FORTIS COLLEGE PNR 208 EXAM 1 (Practice) | 2026/2027 |
Concepts of Community-Based Nursing Q&A | Practical Nursing
Practice Exam
Community Health Foundations & Healthy People 2030
Question 1
Which statement best distinguishes community-oriented nursing from community-based nursing?
A. Community-oriented nursing occurs only in hospitals.
B. Community-oriented nursing focuses on populations and prevention, while community-based nursing provides care to
individuals and families where they live, work, or attend school.
C. The two terms always mean exactly the same thing.
D. Community-based nursing excludes prevention.
Correct Answer: B. Community-oriented nursing focuses on populations and prevention, while community-based nursing
provides care to individuals and families where they live, work, or attend school.
Rationale: Community-oriented practice emphasizes population outcomes; community-based practice delivers individual/family
care in community settings.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 2
Which activity is an example of primary prevention?
A. Providing rehabilitation after a stroke
B. Screening adults for hypertension
C. Teaching foot care after diabetic neuropathy develops
D. Providing influenza vaccination at a community clinic
Correct Answer: D. Providing influenza vaccination at a community clinic
Rationale: Primary prevention prevents disease or injury before it occurs.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 3
Which activity is an example of secondary prevention?
A. Offering blood-pressure screening at a health fair
B. Providing cardiac rehabilitation
C. Giving childhood immunizations
D. Teaching safe-sex practices before exposure
Correct Answer: A. Offering blood-pressure screening at a health fair
Rationale: Secondary prevention emphasizes early detection and prompt intervention.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
,Why the Other Options Are Incorrect:
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 4
Which activity is an example of tertiary prevention?
A. Teaching bicycle helmet use
B. Coordinating rehabilitation for a client after a stroke
C. Administering vaccines
D. Screening for colorectal cancer
Correct Answer: B. Coordinating rehabilitation for a client after a stroke
Rationale: Tertiary prevention limits disability and supports function after disease or injury is established.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 5
What is a central purpose of Healthy People 2030?
A. Provide individual medical prescriptions
B. Establish hospital staffing ratios
C. Set national, measurable objectives to improve health and well-being and reduce disparities
D. Replace all state health departments
Correct Answer: C. Set national, measurable objectives to improve health and well-being and reduce disparities
Rationale: Healthy People 2030 provides national objectives and data-driven targets for health promotion and equity.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 6
Which factor is a social determinant of health?
A. Access to safe housing and transportation
B. Pupil size
C. Serum potassium alone
D. Blood type
Correct Answer: A. Access to safe housing and transportation
Rationale: Social determinants are conditions in the environments where people live, learn, work, and age.
Why the Other Options Are Incorrect:
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
, C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 7
A community nurse compares local asthma hospitalization rates with state rates. Which nursing role is being used?
A. Inpatient discharge only
B. Population assessment
C. Sterile technique
D. Medication reconciliation only
Correct Answer: B. Population assessment
Rationale: Population assessment uses community data to identify needs, disparities, and priorities.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 8
Which community problem should generally receive highest priority?
A. A problem with no community concern or possible intervention
B. A high-magnitude problem causing serious preventable harm with feasible interventions
C. The rarest problem regardless of severity
D. The problem most interesting to the nurse
Correct Answer: B. A high-magnitude problem causing serious preventable harm with feasible interventions
Rationale: Priority setting considers magnitude, seriousness, preventability, community concern, and available resources.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Community Assessment, Family Health & Care Planning
Question 9
During a windshield survey, what is the nurse primarily doing?
A. Performing invasive physical examinations
B. Reviewing one client's medication list
C. Systematically observing community characteristics such as housing, services, transportation, and safety
D. Conducting laboratory testing
Correct Answer: C. Systematically observing community characteristics such as housing, services, transportation, and safety
Rationale: A windshield survey is a structured observation of community assets, conditions, and potential risks.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
Concepts of Community-Based Nursing Q&A | Practical Nursing
Practice Exam
Community Health Foundations & Healthy People 2030
Question 1
Which statement best distinguishes community-oriented nursing from community-based nursing?
