NUR 448
Community Health Nursing: Caring
for the Public Health
Latest Final Exam Review
(With Solutions)
2026
1
,1. A community nurse is assessing a neighborhood with high rates of
tuberculosis. Which intervention is most effective to reduce
transmission?
- A. Encourage hand hygiene only
- B. Promote DOT (directly observed therapy) programs
- C. Provide vitamin supplements
- D. Restrict outdoor activities
Answer: B
Rationale: DOT ensures adherence to TB treatment, reducing drug
resistance and transmission.
2. During a measles outbreak, which population should be prioritized for
vaccination?
- A. Adults over 50
- B. Children under 5
- C. Pregnant women
- D. Healthcare workers only
Answer: B
Rationale: Children under 5 are most vulnerable to measles
complications.
3. A nurse is planning a smoking cessation program. Which level of
prevention does this represent?
- A. Primary
- B. Secondary
- C. Tertiary
- D. Quaternary
Answer: A
Rationale: Primary prevention reduces risk before disease occurs.
4. Which epidemiological measure best reflects the number of new HIV
cases in a year?
2
, - A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Case fatality rate
Answer: B
Rationale: Incidence measures new cases over time.
5. A nurse is conducting windshield surveys. What is the purpose?
- A. Collect laboratory data
- B. Observe community resources and environment
- C. Interview key informants only
- D. Measure disease prevalence
Answer: B
Rationale: Windshield surveys provide direct observation of community
conditions.
6. Which intervention is most appropriate during a cholera outbreak in a
refugee camp?
- A. Promote handwashing and safe water supply
- B. Encourage high‑protein diet
- C. Provide mosquito nets
- D. Restrict breastfeeding
Answer: A
Rationale: Cholera spreads via contaminated water; sanitation is
priority.
7. A nurse is evaluating a maternal health program. Which indicator best
measures success?
- A. Infant mortality rate
- B. Birth weight distribution
- C. Maternal literacy rate
- D. Hospital bed occupancy
Answer: A
Rationale: Infant mortality is a sensitive measure of maternal and child
3
Community Health Nursing: Caring
for the Public Health
Latest Final Exam Review
(With Solutions)
2026
1
,1. A community nurse is assessing a neighborhood with high rates of
tuberculosis. Which intervention is most effective to reduce
transmission?
- A. Encourage hand hygiene only
- B. Promote DOT (directly observed therapy) programs
- C. Provide vitamin supplements
- D. Restrict outdoor activities
Answer: B
Rationale: DOT ensures adherence to TB treatment, reducing drug
resistance and transmission.
2. During a measles outbreak, which population should be prioritized for
vaccination?
- A. Adults over 50
- B. Children under 5
- C. Pregnant women
- D. Healthcare workers only
Answer: B
Rationale: Children under 5 are most vulnerable to measles
complications.
3. A nurse is planning a smoking cessation program. Which level of
prevention does this represent?
- A. Primary
- B. Secondary
- C. Tertiary
- D. Quaternary
Answer: A
Rationale: Primary prevention reduces risk before disease occurs.
4. Which epidemiological measure best reflects the number of new HIV
cases in a year?
2
, - A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Case fatality rate
Answer: B
Rationale: Incidence measures new cases over time.
5. A nurse is conducting windshield surveys. What is the purpose?
- A. Collect laboratory data
- B. Observe community resources and environment
- C. Interview key informants only
- D. Measure disease prevalence
Answer: B
Rationale: Windshield surveys provide direct observation of community
conditions.
6. Which intervention is most appropriate during a cholera outbreak in a
refugee camp?
- A. Promote handwashing and safe water supply
- B. Encourage high‑protein diet
- C. Provide mosquito nets
- D. Restrict breastfeeding
Answer: A
Rationale: Cholera spreads via contaminated water; sanitation is
priority.
7. A nurse is evaluating a maternal health program. Which indicator best
measures success?
- A. Infant mortality rate
- B. Birth weight distribution
- C. Maternal literacy rate
- D. Hospital bed occupancy
Answer: A
Rationale: Infant mortality is a sensitive measure of maternal and child
3
