1|Page
NR 442 Community Health Nursing Exam 2
(Chamberlain) 2026/2027 | Actual Exam Questions |
Verified Answers & Rationales | Grade A
1. A nurse is collecting data for a community assessment. Which of the following
methods is the nurse using when having direct conversations with individual community
members?
A. Participant observation
B. Key informant interviews
C. Windshield survey
CORRECT ANSWER: B
Rationale: Key informant interviews involve direct, structured conversations with
individuals who have specific knowledge about the community. Participant observation
(A) involves immersing oneself in the community setting to observe. A windshield survey
(C) is a visual inspection of the community from a car or by walking.
,2|Page
2. Which of the following actions should the nurse include when planning a community
health program as part of the evaluation plan?
A. Determine availability of the resources for the plan
B. Keep all programs the same
C. Compare program impact to similar programs
CORRECT ANSWER: C
Rationale: Evaluation involves measuring outcomes. Comparing a program's impact to
similar programs (benchmarking) is a key part of evaluating its effectiveness and
efficiency. Determining resource availability (A) is part of the planning phase, not
specifically the evaluation plan. Keeping programs the same (B) does not allow for
quality improvement.
3. The purpose of environmental health is to ensure conditions of human health and
provide healthy environments for people to live in, to work in, and to play in. Which
statement best describes how this purpose is accomplished?
A. Risk assessment, prevention, and intervention
B. Investigation referrals
C. Surveys
CORRECT ANSWER: A
Rationale: The core functions of environmental health involve a systematic process:
, 3|Page
assessing risks to health, preventing exposures, and implementing interventions to
control or eliminate hazards. Referrals (B) and surveys (C) are tools within this process,
but the broader, comprehensive description is risk assessment, prevention, and
intervention.
4. Which statement best describes why environmental health is more of a challenge
than any other variables related to an individual's health?
A. Environmental health depends on social neighborhoods as well as geography
B. Environmental health depends on the number of clinics
C. Environmental health requires social, economic, and political changes to improve
CORRECT ANSWER: C
Rationale: Environmental health is inherently complex because it often addresses
determinants of health that require large-scale, systemic changes across social,
economic, and political sectors to create healthier environments, making it more
challenging than addressing individual behavioral risks alone.
5. Which statement best describes the relationship between health and the
environment?
A. A healthy environment increases years of healthy living and quality of living according
to research
B. Health does not correlate with the environment
NR 442 Community Health Nursing Exam 2
(Chamberlain) 2026/2027 | Actual Exam Questions |
Verified Answers & Rationales | Grade A
1. A nurse is collecting data for a community assessment. Which of the following
methods is the nurse using when having direct conversations with individual community
members?
A. Participant observation
B. Key informant interviews
C. Windshield survey
CORRECT ANSWER: B
Rationale: Key informant interviews involve direct, structured conversations with
individuals who have specific knowledge about the community. Participant observation
(A) involves immersing oneself in the community setting to observe. A windshield survey
(C) is a visual inspection of the community from a car or by walking.
,2|Page
2. Which of the following actions should the nurse include when planning a community
health program as part of the evaluation plan?
A. Determine availability of the resources for the plan
B. Keep all programs the same
C. Compare program impact to similar programs
CORRECT ANSWER: C
Rationale: Evaluation involves measuring outcomes. Comparing a program's impact to
similar programs (benchmarking) is a key part of evaluating its effectiveness and
efficiency. Determining resource availability (A) is part of the planning phase, not
specifically the evaluation plan. Keeping programs the same (B) does not allow for
quality improvement.
3. The purpose of environmental health is to ensure conditions of human health and
provide healthy environments for people to live in, to work in, and to play in. Which
statement best describes how this purpose is accomplished?
A. Risk assessment, prevention, and intervention
B. Investigation referrals
C. Surveys
CORRECT ANSWER: A
Rationale: The core functions of environmental health involve a systematic process:
, 3|Page
assessing risks to health, preventing exposures, and implementing interventions to
control or eliminate hazards. Referrals (B) and surveys (C) are tools within this process,
but the broader, comprehensive description is risk assessment, prevention, and
intervention.
4. Which statement best describes why environmental health is more of a challenge
than any other variables related to an individual's health?
A. Environmental health depends on social neighborhoods as well as geography
B. Environmental health depends on the number of clinics
C. Environmental health requires social, economic, and political changes to improve
CORRECT ANSWER: C
Rationale: Environmental health is inherently complex because it often addresses
determinants of health that require large-scale, systemic changes across social,
economic, and political sectors to create healthier environments, making it more
challenging than addressing individual behavioral risks alone.
5. Which statement best describes the relationship between health and the
environment?
A. A healthy environment increases years of healthy living and quality of living according
to research
B. Health does not correlate with the environment
