,HESI PNR 208 Concepts of Community-Based Nursing | HESI / Fortis
College | Academic Year 2026/2027 | Examination 1
Comprehensive Examination | 50 Verified Questions and Correct
Answer Rationales | | VERIFIED BY EXPERTS .
Section 1: Foundations of Community Health Nursing (Questions 1–10)
Question 1: A community health nurse is conducting a community assessment. Which of the
following best describes the primary purpose of a community assessment?
A. To identify individual health problems in the community
B. To gather data to identify the community's health needs, strengths, and resources
C. To determine which patients need home health care
D. To evaluate the performance of healthcare providers
CorreCt Answer: B. To gather data to identify the community's health needs, strengths, and
resources.
rAtionAle: A community assessment is a systematic process of collecting and analyzing
data to identify the health needs, strengths, and resources of a community. It provides the
foundation for planning and implementing community health interventions.
Question 2: Which of the following is the primary focus of community-based nursing?
A. Treating acute illnesses in hospitals
B. Providing care to individuals and families in their homes and communities
C. Conducting research on disease processes
D. Performing surgical procedures in outpatient settings
CorreCt Answer: B. Providing care to individuals and families in their homes and
communities.
rAtionAle: Community-based nursing focuses on providing care to individuals and families
in their homes and communities, emphasizing health promotion, disease prevention, and
management of chronic conditions.
Question 3: A nurse is working in a community health clinic. Which level of prevention is
represented by administering immunizations to children?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: A. Primary prevention.
rAtionAle: Primary prevention aims to prevent disease or injury before it occurs.
Immunizations prevent the onset of infectious diseases and are a classic example of primary
prevention.
Question 4: A community health nurse is screening for hypertension at a health fair. This is an
example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: B. Secondary prevention.
rAtionAle: Secondary prevention involves early detection and treatment of disease.
Screening for hypertension detects the condition early, allowing for timely intervention to prevent
complications.
Question 5: A nurse is providing education to a patient with diabetes on foot care to prevent
ulcers. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: C. Tertiary prevention.
rAtionAle: Tertiary prevention focuses on managing complications in patients with
established disease. Foot care education for a diabetic patient aims to prevent ulcers and
amputations.
Question 6: What is the primary goal of the Healthy People 2030 initiative?
A. To eliminate all diseases
B. To increase life expectancy and improve quality of life for all Americans
C. To reduce healthcare costs only
D. To focus only on infectious diseases
CorreCt Answer: B. To increase life expectancy and improve quality of life for all
Americans.
College | Academic Year 2026/2027 | Examination 1
Comprehensive Examination | 50 Verified Questions and Correct
Answer Rationales | | VERIFIED BY EXPERTS .
Section 1: Foundations of Community Health Nursing (Questions 1–10)
Question 1: A community health nurse is conducting a community assessment. Which of the
following best describes the primary purpose of a community assessment?
A. To identify individual health problems in the community
B. To gather data to identify the community's health needs, strengths, and resources
C. To determine which patients need home health care
D. To evaluate the performance of healthcare providers
CorreCt Answer: B. To gather data to identify the community's health needs, strengths, and
resources.
rAtionAle: A community assessment is a systematic process of collecting and analyzing
data to identify the health needs, strengths, and resources of a community. It provides the
foundation for planning and implementing community health interventions.
Question 2: Which of the following is the primary focus of community-based nursing?
A. Treating acute illnesses in hospitals
B. Providing care to individuals and families in their homes and communities
C. Conducting research on disease processes
D. Performing surgical procedures in outpatient settings
CorreCt Answer: B. Providing care to individuals and families in their homes and
communities.
rAtionAle: Community-based nursing focuses on providing care to individuals and families
in their homes and communities, emphasizing health promotion, disease prevention, and
management of chronic conditions.
Question 3: A nurse is working in a community health clinic. Which level of prevention is
represented by administering immunizations to children?
A. Primary prevention
B. Secondary prevention
, C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: A. Primary prevention.
rAtionAle: Primary prevention aims to prevent disease or injury before it occurs.
Immunizations prevent the onset of infectious diseases and are a classic example of primary
prevention.
Question 4: A community health nurse is screening for hypertension at a health fair. This is an
example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: B. Secondary prevention.
rAtionAle: Secondary prevention involves early detection and treatment of disease.
Screening for hypertension detects the condition early, allowing for timely intervention to prevent
complications.
Question 5: A nurse is providing education to a patient with diabetes on foot care to prevent
ulcers. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
CorreCt Answer: C. Tertiary prevention.
rAtionAle: Tertiary prevention focuses on managing complications in patients with
established disease. Foot care education for a diabetic patient aims to prevent ulcers and
amputations.
Question 6: What is the primary goal of the Healthy People 2030 initiative?
A. To eliminate all diseases
B. To increase life expectancy and improve quality of life for all Americans
C. To reduce healthcare costs only
D. To focus only on infectious diseases
CorreCt Answer: B. To increase life expectancy and improve quality of life for all
Americans.
