NR442 / NR 442 Community Health Nursing Exam 2
ACTUAL PRACTICE EXAM 2026/2027 | Verified
Questions and Answers | Population-Focused &
Epidemiology-Based | Grade A Target | Pass Guaranteed
SECTION 1: FOUNDATIONS OF PUBLIC HEALTH & EPIDEMIOLOGY
Questions 1-20
Q1: The community health nurse is analyzing data for a county health department. In 2024, there
were 450 new cases of diabetes diagnosed in a population of 300,000. There were 2,800 total
existing cases of diabetes in the county at year-end. Which calculation represents the incidence
rate of diabetes for this county in 2024?
A. (,000) × 100,000 = 150 per 100,000 [CORRECT]
B. (2,,000) × 100,000 = 933 per 100,000
C. (,800) × 100 = 16.1%
D. (2,800 + 450) / 300,000 × 1,000 = 10.8 per 1,000
Correct Answer: A
Q2: A public health nurse is planning interventions for a community with high rates of childhood
asthma. Which action represents primary prevention?
A. Establishing school-based asthma clinics for symptom management
B. Implementing air quality monitoring and advocacy for emission reductions in the community
[CORRECT]
C. Providing home health nursing for children hospitalized with asthma exacerbations
D. Creating a support group for parents of children with severe asthma
Correct Answer: B
Q3: [SATA] Which of the following are core functions of public health? (Select all that apply.)
A. Assessment [CORRECT]
B. Policy Development [CORRECT]
C. Assurance [CORRECT]
D. Case Management
E. Individual Treatment Planning
,Correct Answers: A, B, C
Q4: During an outbreak investigation, the community health nurse identifies 12 people who ate
at a specific restaurant and developed gastrointestinal illness within 48 hours. The attack rate is
calculated as:
A. Number of people who ate at the restaurant divided by total population
B. Number of ill people who ate at the restaurant divided by total people who ate at the
restaurant [CORRECT]
C. Number of ill people divided by number of people who did not eat at the restaurant
D. Total restaurant customers divided by number of ill people
Correct Answer: B
Q5: A community health nurse notes that the mortality rate from heart disease in a low-income
neighborhood is 3.5 times higher than in an affluent neighborhood five miles away. This
difference best illustrates:
A. Health disparity [CORRECT]
B. Random variation
C. Reporting bias
D. Genetic predisposition
Correct Answer: A
Q6: The community health nurse is using the epidemiological triangle to analyze a foodborne
illness outbreak. Which component is NOT part of this model?
A. Host
B. Agent
C. Environment
D. Policy [CORRECT]
Correct Answer: D
Q7: In 2023, a city of 500,000 people had 125 new cases of tuberculosis. The case fatality rate
was 8%. Which statement correctly interprets these data?
A. 8% of the city's population died from tuberculosis
B. 10 people died from tuberculosis among those diagnosed [CORRECT]
, C. The incidence rate is 25 per 100,000 with 40,000 deaths
D. The prevalence of tuberculosis is 125 cases
Correct Answer: B
Q8: A public health department implements a free influenza vaccination clinic at a community
center. This intervention represents which level of prevention?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Q9: The community health nurse is analyzing data showing that 35% of adults in the community
are obese, compared to a national average of 28%. The nurse recognizes this as:
A. An epidemic
B. An endemic condition with elevated prevalence [CORRECT]
C. A pandemic
D. A sporadic occurrence
Correct Answer: B
Q10: [SATA] Which factors are considered social determinants of health? (Select all that apply.)
