LATEST UPDATED NR 442 EXAM 2 -
COMMUNITY HEALTH NURSING | COMPLETE
EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A community health nurse is applying the
nursing process at the community level. Which
action occurs during the assessment phase?
A) Developing interventions to address
identified health problems
B) Collecting and analyzing data about the
community's health status
C) Implementing a vaccination clinic at a local
school
D) Evaluating whether community health
outcomes have improved
Correct answer: B
Rationale: Assessment involves collecting and
analyzing community data (demographics, vital
statistics, health resources, perceptions).
Intervention development is planning.
Implementation is the action phase. Evaluation
occurs after implementation.
,2. A nurse is using the epidemiological triangle
to investigate an outbreak of hepatitis A in a
community. Which component of the triangle is
the virus itself?
A) Host
B) Agent
C) Environment
D) Vector
Correct answer: B
Rationale: The agent is the cause of the
disease (hepatitis A virus). The host is the
susceptible human. The environment includes
external factors that allow transmission
(contaminated food, water, poor sanitation). A
vector is a living transmitter (mosquito, tick)
not applicable here.
3. A community health nurse is conducting a
windshield survey. Which action is most
important during this type of assessment?
A) Interviewing community leaders about
perceived needs
B) Driving or walking through the community to
observe housing, streets, and resources
,C) Reviewing hospital discharge data for the
community
D) Analyzing census data on population
demographics
Correct answer: B
Rationale: A windshield survey involves
observing the community directly (driving or
walking in the community) to assess housing
conditions, environmental hazards, available
resources, schools, churches, grocery stores,
parks, sanitation, and safety.
4. A nurse is using the precede-proceed model
for health promotion planning. Which phase
involves identifying desired outcomes and
goals?
A) Social assessment
B) Epidemiological assessment
C) Educational and ecological assessment
D) Administrative and policy assessment
Correct answer: B
Rationale: The epidemiological assessment
phase identifies specific health problems and
desired outcomes (goals). Social assessment
, identifies quality of life. Educational and
ecological assessment identifies predisposing,
enabling, and reinforcing factors.
Administrative and policy assessment
addresses resources and organizational
barriers.
5. A community health nurse is providing
tertiary prevention. Which activity is an
example of tertiary prevention?
A) Teaching hand hygiene in elementary
schools
B) Administering influenza vaccines at a senior
center
C) Leading a support group for clients with
chronic heart failure
D) Inspecting restaurants for food safety
violations
Correct answer: C
Rationale: Tertiary prevention focuses on
rehabilitation, preventing complications, and
improving quality of life after disease onset.
Support groups for chronic illness are tertiary.
Hand hygiene and vaccines are primary
COMMUNITY HEALTH NURSING | COMPLETE
EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A community health nurse is applying the
nursing process at the community level. Which
action occurs during the assessment phase?
A) Developing interventions to address
identified health problems
B) Collecting and analyzing data about the
community's health status
C) Implementing a vaccination clinic at a local
school
D) Evaluating whether community health
outcomes have improved
Correct answer: B
Rationale: Assessment involves collecting and
analyzing community data (demographics, vital
statistics, health resources, perceptions).
Intervention development is planning.
Implementation is the action phase. Evaluation
occurs after implementation.
,2. A nurse is using the epidemiological triangle
to investigate an outbreak of hepatitis A in a
community. Which component of the triangle is
the virus itself?
A) Host
B) Agent
C) Environment
D) Vector
Correct answer: B
Rationale: The agent is the cause of the
disease (hepatitis A virus). The host is the
susceptible human. The environment includes
external factors that allow transmission
(contaminated food, water, poor sanitation). A
vector is a living transmitter (mosquito, tick)
not applicable here.
3. A community health nurse is conducting a
windshield survey. Which action is most
important during this type of assessment?
A) Interviewing community leaders about
perceived needs
B) Driving or walking through the community to
observe housing, streets, and resources
,C) Reviewing hospital discharge data for the
community
D) Analyzing census data on population
demographics
Correct answer: B
Rationale: A windshield survey involves
observing the community directly (driving or
walking in the community) to assess housing
conditions, environmental hazards, available
resources, schools, churches, grocery stores,
parks, sanitation, and safety.
4. A nurse is using the precede-proceed model
for health promotion planning. Which phase
involves identifying desired outcomes and
goals?
A) Social assessment
B) Epidemiological assessment
C) Educational and ecological assessment
D) Administrative and policy assessment
Correct answer: B
Rationale: The epidemiological assessment
phase identifies specific health problems and
desired outcomes (goals). Social assessment
, identifies quality of life. Educational and
ecological assessment identifies predisposing,
enabling, and reinforcing factors.
Administrative and policy assessment
addresses resources and organizational
barriers.
5. A community health nurse is providing
tertiary prevention. Which activity is an
example of tertiary prevention?
A) Teaching hand hygiene in elementary
schools
B) Administering influenza vaccines at a senior
center
C) Leading a support group for clients with
chronic heart failure
D) Inspecting restaurants for food safety
violations
Correct answer: C
Rationale: Tertiary prevention focuses on
rehabilitation, preventing complications, and
improving quality of life after disease onset.
Support groups for chronic illness are tertiary.
Hand hygiene and vaccines are primary
