NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
NR442 EXAM 1 /NR 442 COMMUNITY HEALTH NURSING EXAM 1
NEWEST 2025/2026 ACTUAL EXAM COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Which of the following describe a problem with the U.S. water quality today?
(Select all that apply.)
a. Companies demand high reimbursement when asked to stop dumping heavy
metals into local water sources.
b. Many aquifers are contaminated with pesticides and fertilizers.
c. More than 45 million Americans drink untreated water.
d. Sediment from construction, agriculture, and deforestation is often present.
e. Underground water, if contaminated, cannot be cleansed.
f. Water-related diseases (cholera, typhoid, dysentery) frequently occur. -
ANSWER-ANS: B, C, D, E
More than 45 million Americans obtain water from private wells, which have no
treatment or monitoring guidelines. Water quality problems include dosing
reservoirs with chemicals to reduce algae, contaminating aquifers with pesticides
and fertilizers, and leaching lead from water pipes. Underground water cannot be
cleansed. Companies demand high reimbursement when asked to stop dumping
heavy metals into local water sources and the frequent occurrence of water-
related diseases (cholera, typhoid, dysentery) are not current problems with the
water quality in the United States.
Which of the following have been identified as part of the core environmental
health competencies? (Select all that apply.)
a. Assurance
1|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
b. Assessment
c. Policy development
d. Management
e. Advocacy
f. Communication - ANSWER-ANS: B, D, F
The National Center for Environmental Health, the Centers for Disease Control and
Prevention, and the American Public Health Association have established three
core competencies for Environmental Health professionals: (1) assessment, (2)
management, and (3) communication. Assurance, policy development, and
advocacy are not part of the core environmental health competencies.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 264 | p. 265
Which of the following best describes the primary reason that Americans are
concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans. - ANSWER-ANS: C
The primary reason for the focus on health care is the constantly increasing costs,
which cannot be sustained. The costs of caring for the sick accounted for the
majority of escalating health care dollars, which increased from 5.7% of the gross
domestic product in 1965 to 17.6% in 2009. Politicians and the media both
influence Americans' perceptions about health care; however, they are not the
primary reason why Americans are concerned. The new health care system will
change the health care access and availablity, but will not necessarily be offering
any free services to Americans.
2|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
A nurse has begun to lobby with politicians for changes to the health care system.
Why is this involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American media.
b. Nurses are primarily responsible for managing the various units in our health
care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
- ANSWER-ANS: C
As the largest group of health care providers, nurses are informed about the
current health care system and all the problems that result from people not
seeking care until they are desperately ill. Nurses, as the American Nurses
Association (ANA) emphasize, usually believe that health care is a right, not a
privilege. Therefore, nurses, whose work is central to our current health care
delivery system, can also be instrumental in working politically to create a health
care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals,
physicians and other health care providers are as well. Nurses are often managers,
but managers often have other backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
What conclusion can be drawn from examining where nurses are employed?
3|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
relations. - ANSWER-ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and
acute care is increasingly found in central medical centers, the same trend may be
seen in an increase in neighborhood-based practice centers. While positions are
cut in most industries, health care is recognized as an area where growth in
employment is expected. However, nurses are increasingly employed in
community settings as opposed to hospitals. This change reflects the move toward
community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease
prevention rather than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
Which of the following statements best describes the relationship between the
environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
b. Because the environment has such long-term effects on health, research
findings are not yet available.
c. Research shows that a healthy environment has limited impact on one's health.
d. Research shows that a healthy environment increases quality of life and years
of healthy living. - ANSWER-ANS: D
4|Page
NR442 EXAM 1 /NR 442 COMMUNITY HEALTH NURSING EXAM 1
NEWEST 2025/2026 ACTUAL EXAM COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Which of the following describe a problem with the U.S. water quality today?
