WGU D450 Community Health Nursing HESI Exam 2026–
2027 – Western Governors University – Complete Practice
Questions and Correct Answers Study Guide
Introduction
This document contains 250 Community Health Nursing HESI
exam practice questions with correct answers and rationales
for WGU D450. It covers public health nursing, community
assessment, epidemiology, disease prevention, health
promotion, disaster preparedness, occupational health,
communicable diseases, home health care, and population-
focused nursing interventions.
The material includes NCLEX-style and HESI-style questions
designed to reinforce key concepts in community and public
health nursing. It also reviews Healthy People initiatives,
immunizations, rural health, vulnerable populations,
screening programs, and healthcare policy topics relevant to
exam preparation.
Exam Questions and Answers
26.A community health nurse is conducting a neighborhood
discussion group about disaster planning. What information
regarding transmission of anthrax
should the nurse provide to the group?
a.infection is acquired when anthrax spores enter a host
b.mature anthrax bacterial live dormant on inanimate objects
,c.spores cannot survive for extended periods outside a living
host
d.anthrax is transmitted by respiratory droplets from person
to person--- correct precise answer --- a. infection is
acquired when anthrax spores enter a host
27.A client is suspected of being poisoned and presents with
symmetric, descending flaccid paralysis, blurred vision,
double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent?
a.ricin
b.botulism toxin
c.sulfur mustard
d.yersinia pestis--- correct precise answer --- b. botulism
toxin
28.Which bioterrorism agent is at high risk for use as a
potential biological weapon that is readily transmitted by
several portals of entry?
a.anthrax
b.smallpox
c.botulism
d.tularemia--- correct precise answer --- a. anthrax
29.Which client has the highest risk for developing
community-acquired pneu-monia?
a.a 40-year old first-grade teacher who works with
underprivileged children
b.a 75-year old retired secretary with exercise-induced
wheezing
,c.a 60-year old homeless person who is an alcoholic and
smokes
d.a 35-year old aerobics instructor who skips meals and eats
only vegetables-
--- correct precise answer --- c. a 60-year old homeless
person who is an alcoholic and smokes
30.A 16-year old female client returns to the clinic because she
is pregnant for the third time by a new boyfriend. Which
vaccine should the nurse plan to administer?
a.MMR
b.Hepatitis B
c.Human papillomavirus
d.Pneumococcal--- correct precise answer --- b. hepatitis B
31.The nurse is assisting with the triage of clients at a large
community disas-ter and find a man lying on the ground, who
states that the blast threw him out of a second story window.
Which action should the nurse implement first?
a.logroll the client to his side and assess for back injuries
b.perform a complete neurological assessment
c.open the client's airway immediately
d.place the nurse's hands around the client's neck to stabilize-
-- correct precise answer --- d. place the nurse's hands
around the client's neck to stabilize
32.A female client makes routine visits to a neighborhood
community health center. The nurse notes that this client
often presents with facial bruising, par-ticularly around the
eyes. The nurse discusses prevention of domestic violence
with the client even though the client does not admit to being
, battered. What level of prevention has the nurse applied in
this situation?
a.primary prevention
b.secondary prevention
c.tertiary prevention
d.health promotion--- correct precise answer --- b. secondary
prevention
33.The nurse is preparing an orientation class for new
employees at an inner city clinic that serves a low-income
population. Which information should the nurse include in the
presentation to these new employees?
a.a lack of transportation is the major impediment for the
clinic's clients
b.basica physiologic needs are likely to be unmet in this
clinic's client popu-lation
c.printed material is less effective for this population that has
limited reading skills
d.a group education class is often poorly attended by non-
compliant clients.-
--- correct precise answer --- b. basic physiologic needs are
likely to be unmet in this clinic's patient population
34.The nurse is planning a nutrition class for a group of high
school students emphasizing the goals for the nutrition from
Healthy People 2020. Which meal selection provides the best
choices in meeting these goals?
a.pasta with cheese sauce, garlic butter bread, and vegetable
juice drink
2027 – Western Governors University – Complete Practice
Questions and Correct Answers Study Guide
Introduction
This document contains 250 Community Health Nursing HESI
exam practice questions with correct answers and rationales
for WGU D450. It covers public health nursing, community
assessment, epidemiology, disease prevention, health
promotion, disaster preparedness, occupational health,
communicable diseases, home health care, and population-
focused nursing interventions.
