HESI Community Health Nursing
Practice Exam 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
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1. A community health nurse is applying the nursing process at the
community level. Which action best represents the "diagnosis" phase?
A) Administering flu vaccines at a senior center
B) Analyzing data to identify high rates of teen pregnancy
C) Implementing a smoking cessation support group
D) Evaluating the effectiveness of a diabetes education program
Answer: B — In community health, diagnosis involves analyzing assessment
data to identify community health problems (e.g., high teen pregnancy
rates). Options A and C are interventions (implementation phase), and option
D is evaluation.
2. Which core public health function is being demonstrated when a nurse
develops a community disaster preparedness plan?
A) Assessment
B) Policy development
C) Assurance
D) Surveillance
Answer: B — Policy development includes planning and creating health
policies and disaster plans. Assessment is data collection; assurance is
ensuring services are available; surveillance is ongoing monitoring of health
events.
,3. A community health nurse is using the epidemiological triangle to
investigate an outbreak of Legionnaires' disease. Which component
represents the "environment"?
A) Elderly residents in a nursing home
B) Legionella bacteria
C) Contaminated cooling tower water
D) Lack of immunity among staff
Answer: C — The environment includes external factors like water sources,
temperature, and air quality. The agent is the bacteria (B), and the host
includes susceptible people (A, D).
4. A community health nurse is advocating for a needle exchange program.
Which level of prevention is primarily being applied?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primordial prevention
Answer: A — Needle exchange prevents initial HIV/Hepatitis C transmission,
stopping disease before it occurs, which is primary prevention.
5. According to the Health Belief Model, a client's decision to get the HPV
vaccine is most influenced by which factor?
A) Perceived susceptibility to cervical cancer
B) Number of sexual partners
C) Family history of HPV
D) Cost of the vaccine alone
Answer: A — Perceived susceptibility (belief about risk of harm) is a key
construct of the Health Belief Model. Other factors may matter but are not
central to the model.
,6. A nurse is using the MINIMAT screening tool during a home visit. This tool
assesses for which condition?
A) Falls risk in the elderly
B) Intimate partner violence
C) Substance use disorder
D) Cognitive impairment
Answer: B — MINIMAT is a brief screening tool for intimate partner violence.
Other tools exist for falls (Timed Up and Go) or cognition (Mini-Cog).
7. Which federal initiative in the U.S. provides a 10-year national agenda for
improving the health of all people?
A) Healthy People 2030
B) CDC's VISION 2030
C) WHO's Global Health Observatory
D) Medicaid Early Periodic Screening
Answer: A — Healthy People provides science-based, 10-year national
objectives for improving health. The latest is Healthy People 2030.
8. A nurse is calculating the infant mortality rate for a county. Which data are
needed?
A) Number of live births and deaths of infants <1 year in a year
B) Number of births and deaths of mothers
C) Number of low birth weight infants
D) Number of neonatal intensive care admissions
Answer: A — Infant mortality rate = (Number of infant deaths <1 year /
Number of live births) × 1,000.
9. A community health nurse is evaluating a program's process measures.
Which example is correct?
, A) Reduction in A1C levels among diabetics
B) Number of participants who attended a smoking cessation class
C) Decrease in emergency room visits for asthma
D) Patient satisfaction scores after discharge
Answer: B — Process measures assess implementation (attendance,
activities). Outcome measures = A1C reduction, ER visits, satisfaction.
10. A community health nurse is planning a primary prevention activity for a
local population. Which intervention should the nurse include?
A) Providing influenza immunizations at a senior center
B) Screening for hypertension at a health fair
C) Teaching a class on healthy nutrition to adolescents
D) Case management for clients with diabetes
Answer: C — Primary prevention aims to prevent disease before it occurs.
Teaching healthy nutrition to adolescents promotes health and reduces future
risk, which is primary prevention. Screening (B) is secondary prevention, and
case management (D) is tertiary prevention.
11. A nurse is assessing a community's vulnerability to a disaster. Which
factor most increases a population's risk for poor outcomes after a disaster?
A) High median income
B) Presence of multiple hospitals
C) Large population of older adults living alone
D) Proximity to a police station
Answer: C — Older adults living alone have limited mobility, social support,
and may have chronic conditions, increasing vulnerability. High income,
hospitals, and police presence generally reduce risk.
12. A community health nurse uses the epidemiologic triad to investigate an
outbreak of foodborne illness. Which component represents the host?
