NR 442 EXAM / NR442 EXAM 2 WITH ACTUAL QUESTIONS WELL
ELABORATED ANSWERS LATEST UPDATE |GUARANTEED A+
1. A community health nurse is conducting a comprehensive windshield
survey of a neighborhood that has recently experienced an increase in
preventable hospitalizations. While driving and walking through the area,
the nurse observes housing conditions, transportation availability, grocery
stores, schools, recreational facilities, places of worship, environmental
hazards, and the presence of public safety resources. Which finding would
be most important for the nurse to recognize as directly relevant to
identifying a community health need?
A. The neighborhood contains several houses with similar architectural designs.
B. The area has limited access to affordable nutritious foods and residents report
relying heavily on convenience stores.
C. Several residents are outside walking their dogs during the afternoon.
D. Most residential streets contain similar types of landscaping.
Answer: B
2. A public health nurse is analyzing data collected during a community
assessment and wants to determine whether a suspected health problem is
disproportionately affecting one population group. Which action would best
allow the nurse to identify disparities and establish an evidence-based
community diagnosis?
A. Interview only residents who have already experienced the health problem.
B. Compare the community's total population with national population statistics
without examining subgroups.
C. Ask local healthcare providers which diagnosis they believe is most common.
D. Stratify available morbidity and mortality data by variables such as age, sex,
race or ethnicity, socioeconomic status, and geographic location.
Answer: D
1
, 3. A community health nurse is planning an intervention for a rural population
in which residents have high rates of uncontrolled hypertension. The
assessment reveals long travel distances to clinics, limited public
transportation, shortages of primary care providers, and concerns about
taking time away from agricultural work. Which intervention would most
directly address the primary barriers identified?
A. Establish mobile or outreach blood-pressure screening and management
services at accessible community locations.
B. Provide residents with written information explaining the complications of
hypertension.
C. Encourage residents to relocate closer to large medical centers.
D. Recommend that all residents schedule annual appointments at the nearest
tertiary hospital.
Answer: A
4. A nurse is caring for a recently immigrated family whose members have
limited English proficiency and who appear hesitant to discuss health
concerns because of previous negative experiences with healthcare
systems. The nurse wants to provide culturally responsive care while
maintaining accurate communication. Which action is most appropriate?
A. Ask the family's school-age child to interpret because the child speaks English
fluently.
B. Speak louder and use medical terminology so the family understands the
seriousness of the problem.
C. Arrange for a qualified healthcare interpreter and use culturally respectful,
plain-language communication.
D. Provide written English materials and ask the family to return when they
understand the instructions.
Answer: C
5. A community health nurse is working with a population experiencing
homelessness. During assessment, the nurse discovers that many
2
, individuals have difficulty storing medications, maintaining regular meals,
accessing transportation, and keeping appointments. Which nursing
intervention best demonstrates an understanding of the social
determinants contributing to this population's health outcomes?
A. Focus exclusively on teaching individuals how to improve medication
adherence.
B. Require every client to obtain a permanent address before receiving services.
C. Encourage clients to independently locate community resources.
D. Coordinate integrated services addressing housing, food access, transportation,
healthcare, and behavioral health needs.
Answer: D
6. A nurse is caring for a migrant agricultural worker who has developed
recurrent respiratory symptoms during pesticide application seasons. The
worker reports that healthcare visits are difficult because of changing
employment locations and lack of transportation. Which intervention
should the community health nurse prioritize?
A. Provide accessible occupational-health education, protective-equipment
teaching, and referrals through mobile or migrant health services.
B. Tell the worker to stop working immediately regardless of available alternatives.
C. Recommend using household cleaning products instead of pesticides.
D. Advise the worker to seek care only when symptoms become severe.
Answer: A
7. A school nurse receives a report that a 15-year-old student has withdrawn
from friends, recently lost a close family member, and told another student
that life is no longer worth living. The student denies having a plan when
initially approached. Which nursing action is the priority?
A. Conduct a direct suicide assessment, including thoughts, intent, plan, means,
and immediate safety.
B. Tell the student that suicidal thoughts are common during adolescence.
3
, C. Ask the student's friends to monitor the student throughout the school day.
D. Schedule a routine counseling appointment for the following month.
Answer: A
8. A school nurse is developing a program to reduce adolescent tobacco and
nicotine use. During planning, several students state that vaping is harmless
because it does not involve traditional cigarette smoke. Which response by
the nurse is most appropriate?
A. Explain that nicotine-containing electronic cigarettes can produce dependence
and are not harmless.
B. Tell students that vaping is completely safe if it is done outdoors.
C. Explain that only combustible cigarettes contain addictive substances.
D. Recommend vaping as an acceptable alternative for adolescents who dislike
cigarettes.
Answer: A
9. A community health nurse is developing a primary prevention program for
adolescents at risk for substance use. Which activity would best represent
primary prevention?
A. Referring adolescents with established substance use disorder to inpatient
treatment.
B. Providing education and resilience-building activities before substance use
begins.
C. Screening adolescents who have already developed substance-related
complications.
D. Arranging rehabilitation services after repeated substance-related
hospitalizations.
