NR 442 Community Health Nursing Study Guide 2026 |Chamberlain
College
1. A nurse is planning a primary prevention strategy for a community’s heart
health. Which of the following activities should the nurse include?
A. Teaching healthy cooking classes to local residents
B. Screening adults for high cholesterol levels
C. Providing cardiac rehabilitation for patients post-MI
D. Administering daily aspirin to patients with known CAD
Answer: A
Rationale: Primary prevention aims to prevent disease before it occurs. Education on
healthy lifestyles like cooking classes is a primary prevention strategy.
2. When assessing a community using the ‘windshield survey’ method, which of
the following is a component of the assessment?
A. Interviewing local government officials
B. Reviewing state health department statistics
C. Distributing surveys to residents’ mailboxes
D. Observing the condition of housing and public spaces
Answer: D
Rationale: A windshield survey involves driving or walking through a community to
observe its physical characteristics and environment.
,3. A community health nurse is calculating the incidence rate of influenza in a
local school. Which of the following data is required?
A. The total number of existing cases at a single point in time
B. The number of people who have been vaccinated
C. The total number of deaths caused by the disease
D. The number of new cases during a specific period
Answer: D
Rationale: Incidence rate refers to the number of new cases of a disease in a population
over a specific timeframe.
4. In the epidemiological triangle, which of the following is considered an
‘agent’ factor?
A. Poor sanitation in the neighborhood
B. A person’s genetic predisposition to diabetes
C. The influenza virus
D. The altitude and climate of a region
Answer: C
Rationale: The agent is the animate or inanimate factor that must be present or lacking for
a disease or condition to develop; in this case, the virus.
5. A nurse is using the I-PREPARE mnemonic to assess environmental exposure.
What does the ‘E’ in ‘PREPARE’ stand for?
A. Emergency preparedness
B. Environmental concerns
C. Environmental justice
D. Evaluation of symptoms
Answer: B
Rationale: In the I-PREPARE mnemonic, the first ‘E’ stands for Environmental Concerns.
, 6. Which level of prevention is a nurse practicing when performing a TB skin test
on a high-risk population?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Secondary prevention involves early detection and screening of diseases.
7. A disaster triage nurse is assessing a victim with a broken arm and minor
abrasions. Which triage tag color should be assigned?
A. Red
B. Yellow
C. Black
D. Green
Answer: D
Rationale: Green tags are assigned to ‘walking wounded’ victims with minor injuries who
can wait for treatment.
8. Which phase of the disaster management cycle involves implementing a plan
to reduce the impact of future disasters?
A. Mitigation
B. Recovery
C. Response
D. Preparedness
Answer: A
Rationale: Mitigation involves measures taken to reduce the harmful effects of a disaster
before it happens.
College
1. A nurse is planning a primary prevention strategy for a community’s heart
health. Which of the following activities should the nurse include?
A. Teaching healthy cooking classes to local residents
B. Screening adults for high cholesterol levels
C. Providing cardiac rehabilitation for patients post-MI
D. Administering daily aspirin to patients with known CAD
Answer: A
Rationale: Primary prevention aims to prevent disease before it occurs. Education on
healthy lifestyles like cooking classes is a primary prevention strategy.
2. When assessing a community using the ‘windshield survey’ method, which of
the following is a component of the assessment?
A. Interviewing local government officials
B. Reviewing state health department statistics
C. Distributing surveys to residents’ mailboxes
D. Observing the condition of housing and public spaces
Answer: D
Rationale: A windshield survey involves driving or walking through a community to
observe its physical characteristics and environment.
,3. A community health nurse is calculating the incidence rate of influenza in a
local school. Which of the following data is required?
A. The total number of existing cases at a single point in time
B. The number of people who have been vaccinated
C. The total number of deaths caused by the disease
D. The number of new cases during a specific period
Answer: D
Rationale: Incidence rate refers to the number of new cases of a disease in a population
over a specific timeframe.
4. In the epidemiological triangle, which of the following is considered an
‘agent’ factor?
A. Poor sanitation in the neighborhood
B. A person’s genetic predisposition to diabetes
C. The influenza virus
D. The altitude and climate of a region
Answer: C
Rationale: The agent is the animate or inanimate factor that must be present or lacking for
a disease or condition to develop; in this case, the virus.
5. A nurse is using the I-PREPARE mnemonic to assess environmental exposure.
What does the ‘E’ in ‘PREPARE’ stand for?
A. Emergency preparedness
B. Environmental concerns
C. Environmental justice
D. Evaluation of symptoms
Answer: B
Rationale: In the I-PREPARE mnemonic, the first ‘E’ stands for Environmental Concerns.
, 6. Which level of prevention is a nurse practicing when performing a TB skin test
on a high-risk population?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Secondary prevention involves early detection and screening of diseases.
7. A disaster triage nurse is assessing a victim with a broken arm and minor
abrasions. Which triage tag color should be assigned?
A. Red
B. Yellow
C. Black
D. Green
Answer: D
Rationale: Green tags are assigned to ‘walking wounded’ victims with minor injuries who
can wait for treatment.
8. Which phase of the disaster management cycle involves implementing a plan
to reduce the impact of future disasters?
A. Mitigation
B. Recovery
C. Response
D. Preparedness
Answer: A
Rationale: Mitigation involves measures taken to reduce the harmful effects of a disaster
before it happens.
