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KAPLAN COMMUNITY HEALTH INTEGRATED EXAM
Comprehensive 100Practice Questions
Advanced/Hard Difficulty Level Target Audience:
Nursing Students/Professionals
Question 1
A community health nurse is investigating an outbreak of foodborne illness that occurred after
a community picnic. Which epidemiological measure should the nurse use to determine the
magnitude of the outbreak?
A. Prevalence rate
B. Attack rate
C. Mortality rate
D. Incidence rate
Correct Answer: B
Explanation: The attack rate is used to measure the proportion of people who become ill after
exposure to a specific source, such as contaminated food. Prevalence measures existing cases,
mortality measures deaths, and incidence measures new cases over time .
,2
Question 2
A community health nurse is conducting a descriptive epidemiological study on a recent
outbreak of a communicable disease. Which of the following best characterizes the primary
goal of this study design?
A. To determine the causal relationship between a specific pathogen and the illness
B. To calculate the relative risk of illness among exposed versus unexposed populations
C. To identify patterns of disease regarding person, place, and time
D. To test the effectiveness of a new community-based intervention
Correct Answer: C
Explanation: Descriptive epidemiology focuses on characterizing the distribution of health-
related states by answering the "who," "where," and "when." Analytic epidemiology focuses on
the "why" and "how" through hypothesis testing .
Question 3
In a community with a population of 50,000, there were 200 new cases of Type 2 Diabetes
identified in 2025. During that same year, 5,000 individuals were living with a diagnosis of Type
2 Diabetes. What is the incidence rate per 1,000 population for 2025?
,3
A. 0.004
B. 4
C. 100
D. 0.04
Correct Answer: B
Explanation: The incidence rate is calculated by dividing the number of new cases by the
population at risk during a specific period. (,000) = 0.004. To express this per 1,000
population, multiply 0.004 by 1,000, resulting in 4 cases per 1,000 population .
Question 4
A nurse is implementing a primary prevention strategy for a community at risk of lead
poisoning. Which activity best fits this level of prevention?
A. Screening children for elevated blood lead levels
B. Providing chelation therapy for children with symptomatic lead poisoning
C. Conducting educational workshops on safe home renovation and paint removal
D. Referring families to social services for relocation from lead-contaminated housing
Correct Answer: C
, 4
Explanation: Primary prevention aims to prevent disease before it occurs by removing risk
factors. Educational workshops help community members avoid exposure. Screening (A) is
secondary prevention, while chelation (B) and relocation (D) are tertiary interventions .
Question 5
Which of the following models best supports a community health nurse in analyzing the
interaction between environmental factors, host characteristics, and infectious agents?
A. The Health Belief Model
B. The Epidemiological Triangle
C. The Transtheoretical Model
D. The Social Determinants of Health Framework
Correct Answer: B
Explanation: The Epidemiological Triangle (Agent, Host, Environment) is the foundational model
for infectious disease investigation. The other models focus on behavioral change or
socioeconomic structures rather than the specific interplay of biological and environmental
disease vectors .
KAPLAN COMMUNITY HEALTH INTEGRATED EXAM
Comprehensive 100Practice Questions
Advanced/Hard Difficulty Level Target Audience:
Nursing Students/Professionals
Question 1
A community health nurse is investigating an outbreak of foodborne illness that occurred after
a community picnic. Which epidemiological measure should the nurse use to determine the
magnitude of the outbreak?
A. Prevalence rate
B. Attack rate
C. Mortality rate
D. Incidence rate
Correct Answer: B
Explanation: The attack rate is used to measure the proportion of people who become ill after
exposure to a specific source, such as contaminated food. Prevalence measures existing cases,
mortality measures deaths, and incidence measures new cases over time .
,2
Question 2
A community health nurse is conducting a descriptive epidemiological study on a recent
outbreak of a communicable disease. Which of the following best characterizes the primary
goal of this study design?
A. To determine the causal relationship between a specific pathogen and the illness
B. To calculate the relative risk of illness among exposed versus unexposed populations
C. To identify patterns of disease regarding person, place, and time
D. To test the effectiveness of a new community-based intervention
Correct Answer: C
Explanation: Descriptive epidemiology focuses on characterizing the distribution of health-
related states by answering the "who," "where," and "when." Analytic epidemiology focuses on
the "why" and "how" through hypothesis testing .
Question 3
In a community with a population of 50,000, there were 200 new cases of Type 2 Diabetes
identified in 2025. During that same year, 5,000 individuals were living with a diagnosis of Type
2 Diabetes. What is the incidence rate per 1,000 population for 2025?
,3
A. 0.004
B. 4
C. 100
D. 0.04
Correct Answer: B
Explanation: The incidence rate is calculated by dividing the number of new cases by the
population at risk during a specific period. (,000) = 0.004. To express this per 1,000
population, multiply 0.004 by 1,000, resulting in 4 cases per 1,000 population .
Question 4
A nurse is implementing a primary prevention strategy for a community at risk of lead
poisoning. Which activity best fits this level of prevention?
A. Screening children for elevated blood lead levels
B. Providing chelation therapy for children with symptomatic lead poisoning
C. Conducting educational workshops on safe home renovation and paint removal
D. Referring families to social services for relocation from lead-contaminated housing
Correct Answer: C
, 4
Explanation: Primary prevention aims to prevent disease before it occurs by removing risk
factors. Educational workshops help community members avoid exposure. Screening (A) is
secondary prevention, while chelation (B) and relocation (D) are tertiary interventions .
Question 5
Which of the following models best supports a community health nurse in analyzing the
interaction between environmental factors, host characteristics, and infectious agents?
A. The Health Belief Model
B. The Epidemiological Triangle
C. The Transtheoretical Model
D. The Social Determinants of Health Framework
Correct Answer: B
Explanation: The Epidemiological Triangle (Agent, Host, Environment) is the foundational model
for infectious disease investigation. The other models focus on behavioral change or
socioeconomic structures rather than the specific interplay of biological and environmental
disease vectors .
