### Community Health Nursing Exam Review
2025/2026 | NCLEX-Style Complete Prep Series |
Verified Rationales & Mnemonics
**100 Questions with Verified Rationales**
---
**1. A community health nurse is planning a primary prevention program for a population at risk for
cardiovascular disease. Which of the following interventions is the best example of primary
prevention?**
A) Screening for hypertension at a community health fair
B) Teaching a class on healthy eating and exercise to a group of adults
C) Providing case management for clients with heart failure
D) Conducting cholesterol screenings at a senior center
🎯CORRECT CHOICE: B
💡EXPLANATION: Primary prevention focuses on health promotion and disease prevention before the
disease occurs. Teaching healthy eating and exercise is aimed at preventing cardiovascular disease,
making it a primary prevention strategy. Screening (A, D) is secondary prevention, and case
management for existing disease (C) is tertiary prevention.
**2. A nurse is conducting a community assessment using the windshield survey method. Which of the
following is a key component of this type of assessment?**
A) Reviewing demographic data from the census bureau
B) Interviewing key community leaders about health concerns
C) Driving or walking through a community to observe its characteristics
D) Analyzing hospital discharge data to identify prevalent health problems
🎯CORRECT CHOICE: C
,💡EXPLANATION: A windshield survey involves systematically observing the community by driving or
walking through it to gather data about its physical environment, housing, transportation, and other
visible characteristics. It provides a snapshot of the community's condition.
**3. A community health nurse is utilizing the epidemiological triangle to understand the spread of a
communicable disease. Which of the following components are included in this model?**
A) Host, agent, and environment
B) Person, place, and time
C) Susceptibility, resistance, and immunity
D) Primary, secondary, and tertiary prevention
🎯CORRECT CHOICE: A
💡EXPLANATION: The epidemiological triangle consists of three components: the host (the susceptible
individual), the agent (the cause of the disease), and the environment (the external factors that facilitate
transmission). It is a classic model for understanding disease causation and transmission.
**4. A nurse is working with a community to address the issue of childhood obesity. The nurse begins by
gathering data on the number of children who are overweight. This activity is an example of which step
in the community health nursing process?**
A) Planning
B) Implementation
C) Assessment
D) Evaluation
🎯CORRECT CHOICE: C
💡EXPLANATION: The community health nursing process begins with assessment, which involves
gathering data to identify the community's health status, needs, and resources. Collecting data on the
prevalence of childhood obesity is a key assessment activity.
**5. Which of the following is a primary responsibility of a community health nurse when providing care
to a vulnerable population?**
A) Waiting for the population to seek care at a clinical setting
B) Focusing solely on individual care rather than population-level care
C) Identifying and addressing health disparities and barriers to care
,D) Delegating all health education activities to other team members
🎯CORRECT CHOICE: C
💡EXPLANATION: Vulnerable populations face greater health risks and barriers to accessing care. A core
responsibility of the community health nurse is to identify these disparities and work to eliminate them,
ensuring that all individuals have equitable access to health services and health promotion resources.
**6. A nurse is preparing to administer the influenza vaccine at a community clinic. This activity is best
described as which level of prevention?**
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation
🎯CORRECT CHOICE: A
💡EXPLANATION: Administering vaccines is a classic example of primary prevention. It is a health
promotion and disease prevention activity aimed at preventing the occurrence of influenza in the
population before the disease can develop.
**7. A community health nurse is using the "Health Belief Model" to develop a smoking cessation
program. According to this model, what must the client believe in order to take action to quit
smoking?**
A) That smoking is a socially acceptable behavior
B) That they are at risk for smoking-related diseases and that the benefits of quitting outweigh the
barriers
C) That their friends and family want them to quit
D) That the consequences of smoking are only long-term and not immediate
🎯CORRECT CHOICE: B
💡EXPLANATION: The Health Belief Model posits that individuals will take health-related action if they
perceive a threat to their health (perceived susceptibility and severity) and believe that the benefits of
taking action outweigh the barriers. A perceived risk and a belief in the efficacy of the intervention are
key motivators.
**8. A community health nurse is evaluating the effectiveness of a diabetes management program.
Which of the following measures is the best indicator of the program's success?**
, A) The number of clients who attended the educational sessions
B) The level of client satisfaction with the program
C) A decrease in the average HbA1c levels of participants
D) The cost of the program compared to other programs
🎯CORRECT CHOICE: C
💡EXPLANATION: The best indicator of success for a diabetes management program is a measurable
improvement in health outcomes. A decrease in HbA1c levels is a direct measure of improved glycemic
control and a key clinical indicator of reduced risk for diabetic complications.
