NR 446 Community Health Nursing Final 2026/2027
COMPLETE ACCURATE ACTUAL QUIZ&ANS WITH
RATIONALES |ALREADY GRADED A+|NEWEST
VERSION |BEST DOCUMENT FOR EXAM
1. A community health nurse is planning a health promotion program for
adolescents. Which of the following actions should the nurse include as a
primary prevention strategy?
a. Conducting blood pressure screenings
b. Teaching safe sex practices
c. Referring adolescents for counseling
d. Providing rehabilitation services
Correct Answer: B
Expert Rationale:
Primary prevention focuses on preventing disease or injury before it occurs.
Teaching safe sex practices helps reduce the risk of sexually transmitted infections
and unintended pregnancies. Blood pressure screenings are secondary prevention
because they identify disease early. Counseling referrals and rehabilitation
services are tertiary prevention interventions aimed at managing existing
conditions.
NCLEX focus: prevention levels in community health nursing.
DIF: Knowledge
REF: Levels of Prevention
OBJ: Identify primary prevention interventions
TOP: Health Promotion and Maintenance
, 2. A public health nurse is conducting a home visit for a client with
tuberculosis. Which of the following actions should the nurse take first?
a. Teach the client about medication adherence
b. Assess the client’s understanding of infection control
c. Wear an N95 respirator during the visit
d. Evaluate the client’s nutritional status
Correct Answer: C
Expert Rationale:
Tuberculosis is transmitted through airborne droplets. The priority action is
protecting oneself and preventing disease transmission by wearing an N95
respirator. Safety and infection control are the nurse’s first responsibilities before
assessment or teaching.
NCLEX focus: airborne precautions and community infection control.
DIF: Application
REF: Tuberculosis Precautions
OBJ: Apply infection control principles
TOP: Safe and Effective Care Environment
3. A nurse is reviewing epidemiological data in a community. Which of the
following indicates the prevalence of a disease?
a. Number of new cases over a year
b. Number of deaths from the disease
c. Total number of existing cases
d. Percentage of exposed individuals
Correct Answer: C
Expert Rationale:
Prevalence refers to the total number of existing cases of a disease within a
population at a given time. Incidence refers to new cases. Mortality refers to
deaths. Understanding prevalence helps nurses plan healthcare resources and
interventions.
,NCLEX focus: epidemiological concepts.
DIF: Knowledge
REF: Epidemiology Basics
OBJ: Differentiate prevalence from incidence
TOP: Health Promotion and Maintenance
4. A community health nurse is assessing a low-income neighborhood. Which
of the following is a social determinant of health?
a. Family history of hypertension
b. Genetic predisposition to diabetes
c. Access to nutritious food
d. Blood type
Correct Answer: C
Expert Rationale:
Social determinants of health are conditions in the environment that affect health
outcomes. Access to nutritious food significantly impacts wellness and disease
prevention. Genetics and blood type are biological factors, not social
determinants.
NCLEX focus: social determinants affecting population health.
DIF: Knowledge
REF: Community Health Concepts
OBJ: Identify social determinants of health
TOP: Health Promotion and Maintenance
5. A nurse is caring for clients following a natural disaster. Which of the
following clients should the nurse assess first?
a. A client requesting refill prescriptions
b. A client with a minor laceration
c. A client experiencing chest pain
d. A client needing transportation assistance
, Correct Answer: C
Expert Rationale:
During disaster triage, life-threatening conditions take priority. Chest pain may
indicate myocardial infarction or other critical cardiovascular emergencies.
Immediate assessment and intervention are necessary.
NCLEX focus: disaster triage priorities.
DIF: Application
REF: Disaster Nursing
OBJ: Prioritize care during disasters
TOP: Safe and Effective Care Environment
6. A nurse is participating in contact tracing during an outbreak investigation.
What is the primary goal of contact tracing?
a. Increase vaccination rates
b. Identify and notify exposed individuals
c. Improve sanitation practices
d. Reduce healthcare costs
Correct Answer: B
Expert Rationale:
Contact tracing identifies individuals exposed to infectious diseases so they can be
notified, monitored, and treated if necessary. This intervention helps limit disease
transmission within the community.
NCLEX focus: communicable disease control.
DIF: Knowledge
REF: Public Health Interventions
OBJ: Explain the purpose of contact tracing
TOP: Health Promotion and Maintenance
7. A school nurse is assessing children for vision problems. This activity is an
example of which level of prevention?
