West Coast University NURS 340 Public Health Nursing: Final
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. A carrier is:
A. A person immune to disease
B. A vector insect only
C. A person with symptoms only
D. A person who harbors an infectious agent without symptoms and can transmit it
Correct Answer: D. A person who harbors an infectious agent without symptoms and can
transmit it
Rationale: e.g., Typhoid Mary.
2. Droplet precautions are required for:
A. Tuberculosis
B. Measles
C. C. difficile
D. Influenza, pertussis and meningococcal disease
Correct Answer: D. Influenza, pertussis and meningococcal disease
Rationale: Surgical mask within close range.
3. Lead exposure in children is associated with:
A. Lower IQ, learning and behavioral problems
B. Improved growth
C. Increased height
D. No effects at low levels
Correct Answer: A. Lower IQ, learning and behavioral problems
Rationale: No safe level.
4. Listeria is a particular risk for pregnant people from:
A. Cooked vegetables
B. Unpasteurized dairy, deli meats and soft cheeses
C. Pasteurized milk
D. Canned fruit
Correct Answer: B. Unpasteurized dairy, deli meats and soft cheeses
Rationale: Can cause miscarriage.
5. Brief tobacco counseling when time is short can use:
A. Only prescribing medication
B. Ask, Advise, Refer (e.g., to 1-800-QUIT-NOW)
C. Ignoring tobacco use
D. Scheduling a 1-hour visit
Correct Answer: B. Ask, Advise, Refer (e.g., to 1-800-QUIT-NOW)
Rationale: Quitline.
6. The core skills of motivational interviewing are summarized as:
A. OARS: open questions, affirmations, reflective listening and summaries
B. ABCs
C. SOAP
D. SBAR
Correct Answer: A. OARS: open questions, affirmations, reflective listening and summaries
Rationale: Miller and Rollnick.
,7. Nonprofit hospitals must conduct a Community Health Needs Assessment (CHNA):
A. Every year
B. Every 10 years
C. Never
D. Every 3 years under the Affordable Care Act
Correct Answer: D. Every 3 years under the Affordable Care Act
Rationale: Tax-exempt requirement.
8. A community nursing diagnosis typically includes:
A. Only an individual's medical diagnosis
B. Only demographic data
C. Only a list of resources
D. The risk or problem, the population affected and related factors with supporting data
Correct Answer: D. The risk or problem, the population affected and related factors with
supporting data
Rationale: e.g., Risk of... among... related to...
9. The Americans with Disabilities Act (ADA) requires:
A. Reasonable accommodations and accessibility in public services and employment
B. Only private hospitals to comply
C. No accommodations
D. Disability insurance
Correct Answer: A. Reasonable accommodations and accessibility in public services and
employment
Rationale: 1990 civil rights law.
10. A public health nurse working with a vulnerable population should first:
A. Assume needs without asking
B. Build trust and assess strengths as well as needs
C. Focus only on deficits
D. Refer everyone to the ED
Correct Answer: B. Build trust and assess strengths as well as needs
Rationale: Strengths-based.
11. Fathers' involvement in prenatal and child health:
A. Has no effect
B. Should be discouraged
C. Is harmful
D. Is associated with better maternal and child outcomes
Correct Answer: D. Is associated with better maternal and child outcomes
Rationale: Inclusive care.
12. Birth spacing of at least 18 months between delivery and next conception reduces:
A. Breastfeeding success
B. Maternal age
C. Immunity
D. Risk of preterm birth and low birth weight
Correct Answer: D. Risk of preterm birth and low birth weight
Rationale: Interpregnancy interval.
, 13. Drowning prevention for young children includes:
A. Floaties only
B. Supervision by older siblings only
C. Bathtub seats alone
D. Constant supervision, four-sided pool fencing and swim lessons
Correct Answer: D. Constant supervision, four-sided pool fencing and swim lessons
Rationale: Leading cause of death ages 1-4.
14. The 'fourth trimester' refers to:
A. A pregnancy over 40 weeks
B. The first 3 months of pregnancy
C. The postpartum period requiring ongoing care for mother and infant
D. Infant age 1-2 years
Correct Answer: C. The postpartum period requiring ongoing care for mother and infant
Rationale: ACOG.
15. Leading causes of pregnancy-related death in the US include:
A. Measles
B. Lead poisoning
C. Appendicitis
D. Mental health conditions (including overdose and suicide), hemorrhage and cardiac conditions
Correct Answer: D. Mental health conditions (including overdose and suicide), hemorrhage
and cardiac conditions
Rationale: CDC MMRC data.
16. The first priority during a home visit is:
A. Nurse safety and building trust with the family
B. Completing paperwork
C. Teaching all topics
D. Collecting payment
Correct Answer: A. Nurse safety and building trust with the family
Rationale: Safety first.
17. An ecomap shows:
A. Genetic inheritance only
B. Disease progression
C. A house floor plan
D. The family's relationships with outside systems such as school, work and church
Correct Answer: D. The family's relationships with outside systems such as school, work and
church
Rationale: Social connections.
18. Family planning services help to:
A. Increase unintended pregnancy
B. Space pregnancies and improve maternal and child health
C. Only treat infertility
D. Prevent STIs only
Correct Answer: B. Space pregnancies and improve maternal and child health
Rationale: Title X.
