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Quizzes > Health & Medicine

Community Health Practice Quiz for RNs

Quick, free quiz with community health nursing practice questions. Instant results.

Editorial: Review CompletedCreated By: Nirx Mpls OfficeUpdated Aug 25, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art illustration for Community Health Nursing Practice Questions quiz on a teal background

This Community Health Nursing quiz helps you check your RN knowledge and apply it to real community settings, including epidemiology, health promotion, cultural care, and assessment. When you are done, build confidence with the fundamentals of nursing quiz, explore care for older adults in the gerontology practice quiz, or challenge yourself with the fundamentals of nursing quiz 1.

What is the primary focus of community health nursing?
Individual bedside care
Hospital administration
Population health promotion
Medication administration only
Community health nursing is centered on improving the health of populations and communities rather than focusing solely on individual patients. It involves health promotion, education, and disease prevention strategies at the community level. This approach helps address social determinants of health and reduces health disparities. Learn more at .
Which of the following is an example of primary prevention?
Rehabilitative therapy
Administering immunizations
Palliative care measures
Disease screening tests
Primary prevention aims to prevent the onset of disease by reducing risk factors and promoting health before pathology occurs. Immunizations are a classic example because they enhance immunity and prevent infections. Other primary prevention activities include health education and lifestyle modifications. For more details, see .
A community assessment is best described as which of the following?
Individual patient history taking
A random health fair event
Systematic data collection about community health status
Hospital quality audit
A community assessment involves systematic gathering and analysis of quantitative and qualitative data to identify health needs and resources in a community. It guides planning, implementation, and evaluation of community health interventions. This process is foundational for effective public health practice. More information is available at .
What is a windshield survey?
A rapid lab test for infectious diseases
An individual psychological assessment
A detailed environmental testing procedure
An observational community assessment conducted by driving or walking through the area
A windshield survey is a quick method of assessing community dynamics, resources, and environmental factors by observing while moving through the area. It helps nurses identify potential health issues and community assets before deeper data collection. It is a key first step in community assessment. For guidance, see .
In community health nursing, epidemiology is most often used to:
Identify patterns and causes of disease in populations
Design pharmaceutical compounds
Administer hospital-based therapies
Manage individual patient charts
Epidemiology is the study of distribution and determinants of health and disease in populations. Community health nurses use epidemiology to track disease trends, identify risk factors, and develop targeted interventions. Understanding epidemiologic data guides prevention and control measures. Learn more at .
The ecological model of health includes which level of influence?
Genetic sequencing level
Community level
Molecular level
Interplanetary level
The ecological model recognizes multiple levels of influence on health, including individual, interpersonal, community, and societal factors. The community level captures norms, social networks, and living conditions. Interventions at this level address group dynamics and community resources. More details at .
Which of the following is considered a health indicator?
Infant mortality rate
Medical equipment age
Hospital room color
Nurse staffing patterns
Health indicators are statistical measures that describe the health status of a population. Infant mortality rate is a key indicator reflecting the health of mothers and infants and overall health system performance. They guide policy and resource allocation. For more, see .
Which factor is recognized as a social determinant of health?
Educational attainment
Daily blood pressure reading
Hospital infection control policy
Individual genetic mutation
Social determinants of health are conditions in which people are born, grow, live, work, and age. Education level influences income potential, health literacy, and access to resources. Addressing these determinants helps reduce health disparities. More information at .
The incidence rate measures which of the following?
Number of deaths from a disease
New cases of a disease in a population during a specific period
Total cases of a disease at a specific point in time
Recovery rate from a disease
Incidence rate quantifies the occurrence of new cases of a condition in a defined population over a specified time period. It helps public health professionals understand disease emergence and transmission dynamics. Distinct from prevalence, which measures all existing cases. More details at .
Immunization campaigns are an example of which level of prevention?
Tertiary prevention
Primary prevention
Secondary prevention
Quaternary prevention
Primary prevention focuses on preventing disease before it occurs. Immunizations build immunity and avert infections, fitting squarely into this category. Secondary prevention involves early detection, while tertiary focuses on reducing complications. Reference: .
A community health nurse conducts home visits. Which setting description best applies?
Working only in tertiary hospitals
Offering telephonic advice without in-person visits
Providing care exclusively in clinics
Assessing clients and families in their own living environment
Home visits allow community health nurses to assess health status, environment, and family dynamics in the clients' home. This setting reveals social determinants, safety hazards, and support systems. It enables personalized care planning and health education. See .
The PICO framework in evidence-based practice is used to:
Develop clinical research questions
Measure community vaccination rates
