COMMUNITY NURSING CONCEPTS
COMPREHENSIVE EXAM REVIEW
QUESTIONS AND ANSWERS
1. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations would be considered a sign of a potential environmental hazard?
A. The presence of several community gardens.
B. Lack of public transportation access points.
C. Multi-generational families living in single-family dwellings.
D. Open drainage ditches near a residential playground.
Answer: D
Conceptual Explanation: Open drainage ditches represent a significant environmental
and safety hazard, potentially harboring pathogens or toxins and posing a physical risk to
children. The other options represent social or infrastructural characteristics but not
immediate environmental hazards.
,2. An occupational health nurse is analyzing the epidemiological triangle for a recent increase
in back injuries among warehouse workers. Which of the following represents the ‘Agent’ in
this scenario?
A. The warehouse workers’ lack of ergonomic training.
B. The heavy lifting required by the job tasks.
C. The slippery flooring in the loading bay.
D. The age and physical fitness of the employees.
Answer: B
Conceptual Explanation: In the epidemiological triangle, the agent is the factor whose
presence or absence causes the disease or injury. In occupational health, the agent is often
a physical stressor, such as heavy lifting or repetitive motion.
3. A community health nurse is planning a primary prevention activity for a local senior
center. Which of the following interventions should the nurse include?
A. Conducting blood pressure screenings for hypertension.
B. Performing foot checks for diabetic residents.
C. Leading a support group for residents with early-stage dementia.
D. Providing education on the importance of the influenza vaccine.
Answer: D
, Conceptual Explanation: Primary prevention aims to prevent the onset of disease through
education and immunization. Screenings (A and D) are secondary prevention, and support
groups (C) are tertiary prevention.
4. When assessing a population’s health, a nurse calculates the number of new cases of HIV
diagnosed in a city during the past year. This measurement is known as:
A. Prevalence rate
B. Attack rate
C. Incidence rate
D. Crude death rate
Answer: C
Conceptual Explanation: Incidence rate measures the number of new cases of a disease in
a specific population during a defined period. Prevalence includes both new and existing
cases.
5. A nurse at a community clinic is caring for a client who is a migrant farmworker. Which of
the following factors should the nurse identify as a significant barrier to this client accessing
healthcare?
A. The client’s high level of health literacy.
B. Frequent relocation to follow crop cycles.
C. Universal health insurance coverage for all agricultural workers.
COMPREHENSIVE EXAM REVIEW
QUESTIONS AND ANSWERS
1. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations would be considered a sign of a potential environmental hazard?
A. The presence of several community gardens.
B. Lack of public transportation access points.
C. Multi-generational families living in single-family dwellings.
D. Open drainage ditches near a residential playground.
Answer: D
Conceptual Explanation: Open drainage ditches represent a significant environmental
and safety hazard, potentially harboring pathogens or toxins and posing a physical risk to
children. The other options represent social or infrastructural characteristics but not
immediate environmental hazards.
,2. An occupational health nurse is analyzing the epidemiological triangle for a recent increase
in back injuries among warehouse workers. Which of the following represents the ‘Agent’ in
this scenario?
A. The warehouse workers’ lack of ergonomic training.
B. The heavy lifting required by the job tasks.
C. The slippery flooring in the loading bay.
D. The age and physical fitness of the employees.
Answer: B
Conceptual Explanation: In the epidemiological triangle, the agent is the factor whose
presence or absence causes the disease or injury. In occupational health, the agent is often
a physical stressor, such as heavy lifting or repetitive motion.
3. A community health nurse is planning a primary prevention activity for a local senior
center. Which of the following interventions should the nurse include?
A. Conducting blood pressure screenings for hypertension.
B. Performing foot checks for diabetic residents.
C. Leading a support group for residents with early-stage dementia.
D. Providing education on the importance of the influenza vaccine.
Answer: D
, Conceptual Explanation: Primary prevention aims to prevent the onset of disease through
education and immunization. Screenings (A and D) are secondary prevention, and support
groups (C) are tertiary prevention.
4. When assessing a population’s health, a nurse calculates the number of new cases of HIV
diagnosed in a city during the past year. This measurement is known as:
A. Prevalence rate
B. Attack rate
C. Incidence rate
D. Crude death rate
Answer: C
Conceptual Explanation: Incidence rate measures the number of new cases of a disease in
a specific population during a defined period. Prevalence includes both new and existing
cases.
5. A nurse at a community clinic is caring for a client who is a migrant farmworker. Which of
the following factors should the nurse identify as a significant barrier to this client accessing
healthcare?
A. The client’s high level of health literacy.
B. Frequent relocation to follow crop cycles.
C. Universal health insurance coverage for all agricultural workers.