The material includes NCLEX-style and HESI-style questions
designed to reinforce key concepts in community and public
health nursing. It also reviews Healthy People initiatives,
immunizations, rural health, vulnerable populations,
screening programs, and healthcare policy topics relevant to
exam preparation.
Exam Questions and Answers
26.A community health nurse is conducting a neighborhood
discussion group about disaster planning. What information
regarding transmission of anthrax
should the nurse provide to the group?
a.infection is acquired when anthrax spores enter a host
b.mature anthrax bacterial live dormant on inanimate objects
,c.spores cannot survive for extended periods outside a living
host
d.anthrax is transmitted by respiratory droplets from person
to person--- correct precise answer --- a. infection is
acquired when anthrax spores enter a host
27.A client is suspected of being poisoned and presents with
symmetric, descending flaccid paralysis, blurred vision,
double vision, and dry mouth. The nurse should consider these
findings consistent with which potential bioterrorism agent?
a.ricin
b.botulism toxin
c.sulfur mustard
d.yersinia pestis--- correct precise answer --- b. botulism
toxin
28.Which bioterrorism agent is at high risk for use as a
potential biological weapon that is readily transmitted by
several portals of entry?
a.anthrax
b.smallpox
c.botulism
d.tularemia--- correct precise answer --- a. anthrax
29.Which client has the highest risk for developing
community-acquired pneu-monia?
a.a 40-year old first-grade teacher who works with
underprivileged children
b.a 75-year old retired secretary with exercise-induced
wheezing
,c.a 60-year old homeless person who is an alcoholic and
smokes
d.a 35-year old aerobics instructor who skips meals and eats
only vegetables-
--- correct precise answer --- c. a 60-year old homeless
person who is an alcoholic and smokes
30.A 16-year old female client returns to the clinic because she
is pregnant for the third time by a new boyfriend. Which
vaccine should the nurse plan to administer?
a.MMR
b.Hepatitis B
c.Human papillomavirus
d.Pneumococcal--- correct precise answer --- b. hepatitis B
31.The nurse is assisting with the triage of clients at a large
community disas-ter and find a man lying on the ground, who
states that the blast threw him out of a second story window.
Which action should the nurse implement first?
a.logroll the client to his side and assess for back injuries
b.perform a complete neurological assessment
c.open the client's airway immediately
d.place the nurse's hands around the client's neck to stabilize-
-- correct precise answer --- d. place the nurse's hands
around the client's neck to stabilize
32.A female client makes routine visits to a neighborhood
community health center. The nurse notes that this client
often presents with facial bruising, par-ticularly around the
eyes. The nurse discusses prevention of domestic violence
with the client even though the client does not admit to being
, battered. What level of prevention has the nurse applied in
this situation?
a.primary prevention
b.secondary prevention
c.tertiary prevention
d.health promotion--- correct precise answer --- b. secondary
prevention
33.The nurse is preparing an orientation class for new
employees at an inner city clinic that serves a low-income
population. Which information should the nurse include in the
presentation to these new employees?
a.a lack of transportation is the major impediment for the
clinic's clients
b.basica physiologic needs are likely to be unmet in this
clinic's client popu-lation
c.printed material is less effective for this population that has
limited reading skills
d.a group education class is often poorly attended by non-
compliant clients.-
--- correct precise answer --- b. basic physiologic needs are
likely to be unmet in this clinic's patient population
34.The nurse is planning a nutrition class for a group of high
school students emphasizing the goals for the nutrition from
Healthy People 2020. Which meal selection provides the best
choices in meeting these goals?
a.pasta with cheese sauce, garlic butter bread, and vegetable
juice drink
