Page 1 of 100
NR 442 COMMUNITY HEALTH NURSING
CORE UNDERGRADUATE COURSE
MULTIPLE EXAMS COVERING PUBLIC
HEALTH NURSING CONCEPTS COMMUNITY
ASSESSMENTS AND NCLEX RN PREPARATION
REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
NEWEST 2026 2027 EDITION
SECTION 1 FOUNDATIONS OF COMMUNITY
HEALTH NURSING
QUESTIONS 1 TO 40
1 A community health nurse is applying the principles of
public health nursing. Which action best reflects the core
public health function of assessment?
A Developing a smoking cessation program
B Conducting a community needs assessment
C Evaluating the effectiveness of a vaccination clinic
D Advocating for clean water legislation
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ANSWER B
Rationale Assessment is the systematic collection and
analysis of data to identify community health needs.
2 A nurse is using the nursing process at the community
level. Which activity represents the implementation
phase?
A Analyzing morbidity data
B Diagnosing a community health problem
C Conducting a windshield survey
D Launching a health education campaign
ANSWER D
Rationale Implementation involves carrying out planned
interventions. Launching a campaign is an example of
implementation at the community level.
3 A community health nurse is working to achieve the
goals of Healthy People 2030. Which is a primary focus
of this initiative?
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A Reducing health disparities
B Increasing hospital funding
C Promoting alternative medicine
D Decreasing pharmaceutical costs
ANSWER A
Rationale Healthy People 2030 aims to eliminate health
disparities and achieve health equity.
4 A nurse is using the upstream thinking approach to
address a community health problem. Which intervention
is most consistent with upstream thinking?
A Treating a child with asthma in the emergency
department
B Providing smoking cessation counseling to an
individual
C Advocating for policies that reduce air pollution
D Dispensing medications at a free clinic
ANSWER C
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Rationale Upstream thinking focuses on policy and
environmental changes that prevent health problems at the
population level.
5 A public health nurse is using the epidemiological
triangle to understand a disease outbreak. Which
component represents the external factors that allow
disease transmission?
A Host
B Agent
C Environment
D Vector
ANSWER C
Rationale The environment includes external factors such
as climate, sanitation, and crowding that influence disease
transmission.
6 A nurse is assessing a community using the windshield
survey method. Which action is the nurse performing?
A Interviewing community leaders
NR 442 COMMUNITY HEALTH NURSING
CORE UNDERGRADUATE COURSE
MULTIPLE EXAMS COVERING PUBLIC
HEALTH NURSING CONCEPTS COMMUNITY
ASSESSMENTS AND NCLEX RN PREPARATION
REAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES
NEWEST 2026 2027 EDITION
SECTION 1 FOUNDATIONS OF COMMUNITY
HEALTH NURSING
QUESTIONS 1 TO 40
1 A community health nurse is applying the principles of
public health nursing. Which action best reflects the core
public health function of assessment?
A Developing a smoking cessation program
B Conducting a community needs assessment
C Evaluating the effectiveness of a vaccination clinic
D Advocating for clean water legislation
, Page 2 of 100
ANSWER B
Rationale Assessment is the systematic collection and
analysis of data to identify community health needs.
2 A nurse is using the nursing process at the community
level. Which activity represents the implementation
phase?
A Analyzing morbidity data
B Diagnosing a community health problem
C Conducting a windshield survey
D Launching a health education campaign
ANSWER D
Rationale Implementation involves carrying out planned
interventions. Launching a campaign is an example of
implementation at the community level.
3 A community health nurse is working to achieve the
goals of Healthy People 2030. Which is a primary focus
of this initiative?
, Page 3 of 100
A Reducing health disparities
B Increasing hospital funding
C Promoting alternative medicine
D Decreasing pharmaceutical costs
ANSWER A
Rationale Healthy People 2030 aims to eliminate health
disparities and achieve health equity.
4 A nurse is using the upstream thinking approach to
address a community health problem. Which intervention
is most consistent with upstream thinking?
A Treating a child with asthma in the emergency
department
B Providing smoking cessation counseling to an
individual
C Advocating for policies that reduce air pollution
D Dispensing medications at a free clinic
ANSWER C
, Page 4 of 100
Rationale Upstream thinking focuses on policy and
environmental changes that prevent health problems at the
population level.
5 A public health nurse is using the epidemiological
triangle to understand a disease outbreak. Which
component represents the external factors that allow
disease transmission?
A Host
B Agent
C Environment
D Vector
ANSWER C
Rationale The environment includes external factors such
as climate, sanitation, and crowding that influence disease
transmission.
6 A nurse is assessing a community using the windshield
survey method. Which action is the nurse performing?
A Interviewing community leaders
