West Coast University NURS 201 Exam 1 (pdf) | 2026/2027 | Med-Surg Q&A | Med-Surg
Nursing
1. Which of the following best describes the primary focus of community health nursing
according to the American Nurses Association's Code of Ethics?
A) Administering bedside care to acutely ill individuals
B) Aligning with public health programs that promote population health
C) Providing direct primary care in hospital settings
D) Focusing exclusively on individual disease management
Correct Answer: Aligning with public health programs that promote population health
Rationale: Community health nurses must align themselves with public health programs
that promote and preserve the health of populations. This distinguishes community health
nursing from community-based nursing, which focuses on individuals and families.
Bedside care, hospital-based primary care, and individual disease management do not
capture the population-level focus of community health nursing.
2. An RN is reviewing school clinic records to determine which children are not up to date
on immunizations. This activity is an example of which type of nursing practice?
A) Community-based nursing
B) Community health nursing
C) Direct bedside care
D) Private duty nursing
Correct Answer: Community health nursing
Rationale: Community health nursing focuses on populations and systems, such as
reviewing school records to assess immunization rates. Community-based nursing
provides direct care to individuals and families in community settings. Direct bedside care
,and private duty nursing are individual-focused and do not address population-level health
monitoring.
3. According to Healthy People 2030, which of the following is a new objective for the
national prevention initiative?
A) Achieving access to preventive services for all Americans
B) Promoting healthy development, healthy behaviors, and well-being across all life stages
C) Reducing health disparities among Americans
D) Increasing independence of older Americans
Correct Answer: Promoting healthy development, healthy behaviors, and well-being across
all life stages
Rationale: Healthy People 2030 includes new objectives focused on promoting healthy
development, healthy behaviors, and well-being across all life stages. While access to
preventive services, reducing health disparities, and increasing independence of older
Americans are important, they were objectives in previous iterations and are not new for
2030.
4. Which of the following is an example of primary disease prevention?
A) Teaching people with diabetes how to prevent complications
B) Administering vaccines to children before kindergarten
C) Checking the skin of farm workers for signs of skin cancer
D) Identifying and testing individuals exposed to someone with tuberculosis
Correct Answer: Administering vaccines to children before kindergarten
,Rationale: Primary prevention aims to prevent disease before it occurs; vaccines are a
classic example. Teaching diabetics about complications is secondary prevention (early
detection and management). Skin cancer screening and tuberculosis exposure testing are
secondary prevention activities that detect disease early.
5. Individual behaviors and environmental factors are estimated to be responsible for what
percentage of all premature deaths in the United States?
A) 20%
B) 40%
C) 50%
D) 70%
Correct Answer: 50%
Rationale: It has been estimated that individual behaviors and environmental factors are
responsible for approximately 50% of all premature deaths in the United States. This
highlights the critical role of public health and health promotion in addressing modifiable
risk factors.
6. Which entity is responsible for improving the health of all the public by promoting
healthy lifestyles, preventing disease and injury, and protecting the health of communities?
A) Managed care organizations (MCOs)
B) Medicare
C) Public health system
D) Affordable Care Act
Correct Answer: Public health system
, Rationale: The public health system strives to improve the health of all the public by
promoting healthy lifestyles, preventing disease and injury, and protecting the health of
communities. MCOs, Medicare, and the Affordable Care Act focus on healthcare financing
and delivery rather than population-level public health functions.
7. A community health nurse is planning an activity to illustrate "social health" within a
group. Which activity would be most appropriate?
A) A neighborhood block party
B) A food bank in a local church
C) A community yard sale
D) A school fundraiser for the school band
Correct Answer: A neighborhood block party
Rationale: Social health refers to the ability to interact and form relationships with others. A
neighborhood block party directly fosters social connections and community cohesion.
Food banks, yard sales, and school fundraisers address other needs but are not primarily
focused on illustrating social health.
8. Early public health nurse Lillian Wald and her associates were successful in addressing
health and disease in the immigrant community primarily by:
A) Supporting political activities to improve social and environmental conditions of
immigrant families
B) Administering bedside nursing care to immigrants and their families
C) Teaching immigrant family members to provide health care in the home
D) Obtaining and administering medications to immigrants and their family members
Correct Answer: Supporting political activities to improve social and environmental
conditions of immigrant families
Nursing
1. Which of the following best describes the primary focus of community health nursing
according to the American Nurses Association's Code of Ethics?