Administer primary care immunizations
Plan community resource allocation
PICO stands for Population, Intervention, Comparison, and Outcome. It provides a structured approach to framing clinical questions and guiding literature searches for evidence-based practice. Using PICO improves the relevance and clarity of research inquiries. More at .
If a community reports 20 new cases of a disease in a year and the at-risk population is 2,000, what is the incidence rate per 1,000 population?
10 per 1,000
1 per 1,000
100 per 1,000
0.1 per 1,000
Incidence rate = (new cases ÷ population at risk) × multiplier. Here, (20 ÷ 2000) × 1,000 = 10 per 1,000. This calculation informs trends and the need for interventions. Accurate incidence rates are critical for resource allocation. See .
What is the first step in community health program planning?
Program evaluation
Needs assessment
Grant writing
Resource allocation
Program planning begins with a needs assessment to identify community health issues, resources, and gaps. This data-driven step ensures relevance and community engagement. It informs objectives, strategies, and evaluation metrics. More detail at .
Which action area is included in the Ottawa Charter for Health Promotion?
Developing new pharmaceuticals
Limiting community participation
Expanding tertiary hospital capacity
Creating supportive environments
The Ottawa Charter outlines five action areas, including creating supportive environments for health, strengthening community action, and developing personal skills. Supportive environments foster conditions that promote well-being. This framework guides global health promotion efforts. See .
Cultural competence in community health nursing primarily involves:
Recognizing and respecting patient beliefs and values
Avoiding communication with interpreters
Enforcing standardized care for all groups
Focusing exclusively on biological factors
Cultural competence requires awareness of one's own biases, respect for diverse values, and adapting care to meet cultural needs. It enhances patient trust, communication, and health outcomes. Culturally competent care reduces disparities. Learn more at .
In risk communication during an outbreak, messages should be:
Overly technical and detailed
Delayed until all facts are known
Timely, accurate, and transparent
Selective and guarded
Effective risk communication during outbreaks must be timely to reduce uncertainty, accurate to maintain credibility, and transparent to build public trust. Clear messages facilitate appropriate public response. The CDC provides guidelines for outbreak communication. See .
A town hall meeting to gather community input is an example of:
Home safety audit
Clinical laboratory test
Randomized trial
Community forum
Community forums are structured meetings where stakeholders discuss health issues, share concerns, and plan interventions. They encourage participation and collective decision-making. Forums help ensure programs reflect community priorities. More at .
During a home visit, the nurse's first priority should be to assess:
Client's insurance status
Environmental and personal safety
Medication side effects
Community vaccination policies
Ensuring a safe environment for both client and nurse is fundamental during home visits. The nurse checks for hazards such as uneven flooring, exposed wires, or unsafe pets before proceeding. Safety assessment prevents injuries and facilitates care delivery. CDC guidelines on home safety are at .
A screening test with high sensitivity means it will have:
No need for follow-up tests
Guaranteed diagnostic confirmation
Few false-positive results
Few false-negative results
Sensitivity measures a test's ability to correctly identify those with the disease (true positives). High sensitivity means the test misses very few cases, resulting in few false negatives. Follow-up diagnostic tests are still needed to confirm positive results. More at .
What is the primary goal of case management in community health?
Administer all community vaccines
Design clinical trials
Coordinate care to achieve optimal health outcomes
Provide only acute hospital care
Case management involves assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet individuals' and families' comprehensive health needs. It ensures seamless services across settings and optimizes outcomes. Case managers work with patients and providers to reduce barriers. See for standards.
The Wheel Model of family assessment emphasizes which concept?
Genetic profiling
Disease-focused treatment
Family as the unit of care
Doctor-led interventions
The Wheel Model places the family at the center of the assessment and intervention process, viewing family functioning within its environment. It recognizes relational and contextual factors affecting health. This model guides holistic, family-centered care planning. Additional information at .
Which of the following illustrates a health disparity?
Differences in hospital branding colors
Variation in nurse-patient ratios by shift
Seasonal variation of influenza
Higher diabetes prevalence among low-income communities
Health disparities are preventable differences in health status experienced by underserved populations. Higher disease rates in low-income communities reflect social, economic, and environmental inequities. Addressing these disparities is central to community health nursing. Learn more at .
Public health surveillance is primarily defined as:
Laboratory testing only
Clinical trial recruitment
Ongoing systematic collection, analysis, and interpretation of health data
A one-time cross-sectional survey
Surveillance is an essential public health function for early detection of outbreaks and monitoring disease trends. It involves continuous data gathering, analysis, and timely dissemination. Effective surveillance guides prevention and control strategies. See .
Which three components make up the epidemiologic triangle?
Incidence, prevalence, and mortality
Diagnosis, treatment, and rehabilitation
Pathogen, clinic, and patient
Agent, host, and environment
The epidemiologic triangle explains disease causation through interactions among the agent (cause), host (susceptible individual), and environment (external factors). Altering any component can prevent or control disease. This model guides outbreak investigations. More at .
To calculate relative risk (RR), which formula is used?