Answer: B
10. A nurse working in a school identifies a student who has poorly controlled
asthma and repeatedly misses school because of symptoms. The nurse
collaborates with the student, family, healthcare provider, and school staff
4
ELABORATED ANSWERS LATEST UPDATE |GUARANTEED A+
1. A community health nurse is conducting a comprehensive windshield
survey of a neighborhood that has recently experienced an increase in
preventable hospitalizations. While driving and walking through the area,
the nurse observes housing conditions, transportation availability, grocery
stores, schools, recreational facilities, places of worship, environmental
hazards, and the presence of public safety resources. Which finding would
be most important for the nurse to recognize as directly relevant to
identifying a community health need?
A. The neighborhood contains several houses with similar architectural designs.
B. The area has limited access to affordable nutritious foods and residents report
relying heavily on convenience stores.
C. Several residents are outside walking their dogs during the afternoon.
D. Most residential streets contain similar types of landscaping.
Answer: B
2. A public health nurse is analyzing data collected during a community
assessment and wants to determine whether a suspected health problem is
disproportionately affecting one population group. Which action would best
allow the nurse to identify disparities and establish an evidence-based
community diagnosis?
A. Interview only residents who have already experienced the health problem.
B. Compare the community's total population with national population statistics
without examining subgroups.
C. Ask local healthcare providers which diagnosis they believe is most common.
D. Stratify available morbidity and mortality data by variables such as age, sex,
race or ethnicity, socioeconomic status, and geographic location.
Answer: D
1
, 3. A community health nurse is planning an intervention for a rural population
in which residents have high rates of uncontrolled hypertension. The
assessment reveals long travel distances to clinics, limited public
transportation, shortages of primary care providers, and concerns about
taking time away from agricultural work. Which intervention would most
directly address the primary barriers identified?
A. Establish mobile or outreach blood-pressure screening and management
services at accessible community locations.
B. Provide residents with written information explaining the complications of
hypertension.
C. Encourage residents to relocate closer to large medical centers.
D. Recommend that all residents schedule annual appointments at the nearest
tertiary hospital.
Answer: A
4. A nurse is caring for a recently immigrated family whose members have
limited English proficiency and who appear hesitant to discuss health
concerns because of previous negative experiences with healthcare
systems. The nurse wants to provide culturally responsive care while
maintaining accurate communication. Which action is most appropriate?
A. Ask the family's school-age child to interpret because the child speaks English
fluently.
B. Speak louder and use medical terminology so the family understands the
seriousness of the problem.
C. Arrange for a qualified healthcare interpreter and use culturally respectful,
plain-language communication.
D. Provide written English materials and ask the family to return when they
understand the instructions.
Answer: C
5. A community health nurse is working with a population experiencing
homelessness. During assessment, the nurse discovers that many
2
, individuals have difficulty storing medications, maintaining regular meals,
accessing transportation, and keeping appointments. Which nursing
intervention best demonstrates an understanding of the social
determinants contributing to this population's health outcomes?
A. Focus exclusively on teaching individuals how to improve medication
adherence.
B. Require every client to obtain a permanent address before receiving services.
C. Encourage clients to independently locate community resources.
D. Coordinate integrated services addressing housing, food access, transportation,
healthcare, and behavioral health needs.
Answer: D
6. A nurse is caring for a migrant agricultural worker who has developed
recurrent respiratory symptoms during pesticide application seasons. The
worker reports that healthcare visits are difficult because of changing
employment locations and lack of transportation. Which intervention
should the community health nurse prioritize?
A. Provide accessible occupational-health education, protective-equipment
teaching, and referrals through mobile or migrant health services.
B. Tell the worker to stop working immediately regardless of available alternatives.
C. Recommend using household cleaning products instead of pesticides.
D. Advise the worker to seek care only when symptoms become severe.
Answer: A
7. A school nurse receives a report that a 15-year-old student has withdrawn
from friends, recently lost a close family member, and told another student
that life is no longer worth living. The student denies having a plan when
initially approached. Which nursing action is the priority?
A. Conduct a direct suicide assessment, including thoughts, intent, plan, means,
and immediate safety.
B. Tell the student that suicidal thoughts are common during adolescence.
3
, C. Ask the student's friends to monitor the student throughout the school day.
D. Schedule a routine counseling appointment for the following month.
Answer: A
8. A school nurse is developing a program to reduce adolescent tobacco and
nicotine use. During planning, several students state that vaping is harmless
because it does not involve traditional cigarette smoke. Which response by
the nurse is most appropriate?
A. Explain that nicotine-containing electronic cigarettes can produce dependence
and are not harmless.
B. Tell students that vaping is completely safe if it is done outdoors.
C. Explain that only combustible cigarettes contain addictive substances.
D. Recommend vaping as an acceptable alternative for adolescents who dislike
cigarettes.
Answer: A
9. A community health nurse is developing a primary prevention program for
adolescents at risk for substance use. Which activity would best represent
primary prevention?
A. Referring adolescents with established substance use disorder to inpatient
treatment.
B. Providing education and resilience-building activities before substance use
begins.
C. Screening adolescents who have already developed substance-related
complications.
D. Arranging rehabilitation services after repeated substance-related
hospitalizations.
Answer: B
10. A nurse working in a school identifies a student who has poorly controlled
asthma and repeatedly misses school because of symptoms. The nurse
collaborates with the student, family, healthcare provider, and school staff
4
