NR442 Final Exam/NR 442
Community Health Nursing
NR442 Final Exam/NR 442 Community
Health Nursing Final 2025/2026
Actual Exam Complete 200 Questions
And Correct Detailed Answers
(Verified Answers) |Already Graded
A+
A nurse is planning to teach a community group about the meningococcal vaccine. The nurse
should identify that which of the following clients should receive the vaccine?
A. A client who is traveling to Northern Europe
B. An infant who has bronchiolitis
C. An infant who is 4 weeks old
D. A client who is moving into a college dormitory
D. A client who is moving into a college dormitory
Rationale: Individuals living in crowded areas such as dormitories, should receive the
meningococcal vaccine
A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
A. The faith community nurse can provide pharmacological pain management for clients with
terminal illness.
B. The faith community nurse can plan workplace safety training for employees in a local
factory
C. The faith community nurse can provide wound care for clients in their homes
D. The faith community nurse can facilitate substance abuse support programs.
D. The faith community nurse can facilitate substance abuse support programs.
ADMIN 1
, NR442 Final Exam/NR 442
Community Health Nursing
Rationale: This is one of the roles of the faith community nurse
A nurse is developing an educational program about bioterrorism and smallpox. The nurse
should include in the teaching that the smallpox rash is expected to first appear in which of
the following locations?
A. Face
B. abdomen
C. Lower extremities
D. Posterior shoulders
A. Face
A community health nurse is conducting a needs assessment of a community. The nurse
should identify which of the following methods yield direct data?
A. Health surveys
B. Medical records
C. Informant interviews
D. Morbidity/Mortality status
C. Informant Reviews
A nurse at a county health department is caring for a client who is at 28 weeks gestation. The
nurse should identify which of the following as a risk factor for future child maltreatment?
A. The client refers to the unborn fetus by name
B. The client works part-time at a local restaurant
C. The client has changed providers three times during their pregnancy
D. The client has nightmares about the unborn fetus
C. The client has changed providers three times during their pregnancy
Rationale: Frequently changing healthcare providers is a risk factor for future child
maltreatment because it can indicate the client is experiencing partner violence and it
attempting to hide it from the provider. Clients who experience violence are at higher risk for
perpetuating violence against their own children
A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include which of the following vaccines is safe to administer to a
client who is pregnant?
A. Herpes zoster
ADMIN 2
, NR442 Final Exam/NR 442
Community Health Nursing
B. Tetanus, diphtheria, pertussis (TDAP)
C. Varicella
D. Measles, mumps, and rubella (MMR)
B. Tetanus, diphtheria, pertussis (TDAP)
Rationale: They should receive the vaccine between 27 and 36 weeks of gestation
A school nurse is notified that a school-age child has pertussis. Which of the following actions
should the nurse take? SATA
A. Instruct the parent to keep the child home for 2 weeks after the first sign of symptoms
B. Encourage family members to obtain prophylactic treatment
C. Quarantine the children in the child's class
D. Recommend the child receive a pneumococcal vaccine in 28 days.
E. Check the immunization status of the client's classmates
A. Instruct the parent to keep the child home for 2 weeks after the first sign of symptoms
Rationale: The child should stay home until the coughing stage has passed, this is the most
communicable stage
B. Encourage family members to obtain prophylactic treatment
Rationale: Individuals who have been exposed to pertussis should be treated prophylactically
with erythromycin, clarithromycin, or azithromycin
E. Check the immunization status of the client's classmates
Rationale: This is done to check which children are at risk for acquiring the infection
Situation - Carol is 15 months old, weighs 8.5 kgs, is not eating well and is unable to breast
feed. She is not vomiting, has no convulsion and not abnormally sleepy or difficult to awaken.
Her temperature is 38.5 C. Use the Integrated Management of Childhood Illness or IMCI
strategy.
1. If you were the nurse in charge of Carol, how will you classify her illness?
A. febrile with a general danger sign
ADMIN 3
, NR442 Final Exam/NR 442
Community Health Nursing
B. very severe febrile disease
C. severe pneumonia
D. very severe disease - Answer ✓✓D. very severe disease
2. Which of the following signs is considered to be a general danger sign in Carol's case?
A. no vomiting
B. has no convulsion
C. temperature of 38.5 C
D. unable to breastfeed - Answer ✓✓D. unable to breastfeed
3. Which of the following signs is NOT included in the general danger sign?
A. vomits everything
B. unable to drink or breast fed
C. has had convulsion
D. not eating well - Answer ✓✓D. not eating well
4. Which of the following steps is NOT included in the IMCI strategy?
A. identify treatment
B. counsel and follow up
C. referral
D. assess and classify - Answer ✓✓C. referral
ADMIN 4
Community Health Nursing
NR442 Final Exam/NR 442 Community
Health Nursing Final 2025/2026
Actual Exam Complete 200 Questions
And Correct Detailed Answers
(Verified Answers) |Already Graded
A+
A nurse is planning to teach a community group about the meningococcal vaccine. The nurse
should identify that which of the following clients should receive the vaccine?