Prevalence in exposed ÷ prevalence in unexposed
Total cases in study period ÷ study duration
New cases ÷ total population
Incidence in exposed ÷ incidence in unexposed
Relative risk compares the risk of an outcome among an exposed group to an unexposed group, calculated as incidence(exposed)/incidence(unexposed). It indicates strength of association in cohort studies. RR >1 suggests increased risk with exposure. Guidance at .
In community health nursing, policy development often involves:
Individual clinical diagnostics
Purely laboratory research
Direct hospital administration tasks
Advocacy for health regulations and resource allocation
Community health nurses play key roles in policy development by advocating for legislation, influencing public health regulations, and guiding resource distribution. They provide data-driven recommendations to policymakers. Advocacy helps shape healthy public policies. See .
Which stage of risk assessment involves identifying potential hazards?
Exposure assessment
Hazard identification
Dose-response assessment
Risk characterization
Risk assessment starts with hazard identification, determining whether a substance or situation can cause harm. Subsequent steps include dose-response, exposure assessment, and risk characterization. This framework guides environmental health interventions. More at .
Formative evaluation in program planning is conducted:
Only for budgetary purposes
During program implementation to improve processes
After program completion only
Before any planning begins
Formative evaluation occurs while a program is being implemented, providing feedback to refine activities, materials, and delivery methods. It enhances program quality and effectiveness before final outcomes are measured. Summative evaluation happens afterward. Details at .
A community nursing diagnosis statement should include which elements?
Medication list, dosage, and schedule
Hormone levels, diet plan, and lab values
Individual patient name, age, and chart number
Problem, population, and location
A community nursing diagnosis should clearly state the health problem, the affected population, and the geographic or demographic location. This clarity guides targeted interventions. It mirrors individual diagnosis structure adapted for groups. Reference: .
In a logic model, outputs are defined as:
Community complaints
Direct products of program activities
Initial funding sources
Long-term health outcomes
Outputs refer to the immediate results of program activities, such as number of workshops conducted or materials distributed. They are distinct from outcomes, which measure short-term, intermediate, or long-term effects. Clear outputs facilitate evaluation of program implementation. See .
Stakeholder analysis in community health planning helps to:
Identify each stakeholder's influence and level of interest
Train laboratory personnel
Calculate program costs precisely
Perform clinical diagnostics
Stakeholder analysis maps out individuals and groups who can affect or are affected by a program. Understanding their influence, interests, and relationships guides engagement strategies and supports program success. It enhances collaboration and resource mobilization. More at .
In grant writing, sustainability refers to:
Reducing program scope annually
Ability to maintain program benefits after initial funding ends
Securing multiple small grants only
Focusing solely on research activities
Sustainability in program planning and grants means ensuring that program activities and outcomes can continue when dedicated funds cease. It involves building community capacity, diversified funding, and institutional support. Sustainable programs have long-term impact. See .
Which ethical principle emphasizes fair distribution of resources?
Beneficence
Autonomy
Justice
Nonmaleficence
Justice in healthcare ethics refers to equitable distribution of benefits, risks, and costs among all people. It underlies policies and procedures that ensure fair access to care. Violations occur when disparities limit certain groups. More at .
The START triage system categorizes patients based on:
Height, weight, and BMI
Respiration, perfusion, and mental status
Blood type, allergies, and medication history
Age, gender, and income
The START (Simple Triage and Rapid Treatment) system uses respirations, perfusion (capillary refill or pulse), and mental status (ability to follow commands) to quickly categorize patients in disasters. It helps prioritize care for greatest good. Detailed guidelines at .
A best practice for telehealth delivery in community nursing is to:
Use public Wi-Fi without encryption
Ensure confidentiality using secure platforms
Ignore patient consent
Avoid documenting sessions
Telehealth must comply with privacy regulations such as HIPAA. Secure platforms with encryption protect patient information. Obtaining informed consent and proper documentation are essential. For guidelines, see .
How is Number Needed to Treat (NNT) calculated?
1 divided by absolute risk reduction
Incidence in control group ÷ incidence in treatment group
Relative risk × baseline risk
Total participants ÷ number of events
NNT is the reciprocal of the absolute risk reduction (ARR). ARR is calculated by subtracting event rates: control group rate minus treatment group rate. NNT provides the number of patients who need treatment to prevent one additional adverse outcome. Further explanation at .
In GIS-based epidemiology, which spatial analysis identifies clustering of disease cases?
Buffer analysis
Hot spot analysis
Interpolation mapping
Network analysis
Hot spot analysis identifies statistically significant spatial clusters of high or low values, such as disease incidence. It helps public health professionals target interventions in high-risk areas. GIS tools like Getis-Ord Gi* are commonly used. Read more at .
Direct costs in program budgeting are defined as:
Intangible community benefits
Opportunity costs
General administrative overhead
Costs directly attributable to program activities
Direct costs are expenses directly tied to program operations, such as staff salaries, supplies, and venue rental. Indirect costs cover overhead like utilities and administration. Accurately distinguishing these ensures transparent and effective budgeting. See .
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Study Outcomes

