LATEST UPDATED NR 442 UNIT 1-4 -
COMMUNITY HEALTH NURSING | COMPLETE
EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A community health nurse is applying the
nursing process at the community level. Which
action occurs during the assessment phase?
A) Developing goals and objectives for a
smoking cessation program
B) Collecting and analyzing data about the
community's health status, resources, and
needs
C) Implementing a vaccination clinic at a local
school
D) Evaluating whether community health
outcomes have improved
Correct answer: B
Rationale: Assessment involves collecting and
analyzing community data (demographics, vital
statistics, health resources, perceived needs,
windshield survey). Planning develops goals.
Implementation carries out interventions.
Evaluation measures outcomes.
,2. A nurse is using the epidemiological triangle
to investigate an outbreak of hepatitis A. Which
component of the triangle is the susceptible
person?
A) Agent
B) Host
C) Environment
D) Vector
Correct answer: B
Rationale: The host is the susceptible human
(or animal) that can become infected. The
agent is the cause (hepatitis A virus). The
environment includes external factors allowing
transmission (contaminated food, water, poor
sanitation). A vector is a living transmitter
(mosquito, tick).
3. A community health nurse is conducting a
windshield survey. Which observation is most
relevant to assessing community resources?
A) Condition of housing and presence of
abandoned buildings
,B) Number of grocery stores, pharmacies,
clinics, schools, churches, and parks
C) Amount of traffic and presence of
streetlights
D) Type of industry and presence of
smokestacks
Correct answer: B
Rationale: Community resources include
grocery stores, pharmacies, health clinics,
hospitals, schools, churches, libraries, parks,
and community centers. Housing condition is
physical environment. Traffic and streetlights
are safety. Industry is
economic/environmental.
4. A nurse is using the precede-proceed model
for health promotion planning. Which phase
involves identifying quality of life concerns?
A) Social assessment
B) Epidemiological assessment
C) Behavioral and environmental assessment
D) Educational and ecological assessment
Correct answer: A
, Rationale: Social assessment identifies
perceived needs and quality of life concerns
from the community perspective.
Epidemiological assessment identifies specific
health problems. Behavioral assessment
identifies behaviors linked to health problems.
5. A community health nurse is providing
primary prevention. Which activity is an
example of primary prevention?
A) Teaching hand hygiene in elementary
schools
B) Conducting mammography screening for
breast cancer
C) Providing cardiac rehabilitation after a heart
attack
D) Screening for hypertension at a health fair
Correct answer: A
Rationale: Primary prevention prevents
disease before it occurs (hand hygiene,
vaccines, healthy eating education, smoking
prevention). Screening is secondary
prevention. Cardiac rehabilitation is tertiary
prevention.
COMMUNITY HEALTH NURSING | COMPLETE
EXAM WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A community health nurse is applying the
nursing process at the community level. Which
action occurs during the assessment phase?
A) Developing goals and objectives for a
smoking cessation program
B) Collecting and analyzing data about the
community's health status, resources, and
needs
C) Implementing a vaccination clinic at a local
school
D) Evaluating whether community health
outcomes have improved
Correct answer: B
Rationale: Assessment involves collecting and
analyzing community data (demographics, vital
statistics, health resources, perceived needs,
windshield survey). Planning develops goals.
Implementation carries out interventions.
Evaluation measures outcomes.
,2. A nurse is using the epidemiological triangle
to investigate an outbreak of hepatitis A. Which
component of the triangle is the susceptible
person?
A) Agent
B) Host
C) Environment
D) Vector
Correct answer: B
Rationale: The host is the susceptible human
(or animal) that can become infected. The
agent is the cause (hepatitis A virus). The
environment includes external factors allowing
transmission (contaminated food, water, poor
sanitation). A vector is a living transmitter
(mosquito, tick).
3. A community health nurse is conducting a
windshield survey. Which observation is most
relevant to assessing community resources?
A) Condition of housing and presence of
abandoned buildings
,B) Number of grocery stores, pharmacies,
clinics, schools, churches, and parks
C) Amount of traffic and presence of
streetlights
D) Type of industry and presence of
smokestacks
Correct answer: B
Rationale: Community resources include
grocery stores, pharmacies, health clinics,
hospitals, schools, churches, libraries, parks,
and community centers. Housing condition is
physical environment. Traffic and streetlights
are safety. Industry is
economic/environmental.
4. A nurse is using the precede-proceed model
for health promotion planning. Which phase
involves identifying quality of life concerns?
A) Social assessment
B) Epidemiological assessment
C) Behavioral and environmental assessment
D) Educational and ecological assessment
Correct answer: A
, Rationale: Social assessment identifies
perceived needs and quality of life concerns
from the community perspective.
Epidemiological assessment identifies specific
health problems. Behavioral assessment
identifies behaviors linked to health problems.
5. A community health nurse is providing
primary prevention. Which activity is an
example of primary prevention?
A) Teaching hand hygiene in elementary
schools
B) Conducting mammography screening for
breast cancer
C) Providing cardiac rehabilitation after a heart
attack
D) Screening for hypertension at a health fair
Correct answer: A
Rationale: Primary prevention prevents
disease before it occurs (hand hygiene,
vaccines, healthy eating education, smoking
prevention). Screening is secondary
prevention. Cardiac rehabilitation is tertiary
prevention.
