RN Community Health 2026
Question 1
A public health nurse is conducting a home visit for a client recently diagnosed with active
pulmonary tuberculosis (TB). Which action should the nurse take first?
A. Instruct the client to wear a surgical mask when others are present.
B. Teach the client about the importance of completing the prescribed medications.
C. Assess whether household members have been exposed to the client.
D. Recommend that the client receive the influenza vaccine.
Correct Answer: C
Rationale: The priority is identifying and evaluating individuals who may have been exposed to
active TB to prevent further transmission.
,Question 2
A community health nurse is planning an influenza vaccination clinic during flu season. Which
group should receive priority for vaccination when vaccine supplies are limited?
A. Healthy adults ages 20 to 40 years
B. Adolescents participating in school sports
C. Adults older than 65 years with chronic heart disease
D. College students living on campus
Correct Answer: C
Rationale: Older adults and clients with chronic illnesses are at increased risk for severe
influenza complications and should receive priority vaccination.
,Question 3
A home health nurse visits an older adult who lives alone. Which finding requires mandatory
reporting?
A. Expired food in the refrigerator
B. Bruises in various stages of healing with inconsistent explanations
C. Mild clutter in the living room
D. Missed primary care appointment
Correct Answer: B
Rationale: Unexplained bruises in different stages of healing may indicate elder abuse, which
must be reported according to state laws and agency policy.
, Question 4
A community health nurse is responding to a chemical spill disaster. Which client should the
nurse assess first during triage?
A. A client with minor abrasions who is walking independently
B. A client with severe respiratory distress and stridor
C. A client with a closed wrist fracture
D. A client with superficial burns to both hands
Correct Answer: B
Rationale: Airway compromise is the highest priority during disaster triage. Clients with severe
respiratory distress require immediate intervention.
Question 1
A public health nurse is conducting a home visit for a client recently diagnosed with active
pulmonary tuberculosis (TB). Which action should the nurse take first?
A. Instruct the client to wear a surgical mask when others are present.
B. Teach the client about the importance of completing the prescribed medications.
C. Assess whether household members have been exposed to the client.
D. Recommend that the client receive the influenza vaccine.
Correct Answer: C
Rationale: The priority is identifying and evaluating individuals who may have been exposed to
active TB to prevent further transmission.
,Question 2
A community health nurse is planning an influenza vaccination clinic during flu season. Which
group should receive priority for vaccination when vaccine supplies are limited?
A. Healthy adults ages 20 to 40 years
B. Adolescents participating in school sports
C. Adults older than 65 years with chronic heart disease
D. College students living on campus
Correct Answer: C
Rationale: Older adults and clients with chronic illnesses are at increased risk for severe
influenza complications and should receive priority vaccination.
,Question 3
A home health nurse visits an older adult who lives alone. Which finding requires mandatory
reporting?
A. Expired food in the refrigerator
B. Bruises in various stages of healing with inconsistent explanations
C. Mild clutter in the living room
D. Missed primary care appointment
Correct Answer: B
Rationale: Unexplained bruises in different stages of healing may indicate elder abuse, which
must be reported according to state laws and agency policy.
, Question 4
A community health nurse is responding to a chemical spill disaster. Which client should the
nurse assess first during triage?
A. A client with minor abrasions who is walking independently
B. A client with severe respiratory distress and stridor
C. A client with a closed wrist fracture
D. A client with superficial burns to both hands
Correct Answer: B
Rationale: Airway compromise is the highest priority during disaster triage. Clients with severe
respiratory distress require immediate intervention.
