Update 2026/2027 | 200 Practice Questions & Detailed
Answers | Verified Answers with Rationales | A+
Graded
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1–25)
1. Which of the following best describes the primary focus of community health nursing?
A) Providing direct bedside care to ill individuals in hospital settings
B) Promoting and protecting the health of populations in community settings
C) Managing complex acute health conditions with advanced technology
D) Delegating tasks to licensed practical nurses and nursing assistants
Correct Answer: B) Promoting and protecting the health of populations in community settings
Rationale: Community health nursing is populationfocused with the ultimate goal of improving the
health of the entire community. While care is often delivered to individuals, the nurse considers how the
family's health, cultural context, environment, and community resources impact the individual's
wellbeing.
2. Which of the following is the core function of public health that involves the systematic collection and
analysis of data to identify health problems and assets within a community?
A) Assurance
B) Policy Development
C) Assessment
D) Evaluation
Correct Answer: C) Assessment
,Rationale: The core functions of public health are assessment, policy development, and assurance.
Assessment involves systematically collecting and analyzing data to identify health problems and assets
within a community.
3. The mission of public health is best described as:
A) Providing medical care to uninsured individuals
B) Social justice, which entitles all people to basic necessities such as adequate income and health
protection
C) Reducing healthcare costs through preventive services
D) Promoting individual responsibility for health
Correct Answer: B) Social justice, which entitles all people to basic necessities such as adequate income
and health protection
Rationale: The mission of public health is grounded in social justice — the belief that all people are
entitled to basic necessities and health protection. This distinguishes public health from clinical
medicine, which focuses on individual care.
4. Which of the following is a key component of community competence?
A) The ability of community members to collaborate efficiently to identify problems and needs
B) The presence of a large number of healthcare facilities
C) High average income of community residents
D) Low population density
Correct Answer: A) The ability of community members to collaborate efficiently to identify problems and
needs
Rationale: Community competence is the ability of community members to collaborate efficiently to
identify problems and needs. It reflects the community's capacity for collective action and
problemsolving.
,5. A public health nurse is working with a community to address a rise in opioid overdoses. The nurse
first conducts a needs assessment, then involves community stakeholders in planning an education
campaign, and finally implements a Narcan distribution program. This process best describes:
A) The nursing process
B) Evidencebased practice
C) The public health intervention wheel
D) Communitybased participatory research
Correct Answer: C) The public health intervention wheel
Rationale: The Public Health Intervention Wheel outlines 17 interventions, including assessment,
planning, and implementation at the community level. The scenario describes a systematic approach
that aligns with the wheel's framework.
6. A community health nurse is conducting a windshield survey in an urban neighborhood. Which
observation represents primary data collected directly from community members?
A) The number of boardedup buildings observed
B) Direct interviews with residents about their health concerns
C) Local health department vaccination statistics
D) Census data on household income
Correct Answer: B) Direct interviews with residents about their health concerns
Rationale: Primary data is collected directly from the source through interviews, focus groups, or
surveys. Windshield survey observations and existing statistics are forms of secondary data.
, 7. According to Galen College of Nursing's NSG 3480 course description, the course emphasizes
evidencebased approaches to guide community health promotion. Which activity best reflects this
emphasis?
A) Implementing a program solely because it was used at another hospital
B) Using data from a community needs assessment to design a hypertension screening program
C) Continuing a health fair because "it has always been done"
D) Adopting a policy based on a single nurse's personal experience
Correct Answer: B) Using data from a community needs assessment to design a hypertension screening
program
Rationale: Evidencebased practice integrates the best available evidence with community assessment
data and clinical expertise. Options A, C, and D rely on tradition or anecdote rather than evidence.
8. A nurse at a local health department is tracking reported cases of salmonellosis over a threemonth
period. This activity is best described as:
A) Primary prevention
B) Disease surveillance
C) Tertiary prevention
D) Health promotion
Correct Answer: B) Disease surveillance
Rationale: Surveillance involves the systematic collection, analysis, and interpretation of health data to
detect outbreaks and guide public health action.
9. What is the primary role of the faith community nurse?
A) Delivers endoflife care and manages symptoms
B) Provides spiritual support, health education, and referrals in faithbased settings