NR 442 Community Health Nursing Practice Exam 2026 |Chamberlain
College
1. A community health nurse is planning an immunization clinic for a local
elementary school. Which level of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example of primary prevention.
2. A nurse is performing a windshield survey of a community. Which of the
following data points is most appropriate for this type of assessment?
A. Interviewing the mayor about crime rates
B. Reviewing census data on the local library website
C. Conducting a focus group with elderly residents
D. Observing the presence of public transportation and grocery stores
Answer: D
Rationale: A windshield survey is a descriptive approach that assesses several community
components by driving or walking through an area and observing its physical
characteristics.
,3. Which epidemiological rate describes the number of new cases of a disease in
a specific population over a specific period of time?
A. Incidence rate
B. Prevalence rate
C. Mortality rate
D. Attack rate
Answer: A
Rationale: Incidence refers to the number of new cases of a specific disease or condition in
a population at risk during a specific period of time.
4. A nurse is caring for a client who has a positive Mantoux tuberculin skin test.
What is the nurse’s priority action?
A. Schedule the client for a chest X-ray
B. Report the finding to the local health department
C. Start the client on isoniazid immediately
D. Instruct the client to remain in respiratory isolation
Answer: A
Rationale: A positive skin test indicates exposure; a chest X-ray is required to determine if
active disease is present before starting treatment or isolation.
5. In the epidemiological triangle, which of the following is considered an
‘agent’ factor?
A. Genetic susceptibility
B. Climate and altitude
C. Access to healthcare
D. Chemical toxins
Answer: D
Rationale: The agent is the animate or inanimate object that causes the disease (e.g.,
bacteria, toxins). Host factors include genetics, while environment includes climate.
, 6. A nurse is teaching a community group about lead poisoning in children.
Which of the following should be included as a primary risk factor?
A. Playing in public parks built after 1990
B. Drinking bottled water instead of tap water
C. Living in a home built before 1978
D. Eating organic fruits and vegetables
Answer: C
Rationale: Houses built before 1978 are more likely to contain lead-based paint, which is
the primary source of lead exposure for children.
7. Which phase of the disaster management cycle involves implementing a plan
to reduce the long-term risk to people and property?
A. Response
B. Mitigation
C. Recovery
D. Preparedness
Answer: B
Rationale: Mitigation (or prevention) involves actions taken to prevent a disaster or
reduce the damaging effects of unavoidable disasters.
8. A nurse is triaging victims at the scene of a mass casualty incident. Which
client should be assigned a ‘red’ tag?
A. A client with a closed fracture of the tibia
B. A client who is unresponsive with a massive head injury and agonal breaths
C. A client with a tension pneumothorax and respiratory distress
D. A client with minor abrasions and a small laceration
Answer: C
Rationale: Red tags are for immediate priority: life-threatening injuries that are treatable
(e.g., airway obstruction or tension pneumothorax).
College
1. A community health nurse is planning an immunization clinic for a local
elementary school. Which level of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example of primary prevention.
2. A nurse is performing a windshield survey of a community. Which of the
following data points is most appropriate for this type of assessment?
A. Interviewing the mayor about crime rates
B. Reviewing census data on the local library website
C. Conducting a focus group with elderly residents
D. Observing the presence of public transportation and grocery stores
Answer: D
Rationale: A windshield survey is a descriptive approach that assesses several community
components by driving or walking through an area and observing its physical
characteristics.
,3. Which epidemiological rate describes the number of new cases of a disease in
a specific population over a specific period of time?
A. Incidence rate
B. Prevalence rate
C. Mortality rate
D. Attack rate
Answer: A
Rationale: Incidence refers to the number of new cases of a specific disease or condition in
a population at risk during a specific period of time.
4. A nurse is caring for a client who has a positive Mantoux tuberculin skin test.
What is the nurse’s priority action?
A. Schedule the client for a chest X-ray
B. Report the finding to the local health department
C. Start the client on isoniazid immediately
D. Instruct the client to remain in respiratory isolation
Answer: A
Rationale: A positive skin test indicates exposure; a chest X-ray is required to determine if
active disease is present before starting treatment or isolation.
5. In the epidemiological triangle, which of the following is considered an
‘agent’ factor?
A. Genetic susceptibility
B. Climate and altitude
C. Access to healthcare
D. Chemical toxins
Answer: D
Rationale: The agent is the animate or inanimate object that causes the disease (e.g.,
bacteria, toxins). Host factors include genetics, while environment includes climate.
, 6. A nurse is teaching a community group about lead poisoning in children.
Which of the following should be included as a primary risk factor?
A. Playing in public parks built after 1990
B. Drinking bottled water instead of tap water
C. Living in a home built before 1978
D. Eating organic fruits and vegetables
Answer: C
Rationale: Houses built before 1978 are more likely to contain lead-based paint, which is
the primary source of lead exposure for children.
7. Which phase of the disaster management cycle involves implementing a plan
to reduce the long-term risk to people and property?
A. Response
B. Mitigation
C. Recovery
D. Preparedness
Answer: B
Rationale: Mitigation (or prevention) involves actions taken to prevent a disaster or
reduce the damaging effects of unavoidable disasters.
8. A nurse is triaging victims at the scene of a mass casualty incident. Which
client should be assigned a ‘red’ tag?
A. A client with a closed fracture of the tibia
B. A client who is unresponsive with a massive head injury and agonal breaths
C. A client with a tension pneumothorax and respiratory distress
D. A client with minor abrasions and a small laceration
Answer: C
Rationale: Red tags are for immediate priority: life-threatening injuries that are treatable
(e.g., airway obstruction or tension pneumothorax).