(Select all that apply.)
a. Companies demand high reimbursement when asked to stop dumping heavy
metals into local water sources.
b. Many aquifers are contaminated with pesticides and fertilizers.
c. More than 45 million Americans drink untreated water.
d. Sediment from construction, agriculture, and deforestation is often present.
e. Underground water, if contaminated, cannot be cleansed.
f. Water-related diseases (cholera, typhoid, dysentery) frequently occur. -
ANSWER-ANS: B, C, D, E
More than 45 million Americans obtain water from private wells, which have no
treatment or monitoring guidelines. Water quality problems include dosing
reservoirs with chemicals to reduce algae, contaminating aquifers with pesticides
and fertilizers, and leaching lead from water pipes. Underground water cannot be
cleansed. Companies demand high reimbursement when asked to stop dumping
heavy metals into local water sources and the frequent occurrence of water-
related diseases (cholera, typhoid, dysentery) are not current problems with the
water quality in the United States.
Which of the following have been identified as part of the core environmental
health competencies? (Select all that apply.)
a. Assurance
1|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
b. Assessment
c. Policy development
d. Management
e. Advocacy
f. Communication - ANSWER-ANS: B, D, F
The National Center for Environmental Health, the Centers for Disease Control and
Prevention, and the American Public Health Association have established three
core competencies for Environmental Health professionals: (1) assessment, (2)
management, and (3) communication. Assurance, policy development, and
advocacy are not part of the core environmental health competencies.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 264 | p. 265
Which of the following best describes the primary reason that Americans are
concerned about health care?
a. Politicians are discussing how to improve health care.
b. The media has provided mixed messages about the health care system.
c. Our national health care costs keep increasing.
d. The new health care system offers free services to Americans. - ANSWER-ANS: C
The primary reason for the focus on health care is the constantly increasing costs,
which cannot be sustained. The costs of caring for the sick accounted for the
majority of escalating health care dollars, which increased from 5.7% of the gross
domestic product in 1965 to 17.6% in 2009. Politicians and the media both
influence Americans' perceptions about health care; however, they are not the
primary reason why Americans are concerned. The new health care system will
change the health care access and availablity, but will not necessarily be offering
any free services to Americans.
2|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
A nurse has begun to lobby with politicians for changes to the health care system.
Why is this involvement important?
a. Nurses, as central characters in several popular TV series, are currently very
visible in American media.
b. Nurses are primarily responsible for managing the various units in our health
care system.
c. Nurses are the largest group of health care providers.
d. Nurses are the only group that is employed both inside and outside of hospitals.
- ANSWER-ANS: C
As the largest group of health care providers, nurses are informed about the
current health care system and all the problems that result from people not
seeking care until they are desperately ill. Nurses, as the American Nurses
Association (ANA) emphasize, usually believe that health care is a right, not a
privilege. Therefore, nurses, whose work is central to our current health care
delivery system, can also be instrumental in working politically to create a health
care delivery system that will meet health needs. While nurses are in several
current TV series and are employed both inside and outside of hospitals,
physicians and other health care providers are as well. Nurses are often managers,
but managers often have other backgrounds, such as business administration.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
What conclusion can be drawn from examining where nurses are employed?
3|Page
, NR442 Exam 1 /NR 442 Community Health Nursing Exam 1
a. There is a trend toward consolidation of health care into large central medical
centers.
b. There is an increased emphasis on community-based health care.
c. There is an obvious need to decrease health care costs by cutting positions.
d. Managed care organizations (MCOs) are employing nurses to improve customer
relations. - ANSWER-ANS: B
MCOs are employing nurses in many capacities. Although hospitals are closing and
acute care is increasingly found in central medical centers, the same trend may be
seen in an increase in neighborhood-based practice centers. While positions are
cut in most industries, health care is recognized as an area where growth in
employment is expected. However, nurses are increasingly employed in
community settings as opposed to hospitals. This change reflects the move toward
community-based care rather than hospital-based tertiary care. To help decrease
the continued rise in health care costs, the increased emphasis is on disease
prevention rather than high-cost treatment.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
Which of the following statements best describes the relationship between the
environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
b. Because the environment has such long-term effects on health, research
findings are not yet available.
c. Research shows that a healthy environment has limited impact on one's health.
d. Research shows that a healthy environment increases quality of life and years
of healthy living. - ANSWER-ANS: D
4|Page