  1. Apply Public Health Principles -

    Use community health nursing practice questions to integrate prevention and health promotion strategies across diverse populations.

  2. Analyze Epidemiological Data -

    Interpret community health metrics and risk factors to drive evidence-based interventions and resource allocation.

  3. Develop Community Education Plans -

    Create targeted health education initiatives informed by the RN learning system community health practice quiz framework and best practices.

  4. Evaluate Care Strategies -

    Assess the effectiveness of nursing interventions from a CHN Healthcare Group perspective to optimize patient and community outcomes.

  5. Identify Health Disparities -

    Recognize social determinants of health affecting vulnerable populations through community health nursing quiz scenarios.

  6. Enhance Clinical Decision-Making -

    Sharpen critical thinking skills in community health nursing test scenarios to boost confidence in real-world practice.

Cheat Sheet

  1. Epidemiological Measures and Rates -

    Core metrics like incidence and prevalence define community disease patterns: Incidence rate = (new cases ÷ population at risk) × 1,000, and prevalence = (total cases ÷ total population) × 100 (CDC, WHO). These measures guide resource allocation and outbreak detection. Mnemonic "I=P2" (Incidence starts the process, Prevalence paints the permanent picture) helps you recall their distinct roles.

  2. PRECEDE-PROCEED Assessment Model -

    The PRECEDE-PROCEED framework structures community diagnosis and program evaluation: PRECEDE covers Predisposing, Reinforcing, and Enabling factors plus Educational and Environmental assessments, while PROCEED focuses on policy, regulatory, and organizational constructs (University of Michigan Public Health). This model ensures interventions address root causes. Remember "P-P" for Planning then Performance evaluation.

  3. Pediatric Immunization Schedules -

    Memorize the infant schedule at 2, 4, 6, 12 - 15, and 18 months using "Be DR HIP": BCG, DTaP, Rotavirus, Hib, IPV, PCV (CDC). Staying current with CDC guidelines minimizes vaccine-preventable outbreaks. A quick check of the safety profile and contraindications ensures proper administration.

  4. Health Belief Model for Behavior Change -

    Key constructs - Perceived Susceptibility, Severity, Benefits, Barriers, Cues to Action, and Self-Efficacy - predict health behavior uptake (Rosenstock). Tailoring education to address barrier perceptions boosts intervention success. Use the mnemonic "SSBB-CS" (Susceptibility, Severity, Benefits, Barriers, Cues, Self-efficacy) to assess readiness.

  5. LEARN Model for Cultural Competence -

    The LEARN mnemonic (Listen, Explain, Acknowledge, Recommend, Negotiate) fosters effective communication with diverse populations (Johns Hopkins). Actively listening to community beliefs builds trust and adherence. Negotiating care plans that respect cultural norms enhances outcomes.

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