Chamberlain NR 442 Exam 1 Community Health Nursing 2026/2027 | NR442
Community Health Nursing Exam 1 Study Guide, Chamberlain Nursing Exam
Prep, Practice Questions with Answers & Rationales, Community
Assessment, Windshield Survey, Levels of Prevention, Epidemiology, Health
Promotion, Disease Prevention, Environmental Health, Public Health Nursing,
Population Health, Health Policy & Healthy People
Question 1: A community health nurse is reviewing the levels of disease
prevention. Which of the following activities is an example of tertiary
prevention?
A. Providing immunization pamphlets to new parents
B. Providing treatment and rehabilitation for clients who have chronic obstructive
pulmonary disease (COPD)
C. Conducting screening for diabetes at a health fair
D. Teaching a class on safe sex practices to teenagers
CORRECT ANSWER: B. Providing treatment and rehabilitation for clients who
have chronic obstructive pulmonary disease (COPD)
Rationale: Tertiary prevention focuses on reducing the impact of an existing
disease and preventing further disability through treatment, rehabilitation, and
disease management. Providing treatment and rehabilitation for COPD clients is a
classic tertiary prevention activity. Immunization pamphlets and safe sex
education are primary prevention, while diabetes screening is secondary
prevention.
Question 2: The public health nurse is engaged in the core function of
“assessment” when performing which activity?
A. Mobilizing a community coalition to address teen vaping
B. Investigating an outbreak of foodborne illness
C. Enforcing regulations for restaurant sanitation
D. Providing direct care to clients in a homeless shelter
CORRECT ANSWER: B. Investigating an outbreak of foodborne illness
Rationale: Assessment, a core public health function, involves systematically
collecting, analyzing, and disseminating data on the health of the community,
including diagnosing and investigating health problems. Investigating an outbreak
is a direct application of the assessment function. Mobilizing coalitions and
,enforcing regulations fall under policy development and assurance, while direct
care is not a core public health function.
Question 3: A community health nurse is using the epidemiological triangle to
investigate an outbreak of salmonella in a local community. Which component
of the triad would include the bacteria Salmonella enterica?
A. Host
B. Agent
C. Environment
D. Vector
CORRECT ANSWER: B. Agent
Rationale: The epidemiological triad consists of the agent, host, and environment.
The agent is the causative factor, such as a bacterium, virus, parasite, or chemical.
Salmonella enterica is the biological agent responsible for the illness. The host is
the human or animal that contracts the disease, and the environment includes
external factors that allow transmission.
Question 4: A community health nurse is planning a secondary prevention
strategy for diabetes in a rural clinic. Which of the following interventions best
exemplifies this level of prevention?
A. Educating school children about healthy eating habits
B. Conducting annual hemoglobin A1c screenings for at-risk adults
C. Providing insulin therapy management education for newly diagnosed patients
D. Establishing a community garden to improve access to fresh vegetables
CORRECT ANSWER: B. Conducting annual hemoglobin A1c screenings for at-risk
adults
Rationale: Secondary prevention focuses on early detection and prompt
treatment of disease to halt progression. Screening for diabetes through HbA1c
tests detects the disease in its early stages. Educating school children and
establishing a community garden are primary prevention, while insulin therapy
management for diagnosed patients is tertiary prevention.
,Question 5: Which of the following best describes the primary focus of
community health nursing as defined by the American Public Health Association
(APHA)?
A. Providing direct bedside care to acutely ill patients in hospital settings
B. Promoting and preserving the health of populations by integrating community
involvement
C. Administering immunizations exclusively to pediatric populations
D. Conducting research on genetic markers for chronic diseases
CORRECT ANSWER: B. Promoting and preserving the health of populations by
integrating community involvement
Rationale: The APHA defines community health nursing as a synthesis of nursing
practice and public health practice, aimed at promoting and preserving the health
of populations. It emphasizes community involvement and is not limited to
hospital care, pediatric immunizations, or genetic research.
Question 6: A nurse is assessing a community’s disaster preparedness.
