NR 442 Community Health Exam 2 | Actual Questions and
Answers | 2026/27 Updated | 100% correct | Chamberlain
1. A nurse is assessing a new client. Which of the following information should the nurse
include in the cultural portion of the assessment?
A. Food preference
B. Employment status
C. History of illness
D. Sexual orientation
Correct Answer: A. Food preference
Expert Rationale:
Cultural assessment includes dietary practices, religious beliefs, language, health practices, and
family roles. Food preferences are directly tied to cultural identity and can affect nutritional
status and dietary compliance. Employment status, illness history, and sexual orientation are
important but are not core components of a cultural assessment.
2. A nurse is preparing an educational program about influenza for a group of community
health nurses. Which of the following activities should the nurse identify as an example of
tertiary prevention?
A. Offer classes to elementary school teachers about handwashing
B. Provide information to occupational nurses about reasons for employees to not come to
work
C. Administer antiviral meds within 48 hours to clients who have manifestations of influenza
D. Provide immunizations at long-term care facilities
Correct Answer: C. Administer antiviral meds within 48 hours to clients who have
manifestations of influenza
Expert Rationale:
Tertiary prevention aims to reduce complications and disability in existing disease.
Administering antivirals during active influenza reduces severity and prevents complications.
Handwashing and immunizations are primary prevention; keeping sick employees home is
secondary prevention.
,3. A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
A. Racial discrimination
B. Family genograms
C. Number of open water sources
D. Presence of condemned buildings
Correct Answer: A. Racial distribution
Expert Rationale:
Demographic data includes age, gender, race, ethnicity, income, and education levels. Racial
distribution is a key demographic variable. Discrimination, genograms, and environmental
hazards are not demographic data but are relevant to other types of community assessments.
4. A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
A. Determine the incidence rate
B. Institute prophylactic treatment
C. Educate the community about disease transmission
D. Discuss treatment plans with clients' families
Correct Answer: A. Determine the incidence rate
Expert Rationale:
The first step in an outbreak investigation is to confirm the existence of an outbreak by
calculating the incidence rate. This helps determine the scope and severity before implementing
treatment, education, or family discussions.
5. A public health nurse is planning care for four clients. Which of the following interventions
should the nurse recognize as tertiary prevention?
A. Providing chemoprophylaxis for malaria to a client traveling to mosquito-infested countries
B. Administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis
jiroveci
C. Performing a surgical screening for HIV for a client who is pregnant
D. Participating in partner notification for a client who has an STI
, Correct Answer: B. Administering antibiotics to a client who has AIDS and was diagnosed with
pneumocystis jiroveci
Expert Rationale:
Tertiary prevention includes managing established disease to prevent further complications.
Treating an opportunistic infection in an AIDS client is tertiary care. Chemoprophylaxis is
primary, screening is secondary, and partner notification is secondary prevention.
6. A home health nurse is assessing an older adult client who is taking captopril to treat heart
failure. Which of the following findings should the nurse identify as an adverse effect of this
medication?
A. Dry cough
B. Weight gain
C. Ataxia
D. Photophobia
Correct Answer: A. Dry cough
Expert Rationale:
Captopril, an ACE inhibitor, commonly causes a persistent dry cough due to bradykinin
accumulation. Weight gain may indicate fluid retention; ataxia and photophobia are not typical
adverse effects of captopril.
7. A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
A. Inability to concentrate
B. Makes eye contact
C. Excessive sleeping
D. Lack of interest in food
Correct Answer: B. Makes eye contact
Expert Rationale:
Making eye contact indicates engagement, openness, and a willingness to communicate—
positive signs of effective coping. Inability to concentrate, excessive sleeping, and anorexia are
signs of maladaptive coping or depression.
Answers | 2026/27 Updated | 100% correct | Chamberlain
1. A nurse is assessing a new client. Which of the following information should the nurse
include in the cultural portion of the assessment?
A. Food preference
B. Employment status
C. History of illness
D. Sexual orientation
Correct Answer: A. Food preference
Expert Rationale:
Cultural assessment includes dietary practices, religious beliefs, language, health practices, and
family roles. Food preferences are directly tied to cultural identity and can affect nutritional
status and dietary compliance. Employment status, illness history, and sexual orientation are
important but are not core components of a cultural assessment.
2. A nurse is preparing an educational program about influenza for a group of community
health nurses. Which of the following activities should the nurse identify as an example of
tertiary prevention?
A. Offer classes to elementary school teachers about handwashing
B. Provide information to occupational nurses about reasons for employees to not come to
work
C. Administer antiviral meds within 48 hours to clients who have manifestations of influenza
D. Provide immunizations at long-term care facilities
Correct Answer: C. Administer antiviral meds within 48 hours to clients who have
manifestations of influenza
Expert Rationale:
Tertiary prevention aims to reduce complications and disability in existing disease.
Administering antivirals during active influenza reduces severity and prevents complications.
Handwashing and immunizations are primary prevention; keeping sick employees home is
secondary prevention.
,3. A nurse is collecting demographic data as part of a community assessment. Which of the
following information should the nurse include?
A. Racial discrimination
B. Family genograms
C. Number of open water sources
D. Presence of condemned buildings
Correct Answer: A. Racial distribution
Expert Rationale:
Demographic data includes age, gender, race, ethnicity, income, and education levels. Racial
distribution is a key demographic variable. Discrimination, genograms, and environmental
hazards are not demographic data but are relevant to other types of community assessments.
4. A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
A. Determine the incidence rate
B. Institute prophylactic treatment
C. Educate the community about disease transmission
D. Discuss treatment plans with clients' families
Correct Answer: A. Determine the incidence rate
Expert Rationale:
The first step in an outbreak investigation is to confirm the existence of an outbreak by
calculating the incidence rate. This helps determine the scope and severity before implementing
treatment, education, or family discussions.
5. A public health nurse is planning care for four clients. Which of the following interventions
should the nurse recognize as tertiary prevention?
A. Providing chemoprophylaxis for malaria to a client traveling to mosquito-infested countries
B. Administering antibiotics to a client who has AIDS and was diagnosed with pneumocystis
jiroveci
C. Performing a surgical screening for HIV for a client who is pregnant
D. Participating in partner notification for a client who has an STI
, Correct Answer: B. Administering antibiotics to a client who has AIDS and was diagnosed with
pneumocystis jiroveci
Expert Rationale:
Tertiary prevention includes managing established disease to prevent further complications.
Treating an opportunistic infection in an AIDS client is tertiary care. Chemoprophylaxis is
primary, screening is secondary, and partner notification is secondary prevention.
6. A home health nurse is assessing an older adult client who is taking captopril to treat heart
failure. Which of the following findings should the nurse identify as an adverse effect of this
medication?
A. Dry cough
B. Weight gain
C. Ataxia
D. Photophobia
Correct Answer: A. Dry cough
Expert Rationale:
Captopril, an ACE inhibitor, commonly causes a persistent dry cough due to bradykinin
accumulation. Weight gain may indicate fluid retention; ataxia and photophobia are not typical
adverse effects of captopril.
7. A home health nurse is caring for a client who has breast cancer. Which of the following
assessment findings should the nurse identify as an indication that the client is coping
effectively?
A. Inability to concentrate
B. Makes eye contact
C. Excessive sleeping
D. Lack of interest in food
Correct Answer: B. Makes eye contact
Expert Rationale:
Making eye contact indicates engagement, openness, and a willingness to communicate—
positive signs of effective coping. Inability to concentrate, excessive sleeping, and anorexia are
signs of maladaptive coping or depression.