A) Administering bedside care to acutely ill individuals
B) Aligning with public health programs that promote population health
C) Providing direct primary care in hospital settings
D) Focusing exclusively on individual disease management
Correct Answer: Aligning with public health programs that promote population health
Rationale: Community health nurses must align themselves with public health programs
that promote and preserve the health of populations. This distinguishes community health
nursing from community-based nursing, which focuses on individuals and families.
Bedside care, hospital-based primary care, and individual disease management do not
capture the population-level focus of community health nursing.
2. An RN is reviewing school clinic records to determine which children are not up to date
on immunizations. This activity is an example of which type of nursing practice?
A) Community-based nursing
B) Community health nursing
C) Direct bedside care
D) Private duty nursing
Correct Answer: Community health nursing
Rationale: Community health nursing focuses on populations and systems, such as
reviewing school records to assess immunization rates. Community-based nursing
provides direct care to individuals and families in community settings. Direct bedside care
,and private duty nursing are individual-focused and do not address population-level health
monitoring.
3. According to Healthy People 2030, which of the following is a new objective for the
national prevention initiative?
A) Achieving access to preventive services for all Americans
B) Promoting healthy development, healthy behaviors, and well-being across all life stages
C) Reducing health disparities among Americans
D) Increasing independence of older Americans
Correct Answer: Promoting healthy development, healthy behaviors, and well-being across
all life stages
Rationale: Healthy People 2030 includes new objectives focused on promoting healthy
development, healthy behaviors, and well-being across all life stages. While access to
preventive services, reducing health disparities, and increasing independence of older
Americans are important, they were objectives in previous iterations and are not new for
2030.
4. Which of the following is an example of primary disease prevention?
A) Teaching people with diabetes how to prevent complications
B) Administering vaccines to children before kindergarten
C) Checking the skin of farm workers for signs of skin cancer
D) Identifying and testing individuals exposed to someone with tuberculosis
Correct Answer: Administering vaccines to children before kindergarten
,Rationale: Primary prevention aims to prevent disease before it occurs; vaccines are a
classic example. Teaching diabetics about complications is secondary prevention (early
detection and management). Skin cancer screening and tuberculosis exposure testing are
secondary prevention activities that detect disease early.
5. Individual behaviors and environmental factors are estimated to be responsible for what
percentage of all premature deaths in the United States?
A) 20%
B) 40%
C) 50%
D) 70%
Correct Answer: 50%
Rationale: It has been estimated that individual behaviors and environmental factors are
responsible for approximately 50% of all premature deaths in the United States. This
highlights the critical role of public health and health promotion in addressing modifiable
risk factors.
6. Which entity is responsible for improving the health of all the public by promoting
healthy lifestyles, preventing disease and injury, and protecting the health of communities?
A) Managed care organizations (MCOs)
B) Medicare
C) Public health system
D) Affordable Care Act
Correct Answer: Public health system
, Rationale: The public health system strives to improve the health of all the public by
promoting healthy lifestyles, preventing disease and injury, and protecting the health of
communities. MCOs, Medicare, and the Affordable Care Act focus on healthcare financing
and delivery rather than population-level public health functions.
7. A community health nurse is planning an activity to illustrate "social health" within a
group. Which activity would be most appropriate?
A) A neighborhood block party
B) A food bank in a local church
C) A community yard sale
D) A school fundraiser for the school band
Correct Answer: A neighborhood block party
Rationale: Social health refers to the ability to interact and form relationships with others. A
neighborhood block party directly fosters social connections and community cohesion.
Food banks, yard sales, and school fundraisers address other needs but are not primarily
focused on illustrating social health.
8. Early public health nurse Lillian Wald and her associates were successful in addressing
health and disease in the immigrant community primarily by:
A) Supporting political activities to improve social and environmental conditions of
immigrant families
B) Administering bedside nursing care to immigrants and their families
C) Teaching immigrant family members to provide health care in the home
D) Obtaining and administering medications to immigrants and their family members
Correct Answer: Supporting political activities to improve social and environmental
conditions of immigrant families
