COMMUNITY HEALTH NURSING EXAM COMPLETE 250-
QUESTION PRACTICE EXAM WITH 100% VERIFIED ANSWERS
AND RATIONALES
1. A community health nurse is assessing a population’s health status. Which of
the following is the primary focus of community health nursing?
A. Treating acute illnesses in a hospital setting
B. Providing home care to individual patients
C. Improving the health of the entire community
D. Managing chronic diseases in clinics
Correct Answer: C
Rationale: Community health nursing emphasizes population-level health,
prevention, and health promotion, not just individual care.
2. Which core public health function involves ensuring that essential health
services are available to everyone?
A. Assessment
B. Policy development
C. Assurance
D. Surveillance
Correct Answer: C
Rationale: Assurance means making sure necessary services are available,
including through direct provision or referral. Assessment monitors health status;
policy development creates laws/guidelines.
,3. A nurse conducts a survey to identify the leading causes of death in a county.
This activity falls under which public health core function?
A. Assurance
B. Assessment
C. Policy development
D. Quality improvement
Correct Answer: B
Rationale: Assessment involves systematic data collection on population health
status, including morbidity and mortality.
4. Which level of prevention is a nurse using when administering a flu vaccine to
elderly residents at a senior center?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs (vaccination,
health education). Secondary = early detection; tertiary = rehabilitation.
5. A community health nurse working with a family after a stroke victim’s
discharge to prevent complications is practicing:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: C
Rationale: Tertiary prevention reduces disability and promotes rehabilitation after
disease is established.
,6. Which epidemiological model is most useful for understanding the interaction
of agent, host, and environment in disease causation?
A. Web of causation
B. Epidemiologic triangle
C. Health belief model
D. Social-ecological model
Correct Answer: B
Rationale: The epidemiologic triangle (agent-host-environment) is classic for
infectious disease analysis.
7. In a community with rising diabetes rates, the nurse prioritizes interventions
based on modifiable risk factors. Which is a modifiable risk factor for type 2
diabetes?
A. Age
B. Genetics
C. Physical inactivity
D. Ethnicity
Correct Answer: C
Rationale: Physical inactivity, diet, and obesity are modifiable. Age, genetics,
ethnicity are non-modifiable.
8. A nurse provides prenatal education to reduce low birth weight. This is an
example of:
A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
D. Screening
, Correct Answer: B
Rationale: Education before conception or during early pregnancy prevents
adverse outcomes.
9. Which term describes the number of new cases of a disease in a population
over a specific time period?
A. Prevalence
B. Incidence
C. Mortality rate
D. Attack rate
Correct Answer: B
Rationale: Incidence = new cases. Prevalence = all existing cases at a point in time.
10. A nurse calculates that 150 out of 10,000 people had heart disease on
January 1st. This is:
A. Prevalence
B. Incidence rate
C. Case fatality rate
D. Crude mortality rate
Correct Answer: A
Rationale: Existing cases (150) at a specific time = point prevalence.
11. Which of the following is a primary goal of Healthy People 2030?
A. Reduce health insurance costs
B. Eliminate all chronic diseases
C. Achieve health equity and improve health of all groups
D. Increase hospital bed capacity
QUESTION PRACTICE EXAM WITH 100% VERIFIED ANSWERS
AND RATIONALES
1. A community health nurse is assessing a population’s health status. Which of
the following is the primary focus of community health nursing?
A. Treating acute illnesses in a hospital setting
B. Providing home care to individual patients
C. Improving the health of the entire community
D. Managing chronic diseases in clinics
Correct Answer: C
Rationale: Community health nursing emphasizes population-level health,
prevention, and health promotion, not just individual care.
2. Which core public health function involves ensuring that essential health
services are available to everyone?
A. Assessment
B. Policy development
C. Assurance
D. Surveillance
Correct Answer: C
Rationale: Assurance means making sure necessary services are available,
including through direct provision or referral. Assessment monitors health status;
policy development creates laws/guidelines.
,3. A nurse conducts a survey to identify the leading causes of death in a county.
This activity falls under which public health core function?
A. Assurance
B. Assessment
C. Policy development
D. Quality improvement
Correct Answer: B
Rationale: Assessment involves systematic data collection on population health
status, including morbidity and mortality.
4. Which level of prevention is a nurse using when administering a flu vaccine to
elderly residents at a senior center?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Correct Answer: A
Rationale: Primary prevention prevents disease before it occurs (vaccination,
health education). Secondary = early detection; tertiary = rehabilitation.
5. A community health nurse working with a family after a stroke victim’s
discharge to prevent complications is practicing:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: C
Rationale: Tertiary prevention reduces disability and promotes rehabilitation after
disease is established.
,6. Which epidemiological model is most useful for understanding the interaction
of agent, host, and environment in disease causation?
A. Web of causation
B. Epidemiologic triangle
C. Health belief model
D. Social-ecological model
Correct Answer: B
Rationale: The epidemiologic triangle (agent-host-environment) is classic for
infectious disease analysis.
7. In a community with rising diabetes rates, the nurse prioritizes interventions
based on modifiable risk factors. Which is a modifiable risk factor for type 2
diabetes?
A. Age
B. Genetics
C. Physical inactivity
D. Ethnicity
Correct Answer: C
Rationale: Physical inactivity, diet, and obesity are modifiable. Age, genetics,
ethnicity are non-modifiable.
8. A nurse provides prenatal education to reduce low birth weight. This is an
example of:
A. Tertiary prevention
B. Primary prevention
C. Secondary prevention
D. Screening
, Correct Answer: B
Rationale: Education before conception or during early pregnancy prevents
adverse outcomes.
9. Which term describes the number of new cases of a disease in a population
over a specific time period?
A. Prevalence
B. Incidence
C. Mortality rate
D. Attack rate
Correct Answer: B
Rationale: Incidence = new cases. Prevalence = all existing cases at a point in time.
10. A nurse calculates that 150 out of 10,000 people had heart disease on
January 1st. This is:
A. Prevalence
B. Incidence rate
C. Case fatality rate
D. Crude mortality rate
Correct Answer: A
Rationale: Existing cases (150) at a specific time = point prevalence.
11. Which of the following is a primary goal of Healthy People 2030?
A. Reduce health insurance costs
B. Eliminate all chronic diseases
C. Achieve health equity and improve health of all groups
D. Increase hospital bed capacity
