EXAM: 300 UNIQUE PRACTICE QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY
GRADED A+ ASSURED PASS
This NURS 340 exam study guide provides 300 unique multiple-choice questions
covering public health nursing foundations, epidemiology, community health
assessment, vulnerable populations, health equity, environmental health, disaster
nursing, public health policy, global health, and case management. Each question
includes four options, the correct answer, and a detailed rationale. Organized into
seven sections, this resource mirrors West Coast University's NURS 340 course,
emphasizing population-focused care, prevention, and health promotion. Designed
for nursing students preparing for midterm or final exams, it simulates realistic
community health scenarios. It helps assess readiness, reinforce key concepts, and
build confidence. Use alongside course materials for comprehensive preparation.
Section 1: Foundations of Public Health Nursing (1–40)
1. Which of the following best describes the primary focus of public health
nursing?
A. Providing direct bedside care to acutely ill individuals in hospital settings
B. Focusing on the community as a whole and the effect of the community's health
status on individuals, families, and groups
C. Managing chronic conditions in long-term care facilities
D. Administering medications and treatments prescribed by primary care providers
Answer: B
,Rationale: Public health nursing emphasizes population-level outcomes, addressing
social determinants and implementing community-wide interventions to improve
health and equity. Unlike clinical nursing which focuses on individuals, public
health nursing focuses on the health of entire populations. The goal is to prevent
disease and disability, promote health, and protect the community.
2. What core function of Public Health is a Windshield Survey?
A. Primary care
B. Assessment
C. Policy development
D. Assurance
Answer: B
Rationale: A windshield survey is a direct observational method used to collect
data about a community. It falls under the core public health function of
assessment, which includes systematically collecting, analyzing, and monitoring
community health data.
3. Two nurses in community health scheduled a day to ride through a low-income
community to better understand the community and its boundaries, trends, rhythm,
stability, and changes that can affect the health of the community. This direct data
collection method is often referred to as:
A. Composite database
B. Windshield survey
C. Census
D. Participant observation
Answer: B
Rationale: A windshield survey involves driving or walking through a community
to observe its physical, social, and economic characteristics. It provides direct,
first-hand data about boundaries, trends, rhythm, stability, and changes affecting
health.
4. The determinants of public health include (Select all that apply):
A. Environmental
,B. Biophysical
C. Biological
D. Social
Answer: A, B, C, D — All of the above
Rationale: Determinants of health include environmental factors, biophysical
factors (genetics, age, sex), biological agents (infectious organisms), and social
determinants (income, education, housing, racism). All contribute to population
health outcomes.
5. A public health nurse is promoting routine Papanicolaou (Pap) tests to young
adult women at a community-based preventive care health fair. A Pap test is within
which level of prevention care?
A. Secondary
B. Tertiary
C. Self-care ability level
D. Primary level
Answer: A — Secondary
Rationale: Secondary prevention focuses on early detection and prompt treatment
of disease. A Pap test screens for cervical cancer or precancerous changes before
symptoms develop.
6. Nightingale's theory of environment includes which of the following?
A. Emphasize change at the individual level
B. Highlights the relationship between an individual's environment and health
C. Nursing at night
D. Validates the use of the social worker
Answer: B — Highlights the relationship between an individual's environment and
health
Rationale: Florence Nightingale emphasized that the environment—fresh air, clean
water, sanitation, light, warmth, and quiet—directly affects health and recovery.
Her theory links environmental conditions to health outcomes.
, 7. Public health nursing interventions include all of the following except:
A. Screening
B. Primary patient care
C. Advocacy
D. Surveillance
Answer: B — Primary patient care
Rationale: Public health nursing interventions include screening, advocacy,
surveillance, outreach, case management, and population-focused care. Direct
primary patient care is more characteristic of community-based or clinical nursing,
not the core public health nursing role.
8. According to the core functions of public health, which activity falls under the
function of "assessment"?
A. Developing policies that support the health of the population
B. Systematically collecting data on the population and monitoring health status
C. Ensuring that essential community-oriented health services are available
D. Enforcing laws and regulations that protect health and ensure safety
Answer: B
Rationale: Assessment is the systematic collection of data on the population,
monitoring the population's health status, and making information available about
the health of the community. This is the first core function and involves diagnosing
and investigating health problems and hazards in the community.
9. A public health nurse is working to ensure that all community members have
access to necessary health services. This action best exemplifies which core
function of public health?
A. Assessment
B. Policy Development
C. Assurance
D. Epidemiology
Answer: C