COMMUNITY HEALTH RN V2 EXIT HESI
STUDY GUIDE | COMPLETE 160
QUESTIONS & ANSWERS WITH
RATIONALES | VERIFIED QUESTIONS &
ANSWERS | COMMUNITY NURSING
HESI EXAM PREP | LATEST 2026/2027
UPDATE | GRADED A+
Core Domains
Epidemiology and Disease Prevention
Community Assessment and Program Planning
Health Promotion and Education
Vulnerable Populations and Health Disparities
Environmental Health and Safety
Disaster Preparedness and Emergency Management
Communicable Disease and Immunization
Public Health Policy and Ethics
Introduction
The Community Health RN V2 Exit HESI Examination assesses a nursing
candidate's readiness for entry-level professional practice in community and
public health nursing. The examination evaluates the ability to apply
epidemiological principles, conduct community assessments, plan and
evaluate health promotion programs, address the needs of vulnerable
populations, and respond to environmental and disaster-related health threats.
Candidates are tested through multiple-choice questions, Select-All-That-Apply
(SATA) items, and Next Generation NCLEX (NGN)-style case scenarios. The
examination emphasizes real-world clinical decision-making, ethical conduct,
,cultural competence, and the critical thinking required to protect and improve
the health of populations. A passing score demonstrates the skills and
knowledge necessary for safe, effective, evidence-based community nursing
practice.
SECTION ONE: QUESTIONS 1–160
1. A community health nurse is investigating an outbreak of hepatitis A
in a county. Which epidemiological measure should the nurse calculate
first?
A. Case fatality rate
B. Incidence rate
C. Prevalence rate
D. Attack rate
RATIONALE: Attack rate is a type of incidence rate specifically used to
describe outbreaks. It helps identify the proportion of exposed individuals
who become ill during a specific time period, making it the most appropriate
first measure in outbreak investigation.
2. A nurse is using the web of causation model to understand a rise in
type 2 diabetes. Which factor best represents a biological determinant?
A. Lack of grocery stores
B. Insulin resistance
C. Sedentary lifestyle
D. Food advertising
RATIONALE: Biological determinants include genetic and physiological
factors such as insulin resistance. The other options represent social or
environmental determinants.
,3. Which level of prevention is a nurse using when teaching hand
hygiene to schoolchildren to prevent influenza?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
RATIONALE: Primary prevention aims to prevent disease before it occurs
through health education, immunizations, and hygiene practices.
4. A community health nurse reviews mortality data. The number of
new cases of lung cancer in 2025 was 200; total population was 100,000.
What is the incidence rate per 100,000?
A. 0.2
B. 2
C. 200
D. 2000
RATIONALE: Incidence rate = (number of new cases / total population at
risk) × 100,000 = (,000) × 100,000 = 200.
5. A parent tells the nurse that their 6-year-old child who normally
enjoys school has not been doing well since the grandmother died 2
months ago. Which statement most accurately describes thoughts on
death and dying at this age?
A. Death is personified as the bogeyman or devil
B. Death is perceived as being irreversible
C. The child feels guilty for the grandmother's death
D. The child understands that death is final
, RATIONALE: At age 6, children often personify death as a bogeyman or
devil and may believe death is temporary or reversible.
6. A home health nurse is reviewing laboratory results for several
clients with a history of heart failure. Which client finding should the
nurse report to the healthcare provider immediately?
A. Total cholesterol 190 mg/dL
B. B-type natriuretic peptide 550 pg/mL
C. Glycosylated hemoglobin of 7%
D. Potassium 3.7 mEq/L
RATIONALE: A BNP of 550 pg/mL is significantly elevated and indicates
worsening heart failure, requiring immediate provider notification. Normal
BNP is less than 100 pg/mL.
7. The community health nurse who works in a town that has a large
chemical plant is concerned about the occurrence of a natural disaster
related to chemical exposure. Which action is most important for the
nurse to take?
A. Evaluate company safety procedures for prevention of chemical exposures
B. Elicit the company's participation in a disaster preparedness program
C. Determine the antidotes for the chemicals produced by the company
D. Inform employees of their potential risk for a chemical exposure incident
RATIONALE: The most important action is to ensure that the company
participates in a disaster preparedness program, which promotes coordinated
response and mitigation efforts.
8. A community group proposes building a new well-child clinic
because this year's demographics reflect that a large percentage of the
population is less than 19 years of age. Which question indicates that
the nurse understands the potential gaps in these data?
