WGU D450 Community Health Nursing HESI – Western
Governors University – 2026–2027 Exam Preparation –
Verified Practice Questions and Answers
Introduction
This document contains Community Health Nursing HESI
practice questions with verified answers and rationales for
WGU D450. It covers community assessment, epidemiology,
disease prevention, public health interventions, disaster
preparedness, communicable diseases, screening programs,
and health promotion strategies.
The material is designed to support HESI and nursing exam
preparation through application-based questions and detailed
explanations. It also includes topics related to rural health,
school nursing, occupational health, vulnerable populations,
and community-focused care.
Exam Questions and Answers
22.An older adult client visits the community health clinic,
reporting the onset of pain, redness, and swelling in the right
eye. What is the most important for the clinic nurse to ask the
client?Rationale--- correct precise answer --- The combination
of pain, redness, and swelling in the eye could be indicative of
a drug reaction or side effect, especially in older adults who
may be on multiple medications. Some med-ications, such as
antibiotics (e.g., sulfonamides) or diuretics, can cause ocular
reactions or increase the risk of infection or inflammation in
,the eye. Asking about new medications helps identify whether
a drug could be contributing to the symptoms.--- correct
precise answer --- Have you started any new medications
recently?
23.After assessing the health needs of an elementary school,
the nurse iden-tifies that an increased incidence of bicycle
injuries is a significant issue. The nurse develops a 2-month
program with the goal of eliminating bicycle in-juries in the
school. The program includes educational pamphlets sent
home to parents and two educational sessions conducted by
the school nurse. What action should the nurse take to
evaluate the effectiveness of the program?Ra-tionale---
correct precise answer --- The most effective way to evaluate
the success of an injury prevention program is by measuring
changes in the incidence of the targeted issue — in this case,
bicycle injuries — before and after the program. By comparing
the number of injuries at the start of the program to those at
the end, the nurse can directly assess whether the program
had an impact on reducing bicycle injuries.--- correct precise
answer --- Compare the incidence of bicycle injuries at the
beginning and end of the program.
24.A home health nurse is examining the lab results of several
patients with a history of heart failure (HF). Which patient's
finding should the nurse imme-diately report to the healthcare
provider?Rationale--- correct precise answer ---
B-type natriuretic peptide (BNP) is a marker of heart failure
(HF). Elevated BNP levels suggest that the heart is under
increased stress or experiencing fluid overload, a common
, issue in HF. A BNP level of 550 pg/mL is elevated, and
although it is not an extreme value, it still indicates the
potential for worsening
heart failure and warrants further evaluation by the
healthcare provider. Typ-ically, BNP levels above 400 pg/mL
suggest a high likelihood of heart failure, and levels in the
500-1000 pg/mL range may indicate decompensated heart
failure.--- correct precise answer --- B-type natriuretic
peptide (BNP) level of 550 pg/mL (550 ng/L).
25.Despite numerous instructions, an elderly patient with
Parkinson's disease is unable to administer ophthalmic
medication without assistance due to hand tremors.Rationale-
-- correct precise answer --- In patients with Parkinson's
disease, motor difficul-ties such as hand tremors can make
tasks like administering ophthalmic med-ications challenging.
The nurse should explore practical solutions to ensure that the
patient receives the prescribed medication. One effective
solution is to involve family members or caregivers who can
assist with this task. This allows the patient to maintain their
dignity and independence while ensuring the medication is
administered correctly.--- correct precise answer ---
Determine if a family member is available and willing to
administer the medication
26.According to the Centers for Disease Control and
Prevention, which dis-eases are reportable infectious diseases?
Select all that apply.--- correct precise answer --- Anthrax.
Diphtheria.Tu-berculosis
Governors University – 2026–2027 Exam Preparation –
Verified Practice Questions and Answers
Introduction
This document contains Community Health Nursing HESI
practice questions with verified answers and rationales for
WGU D450. It covers community assessment, epidemiology,
disease prevention, public health interventions, disaster
preparedness, communicable diseases, screening programs,
and health promotion strategies.
The material is designed to support HESI and nursing exam
preparation through application-based questions and detailed
explanations. It also includes topics related to rural health,
school nursing, occupational health, vulnerable populations,
and community-focused care.
Exam Questions and Answers
22.An older adult client visits the community health clinic,
reporting the onset of pain, redness, and swelling in the right
eye. What is the most important for the clinic nurse to ask the
client?Rationale--- correct precise answer --- The combination
of pain, redness, and swelling in the eye could be indicative of
a drug reaction or side effect, especially in older adults who
may be on multiple medications. Some med-ications, such as
antibiotics (e.g., sulfonamides) or diuretics, can cause ocular
reactions or increase the risk of infection or inflammation in
,the eye. Asking about new medications helps identify whether
a drug could be contributing to the symptoms.--- correct
precise answer --- Have you started any new medications
recently?
23.After assessing the health needs of an elementary school,
the nurse iden-tifies that an increased incidence of bicycle
injuries is a significant issue. The nurse develops a 2-month
program with the goal of eliminating bicycle in-juries in the
school. The program includes educational pamphlets sent
home to parents and two educational sessions conducted by
the school nurse. What action should the nurse take to
evaluate the effectiveness of the program?Ra-tionale---
correct precise answer --- The most effective way to evaluate
the success of an injury prevention program is by measuring
changes in the incidence of the targeted issue — in this case,
bicycle injuries — before and after the program. By comparing
the number of injuries at the start of the program to those at
the end, the nurse can directly assess whether the program
had an impact on reducing bicycle injuries.--- correct precise
answer --- Compare the incidence of bicycle injuries at the
beginning and end of the program.
24.A home health nurse is examining the lab results of several
patients with a history of heart failure (HF). Which patient's
finding should the nurse imme-diately report to the healthcare
provider?Rationale--- correct precise answer ---
B-type natriuretic peptide (BNP) is a marker of heart failure
(HF). Elevated BNP levels suggest that the heart is under
increased stress or experiencing fluid overload, a common
, issue in HF. A BNP level of 550 pg/mL is elevated, and
although it is not an extreme value, it still indicates the
potential for worsening
heart failure and warrants further evaluation by the
healthcare provider. Typ-ically, BNP levels above 400 pg/mL
suggest a high likelihood of heart failure, and levels in the
500-1000 pg/mL range may indicate decompensated heart
failure.--- correct precise answer --- B-type natriuretic
peptide (BNP) level of 550 pg/mL (550 ng/L).
25.Despite numerous instructions, an elderly patient with
Parkinson's disease is unable to administer ophthalmic
medication without assistance due to hand tremors.Rationale-
-- correct precise answer --- In patients with Parkinson's
disease, motor difficul-ties such as hand tremors can make
tasks like administering ophthalmic med-ications challenging.
The nurse should explore practical solutions to ensure that the
patient receives the prescribed medication. One effective
solution is to involve family members or caregivers who can
assist with this task. This allows the patient to maintain their
dignity and independence while ensuring the medication is
administered correctly.--- correct precise answer ---
Determine if a family member is available and willing to
administer the medication
26.According to the Centers for Disease Control and
Prevention, which dis-eases are reportable infectious diseases?
Select all that apply.--- correct precise answer --- Anthrax.
Diphtheria.Tu-berculosis
