NURS 340/ NURS340 Final Exam – Public
Health Nursing | WCU
(Latest 2026-2027 Update) 100 % Verified –
Grade A
Question 1: Which core public health function is demonstrated when a PHN analyzes five years of
local infant-mortality records?
A) Policy development
B) Assurance
C) Assessment
D) Advocacy
Correct Answer: C) Assessment
Explanation: Systematic data collection and analysis to identify population health problems are
hallmarks of the assessment function.
Question 2: The nurse calculates years of potential life lost (YPLL) for opioid-overdose deaths.
YPLL best reflects:
,A) Total deaths regardless of age
B) Premature mortality before age 75
C) Disability-adjusted life years
D) Economic cost of hospitalizations
Correct Answer: B) Premature mortality before age 75
Explanation: YPLL emphasizes early death, guiding resource allocation toward preventable causes
affecting younger populations.
Question 3: Providing HPV vaccine to adolescents is classified as which level of prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Correct Answer: A) Primary
Explanation: Vaccination prevents infection before exposure, the classic definition of primary
prevention.
Question 4: In the Social-Ecological Model, community-level factors include:
A) Individual knowledge
,B) Social norms and networks
C) Genetic predisposition
D) Personal skills
Correct Answer: B) Social norms and networks
Explanation: Community-level factors encompass relationships, culture, and norms that shape
collective behaviors.
Question 5: Which data source provides state-level estimates of behavioral risk factors such as
smoking and seat-belt use?
A) National Vital Statistics System
B) BRFSS (Behavioral Risk Factor Surveillance System)
C) NHANES
D) YRBSS
Correct Answer: B) BRFSS (Behavioral Risk Factor Surveillance System)
Explanation: BRFSS conducts annual telephone surveys of adults ≥18 years, producing state and
local estimates of health behaviors.
Question 6: Community-based participatory research (CBPR) is guided primarily by:
A) Outsider-controlled design
, B) Equal partnership with community members
C) Use of only quantitative methods
D) Rapid publication goals
Correct Answer: B) Equal partnership with community members
Explanation: CBPR emphasizes shared decision-making and co-ownership to ensure interventions
are culturally relevant and sustainable.
Question 7: Which Healthy People 2030 overarching goal addresses social determinants of health?
A) Increase life expectancy to 90 years
B) Eliminate health disparities and achieve health equity
C) Reduce vaccine-preventable diseases by half
D) Achieve universal insurance coverage
Correct Answer: B) Eliminate health disparities and achieve health equity
Explanation: The goal explicitly targets structural and social determinants to create fair
opportunities for health.
Question 8: A windshield survey is an example of which assessment approach?
A) Epidemiologic profiling
B) Community observation
Health Nursing | WCU
(Latest 2026-2027 Update) 100 % Verified –
Grade A
Question 1: Which core public health function is demonstrated when a PHN analyzes five years of
local infant-mortality records?
A) Policy development
B) Assurance
C) Assessment
D) Advocacy
Correct Answer: C) Assessment
Explanation: Systematic data collection and analysis to identify population health problems are
hallmarks of the assessment function.
Question 2: The nurse calculates years of potential life lost (YPLL) for opioid-overdose deaths.
YPLL best reflects:
,A) Total deaths regardless of age
B) Premature mortality before age 75
C) Disability-adjusted life years
D) Economic cost of hospitalizations
Correct Answer: B) Premature mortality before age 75
Explanation: YPLL emphasizes early death, guiding resource allocation toward preventable causes
affecting younger populations.
Question 3: Providing HPV vaccine to adolescents is classified as which level of prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Correct Answer: A) Primary
Explanation: Vaccination prevents infection before exposure, the classic definition of primary
prevention.
Question 4: In the Social-Ecological Model, community-level factors include:
A) Individual knowledge
,B) Social norms and networks
C) Genetic predisposition
D) Personal skills
Correct Answer: B) Social norms and networks
Explanation: Community-level factors encompass relationships, culture, and norms that shape
collective behaviors.
Question 5: Which data source provides state-level estimates of behavioral risk factors such as
smoking and seat-belt use?
A) National Vital Statistics System
B) BRFSS (Behavioral Risk Factor Surveillance System)
C) NHANES
D) YRBSS
Correct Answer: B) BRFSS (Behavioral Risk Factor Surveillance System)
Explanation: BRFSS conducts annual telephone surveys of adults ≥18 years, producing state and
local estimates of health behaviors.
Question 6: Community-based participatory research (CBPR) is guided primarily by:
A) Outsider-controlled design
, B) Equal partnership with community members
C) Use of only quantitative methods
D) Rapid publication goals
Correct Answer: B) Equal partnership with community members
Explanation: CBPR emphasizes shared decision-making and co-ownership to ensure interventions
are culturally relevant and sustainable.
Question 7: Which Healthy People 2030 overarching goal addresses social determinants of health?
A) Increase life expectancy to 90 years
B) Eliminate health disparities and achieve health equity
C) Reduce vaccine-preventable diseases by half
D) Achieve universal insurance coverage
Correct Answer: B) Eliminate health disparities and achieve health equity
Explanation: The goal explicitly targets structural and social determinants to create fair
opportunities for health.
Question 8: A windshield survey is an example of which assessment approach?
A) Epidemiologic profiling
B) Community observation
