NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Question 1: A community health nurse is applying the core public health function of "assessment." Which
activity best demonstrates this function?
A) Organizing a blood pressure screening event at a local church
B) Analyzing vital statistics data to identify leading causes of mortality in the county
C) Developing a policy to require seatbelt use for all county employees driving fleet vehicles
D) Implementing a smoking cessation support group at the community center
Answer: B) Analyzing vital statistics data to identify leading causes of mortality in the county
Rationale: The three core public health functions are assessment, policy development, and assurance.
Assessment involves systematically collecting, analyzing, and disseminating data on the health status of a
population. Analyzing vital statistics is a classic assessment activity. Options A and D are interventions
(assurance), and option C is policy development.
Question 2: Which of the following best describes the primary difference between community-based nursing
and community-oriented nursing?
A) Community-based nursing focuses on individual and family health care management, while community-
oriented nursing focuses on population health
B) Community-based nursing requires a master's degree, while community-oriented nursing requires a
bachelor's degree
C) Community-based nursing is practiced only in hospitals, while community-oriented nursing is practiced
in community settings
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
D) There is no difference; the terms are interchangeable
Answer: A) Community-based nursing focuses on individual and family health care management, while
community-oriented nursing focuses on population health
Rationale: Community-based nursing is centered on acute and chronic care of individuals and families in
community settings. Community-oriented nursing (public health nursing) focuses on the health of entire
populations and includes disease prevention and health promotion at the aggregate level.
Question 3: A nurse is using the epidemiologic triangle to investigate an outbreak of hepatitis A in a local
community. Which of the following represents the "host" factor?
A) Contaminated well water
B) The hepatitis A virus
C) A restaurant worker who fails to wash hands after using the restroom
D) An elderly resident with chronic liver disease who was exposed
Answer: D) An elderly resident with chronic liver disease who was exposed
Rationale: The epidemiologic triangle consists of agent, host, and environment. The host is the organism
(human or animal) that harbors the disease. Host factors include age, genetics, immune status, and pre-
existing conditions. The agent is the cause (hepatitis A virus), and the environment includes external factors
(contaminated water, sanitation practices).
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Question 4: A community health nurse is planning a primary prevention strategy to reduce the incidence of
type 2 diabetes. Which intervention should the nurse implement?
A) Coordinating annual eye exams for individuals with diabetes
B) Teaching nutrition and physical activity classes at a senior center
C) Establishing a foot care clinic for clients with diabetic neuropathy
D) Monitoring hemoglobin A1c levels for clients already diagnosed
Answer: B) Teaching nutrition and physical activity classes at a senior center
Rationale: Primary prevention aims to prevent disease before it occurs. Teaching healthy lifestyle behaviors
(nutrition and physical activity) reduces the risk of developing type 2 diabetes. Options A, C, and D are
secondary (early detection) or tertiary (management of existing disease) prevention.
Question 5: According to the Health Belief Model, which factor would most influence an individual's decision
to participate in a free tuberculosis screening?
A) Their perception of their risk of contracting tuberculosis
B) Their annual income level
C) The number of healthcare providers in their community
D) Their family history of cancer
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Answer: A) Their perception of their risk of contracting tuberculosis
Rationale: The Health Belief Model proposes that health behaviors are influenced by perceived susceptibility
(risk of getting the condition), perceived severity, perceived benefits, and perceived barriers. Perceived
susceptibility is a key predictor of whether an individual will take preventive action.
Question 6: A community health nurse is working with a migrant farmworker population. Which social
determinant of health is most likely to create barriers to care for this population?
A) High educational attainment
B) Geographic mobility and lack of stable housing
C) Preference for alternative medicine
D) High household income
Answer: B) Geographic mobility and lack of stable housing
Rationale: Migrant farmworkers face unique barriers including constant geographic mobility, lack of stable
housing, language barriers, and poverty. These social determinants significantly limit access to consistent
healthcare services.
Question 7: A nurse is conducting a windshield survey of a community. Which observation would be most
relevant to assess the community's socioeconomic status?
A) Presence of parks and recreational facilities
B) Condition of housing stock and presence of vacant or boarded-up buildings
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Question 1: A community health nurse is applying the core public health function of "assessment." Which
activity best demonstrates this function?