A. Community-oriented nursing occurs only in hospitals.
B. Community-oriented nursing focuses on populations and prevention, while community-based nursing provides care to
individuals and families where they live, work, or attend school.
C. The two terms always mean exactly the same thing.
D. Community-based nursing excludes prevention.
Correct Answer: B. Community-oriented nursing focuses on populations and prevention, while community-based nursing
provides care to individuals and families where they live, work, or attend school.
Rationale: Community-oriented practice emphasizes population outcomes; community-based practice delivers individual/family
care in community settings.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 2
Which activity is an example of primary prevention?
A. Providing rehabilitation after a stroke
B. Screening adults for hypertension
C. Teaching foot care after diabetic neuropathy develops
D. Providing influenza vaccination at a community clinic
Correct Answer: D. Providing influenza vaccination at a community clinic
Rationale: Primary prevention prevents disease or injury before it occurs.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 3
Which activity is an example of secondary prevention?
A. Offering blood-pressure screening at a health fair
B. Providing cardiac rehabilitation
C. Giving childhood immunizations
D. Teaching safe-sex practices before exposure
Correct Answer: A. Offering blood-pressure screening at a health fair
Rationale: Secondary prevention emphasizes early detection and prompt intervention.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
,Why the Other Options Are Incorrect:
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 4
Which activity is an example of tertiary prevention?
A. Teaching bicycle helmet use
B. Coordinating rehabilitation for a client after a stroke
C. Administering vaccines
D. Screening for colorectal cancer
Correct Answer: B. Coordinating rehabilitation for a client after a stroke
Rationale: Tertiary prevention limits disability and supports function after disease or injury is established.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 5
What is a central purpose of Healthy People 2030?
A. Provide individual medical prescriptions
B. Establish hospital staffing ratios
C. Set national, measurable objectives to improve health and well-being and reduce disparities
D. Replace all state health departments
Correct Answer: C. Set national, measurable objectives to improve health and well-being and reduce disparities
Rationale: Healthy People 2030 provides national objectives and data-driven targets for health promotion and equity.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 6
Which factor is a social determinant of health?
A. Access to safe housing and transportation
B. Pupil size
C. Serum potassium alone
D. Blood type
Correct Answer: A. Access to safe housing and transportation
Rationale: Social determinants are conditions in the environments where people live, learn, work, and age.
Why the Other Options Are Incorrect:
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
, C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 7
A community nurse compares local asthma hospitalization rates with state rates. Which nursing role is being used?
A. Inpatient discharge only
B. Population assessment
C. Sterile technique
D. Medication reconciliation only
Correct Answer: B. Population assessment
Rationale: Population assessment uses community data to identify needs, disparities, and priorities.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Question 8
Which community problem should generally receive highest priority?
A. A problem with no community concern or possible intervention
B. A high-magnitude problem causing serious preventable harm with feasible interventions
C. The rarest problem regardless of severity
D. The problem most interesting to the nurse
Correct Answer: B. A high-magnitude problem causing serious preventable harm with feasible interventions
Rationale: Priority setting considers magnitude, seriousness, preventability, community concern, and available resources.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
C. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
D. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Community Assessment, Family Health & Care Planning
Question 9
During a windshield survey, what is the nurse primarily doing?
A. Performing invasive physical examinations
B. Reviewing one client's medication list
C. Systematically observing community characteristics such as housing, services, transportation, and safety
D. Conducting laboratory testing
Correct Answer: C. Systematically observing community characteristics such as housing, services, transportation, and safety
Rationale: A windshield survey is a structured observation of community assets, conditions, and potential risks.
Why the Other Options Are Incorrect:
A. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
B. Incorrect — This does not match the prevention level, community-health principle, priority, assessment method, or
population need described.
Fortis PNR 208 Exam 1 | Original Community-Based Nursing Practice Resource
