NUR 206 – COMMUNITY NURSING
CONCEPTS EXAM 3 – FULL EXAMINATION
(215 QUESTIONS)LATEST 2025/2026 –
FORTIS COLLEGE
Instructions: Select the single best answer for each question.
SECTION 1: EPIDEMIOLOGY & DISEASE PREVENTION (1–20)
1. A community health nurse is investigating an outbreak of hepatitis A
in a daycare center. Which epidemiological measure should the nurse
calculate first?
a) Incidence rate
b) Prevalence rate
c) Attack rate
d) Case fatality rate
2. The nurse uses the epidemiological triangle to understand a
community health problem. Which of the following represents the
"host" factor in tuberculosis (TB)?
a) Overcrowded housing
b) Mycobacterium tuberculosis
,c) Malnourished individual
d) Poor ventilation
3. A nurse is conducting a community health assessment. Which data
source provides the most reliable mortality information?
a) National Health Interview Survey
b) Vital statistics (death certificates)
c) Hospital discharge data
d) Pharmacy prescription records
4. Which level of prevention is a nurse using when teaching a smoking
cessation class to high school students who have never smoked?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Quaternary prevention
5. A community has a high incidence of opioid overdoses. The nurse
implements a naloxone distribution program. This is an example of:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primordial prevention
6. During a community health fair, the nurse provides blood pressure
screenings. This activity is:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
,7. The nurse calculates the maternal mortality rate for a county.
Which numerator is correct?
a) Deaths of pregnant women from any cause during pregnancy
b) Deaths of women from obstetric causes during pregnancy or within
42 days of termination
c) Deaths of women up to 1 year postpartum
d) All female deaths ages 15–49
8. A nurse reviews an epidemic curve with a steep upward slope and a
sharp downward slope. This suggests:
a) Common source outbreak
b) Propagated outbreak
c) Intermittent exposure
d) Seasonal variation
9. Which screening program best exemplifies secondary prevention for
cervical cancer?
a) HPV vaccination in adolescents
b) Pap smear for sexually active women
c) Hysterectomy for carcinoma in situ
d) Chemotherapy for invasive cancer
10. The nurse uses crude mortality rate to compare two communities.
This rate includes:
a) Only premature deaths under age 65
b) Deaths from all causes in the entire population
c) Deaths from specific diseases
d) Deaths adjusted for age distribution
11. A screening test has 90% sensitivity. How many true positives will
be identified out of 200 people who truly have the disease?
, a) 90
b) 180
c) 20
d) 100
12. In a norovirus outbreak on a cruise ship, 300 of 1,500 passengers
became ill. What is the attack rate?
a) 10%
b) 20%
c) 30%
d) 50%
13. Age-adjusted rates are used to:
a) Compare raw mortality between two cities
b) Remove the effect of different age distributions
c) Calculate case fatality
d) Determine herd immunity
14. A nurse designs a tertiary prevention program for stroke
survivors. Which intervention is appropriate?
a) Blood pressure screening
b) Physical therapy to prevent contractures
c) Low-sodium diet teaching for all adults
d) Aspirin for all over age 50
15. The nurse uses herd immunity to guide vaccination campaigns. Herd
immunity protects:
a) Only vaccinated individuals
b) Unvaccinated individuals through reduced transmission
c) Only the elderly
d) Only children
CONCEPTS EXAM 3 – FULL EXAMINATION
(215 QUESTIONS)LATEST 2025/2026 –
FORTIS COLLEGE
Instructions: Select the single best answer for each question.
SECTION 1: EPIDEMIOLOGY & DISEASE PREVENTION (1–20)
1. A community health nurse is investigating an outbreak of hepatitis A
in a daycare center. Which epidemiological measure should the nurse
calculate first?
a) Incidence rate
b) Prevalence rate
c) Attack rate
d) Case fatality rate
2. The nurse uses the epidemiological triangle to understand a
community health problem. Which of the following represents the
"host" factor in tuberculosis (TB)?
a) Overcrowded housing
b) Mycobacterium tuberculosis
,c) Malnourished individual
d) Poor ventilation
3. A nurse is conducting a community health assessment. Which data
source provides the most reliable mortality information?
a) National Health Interview Survey
b) Vital statistics (death certificates)
c) Hospital discharge data
d) Pharmacy prescription records
4. Which level of prevention is a nurse using when teaching a smoking
cessation class to high school students who have never smoked?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Quaternary prevention
5. A community has a high incidence of opioid overdoses. The nurse
implements a naloxone distribution program. This is an example of:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primordial prevention
6. During a community health fair, the nurse provides blood pressure
screenings. This activity is:
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
,7. The nurse calculates the maternal mortality rate for a county.
Which numerator is correct?
a) Deaths of pregnant women from any cause during pregnancy
b) Deaths of women from obstetric causes during pregnancy or within
42 days of termination
c) Deaths of women up to 1 year postpartum
d) All female deaths ages 15–49
8. A nurse reviews an epidemic curve with a steep upward slope and a
sharp downward slope. This suggests:
a) Common source outbreak
b) Propagated outbreak
c) Intermittent exposure
d) Seasonal variation
9. Which screening program best exemplifies secondary prevention for
cervical cancer?
a) HPV vaccination in adolescents
b) Pap smear for sexually active women
c) Hysterectomy for carcinoma in situ
d) Chemotherapy for invasive cancer
10. The nurse uses crude mortality rate to compare two communities.
This rate includes:
a) Only premature deaths under age 65
b) Deaths from all causes in the entire population
c) Deaths from specific diseases
d) Deaths adjusted for age distribution
11. A screening test has 90% sensitivity. How many true positives will
be identified out of 200 people who truly have the disease?
, a) 90
b) 180
c) 20
d) 100
12. In a norovirus outbreak on a cruise ship, 300 of 1,500 passengers
became ill. What is the attack rate?
a) 10%
b) 20%
c) 30%
d) 50%
13. Age-adjusted rates are used to:
a) Compare raw mortality between two cities
b) Remove the effect of different age distributions
c) Calculate case fatality
d) Determine herd immunity
14. A nurse designs a tertiary prevention program for stroke
survivors. Which intervention is appropriate?
a) Blood pressure screening
b) Physical therapy to prevent contractures
c) Low-sodium diet teaching for all adults
d) Aspirin for all over age 50
15. The nurse uses herd immunity to guide vaccination campaigns. Herd
immunity protects:
a) Only vaccinated individuals
b) Unvaccinated individuals through reduced transmission
c) Only the elderly
d) Only children