According to the disaster management cycle, which phase includes activities
such as conducting evacuation drills and stockpiling emergency supplies?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
CORRECT ANSWER: B. Preparedness
Rationale: The disaster management cycle includes mitigation, preparedness,
response, and recovery. The preparedness phase involves planning, training,
conducting drills, and stockpiling supplies to ensure readiness for a potential
disaster. Mitigation reduces risks, response occurs during the event, and recovery
follows the disaster.
Question 7: A community health nurse is using the PRECEDE-PROCEED model to
develop a health promotion program. During which phase does the nurse assess
the quality of life and social indicators of the target population?
, A. Phase 1 - Social Assessment
B. Phase 2 - Epidemiological Assessment
C. Phase 3 - Behavioral Assessment
D. Phase 4 - Educational Assessment
CORRECT ANSWER: A. Phase 1 - Social Assessment
Rationale: The PRECEDE-PROCEED model begins with Phase 1, the social
assessment, which evaluates the community’s quality of life, social indicators, and
perceived needs. This phase identifies the broad goals of the population. The
epidemiological, behavioral, and educational assessments follow in subsequent
phases.
Question 8: A community health nurse is conducting a windshield survey of a
metropolitan area. Which of the following data collected during this survey is
considered primary data?
A. The age and condition of housing in the neighborhood
B. The number of public transportation stops observed
C. The presence of community gathering spaces like parks and churches
D. Direct interviews with residents about their perceived health needs
CORRECT ANSWER: D. Direct interviews with residents about their perceived
health needs
Rationale: Primary data is information collected directly from the source—in this
case, the community members themselves—through interviews, focus groups, or
surveys. Options A, B, and C are examples of secondary data, which are
observable environmental factors collected during the windshield survey but are
not directly gathered from individuals.
Question 9: A nurse is using the Health Belief Model to develop a smoking
cessation program. According to this model, what must the client believe in
order to take action to quit smoking?
A. That smoking is a socially acceptable behavior
B. That they are at risk for smoking-related diseases and that the benefits of
quitting outweigh the barriers
Community Health Nursing Exam 1 Study Guide, Chamberlain Nursing Exam
Prep, Practice Questions with Answers & Rationales, Community
Assessment, Windshield Survey, Levels of Prevention, Epidemiology, Health
Promotion, Disease Prevention, Environmental Health, Public Health Nursing,
Population Health, Health Policy & Healthy People
Question 1: A community health nurse is reviewing the levels of disease
prevention. Which of the following activities is an example of tertiary
prevention?
A. Providing immunization pamphlets to new parents
B. Providing treatment and rehabilitation for clients who have chronic obstructive
pulmonary disease (COPD)
C. Conducting screening for diabetes at a health fair
D. Teaching a class on safe sex practices to teenagers
CORRECT ANSWER: B. Providing treatment and rehabilitation for clients who
have chronic obstructive pulmonary disease (COPD)
Rationale: Tertiary prevention focuses on reducing the impact of an existing
disease and preventing further disability through treatment, rehabilitation, and
disease management. Providing treatment and rehabilitation for COPD clients is a
classic tertiary prevention activity. Immunization pamphlets and safe sex
education are primary prevention, while diabetes screening is secondary
prevention.
Question 2: The public health nurse is engaged in the core function of
“assessment” when performing which activity?
A. Mobilizing a community coalition to address teen vaping
B. Investigating an outbreak of foodborne illness
C. Enforcing regulations for restaurant sanitation
D. Providing direct care to clients in a homeless shelter
CORRECT ANSWER: B. Investigating an outbreak of foodborne illness
Rationale: Assessment, a core public health function, involves systematically
collecting, analyzing, and disseminating data on the health of the community,
including diagnosing and investigating health problems. Investigating an outbreak
is a direct application of the assessment function. Mobilizing coalitions and
,enforcing regulations fall under policy development and assurance, while direct
care is not a core public health function.
Question 3: A community health nurse is using the epidemiological triangle to
investigate an outbreak of salmonella in a local community. Which component
of the triad would include the bacteria Salmonella enterica?
A. Host
B. Agent
C. Environment
D. Vector
CORRECT ANSWER: B. Agent
Rationale: The epidemiological triad consists of the agent, host, and environment.
The agent is the causative factor, such as a bacterium, virus, parasite, or chemical.
Salmonella enterica is the biological agent responsible for the illness. The host is
the human or animal that contracts the disease, and the environment includes
external factors that allow transmission.
Question 4: A community health nurse is planning a secondary prevention
strategy for diabetes in a rural clinic. Which of the following interventions best
exemplifies this level of prevention?
A. Educating school children about healthy eating habits
B. Conducting annual hemoglobin A1c screenings for at-risk adults
C. Providing insulin therapy management education for newly diagnosed patients
D. Establishing a community garden to improve access to fresh vegetables
CORRECT ANSWER: B. Conducting annual hemoglobin A1c screenings for at-risk
adults
Rationale: Secondary prevention focuses on early detection and prompt
treatment of disease to halt progression. Screening for diabetes through HbA1c
tests detects the disease in its early stages. Educating school children and
establishing a community garden are primary prevention, while insulin therapy
management for diagnosed patients is tertiary prevention.
,Question 5: Which of the following best describes the primary focus of
community health nursing as defined by the American Public Health Association
(APHA)?
A. Providing direct bedside care to acutely ill patients in hospital settings
B. Promoting and preserving the health of populations by integrating community
involvement
C. Administering immunizations exclusively to pediatric populations
D. Conducting research on genetic markers for chronic diseases
CORRECT ANSWER: B. Promoting and preserving the health of populations by
integrating community involvement
Rationale: The APHA defines community health nursing as a synthesis of nursing
practice and public health practice, aimed at promoting and preserving the health
of populations. It emphasizes community involvement and is not limited to
hospital care, pediatric immunizations, or genetic research.
Question 6: A nurse is assessing a community’s disaster preparedness.
According to the disaster management cycle, which phase includes activities
such as conducting evacuation drills and stockpiling emergency supplies?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
CORRECT ANSWER: B. Preparedness
Rationale: The disaster management cycle includes mitigation, preparedness,
response, and recovery. The preparedness phase involves planning, training,
conducting drills, and stockpiling supplies to ensure readiness for a potential
disaster. Mitigation reduces risks, response occurs during the event, and recovery
follows the disaster.
Question 7: A community health nurse is using the PRECEDE-PROCEED model to
develop a health promotion program. During which phase does the nurse assess
the quality of life and social indicators of the target population?
, A. Phase 1 - Social Assessment
B. Phase 2 - Epidemiological Assessment
C. Phase 3 - Behavioral Assessment
D. Phase 4 - Educational Assessment
CORRECT ANSWER: A. Phase 1 - Social Assessment
Rationale: The PRECEDE-PROCEED model begins with Phase 1, the social
assessment, which evaluates the community’s quality of life, social indicators, and
perceived needs. This phase identifies the broad goals of the population. The
epidemiological, behavioral, and educational assessments follow in subsequent
phases.
Question 8: A community health nurse is conducting a windshield survey of a
metropolitan area. Which of the following data collected during this survey is
considered primary data?
A. The age and condition of housing in the neighborhood
B. The number of public transportation stops observed
C. The presence of community gathering spaces like parks and churches
D. Direct interviews with residents about their perceived health needs
CORRECT ANSWER: D. Direct interviews with residents about their perceived
health needs
Rationale: Primary data is information collected directly from the source—in this
case, the community members themselves—through interviews, focus groups, or
surveys. Options A, B, and C are examples of secondary data, which are
observable environmental factors collected during the windshield survey but are
not directly gathered from individuals.
Question 9: A nurse is using the Health Belief Model to develop a smoking
cessation program. According to this model, what must the client believe in
order to take action to quit smoking?
A. That smoking is a socially acceptable behavior
B. That they are at risk for smoking-related diseases and that the benefits of
quitting outweigh the barriers
