NRS-425
Health Promotion & Population
Health
Midterm Prep
(With Solutions)
2026
1
,1. Case: A community nurse is assessing obesity prevalence in a rural
county.
Question: Which measure best reflects population-level obesity
burden?
- A. BMI of one patient
- B. County-wide BMI surveillance data
- C. Waist circumference of clinic attendees
- D. Daily caloric intake of one family
Answer: B
Rationale: Population health requires aggregate surveillance data, not
individual measures.
---
2. Case: A nurse designs a smoking cessation program.
Question: Which strategy aligns with primary prevention?
- A. Screening for COPD
- B. Nicotine replacement therapy
- C. Public education on tobacco risks
- D. Pulmonary rehabilitation
Answer: C
Rationale: Primary prevention aims to prevent disease onset through
education and risk reduction.
---
3. Case: A city reports rising incidence of Type 2 diabetes.
Question: Which intervention is secondary prevention?
- A. Healthy eating campaigns
- B. HbA1c screening for at-risk adults
- C. Insulin therapy initiation
2
, - D. Diabetic foot ulcer management
Answer: B
Rationale: Secondary prevention detects disease early through
screening.
---
4. Case: A nurse evaluates vaccination coverage.
Question: Herd immunity threshold for measles is approximately:
- A. 50%
- B. 70%
- C. 85%
- D. 95%
Answer: D
Rationale: Measles requires ~95% coverage due to high transmissibility.
---
5. Case: A nurse assesses social determinants of health.
Question: Which determinant most directly influences population
health outcomes?
- A. Genetic predisposition
- B. Access to healthcare
- C. Individual lifestyle choices
- D. Environmental exposures
Answer: B
Rationale: Access to healthcare is a critical determinant influencing
outcomes across populations.
---
6. Case: A nurse evaluates a workplace wellness program.
Question: Which outcome best measures program effectiveness?
- A. Employee satisfaction surveys
3
Health Promotion & Population
Health
Midterm Prep
(With Solutions)
2026
1
,1. Case: A community nurse is assessing obesity prevalence in a rural
county.
Question: Which measure best reflects population-level obesity
burden?
- A. BMI of one patient
- B. County-wide BMI surveillance data
- C. Waist circumference of clinic attendees
- D. Daily caloric intake of one family
Answer: B
Rationale: Population health requires aggregate surveillance data, not
individual measures.
---
2. Case: A nurse designs a smoking cessation program.
Question: Which strategy aligns with primary prevention?
- A. Screening for COPD
- B. Nicotine replacement therapy
- C. Public education on tobacco risks
- D. Pulmonary rehabilitation
Answer: C
Rationale: Primary prevention aims to prevent disease onset through
education and risk reduction.
---
3. Case: A city reports rising incidence of Type 2 diabetes.
Question: Which intervention is secondary prevention?
- A. Healthy eating campaigns
- B. HbA1c screening for at-risk adults
- C. Insulin therapy initiation
2
, - D. Diabetic foot ulcer management
Answer: B
Rationale: Secondary prevention detects disease early through
screening.
---
4. Case: A nurse evaluates vaccination coverage.
Question: Herd immunity threshold for measles is approximately:
- A. 50%
- B. 70%
- C. 85%
- D. 95%
Answer: D
Rationale: Measles requires ~95% coverage due to high transmissibility.
---
5. Case: A nurse assesses social determinants of health.
Question: Which determinant most directly influences population
health outcomes?
- A. Genetic predisposition
- B. Access to healthcare
- C. Individual lifestyle choices
- D. Environmental exposures
Answer: B
Rationale: Access to healthcare is a critical determinant influencing
outcomes across populations.
---
6. Case: A nurse evaluates a workplace wellness program.
Question: Which outcome best measures program effectiveness?
- A. Employee satisfaction surveys
3
