NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Question 1: A community health nurse is implementing a primary prevention strategy. Which activity best
exemplifies primary prevention?
A) Conducting blood pressure screenings at a community health fair
B) Providing case management for clients with diabetes
C) Administering vaccines to infants and children
D) Leading a support group for stroke survivors
Answer: C) Administering vaccines to infants and children
Rationale: Primary prevention aims to prevent disease before it occurs. Vaccination prevents infectious
diseases from developing. Screenings are secondary prevention; case management and support groups are
tertiary prevention.
Question 2: A nurse is evaluating a community health program using the "CDC Framework for Program
Evaluation." Which step involves describing the program's components, goals, and objectives?
A) Engage stakeholders
B) Describe the program
C) Focus the evaluation design
D) Gather credible evidence
,NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Answer: B) Describe the program
Rationale: The CDC Framework includes six steps: engage stakeholders, describe the program, focus the
evaluation design, gather credible evidence, justify conclusions, and ensure use. Describing the program
involves clarifying goals, objectives, activities, and intended outcomes.
Question 3: A nurse is using the "public health intervention wheel." Which intervention is at the "community"
level?
A) Individual counseling
B) Coalition building
C) Case management
D) Direct care
Answer: B) Coalition building
Rationale: The Public Health Intervention Wheel categorizes interventions into three levels: individual/family,
community, and systems. Coalition building brings together groups for community-level action. Individual
counseling, case management, and direct care are individual/family level.
Question 4: A community health nurse is implementing a tertiary prevention strategy for clients with heart
failure. Which intervention is most appropriate?
A) Teaching healthy eating habits to prevent heart disease
B) Conducting cholesterol screenings
,NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
C) Providing case management and medication adherence support to prevent hospital readmission
D) Distributing pamphlets about heart health
Answer: C) Providing case management and medication adherence support to prevent hospital readmission
Rationale: Tertiary prevention aims to reduce the impact of an existing disease, prevent complications, and
improve quality of life. Case management and adherence support for individuals already diagnosed with heart
failure is tertiary prevention. Teaching and screenings are primary/secondary.
Question 5: A nurse is evaluating a program's cost-effectiveness. Which question addresses cost-effectiveness?
A) Did participants like the program?
B) Were the health outcomes achieved worth the resources invested?
C) Was the program implemented on time?
D) How many people attended?
Answer: B) Were the health outcomes achieved worth the resources invested?
Rationale: Cost-effectiveness analysis compares program costs to outcomes (e.g., cost per life saved, cost per
quality-adjusted life year). It answers whether the benefits justify the resources expended. Participant
satisfaction, attendance, and timeline are process measures.
, NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Question 6: A nurse is using the "RE-AIM" framework to evaluate a program. What does "Implementation"
refer to?
A) The proportion of the target population that participates
B) The effectiveness of the program
C) The extent to which the program is delivered as intended (fidelity)
D) The sustainability of the program
Answer: C) The extent to which the program is delivered as intended (fidelity)
Rationale: In RE-AIM, Implementation refers to the fidelity to the program protocol—whether the program
was delivered as intended, including consistency, cost, and adaptations. High implementation fidelity is
necessary to attribute outcomes to the program.
Question 7: A community health nurse is implementing a screening program for breast cancer. This is an
example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primordial prevention
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Question 1: A community health nurse is implementing a primary prevention strategy. Which activity best
exemplifies primary prevention?
A) Conducting blood pressure screenings at a community health fair
B) Providing case management for clients with diabetes
C) Administering vaccines to infants and children
D) Leading a support group for stroke survivors
Answer: C) Administering vaccines to infants and children
Rationale: Primary prevention aims to prevent disease before it occurs. Vaccination prevents infectious
diseases from developing. Screenings are secondary prevention; case management and support groups are
tertiary prevention.
Question 2: A nurse is evaluating a community health program using the "CDC Framework for Program
Evaluation." Which step involves describing the program's components, goals, and objectives?
A) Engage stakeholders
B) Describe the program
C) Focus the evaluation design
D) Gather credible evidence
,NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Answer: B) Describe the program
Rationale: The CDC Framework includes six steps: engage stakeholders, describe the program, focus the
evaluation design, gather credible evidence, justify conclusions, and ensure use. Describing the program
involves clarifying goals, objectives, activities, and intended outcomes.
Question 3: A nurse is using the "public health intervention wheel." Which intervention is at the "community"
level?
A) Individual counseling
B) Coalition building
C) Case management
D) Direct care
Answer: B) Coalition building
Rationale: The Public Health Intervention Wheel categorizes interventions into three levels: individual/family,
community, and systems. Coalition building brings together groups for community-level action. Individual
counseling, case management, and direct care are individual/family level.
Question 4: A community health nurse is implementing a tertiary prevention strategy for clients with heart
failure. Which intervention is most appropriate?
A) Teaching healthy eating habits to prevent heart disease
B) Conducting cholesterol screenings
,NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
C) Providing case management and medication adherence support to prevent hospital readmission
D) Distributing pamphlets about heart health
Answer: C) Providing case management and medication adherence support to prevent hospital readmission
Rationale: Tertiary prevention aims to reduce the impact of an existing disease, prevent complications, and
improve quality of life. Case management and adherence support for individuals already diagnosed with heart
failure is tertiary prevention. Teaching and screenings are primary/secondary.
Question 5: A nurse is evaluating a program's cost-effectiveness. Which question addresses cost-effectiveness?
A) Did participants like the program?
B) Were the health outcomes achieved worth the resources invested?
C) Was the program implemented on time?
D) How many people attended?
Answer: B) Were the health outcomes achieved worth the resources invested?
Rationale: Cost-effectiveness analysis compares program costs to outcomes (e.g., cost per life saved, cost per
quality-adjusted life year). It answers whether the benefits justify the resources expended. Participant
satisfaction, attendance, and timeline are process measures.
, NR 443 COMMUNITY HEALTH NURSING PRACTICE EXAM 3 2026/2027 |
CHAMBERLAIN UNIVERSITY | PUBLIC HEALTH INTERVENTIONS &
EVALUATION | HIGH YIELD | ANSWERS & RATIONALES | GRADED A+
Question 6: A nurse is using the "RE-AIM" framework to evaluate a program. What does "Implementation"
refer to?
A) The proportion of the target population that participates
B) The effectiveness of the program
C) The extent to which the program is delivered as intended (fidelity)
D) The sustainability of the program
Answer: C) The extent to which the program is delivered as intended (fidelity)
Rationale: In RE-AIM, Implementation refers to the fidelity to the program protocol—whether the program
was delivered as intended, including consistency, cost, and adaptations. High implementation fidelity is
necessary to attribute outcomes to the program.
Question 7: A community health nurse is implementing a screening program for breast cancer. This is an
example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primordial prevention
