NR 464 EXAM 3 (SAUNDERS) NEWEST 2026 ACTUAL
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
1. A community health nurse is conducting a windshield survey.
Which is the primary purpose of this assessment?
A) To observe the physical environment, housing, schools, and
services in a community
B) To interview community leaders
C) To review mortality statistics
D) To analyze lab reports
Correct Answer: A
Rationale: A windshield survey involves driving through a
community to observe its physical characteristics (housing, green
space, transportation, industry, schools, healthcare facilities). It
1
,provides initial subjective data. Interviews (B) and statistics (C)
are other assessment methods.
2. A nurse is applying the epidemiological triad to a community
outbreak of tuberculosis. The triad includes:
A) Agent, host, environment
B) Cause, effect, treatment
C) Person, place, time
D) Incidence, prevalence, mortality
Correct Answer: A
Rationale: The epidemiological triad (agent–host–environment)
explains disease transmission. Agent = Mycobacterium
tuberculosis, host = susceptible person, environment = crowding,
ventilation. Person/place/time (C) are descriptive epidemiology.
Incidence/prevalence (D) are measures.
3. A community health nurse is using the nursing process at the
community level. The first step is:
2
,A) Community diagnosis
B) Community assessment
C) Planning interventions
D) Evaluation
Correct Answer: B
Rationale: The community nursing process follows the same steps
as individual care: assessment (data collection), diagnosis
(identify community health problems), planning, implementation,
evaluation. Assessment always comes first.
4. Which is an example of primary prevention in community
health?
A) Vaccination clinic for influenza
B) Blood pressure screening at a health fair
C) Cardiac rehabilitation after myocardial infarction
D) Physical therapy for stroke recovery
3
, Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs
(vaccinations, health education, environmental changes).
Secondary prevention (B) = screening (early detection). Tertiary
prevention (C, D) = rehabilitation and preventing complications.
5. A nurse is calculating the infant mortality rate for a county.
The numerator is:
A) Number of infant deaths (<1 year) in a year
B) Number of live births in a year
C) Number of neonatal deaths
D) Number of maternal deaths
Correct Answer: A
Rationale: Infant mortality rate = (number of infant deaths under
1 year in a year / number of live births in the same year) ×
1,000. Denominator is live births (B). Neonatal deaths (C) are
<28 days.
4
EXAM| COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
1. A community health nurse is conducting a windshield survey.
Which is the primary purpose of this assessment?
A) To observe the physical environment, housing, schools, and
services in a community
B) To interview community leaders
C) To review mortality statistics
D) To analyze lab reports
Correct Answer: A
Rationale: A windshield survey involves driving through a
community to observe its physical characteristics (housing, green
space, transportation, industry, schools, healthcare facilities). It
1
,provides initial subjective data. Interviews (B) and statistics (C)
are other assessment methods.
2. A nurse is applying the epidemiological triad to a community
outbreak of tuberculosis. The triad includes:
A) Agent, host, environment
B) Cause, effect, treatment
C) Person, place, time
D) Incidence, prevalence, mortality
Correct Answer: A
Rationale: The epidemiological triad (agent–host–environment)
explains disease transmission. Agent = Mycobacterium
tuberculosis, host = susceptible person, environment = crowding,
ventilation. Person/place/time (C) are descriptive epidemiology.
Incidence/prevalence (D) are measures.
3. A community health nurse is using the nursing process at the
community level. The first step is:
2
,A) Community diagnosis
B) Community assessment
C) Planning interventions
D) Evaluation
Correct Answer: B
Rationale: The community nursing process follows the same steps
as individual care: assessment (data collection), diagnosis
(identify community health problems), planning, implementation,
evaluation. Assessment always comes first.
4. Which is an example of primary prevention in community
health?
A) Vaccination clinic for influenza
B) Blood pressure screening at a health fair
C) Cardiac rehabilitation after myocardial infarction
D) Physical therapy for stroke recovery
3
, Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs
(vaccinations, health education, environmental changes).
Secondary prevention (B) = screening (early detection). Tertiary
prevention (C, D) = rehabilitation and preventing complications.
5. A nurse is calculating the infant mortality rate for a county.
The numerator is:
A) Number of infant deaths (<1 year) in a year
B) Number of live births in a year
C) Number of neonatal deaths
D) Number of maternal deaths
Correct Answer: A
Rationale: Infant mortality rate = (number of infant deaths under
1 year in a year / number of live births in the same year) ×
1,000. Denominator is live births (B). Neonatal deaths (C) are
<28 days.
4