Practice Exam 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. A community health nurse is applying the nursing process at the
community level. Which action best represents the "diagnosis" phase?
A) Administering flu vaccines at a senior center
B) Analyzing data to identify high rates of teen pregnancy
C) Implementing a smoking cessation support group
D) Evaluating the effectiveness of a diabetes education program
Answer: B — In community health, diagnosis involves analyzing assessment
data to identify community health problems (e.g., high teen pregnancy
rates). Options A and C are interventions (implementation phase), and option
D is evaluation.
2. Which core public health function is being demonstrated when a nurse
develops a community disaster preparedness plan?
A) Assessment
B) Policy development
C) Assurance
D) Surveillance
Answer: B — Policy development includes planning and creating health
policies and disaster plans. Assessment is data collection; assurance is
ensuring services are available; surveillance is ongoing monitoring of health
events.
,3. A community health nurse is using the epidemiological triangle to
investigate an outbreak of Legionnaires' disease. Which component
represents the "environment"?
A) Elderly residents in a nursing home
B) Legionella bacteria
C) Contaminated cooling tower water
D) Lack of immunity among staff
Answer: C — The environment includes external factors like water sources,
temperature, and air quality. The agent is the bacteria (B), and the host
includes susceptible people (A, D).
4. A community health nurse is advocating for a needle exchange program.
Which level of prevention is primarily being applied?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Primordial prevention
Answer: A — Needle exchange prevents initial HIV/Hepatitis C transmission,
stopping disease before it occurs, which is primary prevention.
5. According to the Health Belief Model, a client's decision to get the HPV
vaccine is most influenced by which factor?
A) Perceived susceptibility to cervical cancer
B) Number of sexual partners
C) Family history of HPV
D) Cost of the vaccine alone
Answer: A — Perceived susceptibility (belief about risk of harm) is a key
construct of the Health Belief Model. Other factors may matter but are not
central to the model.
,6. A nurse is using the MINIMAT screening tool during a home visit. This tool
assesses for which condition?
A) Falls risk in the elderly
B) Intimate partner violence
C) Substance use disorder
D) Cognitive impairment
Answer: B — MINIMAT is a brief screening tool for intimate partner violence.
Other tools exist for falls (Timed Up and Go) or cognition (Mini-Cog).
7. Which federal initiative in the U.S. provides a 10-year national agenda for
improving the health of all people?
A) Healthy People 2030
B) CDC's VISION 2030
C) WHO's Global Health Observatory
D) Medicaid Early Periodic Screening
Answer: A — Healthy People provides science-based, 10-year national
objectives for improving health. The latest is Healthy People 2030.
8. A nurse is calculating the infant mortality rate for a county. Which data are
needed?
A) Number of live births and deaths of infants <1 year in a year
B) Number of births and deaths of mothers
C) Number of low birth weight infants
D) Number of neonatal intensive care admissions
Answer: A — Infant mortality rate = (Number of infant deaths <1 year /
Number of live births) × 1,000.
9. A community health nurse is evaluating a program's process measures.
Which example is correct?
, A) Reduction in A1C levels among diabetics
B) Number of participants who attended a smoking cessation class
C) Decrease in emergency room visits for asthma
D) Patient satisfaction scores after discharge
Answer: B — Process measures assess implementation (attendance,
activities). Outcome measures = A1C reduction, ER visits, satisfaction.
10. A community health nurse is planning a primary prevention activity for a
local population. Which intervention should the nurse include?
A) Providing influenza immunizations at a senior center
B) Screening for hypertension at a health fair
C) Teaching a class on healthy nutrition to adolescents
D) Case management for clients with diabetes
Answer: C — Primary prevention aims to prevent disease before it occurs.
Teaching healthy nutrition to adolescents promotes health and reduces future
risk, which is primary prevention. Screening (B) is secondary prevention, and
case management (D) is tertiary prevention.
11. A nurse is assessing a community's vulnerability to a disaster. Which
factor most increases a population's risk for poor outcomes after a disaster?
A) High median income
B) Presence of multiple hospitals
C) Large population of older adults living alone
D) Proximity to a police station
Answer: C — Older adults living alone have limited mobility, social support,
and may have chronic conditions, increasing vulnerability. High income,
hospitals, and police presence generally reduce risk.
12. A community health nurse uses the epidemiologic triad to investigate an
outbreak of foodborne illness. Which component represents the host?
