NR 436
Community, Public & Population
Health Nursing
Complete Midterm Review
(Questions & Solutions)
2025
1
,1. A nurse is calculating the cumulative incidence of influenza in a
community of 10,000 people when 250 new cases occur over one month.
What is the cumulative incidence per 1,000 population?
A. 0.25 per 1,000
B. 2.5 per 1,000
C. 25 per 1,000
D. 250 per 1,000
ANS: B
Rationale: Cumulative incidence = (new cases ÷ population at risk) ×
1,000 = (250 ÷ 10,000) × 1,000 = 25 per 1,000.
2. Which epidemiologic study design follows a group of exposed and
unexposed individuals over time to compare disease occurrence?
A. Cross-sectional study
B. Case-control study
C. Cohort study
D. Ecological study
ANS: C
Rationale: Cohort studies prospectively follow exposed and
unexposed groups to measure incidence and relative risk.
3. During a community assessment, the nurse conducts a windshield
survey. Which observation best exemplifies this method?
A. Distributing questionnaires door-to-door
B. Recording traffic density and housing conditions while driving
C. Holding focus groups in local community centers
D. Reviewing census and vital statistics data
2
, ANS: B
Rationale: A windshield survey involves visual observations of
community structure, resources, and problems from a vehicle.
4. A newly hired public health nurse wants to monitor influenza-like
illnesses in real time. Which surveillance system should they choose?
A. Passive surveillance
B. Active surveillance
C. Sentinel surveillance
D. Syndromic surveillance
ANS: D
Rationale: Syndromic surveillance uses pre-diagnostic data (e.g., chief
complaints) for early outbreak detection.
5. Which level of prevention is the focus when offering free tetanus-
diphtheria-pertussis (Tdap) vaccines at a county fair?
A. Primordial prevention
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
ANS: B
Rationale: Primary prevention prevents disease onset by reducing
exposure through immunization.
6. In planning a new diabetes self-management program, the nurse uses
a logic model. Which component represents the immediate products of
program activities?
A. Inputs
B. Outputs
C. Outcomes
3
Community, Public & Population
Health Nursing
Complete Midterm Review
(Questions & Solutions)
2025
1
,1. A nurse is calculating the cumulative incidence of influenza in a
community of 10,000 people when 250 new cases occur over one month.
What is the cumulative incidence per 1,000 population?
A. 0.25 per 1,000
B. 2.5 per 1,000
C. 25 per 1,000
D. 250 per 1,000
ANS: B
Rationale: Cumulative incidence = (new cases ÷ population at risk) ×
1,000 = (250 ÷ 10,000) × 1,000 = 25 per 1,000.
2. Which epidemiologic study design follows a group of exposed and
unexposed individuals over time to compare disease occurrence?
A. Cross-sectional study
B. Case-control study
C. Cohort study
D. Ecological study
ANS: C
Rationale: Cohort studies prospectively follow exposed and
unexposed groups to measure incidence and relative risk.
3. During a community assessment, the nurse conducts a windshield
survey. Which observation best exemplifies this method?
A. Distributing questionnaires door-to-door
B. Recording traffic density and housing conditions while driving
C. Holding focus groups in local community centers
D. Reviewing census and vital statistics data
2
, ANS: B
Rationale: A windshield survey involves visual observations of
community structure, resources, and problems from a vehicle.
4. A newly hired public health nurse wants to monitor influenza-like
illnesses in real time. Which surveillance system should they choose?
A. Passive surveillance
B. Active surveillance
C. Sentinel surveillance
D. Syndromic surveillance
ANS: D
Rationale: Syndromic surveillance uses pre-diagnostic data (e.g., chief
complaints) for early outbreak detection.
5. Which level of prevention is the focus when offering free tetanus-
diphtheria-pertussis (Tdap) vaccines at a county fair?
A. Primordial prevention
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention
ANS: B
Rationale: Primary prevention prevents disease onset by reducing
exposure through immunization.
6. In planning a new diabetes self-management program, the nurse uses
a logic model. Which component represents the immediate products of
program activities?
A. Inputs
B. Outputs
C. Outcomes
3
