Document | Public Health Nursing,
Population Health & NGN Clinical Judgment
|Verified Questions with Detailed Rationales
Public Health Nursing, Population Health & NGN Clinical Judgment
Question 1
A community health nurse is planning care for a population experiencing increased cases of
tuberculosis (TB). Which intervention is the primary prevention strategy?
A. Providing directly observed therapy (DOT) for infected clients
B. Screening close contacts with tuberculin skin testing
C. Educating the public on cough etiquette and respiratory hygiene
D. Treating active TB cases with antibiotics
Correct Answer
✅ C. Educating the public on cough etiquette and respiratory hygiene
Rationale
Primary prevention focuses on preventing disease before it occurs. Education on hygiene and
transmission prevention reduces risk of infection.
Question 2
Which action by a community health nurse represents secondary prevention?
,A. Immunizing children against measles
B. Conducting blood pressure screenings at a community fair
C. Providing rehabilitation after a stroke
D. Teaching diabetes self-management
Correct Answer
✅ B. Conducting blood pressure screenings at a community fair
Rationale
Secondary prevention focuses on early detection and treatment through screening.
Question 3
A nurse is analyzing community data and identifies a high rate of childhood obesity. Which
action should the nurse take first in the community assessment process?
A. Implement a nutrition program
B. Identify risk factors contributing to obesity
C. Evaluate program outcomes
D. Provide treatment referrals
Correct Answer
✅ B. Identify risk factors contributing to obesity
Rationale
Assessment is the first step in the nursing process; identifying contributing factors comes before
intervention.
Question 4
Which population is considered most vulnerable in community health planning?
A. Healthy employed adults
B. Older adults with chronic illness and limited income
C. College athletes
D. Hospital staff nurses
,Correct Answer
✅ B. Older adults with chronic illness and limited income
Rationale
Vulnerable populations have limited resources and higher risk for poor health outcomes.
Question 5
A nurse is working with a community experiencing a measles outbreak. Which action is the
priority?
A. Provide nutritional counseling
B. Implement quarantine and immunization efforts
C. Offer stress management classes
D. Conduct recreational therapy
Correct Answer
✅ B. Implement quarantine and immunization efforts
Rationale
Infectious disease outbreaks require immediate containment and vaccination strategies.
Question 6
Which statement best describes herd immunity?
A. Protection of an individual after infection
B. Immunity provided by antibiotics
C. Resistance of a population when most individuals are immune
D. Temporary immunity after vaccination only
Correct Answer
✅ C. Resistance of a population when most individuals are immune
Rationale
, Herd immunity reduces disease spread when a large portion of the population is immune.
Question 7
A community nurse is addressing food insecurity. Which intervention is most appropriate?
A. Prescribe antibiotics
B. Refer clients to food assistance programs
C. Provide surgical care
D. Increase hospital admissions
Correct Answer
✅ B. Refer clients to food assistance programs
Rationale
Community health focuses on connecting clients with resources that address social
determinants of health.
Question 8
Which factor is a social determinant of health?
A. Blood pressure
B. Genetic mutation
C. Housing stability
D. Heart rate
Correct Answer
✅ C. Housing stability
Rationale
Social determinants include economic and environmental conditions affecting health.