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NR 442 Exam 1 Review 2026/2027 | Comprehensive Nursing Questions & Answers | Latest Exam-Focused Edition (Rationales)

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Prepare for the NR 442 Exam 1 with this 2026/2027 review featuring 65 questions with rationales. This resource covers Community Health Nursing Fundamentals, Environmental Health and Safety, Disease Prevention and Health Promotion, and Epidemiology and Disease Transmission, among other key topics. It's designed for in-depth study and efficient reinforcement of essential public health nursing knowledge.

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NR 442 EXAM 1 REVIEW 2026/2027 | COMPREHENSIVE NURSING QUESTIONS & ANSWERS | L…

P R O F E S S I O N A L P R A C T I C E M AT E R I A L S


NR 442 Exam 1 Review
2026/2027 | Comprehensive
Nursing Questions &
Answers | Latest Exam-
Focused Edition
(Rationales)

Verified Answers Exam Ready With Rationales 65 QUESTIONS




DOCUMENT OVERVIEW
This comprehensive review document provides 65 community health nursing exam
questions with pre-filled correct answers and detailed rationales. It is suitable for in-depth
study, exam preparation, and certification review, directly aligning with key concepts in
public health nursing. Students can utilize this resource to efficiently learn and reinforce
essential knowledge and understanding.


TOPICS
Community Health Nursing Fundamentals Q1–Q18
Environmental Health and Safety Q19–Q25
Disease Prevention and Health Promotion Q26–Q43
Community Assessment and Evaluation Q44–Q46
Epidemiology and Disease Transmission Q47–Q60
Historical and Ethical Perspectives Q61–Q65

Page 1

, E XA M Q U EST I O N S


Q1 QUESTION 1 OF 65
A community health nurse is reviewing the levels of disease prevention. Which of the
following activities is an example of tertiary prevention?
A. Immunization pamphlets
B.Providing treatment for clients who have COPD
C. Screening for diabetes
RESPONSE

B

RATIONALE
Tertiary prevention focuses on managing established conditions to prevent complications and
improve quality of life. Providing treatment for clients with COPD exemplifies this by aiming to
reduce exacerbations and functional decline. Immunization pamphlets represent primary
prevention, and diabetes screening is secondary prevention.



Q2 QUESTION 2 OF 65
The community health nurse is using an analytical assessment skill. What should the
assessment include? SATA
A. Identifies health risk
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
RESPONSE

A,B,C,D,E, F




Page 2

, RATIONALE
Analytical assessment in community health nursing involves a comprehensive evaluation to guide
intervention planning. This includes identifying health risks, unmet needs, and existing resources
within the community, alongside the values, beliefs, and environmental factors that influence health
outcomes. Such a systematic approach ensures interventions are targeted and effective.



Q3 QUESTION 3 OF 65
A community health nurse wants to obtain an overview of the community, but it has limited
time and resources. Which of the following methods would the nurse most likely use to
obtain this information?
A. Windshield survey
B. Ask a co worker for help
C. Skip that community
RESPONSE

A

RATIONALE
A windshield survey is an observational method for rapidly assessing a community's health status
and environmental conditions, making it efficient for nurses with limited time and resources. This
approach allows for a broad overview by driving or walking through the community, noting key
characteristics and potential issues. It provides a foundational understanding without requiring
extensive direct engagement initially.



Q4 QUESTION 4 OF 65
How would the community health nurse demonstrate the public health nursing practice
standard, the practice standard is obligation for the greater good of the people. How would
they do that?
A.Ensure that care being provided is based on the needs of a community assessment, and
includes the needs of the population as a whole
B. That is not a thing in community nursing
C. Deciding on their own what the community needs
RESPONSE

A



Page 3

, RATIONALE
Public health nursing practice prioritizes the collective well-being of populations. This standard is
demonstrated by basing interventions on comprehensive community assessments that identify
and address the needs of the entire population, not just individuals. This ensures services are
targeted effectively for the greater good.



Q5 QUESTION 5 OF 65
A community health nurse has completed a community assessment and is now writing a
community nursing diagnosis for the problem. Which component of the diagnosis will be
used to summarize the assessment data of the problem?
A. Identify Needs
B. Identification of the health risk
C. Identify community
RESPONSE

B

RATIONALE
The community nursing diagnosis framework categorizes data to identify specific health issues.
Summarizing assessment findings to pinpoint the health risk directly addresses the core problem
identified during the community assessment. This component is crucial for developing targeted
interventions.



Q6 QUESTION 6 OF 65
A community health nurse is assessing the health of students in a local college town. What
assessment data should the nurse analyze. SATA
a) Vital statistics related to the common causes of death and injury for that age group
b) Number of sandboxes in the playground through the community
c) Health resources available in the community for the age group
d) Community survey results regarding residents' health condition
e) Accessibility and safety of playground equipment at local fast-food restaurants
f) Availability of all-terrain vehicles at the local car dealership
RESPONSE

A,C,D



Page 4

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