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HESI COMMUNITY HEALTH PRACTICE WGU D450 2026/
2027 | PRACTICE QUESTIONS WITH ANSWERS | COMPLETE
COMMUNITY HEALTH NURSING EXAM REVISION GUIDE
WITH SOLUTION | 100% VERIFIED STUDY RESOURCE
1. A community health nurse is developing a program to reduce the
incidence of type 2 diabetes among adolescents in a high-risk
neighborhood. Which intervention best represents primary prevention?
A. Referring adolescents with newly diagnosed diabetes to an
endocrinologist
B. Teaching healthy nutrition, physical activity, and weight-management
strategies before disease develops
C. Screening adolescents who already have symptoms of diabetes
D. Providing rehabilitation for adolescents experiencing diabetes-related
complications
Answer: B
2. A nurse conducts blood-pressure screenings at a community health
fair to identify adults who may have previously undiagnosed
hypertension. Which level of prevention does this activity represent?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Palliative prevention
Answer: C
3. A community health nurse provides education and follow-up services
to adults who have experienced strokes to reduce disability and improve
functional status. Which level of prevention is being demonstrated?
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A. Primary
B. Secondary
C. Primordial
D. Tertiary
Answer: D
4. Which statement best describes the primary focus of population-
focused nursing?
A. Providing individualized treatment for acute illness in a hospital
B. Improving the health outcomes of defined populations by addressing
health risks, determinants, prevention, and access to care
C. Providing surgical treatment to individuals with chronic conditions
D. Focusing exclusively on rehabilitation after disease occurs
Answer: B
5. A nurse compares community-based nursing with community-
oriented nursing. Which statement is most accurate?
A. Community-based nursing primarily focuses on individuals and
families within community settings, whereas community-oriented
nursing emphasizes population health.
B. Community-oriented nursing is limited to hospital-based care.
C. Community-based nursing never provides direct patient care.
D. The two approaches are identical and have no meaningful distinction.
Answer: A
6. A nurse is beginning a community assessment in an unfamiliar
neighborhood. Which action provides useful direct observational data
about the physical environment?
A. Reviewing the previous year's mortality statistics
B. Conducting a windshield survey of the community
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C. Reading a national health report
D. Reviewing hospital discharge summaries from another county
Answer: B
7. During a windshield survey, the nurse observes numerous abandoned
buildings, limited grocery stores, heavy traffic, poor sidewalks, and few
recreational spaces. What should the nurse do next?
A. Assume these observations prove that the community has poor health
outcomes.
B. Ignore environmental observations because they are subjective.
C. Combine the observations with demographic, epidemiologic, and
community health data before establishing priorities.
D. Immediately implement a citywide intervention without additional
assessment.
Answer: C
8. Which source would be considered secondary community
assessment data?
A. Interviews conducted by the nurse with community residents
B. Observations made during a windshield survey
C. A community focus group organized by the nurse
D. Census and publicly available epidemiologic data
Answer: D
9. A community has a high rate of preventable motor-vehicle injuries
among teenagers. Which intervention would best address the problem at
the population level?
A. Treating injuries after they occur in the emergency department
B. Providing individual rehabilitation to injured teenagers
C. Developing a community-wide program addressing impaired driving,
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seat-belt use, and safe-driving behaviors
D. Waiting until injury rates increase before intervening
Answer: C
10. A nurse identifies a neighborhood with limited transportation, high
poverty, low access to primary care, and elevated rates of preventable
chronic disease. Which concept should guide the nurse's assessment?
A. Health is determined solely by individual choices.
B. Social determinants of health can substantially influence population
health outcomes.
C. Healthcare access has little relationship to health outcomes.
D. Poverty is unrelated to disease prevention.
Answer: B
11. A community has experienced increasing rates of respiratory illness
among residents living near an industrial facility. Which action should
the nurse take first when investigating the problem?
A. Assume the industrial facility is definitely responsible.
B. Collect and analyze relevant epidemiologic and environmental data to
identify patterns and possible relationships.
C. Tell residents to relocate immediately.
D. Begin treatment without identifying the population-level cause.
Answer: B
12. Which component of the epidemiologic triad represents the person or
population that is susceptible to a disease?