COMPLETE ACCURATE ACTUAL QUIZ&ANS WITH
RATIONALES |ALREADY GRADED A+|NEWEST
VERSION |BEST DOCUMENT FOR EXAM
1. A community health nurse is planning a health promotion program for
adolescents. Which of the following actions should the nurse include as a
primary prevention strategy?
a. Conducting blood pressure screenings
b. Teaching safe sex practices
c. Referring adolescents for counseling
d. Providing rehabilitation services
Correct Answer: B
Expert Rationale:
Primary prevention focuses on preventing disease or injury before it occurs.
Teaching safe sex practices helps reduce the risk of sexually transmitted infections
and unintended pregnancies. Blood pressure screenings are secondary prevention
because they identify disease early. Counseling referrals and rehabilitation
services are tertiary prevention interventions aimed at managing existing
conditions.
NCLEX focus: prevention levels in community health nursing.
DIF: Knowledge
REF: Levels of Prevention
OBJ: Identify primary prevention interventions
TOP: Health Promotion and Maintenance
, 2. A public health nurse is conducting a home visit for a client with
tuberculosis. Which of the following actions should the nurse take first?
a. Teach the client about medication adherence
b. Assess the client’s understanding of infection control
c. Wear an N95 respirator during the visit
d. Evaluate the client’s nutritional status
Correct Answer: C
Expert Rationale:
Tuberculosis is transmitted through airborne droplets. The priority action is
protecting oneself and preventing disease transmission by wearing an N95
respirator. Safety and infection control are the nurse’s first responsibilities before
assessment or teaching.
NCLEX focus: airborne precautions and community infection control.
DIF: Application
REF: Tuberculosis Precautions
OBJ: Apply infection control principles
TOP: Safe and Effective Care Environment
3. A nurse is reviewing epidemiological data in a community. Which of the
following indicates the prevalence of a disease?
a. Number of new cases over a year
b. Number of deaths from the disease
c. Total number of existing cases
d. Percentage of exposed individuals
Correct Answer: C
Expert Rationale:
Prevalence refers to the total number of existing cases of a disease within a
population at a given time. Incidence refers to new cases. Mortality refers to
deaths. Understanding prevalence helps nurses plan healthcare resources and
interventions.
,NCLEX focus: epidemiological concepts.
DIF: Knowledge
REF: Epidemiology Basics
OBJ: Differentiate prevalence from incidence
TOP: Health Promotion and Maintenance
4. A community health nurse is assessing a low-income neighborhood. Which
of the following is a social determinant of health?
a. Family history of hypertension
b. Genetic predisposition to diabetes
c. Access to nutritious food
d. Blood type
Correct Answer: C
Expert Rationale:
Social determinants of health are conditions in the environment that affect health
outcomes. Access to nutritious food significantly impacts wellness and disease
prevention. Genetics and blood type are biological factors, not social
determinants.
NCLEX focus: social determinants affecting population health.
DIF: Knowledge
REF: Community Health Concepts
OBJ: Identify social determinants of health
TOP: Health Promotion and Maintenance
5. A nurse is caring for clients following a natural disaster. Which of the
following clients should the nurse assess first?
a. A client requesting refill prescriptions
b. A client with a minor laceration
c. A client experiencing chest pain
d. A client needing transportation assistance
, Correct Answer: C
Expert Rationale:
During disaster triage, life-threatening conditions take priority. Chest pain may
indicate myocardial infarction or other critical cardiovascular emergencies.
Immediate assessment and intervention are necessary.
NCLEX focus: disaster triage priorities.
DIF: Application
REF: Disaster Nursing
OBJ: Prioritize care during disasters
TOP: Safe and Effective Care Environment
6. A nurse is participating in contact tracing during an outbreak investigation.
What is the primary goal of contact tracing?
a. Increase vaccination rates
b. Identify and notify exposed individuals
c. Improve sanitation practices
d. Reduce healthcare costs
Correct Answer: B
Expert Rationale:
Contact tracing identifies individuals exposed to infectious diseases so they can be
notified, monitored, and treated if necessary. This intervention helps limit disease
transmission within the community.
NCLEX focus: communicable disease control.
DIF: Knowledge
REF: Public Health Interventions
OBJ: Explain the purpose of contact tracing
TOP: Health Promotion and Maintenance
7. A school nurse is assessing children for vision problems. This activity is an
example of which level of prevention?
