NGN NCLEX-RN
COMMUNITY HEALTH
Exam Elaborations Questions &
Answers
2026
,A community health nurse is evaluating a rural population with high rates of tuberculosis. Which
intervention best reflects secondary prevention?
- A. Administering BCG vaccine to children
- B. Conducting sputum smear tests for symptomatic individuals
- C. Providing nutritional supplements to improve immunity
- D. Advocating for improved housing conditions
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt treatment. Sputum smear
testing identifies TB cases early, preventing progression and transmission.
---
During a measles outbreak, the nurse prioritizes which group for vaccination?
- A. Adults aged 30–50
- B. Children under 5 years old
- C. Pregnant women
- D. Elderly above 65
Answer: B
Rationale: Children under 5 are most vulnerable to measles complications; vaccination reduces
morbidity and mortality in this group.
---
A nurse is planning a health education program for adolescents on substance abuse. Which
teaching strategy is most effective?
- A. Lecture on long‑term complications
- B. Peer‑led group discussions
- C. Distribution of pamphlets
- D. Showing statistical data
Answer: B
Rationale: Peer‑led interventions increase engagement and credibility among adolescents, making
prevention messages more impactful.
---
Which of the following is a tertiary prevention measure in community health nursing?
- A. Screening for hypertension
- B. Rehabilitation programs for stroke survivors
- C. Immunization against influenza
- D. Health education on balanced diet
Answer: B
Rationale: Tertiary prevention aims to reduce disability and restore function after disease onset,
such as rehabilitation for stroke patients.
2
, ---
A nurse is conducting a windshield survey. Which observation best reflects environmental health
hazards?
- A. Presence of community centers
- B. High density of fast‑food outlets
- C. Open sewage near residential areas
- D. Availability of public transport
Answer: C
Rationale: Open sewage poses direct environmental health risks, increasing risk of communicable
diseases.
---
A nurse is evaluating the effectiveness of a smoking cessation program. Which outcome measure is
most appropriate?
- A. Number of participants attending sessions
- B. Reduction in self‑reported cigarette use
- C. Participant satisfaction scores
- D. Availability of nicotine patches
Answer: B
Rationale: Reduction in cigarette use directly measures program effectiveness, unlike attendance or
satisfaction.
---
Which epidemiological measure best describes the risk of developing disease in a population?
- A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Case fatality rate
Answer: B
Rationale: Incidence measures new cases, reflecting risk of disease development.
---
A nurse is addressing health disparities in an immigrant community. Which intervention
demonstrates cultural competence?
- A. Using only English educational materials
- B. Employing interpreters during health sessions
- C. Expecting patients to adapt to mainstream practices
- D. Avoiding discussion of cultural beliefs
Answer: B
Rationale: Interpreters ensure communication and respect for cultural diversity, improving health
outcomes.
3
COMMUNITY HEALTH
Exam Elaborations Questions &
Answers
2026
,A community health nurse is evaluating a rural population with high rates of tuberculosis. Which
intervention best reflects secondary prevention?
- A. Administering BCG vaccine to children
- B. Conducting sputum smear tests for symptomatic individuals
- C. Providing nutritional supplements to improve immunity
- D. Advocating for improved housing conditions
Answer: B
Rationale: Secondary prevention focuses on early detection and prompt treatment. Sputum smear
testing identifies TB cases early, preventing progression and transmission.
---
During a measles outbreak, the nurse prioritizes which group for vaccination?
- A. Adults aged 30–50
- B. Children under 5 years old
- C. Pregnant women
- D. Elderly above 65
Answer: B
Rationale: Children under 5 are most vulnerable to measles complications; vaccination reduces
morbidity and mortality in this group.
---
A nurse is planning a health education program for adolescents on substance abuse. Which
teaching strategy is most effective?
- A. Lecture on long‑term complications
- B. Peer‑led group discussions
- C. Distribution of pamphlets
- D. Showing statistical data
Answer: B
Rationale: Peer‑led interventions increase engagement and credibility among adolescents, making
prevention messages more impactful.
---
Which of the following is a tertiary prevention measure in community health nursing?
- A. Screening for hypertension
- B. Rehabilitation programs for stroke survivors
- C. Immunization against influenza
- D. Health education on balanced diet
Answer: B
Rationale: Tertiary prevention aims to reduce disability and restore function after disease onset,
such as rehabilitation for stroke patients.
2
, ---
A nurse is conducting a windshield survey. Which observation best reflects environmental health
hazards?
- A. Presence of community centers
- B. High density of fast‑food outlets
- C. Open sewage near residential areas
- D. Availability of public transport
Answer: C
Rationale: Open sewage poses direct environmental health risks, increasing risk of communicable
diseases.
---
A nurse is evaluating the effectiveness of a smoking cessation program. Which outcome measure is
most appropriate?
- A. Number of participants attending sessions
- B. Reduction in self‑reported cigarette use
- C. Participant satisfaction scores
- D. Availability of nicotine patches
Answer: B
Rationale: Reduction in cigarette use directly measures program effectiveness, unlike attendance or
satisfaction.
---
Which epidemiological measure best describes the risk of developing disease in a population?
- A. Prevalence
- B. Incidence
- C. Mortality rate
- D. Case fatality rate
Answer: B
Rationale: Incidence measures new cases, reflecting risk of disease development.
---
A nurse is addressing health disparities in an immigrant community. Which intervention
demonstrates cultural competence?
- A. Using only English educational materials
- B. Employing interpreters during health sessions
- C. Expecting patients to adapt to mainstream practices
- D. Avoiding discussion of cultural beliefs
Answer: B
Rationale: Interpreters ensure communication and respect for cultural diversity, improving health
outcomes.
3