A. Agent
B. Host
C. Environment
D. Vector
HESI COMMUNITY HEALTH PRACTICE WGU D450 2026/
2027 | PRACTICE QUESTIONS WITH ANSWERS | COMPLETE
COMMUNITY HEALTH NURSING EXAM REVISION GUIDE
WITH SOLUTION | 100% VERIFIED STUDY RESOURCE
1. A community health nurse is developing a program to reduce the
incidence of type 2 diabetes among adolescents in a high-risk
neighborhood. Which intervention best represents primary prevention?
A. Referring adolescents with newly diagnosed diabetes to an
endocrinologist
B. Teaching healthy nutrition, physical activity, and weight-management
strategies before disease develops
C. Screening adolescents who already have symptoms of diabetes
D. Providing rehabilitation for adolescents experiencing diabetes-related
complications
Answer: B
2. A nurse conducts blood-pressure screenings at a community health
fair to identify adults who may have previously undiagnosed
hypertension. Which level of prevention does this activity represent?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Palliative prevention
Answer: C
3. A community health nurse provides education and follow-up services
to adults who have experienced strokes to reduce disability and improve
functional status. Which level of prevention is being demonstrated?
,2|Page
A. Primary
B. Secondary
C. Primordial
D. Tertiary
Answer: D
4. Which statement best describes the primary focus of population-
focused nursing?
A. Providing individualized treatment for acute illness in a hospital
B. Improving the health outcomes of defined populations by addressing
health risks, determinants, prevention, and access to care
C. Providing surgical treatment to individuals with chronic conditions
D. Focusing exclusively on rehabilitation after disease occurs
Answer: B
5. A nurse compares community-based nursing with community-
oriented nursing. Which statement is most accurate?
A. Community-based nursing primarily focuses on individuals and
families within community settings, whereas community-oriented
nursing emphasizes population health.
B. Community-oriented nursing is limited to hospital-based care.
C. Community-based nursing never provides direct patient care.
D. The two approaches are identical and have no meaningful distinction.
Answer: A
6. A nurse is beginning a community assessment in an unfamiliar
neighborhood. Which action provides useful direct observational data
about the physical environment?
A. Reviewing the previous year's mortality statistics
B. Conducting a windshield survey of the community
,3|Page
C. Reading a national health report
D. Reviewing hospital discharge summaries from another county
Answer: B
7. During a windshield survey, the nurse observes numerous abandoned
buildings, limited grocery stores, heavy traffic, poor sidewalks, and few
recreational spaces. What should the nurse do next?
A. Assume these observations prove that the community has poor health
outcomes.
B. Ignore environmental observations because they are subjective.
C. Combine the observations with demographic, epidemiologic, and
community health data before establishing priorities.
D. Immediately implement a citywide intervention without additional
assessment.
Answer: C
8. Which source would be considered secondary community
assessment data?
A. Interviews conducted by the nurse with community residents
B. Observations made during a windshield survey
C. A community focus group organized by the nurse
D. Census and publicly available epidemiologic data
Answer: D
9. A community has a high rate of preventable motor-vehicle injuries
among teenagers. Which intervention would best address the problem at
the population level?
A. Treating injuries after they occur in the emergency department
B. Providing individual rehabilitation to injured teenagers
C. Developing a community-wide program addressing impaired driving,
, 4|Page
seat-belt use, and safe-driving behaviors
D. Waiting until injury rates increase before intervening
Answer: C
10. A nurse identifies a neighborhood with limited transportation, high
poverty, low access to primary care, and elevated rates of preventable
chronic disease. Which concept should guide the nurse's assessment?
A. Health is determined solely by individual choices.
B. Social determinants of health can substantially influence population
health outcomes.
C. Healthcare access has little relationship to health outcomes.
D. Poverty is unrelated to disease prevention.
Answer: B
11. A community has experienced increasing rates of respiratory illness
among residents living near an industrial facility. Which action should
the nurse take first when investigating the problem?
A. Assume the industrial facility is definitely responsible.
B. Collect and analyze relevant epidemiologic and environmental data to
identify patterns and possible relationships.
C. Tell residents to relocate immediately.
D. Begin treatment without identifying the population-level cause.
Answer: B
12. Which component of the epidemiologic triad represents the person or
population that is susceptible to a disease?
A. Agent
B. Host
C. Environment
D. Vector