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. A carrier is:
A. A person immune to disease
B. A vector insect only
C. A person with symptoms only
D. A person who harbors an infectious agent without symptoms and can transmit it
Correct Answer: D. A person who harbors an infectious agent without symptoms and can
transmit it
Rationale: e.g., Typhoid Mary.
2. Droplet precautions are required for:
A. Tuberculosis
B. Measles
C. C. difficile
D. Influenza, pertussis and meningococcal disease
Correct Answer: D. Influenza, pertussis and meningococcal disease
Rationale: Surgical mask within close range.
3. Lead exposure in children is associated with:
A. Lower IQ, learning and behavioral problems
B. Improved growth
C. Increased height
D. No effects at low levels
Correct Answer: A. Lower IQ, learning and behavioral problems
Rationale: No safe level.
4. Listeria is a particular risk for pregnant people from:
A. Cooked vegetables
B. Unpasteurized dairy, deli meats and soft cheeses
C. Pasteurized milk
D. Canned fruit
Correct Answer: B. Unpasteurized dairy, deli meats and soft cheeses
Rationale: Can cause miscarriage.
5. Brief tobacco counseling when time is short can use:
A. Only prescribing medication
B. Ask, Advise, Refer (e.g., to 1-800-QUIT-NOW)
C. Ignoring tobacco use
D. Scheduling a 1-hour visit
Correct Answer: B. Ask, Advise, Refer (e.g., to 1-800-QUIT-NOW)
Rationale: Quitline.
6. The core skills of motivational interviewing are summarized as:
A. OARS: open questions, affirmations, reflective listening and summaries
B. ABCs
C. SOAP
D. SBAR
Correct Answer: A. OARS: open questions, affirmations, reflective listening and summaries
Rationale: Miller and Rollnick.
,7. Nonprofit hospitals must conduct a Community Health Needs Assessment (CHNA):
A. Every year
B. Every 10 years
C. Never
D. Every 3 years under the Affordable Care Act
Correct Answer: D. Every 3 years under the Affordable Care Act
Rationale: Tax-exempt requirement.
8. A community nursing diagnosis typically includes:
A. Only an individual's medical diagnosis
B. Only demographic data
C. Only a list of resources
D. The risk or problem, the population affected and related factors with supporting data
Correct Answer: D. The risk or problem, the population affected and related factors with
supporting data
Rationale: e.g., Risk of... among... related to...
9. The Americans with Disabilities Act (ADA) requires:
A. Reasonable accommodations and accessibility in public services and employment
B. Only private hospitals to comply
C. No accommodations
D. Disability insurance
Correct Answer: A. Reasonable accommodations and accessibility in public services and
employment
Rationale: 1990 civil rights law.
10. A public health nurse working with a vulnerable population should first:
A. Assume needs without asking
B. Build trust and assess strengths as well as needs
C. Focus only on deficits
D. Refer everyone to the ED
Correct Answer: B. Build trust and assess strengths as well as needs
Rationale: Strengths-based.
11. Fathers' involvement in prenatal and child health:
A. Has no effect
B. Should be discouraged
C. Is harmful
D. Is associated with better maternal and child outcomes
Correct Answer: D. Is associated with better maternal and child outcomes
Rationale: Inclusive care.
12. Birth spacing of at least 18 months between delivery and next conception reduces:
A. Breastfeeding success
B. Maternal age
C. Immunity
D. Risk of preterm birth and low birth weight
Correct Answer: D. Risk of preterm birth and low birth weight
Rationale: Interpregnancy interval.
, 13. Drowning prevention for young children includes:
A. Floaties only
B. Supervision by older siblings only
C. Bathtub seats alone
D. Constant supervision, four-sided pool fencing and swim lessons
Correct Answer: D. Constant supervision, four-sided pool fencing and swim lessons
Rationale: Leading cause of death ages 1-4.
14. The 'fourth trimester' refers to:
A. A pregnancy over 40 weeks
B. The first 3 months of pregnancy
C. The postpartum period requiring ongoing care for mother and infant
D. Infant age 1-2 years
Correct Answer: C. The postpartum period requiring ongoing care for mother and infant
Rationale: ACOG.
15. Leading causes of pregnancy-related death in the US include:
A. Measles
B. Lead poisoning
C. Appendicitis
D. Mental health conditions (including overdose and suicide), hemorrhage and cardiac conditions
Correct Answer: D. Mental health conditions (including overdose and suicide), hemorrhage
and cardiac conditions
Rationale: CDC MMRC data.
16. The first priority during a home visit is:
A. Nurse safety and building trust with the family
B. Completing paperwork
C. Teaching all topics
D. Collecting payment
Correct Answer: A. Nurse safety and building trust with the family
Rationale: Safety first.
17. An ecomap shows:
A. Genetic inheritance only
B. Disease progression
C. A house floor plan
D. The family's relationships with outside systems such as school, work and church
Correct Answer: D. The family's relationships with outside systems such as school, work and
church
Rationale: Social connections.
18. Family planning services help to:
A. Increase unintended pregnancy
B. Space pregnancies and improve maternal and child health
C. Only treat infertility
D. Prevent STIs only
Correct Answer: B. Space pregnancies and improve maternal and child health
Rationale: Title X.
