1|Page
NR 442/ NR442 Exam 1 : Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
1. A community health nurse is caring for an adolescent who is
seeking help for an unplanned pregnancy. Which of the following
actions should the nurse take first?
a. Recommend that the adolescent meet with the school guidance
counselor to discuss educational options.
b. Request permission to interview the father of the child to obtain a
medical history.
c. Help the client obtain a provider for prenatal care.
d. Provide information on parenting classes so the client can learn about
caring for a newborn.
, 2|Page
Answer: c
Rationale: Securing prenatal care is the priority for an at-risk
adolescent.
2. A community health nurse is planning to establish a community
garden to address the lack of nutritious food options in the area.
Which of the following actions should the nurse take first to initiate
the plan?
a. Identify community members who demonstrate an interest in the
project.
b. Hold a community information session to inform the residents of the
plan.
c. Select residents to take on leadership roles in the project.
d. Monitor the progress of the project to keep the project on course.
Answer: a
Rationale: Assessment (identifying interested members) is the first step
in the nursing process.
3. A nurse is conducting a home visit for an older adult client. The
nurse should identify which of the following findings as an
indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
, 3|Page
c. Has a BMI of 25
d. Presence of alcohol in the home
Answer: b
Rationale: Outdated medications indicate inadequate medical care, a
sign of neglect.
4. A nurse is caring for a 16-year-old client who has a new diagnosis
of human papillomavirus. Which of the following actions should the
nurse take?
a. Report the infection to the state health department.
b. Instruct the client to return for a blood test in 1 month.
c. Administer ceftriaxone 250mg IM.
d. Teach the client how to apply imiquimod 5% cream to the
lesions.
Answer: d
Rationale: HPV can be self-treated with topical imiquimod cream.
5. A school nurse is reviewing the records of four students who are
returning to school after being diagnosed with methicillin-resistant
staphylococcus aureus (MRSA). Which of the following actions
should the nurse take?
a. Coordinate an immunization clinic at the school.
b. Recommend prophylactic treatment for classmates.
NR 442/ NR442 Exam 1 : Community Health
Nursing (2026/ 2027 Update) | Q/A | Grade
A| (Verified Answers) -Chamberlain
1. A community health nurse is caring for an adolescent who is
seeking help for an unplanned pregnancy. Which of the following
actions should the nurse take first?
a. Recommend that the adolescent meet with the school guidance
counselor to discuss educational options.
b. Request permission to interview the father of the child to obtain a
medical history.
c. Help the client obtain a provider for prenatal care.
d. Provide information on parenting classes so the client can learn about
caring for a newborn.
, 2|Page
Answer: c
Rationale: Securing prenatal care is the priority for an at-risk
adolescent.
2. A community health nurse is planning to establish a community
garden to address the lack of nutritious food options in the area.
Which of the following actions should the nurse take first to initiate
the plan?
a. Identify community members who demonstrate an interest in the
project.
b. Hold a community information session to inform the residents of the
plan.
c. Select residents to take on leadership roles in the project.
d. Monitor the progress of the project to keep the project on course.
Answer: a
Rationale: Assessment (identifying interested members) is the first step
in the nursing process.
3. A nurse is conducting a home visit for an older adult client. The
nurse should identify which of the following findings as an
indicator of possible neglect?
a. Lives alone
b. Taking outdated prescriptions
, 3|Page
c. Has a BMI of 25
d. Presence of alcohol in the home
Answer: b
Rationale: Outdated medications indicate inadequate medical care, a
sign of neglect.
4. A nurse is caring for a 16-year-old client who has a new diagnosis
of human papillomavirus. Which of the following actions should the
nurse take?
a. Report the infection to the state health department.
b. Instruct the client to return for a blood test in 1 month.
c. Administer ceftriaxone 250mg IM.
d. Teach the client how to apply imiquimod 5% cream to the
lesions.
Answer: d
Rationale: HPV can be self-treated with topical imiquimod cream.
5. A school nurse is reviewing the records of four students who are
returning to school after being diagnosed with methicillin-resistant
staphylococcus aureus (MRSA). Which of the following actions
should the nurse take?
a. Coordinate an immunization clinic at the school.
b. Recommend prophylactic treatment for classmates.
