first?
ANSWERS 2026/2027
Which statement best describes community-based nursing?
a. A practice in which care is provided for individuals and families.
b. Providing care with a focus on the group's needs.
c. Giving care with a focus on the aggregate's needs.
d. A value system in which all clients receive optimal care. - correct answer ✔✔a. A practice in
which care is provided for individuals and families.
Which statement best describes the goal of community-oriented nursing?
a. Providing care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. To preserve, protect, promote, or maintain health and prevent disease - correct answer ✔✔d.
To preserve, protect, promote, or maintain health and prevent disease
Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations - correct answer ✔✔d. Health care of
communities and populations
Which of the following is responsible for the dramatic increase in life expectancy during the
20th century?
,a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections - correct answer ✔✔c. Sanitation and other population-
based prevention programs
A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions
would most likely be implemented by the nurse?
a. Provide free health care to all citizens
b. To increase the number of individuals with access to effective health care benefits
c. Lower the cost of health care to the American population
d. To lessen the governmental burden of providing health care to Americans - correct answer
✔✔b. To increase the number of individuals with access to effective health care benefits
What is the basic assumption stated by Healthy People 2010 as it relates to public health
efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - correct answer
✔✔c. The health of individuals cannot be separated from the health of the community.
Which of the following actions would most likely be performed by a public health nurse?
,a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed
health services
d. Working with community groups to create policies to improve the environment - correct
answer ✔✔d. Working with community groups to create policies to improve the environment
Which public health nurse most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - correct answer
✔✔b. The nurse who spent the day attending meetings of various health agencies
Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group - correct answer ✔✔c. A collection of people who
share one or more characteristics
Which question asked by a novice nurse would be the most reflective of an understanding of
the role of a public health nurse?
a. "Which groups are at the greatest risk for problems?"
b. "Which patients should I see first as I begin my day?"
, c. "With which physicians will I be most closely collaborating?"
d. "With which nursing assistants will I partner the most?" - correct answer ✔✔a. "Which
groups are at the greatest risk for problems?"
Making sure that essential community-oriented health services are available defines which of
the core public health functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care - correct answer ✔✔c. Assurance
When talking to a women's group at the senior citizens' center, the nurse reminded them that
the only way the center would be able
to afford to provide transportation services for them would be for them to continue to write
letters to their local city council
representatives requesting funding for such a service. What was the nurse trying to accomplish
through this action?
a. Ensure that the women did not expect the nurse to solve their problem.
b. Demonstrate that the nurse understood the women's concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action. - correct answer ✔✔d. Help the women engage in
political action.
The public health nurse has a clear vision of what needs to be done and where to begin to
improve the health of the community.
Why would the nurse spend time meeting with community groups to discuss the most
important task to be addressed first?