A. A client who is traveling to Northern Europe
B. An infant who has bronchiolitis
C. An infant who is 4 weeks old
D. A client who is moving into a college dormitory
D. A client who is moving into a college dormitory
Rationale: Individuals living in crowded areas such as dormitories, should receive the
meningococcal vaccine
A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
A. The faith community nurse can provide pharmacological pain management for clients with
terminal illness.
B. The faith community nurse can plan workplace safety training for employees in a local
factory
C. The faith community nurse can provide wound care for clients in their homes
D. The faith community nurse can facilitate substance abuse support programs.
D. The faith community nurse can facilitate substance abuse support programs.
ADMIN 1
, NR442 Final Exam/NR 442
Community Health Nursing
Rationale: This is one of the roles of the faith community nurse
A nurse is developing an educational program about bioterrorism and smallpox. The nurse
should include in the teaching that the smallpox rash is expected to first appear in which of
the following locations?
A. Face
B. abdomen
C. Lower extremities
D. Posterior shoulders
A. Face
A community health nurse is conducting a needs assessment of a community. The nurse
should identify which of the following methods yield direct data?
A. Health surveys
B. Medical records
C. Informant interviews
D. Morbidity/Mortality status
C. Informant Reviews
A nurse at a county health department is caring for a client who is at 28 weeks gestation. The
nurse should identify which of the following as a risk factor for future child maltreatment?
A. The client refers to the unborn fetus by name
B. The client works part-time at a local restaurant
C. The client has changed providers three times during their pregnancy
D. The client has nightmares about the unborn fetus
C. The client has changed providers three times during their pregnancy
Rationale: Frequently changing healthcare providers is a risk factor for future child
maltreatment because it can indicate the client is experiencing partner violence and it
attempting to hide it from the provider. Clients who experience violence are at higher risk for
perpetuating violence against their own children
A nurse is preparing a community education program about health care needs during
pregnancy. The nurse should include which of the following vaccines is safe to administer to a
client who is pregnant?
A. Herpes zoster
ADMIN 2
, NR442 Final Exam/NR 442
Community Health Nursing
B. Tetanus, diphtheria, pertussis (TDAP)
C. Varicella
D. Measles, mumps, and rubella (MMR)
B. Tetanus, diphtheria, pertussis (TDAP)
Rationale: They should receive the vaccine between 27 and 36 weeks of gestation
A school nurse is notified that a school-age child has pertussis. Which of the following actions
should the nurse take? SATA
A. Instruct the parent to keep the child home for 2 weeks after the first sign of symptoms
B. Encourage family members to obtain prophylactic treatment
C. Quarantine the children in the child's class
D. Recommend the child receive a pneumococcal vaccine in 28 days.
E. Check the immunization status of the client's classmates
A. Instruct the parent to keep the child home for 2 weeks after the first sign of symptoms
Rationale: The child should stay home until the coughing stage has passed, this is the most
communicable stage
B. Encourage family members to obtain prophylactic treatment
Rationale: Individuals who have been exposed to pertussis should be treated prophylactically
with erythromycin, clarithromycin, or azithromycin
E. Check the immunization status of the client's classmates
Rationale: This is done to check which children are at risk for acquiring the infection
Situation - Carol is 15 months old, weighs 8.5 kgs, is not eating well and is unable to breast
feed. She is not vomiting, has no convulsion and not abnormally sleepy or difficult to awaken.
Her temperature is 38.5 C. Use the Integrated Management of Childhood Illness or IMCI
strategy.
1. If you were the nurse in charge of Carol, how will you classify her illness?
A. febrile with a general danger sign
ADMIN 3
, NR442 Final Exam/NR 442
Community Health Nursing
B. very severe febrile disease
C. severe pneumonia
D. very severe disease - Answer ✓✓D. very severe disease
2. Which of the following signs is considered to be a general danger sign in Carol's case?
A. no vomiting
B. has no convulsion
C. temperature of 38.5 C
D. unable to breastfeed - Answer ✓✓D. unable to breastfeed
3. Which of the following signs is NOT included in the general danger sign?
A. vomits everything
B. unable to drink or breast fed
C. has had convulsion
D. not eating well - Answer ✓✓D. not eating well
4. Which of the following steps is NOT included in the IMCI strategy?
A. identify treatment
B. counsel and follow up
C. referral
D. assess and classify - Answer ✓✓C. referral
ADMIN 4
