NR 442 Community Health Exam 1 | Questions and correct detailed
Answers | 2026/27 Updates | 100% correct | Chamberlain
1. A nurse is holding a well child clinic in the community center in a predominantly Spanish
speaking area. A number of infants and toddlers at the center have remarkably low birth rates
for their ages. What action should the nurse take first?
A. Do a quick environment assessment for standing water, mosquitoes, sewage in the streets
and availability of referral services for the poor
B. Hospitalize the children
C. Call CPS
Correct Answer: A. Do a quick environment assessment for standing water, mosquitoes, sewage
in the streets and availability of referral services for the poor
Expert Rationale:
The first step is to assess the environment for factors contributing to poor growth (e.g.,
sanitation, nutrition access, referrals). Hospitalization and CPS are premature without further
assessment.
2. A community health nurse is designing a health fair for clients with diabetes in the
community. Based on the Healthy People 2020 initiatives, what information would the nurse
want to include for clients with diabetes? (Select All That Apply)
A. Monitoring blood glucose level
B. Monitoring of carbohydrate intake
C. Monitoring of body rashes
D. Monitoring of bowel habits
E. Monitoring of susceptibility to cold temperature
F. Monitoring skin assessment
Correct Answers: A, B, F
Expert Rationale:
Diabetes management focuses on glycemic control, carbohydrate counting, and foot/skin
assessments to prevent complications. Rashes, bowel habits, and cold susceptibility are not core
diabetes self-management topics.
,3. A nurse is caring for clients who need tertiary care and are outside the medical and
economic mainstream. The client asks the nurse about health care policy and how it may
benefit them. What would be the best response from the nurse?
A. Healthcare policy exists to meet the needs of the population
B. The health care policy does not benefit them
C. It violates HIPAA
Correct Answer: A. Healthcare policy exists to meet the needs of the population
Expert Rationale:
Health policy is designed to improve population health and access. It is not intended to exclude
individuals, nor does it inherently violate HIPAA.
4. What will be considered as one of the 10 greatest public health achievements in the US to
provide safer nutrition?
A. Healthier food options in schools
B. Eliminating junk food in cities
C. Reduction of microbial contamination in foods
Correct Answer: C. Reduction of microbial contamination in foods
Expert Rationale:
Reducing microbial contamination (e.g., pasteurization, food safety regulations) is a CDC-
recognized top public health achievement. School options and junk food elimination are not
nationally recognized as top 10 achievements.
5. The community health nurse is using an analytical assessment skill. What should the
assessment include? (Select All That Apply)
A. Identifies health risks
B. Identifies health needs
C. Identifies values
D. Identifies beliefs
E. Identifies resources
F. Identifies environmental factors of the community to plan care
G. Identifies home care
, Correct Answers: A, B, C, D, E, F
Expert Rationale:
Analytical assessment involves a comprehensive review of risks, needs, values, beliefs,
resources, and environmental factors. Home care is an intervention, not part of analytical
assessment.
6. How would the community health nurse use summative evaluation data when evaluating
the education plan for a group of homeless IV drug users?
A. Determine if the education will advance the knowledge of the population, so they will make
healthcare choices
B. They have no hope
C. They never want to change
Correct Answer: A. Determine if the education will advance the knowledge of the population,
so they will make healthcare choices
Expert Rationale:
Summative evaluation measures outcomes—whether learning occurred and if it influences
behavior. The other options are judgmental and not evidence-based.
7. An older adult who lives alone tells the clinic nurse that he's unable to drive himself to the
store and is afraid to cook on the stove. Which of the following community resources should
the nurse recommend for this client?
A. He must be placed in a psychiatric hospital
B. Meals on Wheels
C. Give him take out menus
Correct Answer: B. Meals on Wheels
Expert Rationale:
Meals on Wheels provides nutritious delivered meals to homebound older adults. This
addresses both nutrition and safety concerns without unnecessary institutionalization.
8. An occupational health nurse in a clinic of an industrial plant is developing a guidebook for
clinic workers. Which of the following actions should the nurse include as a secondary
prevention strategy?
