Questions (200) with Verified correct answerss NR
442 Community Health Nursing Exam 2: Pass with
100% Correct correct answerss
SECTION 1: LEVELS OF PREVENTION
Q1. A public health nurse is planning care for four clients. Which of the following interventions
should the nurse recognize as tertiary prevention?
• A) Providing chemoprophylaxis for malaria to a client traveling to mosquito-infested
countries
• B) Administering antibiotics to a client who has AIDS and was diagnosed with
Pneumocystis jiroveci pneumonia
• C) Performing a serological screening for HIV for a client who is pregnant
• D) Participating in partner notification for a client who has an STI
☑ correct answers: B
Rationale: Tertiary prevention focuses on limiting disability and rehabilitation after a disease has
been diagnosed. Administering antibiotics for an active infection (PJP in an AIDS client) is
tertiary prevention.
Q2. A school nurse is discussing levels of prevention with a teacher. Which activity should the
nurse identify as a primary prevention strategy?
• A) Provide nutritional counseling for students who have diabetes
• B) Report suspected child neglect to the proper authorities
• C) Conduct vision and hearing screening for kindergarten enrollment
• D) Demonstrate proper handwashing techniques
,☑ correct answers: D
Rationale: Primary prevention aims to prevent a problem before it occurs. Handwashing
education prevents disease transmission.
Q3. A nurse is preparing an educational program about influenza for a group of community
health nurses. Which activity is an example of tertiary prevention?
• A) Offer classes to elementary school teachers about handwashing
• B) Provide information to occupational nurses about reasons for employees to not come
to work when sick
• C) Administer antiviral meds within 48 hours to clients who have manifestations of
influenza
• D) Provide immunizations at long-term care facilities
☑ correct answers: C
Rationale: Tertiary prevention occurs after disease diagnosis. Administering antivirals to
symptomatic clients treats existing illness and prevents complications.
Q4. A community health nurse identifies an increase in osteoporosis-related fractures in
menopausal women. Which primary prevention strategy should the nurse implement?
• A) Advise women to keep immunizations updated
• B) Encourage women to participate in weight-bearing activities
• C) Educate women about limiting sun exposure
• D) Instruct at-risk women to increase vitamin E intake
☑ correct answers: B
Rationale: Weight-bearing exercises (walking, weight lifting) help prevent osteoporosis before it
develops—this is primary prevention.
,SECTION 2: COMMUNITY ASSESSMENT & DATA COLLECTION
Q5. A nurse is collecting demographic data as part of a community assessment. Which
information should the nurse include?
• A) Racial discrimination
• B) Family genograms
• C) Number of open water sources
• D) Presence of condemned buildings
☑ correct answers: A
Rationale: Demographic data includes population characteristics such as racial distribution, age,
gender, income, and education levels.
Q6. A nurse is collecting data for a community assessment. Which method is the nurse using
when having direct conversations with individual community members?
• A) Participant observation
• B) Key informant interviews
• C) Windshield survey
• D) Focus groups
☑ correct answers: B
Rationale: Key informant interviews involve direct, one-on-one conversations with community
members who have knowledge about the community.
Q7. A nurse is preparing to conduct a windshield survey. Which data should the nurse collect?
(Select all that apply)
, • A) Ethnicity of community members
• B) Individuals who hold power within the community
• C) Natural community boundaries
• D) Prevalence of disease
• E) Presence of public protection (police, fire stations)
☑ correct answerss: A, B, C, E
Rationale: A windshield survey assesses visible components: people (ethnicity), power
structures, natural boundaries (rivers, highways), and public services. Disease prevalence
requires medical records—not observable by driving.
Q8. A nurse is completing a needs assessment and beginning analysis of data. Which action
should the nurse take first?
• A) Determine health patterns within collected data
• B) Compile collected data into a database
• C) Ensure data collection is complete
• D) Identify health needs of the local community
☑ correct answers: B
Rationale: According to the nursing process, the first step in analysis is organizing/compiling
data into a usable format (database) before identifying patterns or needs.
Q9. A nurse is collecting data to identify health needs in the local community. Which examples
should the nurse identify as secondary data? (Select all that apply)
• A) Birth statistics
• B) Previous health survey results