A. Access to healthy food [CORRECT]
B. Genetic predisposition to diabetes
C. Quality of education [CORRECT]
D. Neighborhood safety [CORRECT]
E. Air pollution levels [CORRECT]
Correct Answers: A, C, D, E
Q11: A community health nurse calculates that the crude birth rate for a county is 11.2 per 1,000
population. This rate indicates:
A. 11.2% of women gave birth
B. 11.2 births per 1,000 total population [CORRECT]
ACTUAL PRACTICE EXAM 2026/2027 | Verified
Questions and Answers | Population-Focused &
Epidemiology-Based | Grade A Target | Pass Guaranteed
SECTION 1: FOUNDATIONS OF PUBLIC HEALTH & EPIDEMIOLOGY
Questions 1-20
Q1: The community health nurse is analyzing data for a county health department. In 2024, there
were 450 new cases of diabetes diagnosed in a population of 300,000. There were 2,800 total
existing cases of diabetes in the county at year-end. Which calculation represents the incidence
rate of diabetes for this county in 2024?
A. (,000) × 100,000 = 150 per 100,000 [CORRECT]
B. (2,,000) × 100,000 = 933 per 100,000
C. (,800) × 100 = 16.1%
D. (2,800 + 450) / 300,000 × 1,000 = 10.8 per 1,000
Correct Answer: A
Q2: A public health nurse is planning interventions for a community with high rates of childhood
asthma. Which action represents primary prevention?
A. Establishing school-based asthma clinics for symptom management
B. Implementing air quality monitoring and advocacy for emission reductions in the community
[CORRECT]
C. Providing home health nursing for children hospitalized with asthma exacerbations
D. Creating a support group for parents of children with severe asthma
Correct Answer: B
Q3: [SATA] Which of the following are core functions of public health? (Select all that apply.)
A. Assessment [CORRECT]
B. Policy Development [CORRECT]
C. Assurance [CORRECT]
D. Case Management
E. Individual Treatment Planning
,Correct Answers: A, B, C
Q4: During an outbreak investigation, the community health nurse identifies 12 people who ate
at a specific restaurant and developed gastrointestinal illness within 48 hours. The attack rate is
calculated as:
A. Number of people who ate at the restaurant divided by total population
B. Number of ill people who ate at the restaurant divided by total people who ate at the
restaurant [CORRECT]
C. Number of ill people divided by number of people who did not eat at the restaurant
D. Total restaurant customers divided by number of ill people
Correct Answer: B
Q5: A community health nurse notes that the mortality rate from heart disease in a low-income
neighborhood is 3.5 times higher than in an affluent neighborhood five miles away. This
difference best illustrates:
A. Health disparity [CORRECT]
B. Random variation
C. Reporting bias
D. Genetic predisposition
Correct Answer: A
Q6: The community health nurse is using the epidemiological triangle to analyze a foodborne
illness outbreak. Which component is NOT part of this model?
A. Host
B. Agent
C. Environment
D. Policy [CORRECT]
Correct Answer: D
Q7: In 2023, a city of 500,000 people had 125 new cases of tuberculosis. The case fatality rate
was 8%. Which statement correctly interprets these data?
A. 8% of the city's population died from tuberculosis
B. 10 people died from tuberculosis among those diagnosed [CORRECT]
, C. The incidence rate is 25 per 100,000 with 40,000 deaths
D. The prevalence of tuberculosis is 125 cases
Correct Answer: B
Q8: A public health department implements a free influenza vaccination clinic at a community
center. This intervention represents which level of prevention?
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Q9: The community health nurse is analyzing data showing that 35% of adults in the community
are obese, compared to a national average of 28%. The nurse recognizes this as:
A. An epidemic
B. An endemic condition with elevated prevalence [CORRECT]
C. A pandemic
D. A sporadic occurrence
Correct Answer: B
Q10: [SATA] Which factors are considered social determinants of health? (Select all that apply.)
A. Access to healthy food [CORRECT]
B. Genetic predisposition to diabetes
C. Quality of education [CORRECT]
D. Neighborhood safety [CORRECT]
E. Air pollution levels [CORRECT]
Correct Answers: A, C, D, E
Q11: A community health nurse calculates that the crude birth rate for a county is 11.2 per 1,000
population. This rate indicates:
A. 11.2% of women gave birth
B. 11.2 births per 1,000 total population [CORRECT]