STUDY GUIDE | COMPLETE 160
QUESTIONS & ANSWERS WITH
RATIONALES | VERIFIED QUESTIONS &
ANSWERS | COMMUNITY NURSING
HESI EXAM PREP | LATEST 2026/2027
UPDATE | GRADED A+
Core Domains
Epidemiology and Disease Prevention
Community Assessment and Program Planning
Health Promotion and Education
Vulnerable Populations and Health Disparities
Environmental Health and Safety
Disaster Preparedness and Emergency Management
Communicable Disease and Immunization
Public Health Policy and Ethics
Introduction
The Community Health RN V2 Exit HESI Examination assesses a nursing
candidate's readiness for entry-level professional practice in community and
public health nursing. The examination evaluates the ability to apply
epidemiological principles, conduct community assessments, plan and
evaluate health promotion programs, address the needs of vulnerable
populations, and respond to environmental and disaster-related health threats.
Candidates are tested through multiple-choice questions, Select-All-That-Apply
(SATA) items, and Next Generation NCLEX (NGN)-style case scenarios. The
examination emphasizes real-world clinical decision-making, ethical conduct,
,cultural competence, and the critical thinking required to protect and improve
the health of populations. A passing score demonstrates the skills and
knowledge necessary for safe, effective, evidence-based community nursing
practice.
SECTION ONE: QUESTIONS 1–160
1. A community health nurse is investigating an outbreak of hepatitis A
in a county. Which epidemiological measure should the nurse calculate
first?
A. Case fatality rate
B. Incidence rate
C. Prevalence rate
D. Attack rate
RATIONALE: Attack rate is a type of incidence rate specifically used to
describe outbreaks. It helps identify the proportion of exposed individuals
who become ill during a specific time period, making it the most appropriate
first measure in outbreak investigation.
2. A nurse is using the web of causation model to understand a rise in
type 2 diabetes. Which factor best represents a biological determinant?
A. Lack of grocery stores
B. Insulin resistance
C. Sedentary lifestyle
D. Food advertising
RATIONALE: Biological determinants include genetic and physiological
factors such as insulin resistance. The other options represent social or
environmental determinants.
,3. Which level of prevention is a nurse using when teaching hand
hygiene to schoolchildren to prevent influenza?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
RATIONALE: Primary prevention aims to prevent disease before it occurs
through health education, immunizations, and hygiene practices.
4. A community health nurse reviews mortality data. The number of
new cases of lung cancer in 2025 was 200; total population was 100,000.
What is the incidence rate per 100,000?
A. 0.2
B. 2
C. 200
D. 2000
RATIONALE: Incidence rate = (number of new cases / total population at
risk) × 100,000 = (,000) × 100,000 = 200.
5. A parent tells the nurse that their 6-year-old child who normally
enjoys school has not been doing well since the grandmother died 2
months ago. Which statement most accurately describes thoughts on
death and dying at this age?
A. Death is personified as the bogeyman or devil
B. Death is perceived as being irreversible
C. The child feels guilty for the grandmother's death
D. The child understands that death is final
, RATIONALE: At age 6, children often personify death as a bogeyman or
devil and may believe death is temporary or reversible.
6. A home health nurse is reviewing laboratory results for several
clients with a history of heart failure. Which client finding should the
nurse report to the healthcare provider immediately?
A. Total cholesterol 190 mg/dL
B. B-type natriuretic peptide 550 pg/mL
C. Glycosylated hemoglobin of 7%
D. Potassium 3.7 mEq/L
RATIONALE: A BNP of 550 pg/mL is significantly elevated and indicates
worsening heart failure, requiring immediate provider notification. Normal
BNP is less than 100 pg/mL.
7. The community health nurse who works in a town that has a large
chemical plant is concerned about the occurrence of a natural disaster
related to chemical exposure. Which action is most important for the
nurse to take?
A. Evaluate company safety procedures for prevention of chemical exposures
B. Elicit the company's participation in a disaster preparedness program
C. Determine the antidotes for the chemicals produced by the company
D. Inform employees of their potential risk for a chemical exposure incident
RATIONALE: The most important action is to ensure that the company
participates in a disaster preparedness program, which promotes coordinated
response and mitigation efforts.
8. A community group proposes building a new well-child clinic
because this year's demographics reflect that a large percentage of the
population is less than 19 years of age. Which question indicates that
the nurse understands the potential gaps in these data?
