NR 442 Community Health Nursing Practice Exam 2026 |Chamberlain
College
1. A nurse is planning a primary prevention strategy for a local community.
Which of the following activities should the nurse include?
A. Providing physical therapy for a client after a stroke.
B. Screening children for lead exposure.
C. Conducting a support group for clients with diabetes.
D. Providing influenza immunizations to seniors.
Answer: D
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example of primary prevention.
2. A community health nurse is calculating the number of new cases of syphilis
in a city during the past month. This is an example of which of the following?
A. Incidence rate
B. Prevalence rate
C. Attack rate
D. Mortality rate
Answer: A
Rationale: Incidence rate refers to the number of new cases of a disease in a population at
risk during a specific period of time.
,3. A nurse is performing a windshield survey. Which of the following is a
component of this type of assessment?
A. Interviewing local government officials.
B. Observing the condition of housing in the neighborhood.
C. Analyzing morbidity data from the health department.
D. Reviewing census data for the community.
Answer: B
Rationale: A windshield survey is an informal assessment where the nurse drives or walks
through a community to observe its physical environment and characteristics.
4. Which level of prevention is a nurse practicing when they teach a client with
chronic heart failure about low-sodium diets?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: B
Rationale: Tertiary prevention aims to manage and rehabilitate individuals with existing
chronic conditions to prevent further complications.
5. A school nurse is identifying students at risk for vision problems. Which level
of prevention is this?
A. Primary
B. Tertiary
C. Secondary
D. Health promotion
Answer: C
Rationale: Secondary prevention involves early detection and screening of diseases to
ensure prompt treatment.
, 6. In the epidemiological triangle, a virus is considered which of the following?
A. The host
B. The environment
C. The agent
D. The vector
Answer: C
Rationale: The agent is the animate or inanimate factor that must be present or lacking for
a disease or condition to develop (e.g., bacteria, virus).
7. A nurse is caring for a migrant farmworker. Which of the following is the most
likely health risk for this population?
A. Sedentary lifestyle
B. Obesity
C. Pesticide exposure
D. Type 1 Diabetes
Answer: C
Rationale: Migrant workers are at high risk for pesticide exposure due to their work in
agricultural fields.
8. During a disaster, a nurse uses the START triage system. A client who is
unconscious and has a respiratory rate of 34/min should be tagged with which
color?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: Red tags are for immediate priority. Respiratory rates over 30/min or
unconsciousness indicate life-threatening injuries requiring immediate care.
College
1. A nurse is planning a primary prevention strategy for a local community.
Which of the following activities should the nurse include?
A. Providing physical therapy for a client after a stroke.
B. Screening children for lead exposure.
C. Conducting a support group for clients with diabetes.
D. Providing influenza immunizations to seniors.
Answer: D
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example of primary prevention.
2. A community health nurse is calculating the number of new cases of syphilis
in a city during the past month. This is an example of which of the following?
A. Incidence rate
B. Prevalence rate
C. Attack rate
D. Mortality rate
Answer: A
Rationale: Incidence rate refers to the number of new cases of a disease in a population at
risk during a specific period of time.
,3. A nurse is performing a windshield survey. Which of the following is a
component of this type of assessment?
A. Interviewing local government officials.
B. Observing the condition of housing in the neighborhood.
C. Analyzing morbidity data from the health department.
D. Reviewing census data for the community.
Answer: B
Rationale: A windshield survey is an informal assessment where the nurse drives or walks
through a community to observe its physical environment and characteristics.
4. Which level of prevention is a nurse practicing when they teach a client with
chronic heart failure about low-sodium diets?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: B
Rationale: Tertiary prevention aims to manage and rehabilitate individuals with existing
chronic conditions to prevent further complications.
5. A school nurse is identifying students at risk for vision problems. Which level
of prevention is this?
A. Primary
B. Tertiary
C. Secondary
D. Health promotion
Answer: C
Rationale: Secondary prevention involves early detection and screening of diseases to
ensure prompt treatment.
, 6. In the epidemiological triangle, a virus is considered which of the following?
A. The host
B. The environment
C. The agent
D. The vector
Answer: C
Rationale: The agent is the animate or inanimate factor that must be present or lacking for
a disease or condition to develop (e.g., bacteria, virus).
7. A nurse is caring for a migrant farmworker. Which of the following is the most
likely health risk for this population?
A. Sedentary lifestyle
B. Obesity
C. Pesticide exposure
D. Type 1 Diabetes
Answer: C
Rationale: Migrant workers are at high risk for pesticide exposure due to their work in
agricultural fields.
8. During a disaster, a nurse uses the START triage system. A client who is
unconscious and has a respiratory rate of 34/min should be tagged with which
color?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: Red tags are for immediate priority. Respiratory rates over 30/min or
unconsciousness indicate life-threatening injuries requiring immediate care.