Answers | 2026/27 Updates | 100% correct | Chamberlain
1. A nurse is holding a well child clinic in the community center in a predominantly Spanish
speaking area. A number of infants and toddlers at the center have remarkably low birth rates
for their ages. What action should the nurse take first?
A. Do a quick environment assessment for standing water, mosquitoes, sewage in the streets
and availability of referral services for the poor
B. Hospitalize the children
C. Call CPS
Correct Answer: A. Do a quick environment assessment for standing water, mosquitoes, sewage
in the streets and availability of referral services for the poor
Expert Rationale:
The first step is to assess the environment for factors contributing to poor growth (e.g.,
sanitation, nutrition access, referrals). Hospitalization and CPS are premature without further
assessment.
2. A community health nurse is designing a health fair for clients with diabetes in the
community. Based on the Healthy People 2020 initiatives, what information would the nurse
want to include for clients with diabetes? (Select All That Apply)
A. Monitoring blood glucose level
B. Monitoring of carbohydrate intake
C. Monitoring of body rashes
D. Monitoring of bowel habits
E. Monitoring of susceptibility to cold temperature
F. Monitoring skin assessment
Correct Answers: A, B, F
Expert Rationale:
Diabetes management focuses on glycemic control, carbohydrate counting, and foot/skin
assessments to prevent complications. Rashes, bowel habits, and cold susceptibility are not core
diabetes self-management topics.
,3. A nurse is caring for clients who need tertiary care and are outside the medical and
economic mainstream. The client asks the nurse about health care policy and how it may
benefit them. What would be the best response from the nurse?
A. Healthcare policy exists to meet the needs of the population
B. The health care policy does not benefit them
C. It violates HIPAA
Correct Answer: A. Healthcare policy exists to meet the needs of the population
Expert Rationale:
Health policy is designed to improve population health and access. It is not intended to exclude
individuals, nor does it inherently violate HIPAA.
4. What will be considered as one of the 10 greatest public health achievements in the US to
provide safer nutrition?
A. Healthier food options in schools
B. Eliminating junk food in cities
C. Reduction of microbial contamination in foods
Correct Answer: C. Reduction of microbial contamination in foods
Expert Rationale:
Reducing microbial contamination (e.g., pasteurization, food safety regulations) is a CDC-
recognized top public health achievement. School options and junk food elimination are not
nationally recognized as top 10 achievements.
5. The community health nurse is using an analytical assessment skill. What should the
assessment include? (Select All That Apply)
A. Identifies health risks
B. Identifies health needs
C. Identifies values
D. Identifies beliefs
E. Identifies resources
F. Identifies environmental factors of the community to plan care
G. Identifies home care
, Correct Answers: A, B, C, D, E, F
Expert Rationale:
Analytical assessment involves a comprehensive review of risks, needs, values, beliefs,
resources, and environmental factors. Home care is an intervention, not part of analytical
assessment.
6. How would the community health nurse use summative evaluation data when evaluating
the education plan for a group of homeless IV drug users?
A. Determine if the education will advance the knowledge of the population, so they will make
healthcare choices
B. They have no hope
C. They never want to change
Correct Answer: A. Determine if the education will advance the knowledge of the population,
so they will make healthcare choices
Expert Rationale:
Summative evaluation measures outcomes—whether learning occurred and if it influences
behavior. The other options are judgmental and not evidence-based.
7. An older adult who lives alone tells the clinic nurse that he's unable to drive himself to the
store and is afraid to cook on the stove. Which of the following community resources should
the nurse recommend for this client?
A. He must be placed in a psychiatric hospital
B. Meals on Wheels
C. Give him take out menus
Correct Answer: B. Meals on Wheels
Expert Rationale:
Meals on Wheels provides nutritious delivered meals to homebound older adults. This
addresses both nutrition and safety concerns without unnecessary institutionalization.
8. An occupational health nurse in a clinic of an industrial plant is developing a guidebook for
clinic workers. Which of the following actions should the nurse include as a secondary
prevention strategy?
