R-442 Community Health Nursing Final Practice Exam
Exam Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A / Instant
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1. Which level of prevention is a community nurse implementing when administering
immunizations to a school-aged child?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A
Primary prevention prevents the onset of disease before it occurs, such as through
vaccination.
2. A nurse is reviewing epidemiological data that show the number of new cases of
measles in a year. Which measure is being described?
A. Prevalence rate
B. Attack rate
C. Incidence rate
D. Mortality rate
Answer: C
Incidence rate measures the occurrence of new cases in a population over a specific period.
3. Which of the following is an example of tertiary prevention in community health?
A. Screening for hypertension
B. Teaching a diabetic patient how to administer insulin
C. Providing prenatal vitamins to pregnant women
D. Immunizing children for polio
Answer: B
Tertiary prevention reduces the impact of an established disease through rehabilitation and
education.
,4. In the epidemiologic triangle, the "host" refers to:
A. The infectious agent
B. The organism harboring the disease
C. Environmental factors
D. The transmission method
Answer: B
The host is the living being that is susceptible to the infectious agent.
5. A nurse is providing post-disaster care in a shelter. Which activity is an example of
secondary prevention?
A. Providing tetanus shots
B. Conducting mental health screenings
C. Arranging long-term rehabilitation services
D. Educating on safe drinking water
Answer: B
Secondary prevention detects and treats problems in their early stages to prevent worsening.
6. Which statement best describes herd immunity?
A. Immunity acquired by recovering from a disease
B. Community protection when most individuals are immune
C. Passive immunity through breastfeeding
D. Immunity through exposure to environmental pathogens
Answer: B
Herd immunity occurs when enough of the population is immune, reducing disease spread.
7. A nurse is performing windshield surveys in a rural area. Which of the following should
the nurse document?
A. Immunization rates
B. Observations about housing and environment
C. Hospital discharge statistics
D. Birth rate data
Answer: B
Windshield surveys involve direct observation of the community’s physical and social
environment.
, 8. Which is a primary role of the public health nurse in disaster preparedness?
A. Provide psychological counseling to victims
B. Conduct rapid needs assessments post-disaster
C. Develop community disaster response plans
D. Manage long-term rehabilitation programs
Answer: C
Preparedness includes developing and testing disaster response plans before events occur.
9. The nurse is addressing health disparities in migrant farm workers. Which factor most
increases this group’s risk for poor health outcomes?
A. High education levels
B. Consistent access to health insurance
C. Language and cultural barriers
D. Frequent use of preventive services
Answer: C
Language and cultural barriers often limit access to health care services.
10. Which of the following diseases must be reported to the local health department?
A. Hypertension
B. Tuberculosis
C. Asthma
D. Diabetes mellitus
Answer: B
Tuberculosis is a reportable communicable disease that requires public health follow-up.
11. A nurse is using the Healthy People 2030 framework. This framework’s primary
purpose is to:
A. Provide federal funding for hospitals
B. Set national objectives for improving health
C. Regulate medical licensing
D. Provide clinical practice guidelines for all diseases
Answer: B
Healthy People 2030 provides science-based, 10-year national objectives for improving
population health.
12. In disaster management, the phase focused on limiting the magnitude of harm after
the event occurs is called:
Exam Questions And Correct Answers {Verified
Answers} Plus Rationales 2025/2026 Q&A / Instant
Download Pdf
1. Which level of prevention is a community nurse implementing when administering
immunizations to a school-aged child?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A
Primary prevention prevents the onset of disease before it occurs, such as through
vaccination.
2. A nurse is reviewing epidemiological data that show the number of new cases of
measles in a year. Which measure is being described?
A. Prevalence rate
B. Attack rate
C. Incidence rate
D. Mortality rate
Answer: C
Incidence rate measures the occurrence of new cases in a population over a specific period.
3. Which of the following is an example of tertiary prevention in community health?
A. Screening for hypertension
B. Teaching a diabetic patient how to administer insulin
C. Providing prenatal vitamins to pregnant women
D. Immunizing children for polio
Answer: B
Tertiary prevention reduces the impact of an established disease through rehabilitation and
education.
,4. In the epidemiologic triangle, the "host" refers to:
A. The infectious agent
B. The organism harboring the disease
C. Environmental factors
D. The transmission method
Answer: B
The host is the living being that is susceptible to the infectious agent.
5. A nurse is providing post-disaster care in a shelter. Which activity is an example of
secondary prevention?
A. Providing tetanus shots
B. Conducting mental health screenings
C. Arranging long-term rehabilitation services
D. Educating on safe drinking water
Answer: B
Secondary prevention detects and treats problems in their early stages to prevent worsening.
6. Which statement best describes herd immunity?
A. Immunity acquired by recovering from a disease
B. Community protection when most individuals are immune
C. Passive immunity through breastfeeding
D. Immunity through exposure to environmental pathogens
Answer: B
Herd immunity occurs when enough of the population is immune, reducing disease spread.
7. A nurse is performing windshield surveys in a rural area. Which of the following should
the nurse document?
A. Immunization rates
B. Observations about housing and environment
C. Hospital discharge statistics
D. Birth rate data
Answer: B
Windshield surveys involve direct observation of the community’s physical and social
environment.
, 8. Which is a primary role of the public health nurse in disaster preparedness?
A. Provide psychological counseling to victims
B. Conduct rapid needs assessments post-disaster
C. Develop community disaster response plans
D. Manage long-term rehabilitation programs
Answer: C
Preparedness includes developing and testing disaster response plans before events occur.
9. The nurse is addressing health disparities in migrant farm workers. Which factor most
increases this group’s risk for poor health outcomes?
A. High education levels
B. Consistent access to health insurance
C. Language and cultural barriers
D. Frequent use of preventive services
Answer: C
Language and cultural barriers often limit access to health care services.
10. Which of the following diseases must be reported to the local health department?
A. Hypertension
B. Tuberculosis
C. Asthma
D. Diabetes mellitus
Answer: B
Tuberculosis is a reportable communicable disease that requires public health follow-up.
11. A nurse is using the Healthy People 2030 framework. This framework’s primary
purpose is to:
A. Provide federal funding for hospitals
B. Set national objectives for improving health
C. Regulate medical licensing
D. Provide clinical practice guidelines for all diseases
Answer: B
Healthy People 2030 provides science-based, 10-year national objectives for improving
population health.
12. In disaster management, the phase focused on limiting the magnitude of harm after
the event occurs is called:
