Galen NSG 4220 Exam 1 | Nursing Practice – Maternal-Child
(2026) Actual Q&A PDF
1. Which definition best describes the concept of "population health" as distinct from "public
health"?
A) The clinical treatment of individuals within a specific hospital system
B) The health outcomes of a group of individuals, including the distribution of such outcomes
within the group
C) The government-mandated healthcare services provided to low-income citizens
D) The study of disease-causing pathogens in a laboratory setting
Correct Answer: The health outcomes of a group of individuals, including the distribution of
such outcomes within the group
Rationale: Population health focuses on the health outcomes of a group and how those
outcomes are distributed, whereas public health traditionally emphasizes governmental actions
to protect community health. Population health spans the healthcare delivery continuum from
prevention to disease management.
2. A nurse is assessing a community and identifies a high prevalence of asthma among children
living near a major highway. This assessment focuses on which determinant of health?
A) Genetic predisposition
B) Health behaviors
C) Environmental determinants
D) Access to healthcare
Correct Answer: Environmental determinants
,Rationale: Environmental determinants include physical surroundings such as air quality, water
safety, and exposure to hazardous materials. Living near a highway with poor air quality is an
environmental risk factor that directly impacts respiratory health.
3. What is the primary purpose of a windshield survey in community health assessment?
A) To interview community leaders about health concerns
B) To observe and gather data about a community's physical and social characteristics
C) To analyze laboratory results from community health screenings
D) To review hospital admission records for the community
Correct Answer: To observe and gather data about a community's physical and social
characteristics
Rationale: A windshield survey is a method of community assessment where the nurse drives or
walks through a community to observe its physical environment, housing, infrastructure, and
social characteristics. It provides visual data about the community's strengths and needs.
4. During a community assessment, the nurse identifies a need for safe after-school space for
high school students to socialize, study, and play. This finding would be categorized as:
A) A health disparity
B) A community strength
C) A community need
D) An environmental hazard
Correct Answer: A community need
Rationale: A community need is a gap between what exists in the community and what should
exist to promote health and well-being. Safe after-school space is a resource that, if lacking, can
contribute to negative health outcomes for adolescents.
,5. Which of the following is a core function of public health?
A) Providing direct patient care in a hospital setting
B) Assessment, policy development, and assurance
C) Prescribing medications for chronic conditions
D) Performing surgical procedures
Correct Answer: Assessment, policy development, and assurance
Rationale: The three core functions of public health are assessment (monitoring health status),
policy development (creating laws and regulations to protect health), and assurance (ensuring
that essential health services are available to all).
6. A nurse is planning a primary prevention strategy for a community. Which intervention is an
example of primary prevention?
A) A mammography screening program
B) A community-wide campaign to promote seatbelt use
C) A cardiac rehabilitation program
D) A support group for stroke survivors
Correct Answer: A community-wide campaign to promote seatbelt use
Rationale: Primary prevention aims to prevent disease or injury before it occurs. Promoting
seatbelt use is a primary prevention strategy. Mammography screening is secondary prevention,
and rehabilitation/support groups are tertiary prevention.
7. A nurse is providing education to a patient with diabetes about managing blood glucose
levels to prevent complications. This is an example of which level of prevention?
, A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Correct Answer: Tertiary prevention
Rationale: Tertiary prevention focuses on managing existing diseases to prevent complications
and improve quality of life. Teaching a patient with diabetes how to manage their condition to
prevent complications is a classic example of tertiary prevention.
8. Which of the following is a leading health indicator according to Healthy People?
A) The number of hospitals in a state
B) The rate of high school graduation
C) The prevalence of obesity
D) The average income of a community
Correct Answer: The prevalence of obesity
Rationale: Leading health indicators are high-priority health issues that reflect major public
health concerns in the United States, such as obesity, physical activity, and tobacco use.
9. The number one priority of Healthy People is to:
A) Reduce healthcare costs
B) Increase life expectancy and improve quality of life
C) Increase the number of hospitals in rural areas
D) Provide health insurance to all citizens
(2026) Actual Q&A PDF
1. Which definition best describes the concept of "population health" as distinct from "public
health"?
A) The clinical treatment of individuals within a specific hospital system
B) The health outcomes of a group of individuals, including the distribution of such outcomes
within the group
C) The government-mandated healthcare services provided to low-income citizens
D) The study of disease-causing pathogens in a laboratory setting
Correct Answer: The health outcomes of a group of individuals, including the distribution of
such outcomes within the group
Rationale: Population health focuses on the health outcomes of a group and how those
outcomes are distributed, whereas public health traditionally emphasizes governmental actions
to protect community health. Population health spans the healthcare delivery continuum from
prevention to disease management.
2. A nurse is assessing a community and identifies a high prevalence of asthma among children
living near a major highway. This assessment focuses on which determinant of health?
A) Genetic predisposition
B) Health behaviors
C) Environmental determinants
D) Access to healthcare
Correct Answer: Environmental determinants
,Rationale: Environmental determinants include physical surroundings such as air quality, water
safety, and exposure to hazardous materials. Living near a highway with poor air quality is an
environmental risk factor that directly impacts respiratory health.
3. What is the primary purpose of a windshield survey in community health assessment?
A) To interview community leaders about health concerns
B) To observe and gather data about a community's physical and social characteristics
C) To analyze laboratory results from community health screenings
D) To review hospital admission records for the community
Correct Answer: To observe and gather data about a community's physical and social
characteristics
Rationale: A windshield survey is a method of community assessment where the nurse drives or
walks through a community to observe its physical environment, housing, infrastructure, and
social characteristics. It provides visual data about the community's strengths and needs.
4. During a community assessment, the nurse identifies a need for safe after-school space for
high school students to socialize, study, and play. This finding would be categorized as:
A) A health disparity
B) A community strength
C) A community need
D) An environmental hazard
Correct Answer: A community need
Rationale: A community need is a gap between what exists in the community and what should
exist to promote health and well-being. Safe after-school space is a resource that, if lacking, can
contribute to negative health outcomes for adolescents.
,5. Which of the following is a core function of public health?
A) Providing direct patient care in a hospital setting
B) Assessment, policy development, and assurance
C) Prescribing medications for chronic conditions
D) Performing surgical procedures
Correct Answer: Assessment, policy development, and assurance
Rationale: The three core functions of public health are assessment (monitoring health status),
policy development (creating laws and regulations to protect health), and assurance (ensuring
that essential health services are available to all).
6. A nurse is planning a primary prevention strategy for a community. Which intervention is an
example of primary prevention?
A) A mammography screening program
B) A community-wide campaign to promote seatbelt use
C) A cardiac rehabilitation program
D) A support group for stroke survivors
Correct Answer: A community-wide campaign to promote seatbelt use
Rationale: Primary prevention aims to prevent disease or injury before it occurs. Promoting
seatbelt use is a primary prevention strategy. Mammography screening is secondary prevention,
and rehabilitation/support groups are tertiary prevention.
7. A nurse is providing education to a patient with diabetes about managing blood glucose
levels to prevent complications. This is an example of which level of prevention?
, A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Correct Answer: Tertiary prevention
Rationale: Tertiary prevention focuses on managing existing diseases to prevent complications
and improve quality of life. Teaching a patient with diabetes how to manage their condition to
prevent complications is a classic example of tertiary prevention.
8. Which of the following is a leading health indicator according to Healthy People?
A) The number of hospitals in a state
B) The rate of high school graduation
C) The prevalence of obesity
D) The average income of a community
Correct Answer: The prevalence of obesity
Rationale: Leading health indicators are high-priority health issues that reflect major public
health concerns in the United States, such as obesity, physical activity, and tobacco use.
9. The number one priority of Healthy People is to:
A) Reduce healthcare costs
B) Increase life expectancy and improve quality of life
C) Increase the number of hospitals in rural areas
D) Provide health insurance to all citizens