A) Organizing a blood pressure screening event at a local church
B) Analyzing vital statistics data to identify leading causes of mortality in the county
C) Developing a policy to require seatbelt use for all county employees driving fleet vehicles
D) Implementing a smoking cessation support group at the community center
Answer: B) Analyzing vital statistics data to identify leading causes of mortality in the county
Rationale: The three core public health functions are assessment, policy development, and assurance.
Assessment involves systematically collecting, analyzing, and disseminating data on the health status of a
population. Analyzing vital statistics is a classic assessment activity. Options A and D are interventions
(assurance), and option C is policy development.
Question 2: Which of the following best describes the primary difference between community-based nursing
and community-oriented nursing?
A) Community-based nursing focuses on individual and family health care management, while community-
oriented nursing focuses on population health
B) Community-based nursing requires a master's degree, while community-oriented nursing requires a
bachelor's degree
C) Community-based nursing is practiced only in hospitals, while community-oriented nursing is practiced
in community settings
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
D) There is no difference; the terms are interchangeable
Answer: A) Community-based nursing focuses on individual and family health care management, while
community-oriented nursing focuses on population health
Rationale: Community-based nursing is centered on acute and chronic care of individuals and families in
community settings. Community-oriented nursing (public health nursing) focuses on the health of entire
populations and includes disease prevention and health promotion at the aggregate level.
Question 3: A nurse is using the epidemiologic triangle to investigate an outbreak of hepatitis A in a local
community. Which of the following represents the "host" factor?
A) Contaminated well water
B) The hepatitis A virus
C) A restaurant worker who fails to wash hands after using the restroom
D) An elderly resident with chronic liver disease who was exposed
Answer: D) An elderly resident with chronic liver disease who was exposed
Rationale: The epidemiologic triangle consists of agent, host, and environment. The host is the organism
(human or animal) that harbors the disease. Host factors include age, genetics, immune status, and pre-
existing conditions. The agent is the cause (hepatitis A virus), and the environment includes external factors
(contaminated water, sanitation practices).
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Question 4: A community health nurse is planning a primary prevention strategy to reduce the incidence of
type 2 diabetes. Which intervention should the nurse implement?
A) Coordinating annual eye exams for individuals with diabetes
B) Teaching nutrition and physical activity classes at a senior center
C) Establishing a foot care clinic for clients with diabetic neuropathy
D) Monitoring hemoglobin A1c levels for clients already diagnosed
Answer: B) Teaching nutrition and physical activity classes at a senior center
Rationale: Primary prevention aims to prevent disease before it occurs. Teaching healthy lifestyle behaviors
(nutrition and physical activity) reduces the risk of developing type 2 diabetes. Options A, C, and D are
secondary (early detection) or tertiary (management of existing disease) prevention.
Question 5: According to the Health Belief Model, which factor would most influence an individual's decision
to participate in a free tuberculosis screening?
A) Their perception of their risk of contracting tuberculosis
B) Their annual income level
C) The number of healthcare providers in their community
D) Their family history of cancer
, NR 443 COMMUNITY HEALTH NURSING FINAL EXAM ACTUAL EXAM
2026/2027 | CHAMBERLAIN UNIVERSITY | 150 QUESTIONS | ANSWERS
& RATIONALES | PASS GUARANTEED | ALREADY GRADED A+
Answer: A) Their perception of their risk of contracting tuberculosis
Rationale: The Health Belief Model proposes that health behaviors are influenced by perceived susceptibility
(risk of getting the condition), perceived severity, perceived benefits, and perceived barriers. Perceived
susceptibility is a key predictor of whether an individual will take preventive action.
Question 6: A community health nurse is working with a migrant farmworker population. Which social
determinant of health is most likely to create barriers to care for this population?
A) High educational attainment
B) Geographic mobility and lack of stable housing
C) Preference for alternative medicine
D) High household income
Answer: B) Geographic mobility and lack of stable housing
Rationale: Migrant farmworkers face unique barriers including constant geographic mobility, lack of stable
housing, language barriers, and poverty. These social determinants significantly limit access to consistent
healthcare services.
Question 7: A nurse is conducting a windshield survey of a community. Which observation would be most
relevant to assess the community's socioeconomic status?
A) Presence of parks and recreational facilities
B) Condition of housing stock and presence of vacant or boarded-up buildings