**9. A nurse is providing care to a migrant farmworker community. Which of the following is a
significant barrier to healthcare access that this population may face?**
A) High income levels
B) Access to employer-sponsored health insurance
C) Language barriers and frequent relocation
D) Proximity to tertiary care centers
🎯CORRECT CHOICE: C
💡EXPLANATION: Migrant farmworkers often face multiple barriers to care, including language barriers,
frequent relocation, lack of transportation, low income, and lack of health insurance. These challenges
make it difficult to establish continuity of care and access preventive services.
**10. A community health nurse is implementing a "Healthy Eating, Active Living" campaign at a local
elementary school. This intervention is an example of which of the following?**
A) Primary prevention aimed at changing health behaviors
B) Secondary prevention aimed at early detection of obesity
C) Tertiary prevention aimed at managing chronic disease
D) A community-based screening program
🎯CORRECT CHOICE: A
💡EXPLANATION: The campaign is a health promotion and disease prevention activity focused on
encouraging healthy behaviors. This is a classic example of primary prevention. The goal is to promote
wellness and prevent the development of obesity and related chronic diseases in the school-age
population.
2025/2026 | NCLEX-Style Complete Prep Series |
Verified Rationales & Mnemonics
**100 Questions with Verified Rationales**
---
**1. A community health nurse is planning a primary prevention program for a population at risk for
cardiovascular disease. Which of the following interventions is the best example of primary
prevention?**
A) Screening for hypertension at a community health fair
B) Teaching a class on healthy eating and exercise to a group of adults
C) Providing case management for clients with heart failure
D) Conducting cholesterol screenings at a senior center
🎯CORRECT CHOICE: B
💡EXPLANATION: Primary prevention focuses on health promotion and disease prevention before the
disease occurs. Teaching healthy eating and exercise is aimed at preventing cardiovascular disease,
making it a primary prevention strategy. Screening (A, D) is secondary prevention, and case
management for existing disease (C) is tertiary prevention.
**2. A nurse is conducting a community assessment using the windshield survey method. Which of the
following is a key component of this type of assessment?**
A) Reviewing demographic data from the census bureau
B) Interviewing key community leaders about health concerns
C) Driving or walking through a community to observe its characteristics
D) Analyzing hospital discharge data to identify prevalent health problems
🎯CORRECT CHOICE: C
,💡EXPLANATION: A windshield survey involves systematically observing the community by driving or
walking through it to gather data about its physical environment, housing, transportation, and other
visible characteristics. It provides a snapshot of the community's condition.
**3. A community health nurse is utilizing the epidemiological triangle to understand the spread of a
communicable disease. Which of the following components are included in this model?**
A) Host, agent, and environment
B) Person, place, and time
C) Susceptibility, resistance, and immunity
D) Primary, secondary, and tertiary prevention
🎯CORRECT CHOICE: A
💡EXPLANATION: The epidemiological triangle consists of three components: the host (the susceptible
individual), the agent (the cause of the disease), and the environment (the external factors that facilitate
transmission). It is a classic model for understanding disease causation and transmission.
**4. A nurse is working with a community to address the issue of childhood obesity. The nurse begins by
gathering data on the number of children who are overweight. This activity is an example of which step
in the community health nursing process?**
A) Planning
B) Implementation
C) Assessment
D) Evaluation
🎯CORRECT CHOICE: C
💡EXPLANATION: The community health nursing process begins with assessment, which involves
gathering data to identify the community's health status, needs, and resources. Collecting data on the
prevalence of childhood obesity is a key assessment activity.
**5. Which of the following is a primary responsibility of a community health nurse when providing care
to a vulnerable population?**
A) Waiting for the population to seek care at a clinical setting
B) Focusing solely on individual care rather than population-level care
C) Identifying and addressing health disparities and barriers to care
,D) Delegating all health education activities to other team members
🎯CORRECT CHOICE: C
💡EXPLANATION: Vulnerable populations face greater health risks and barriers to accessing care. A core
responsibility of the community health nurse is to identify these disparities and work to eliminate them,
ensuring that all individuals have equitable access to health services and health promotion resources.
**6. A nurse is preparing to administer the influenza vaccine at a community clinic. This activity is best
described as which level of prevention?**
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation
🎯CORRECT CHOICE: A
💡EXPLANATION: Administering vaccines is a classic example of primary prevention. It is a health
promotion and disease prevention activity aimed at preventing the occurrence of influenza in the
population before the disease can develop.
**7. A community health nurse is using the "Health Belief Model" to develop a smoking cessation
program. According to this model, what must the client believe in order to take action to quit
smoking?**
A) That smoking is a socially acceptable behavior
B) That they are at risk for smoking-related diseases and that the benefits of quitting outweigh the
barriers
C) That their friends and family want them to quit
D) That the consequences of smoking are only long-term and not immediate
🎯CORRECT CHOICE: B
💡EXPLANATION: The Health Belief Model posits that individuals will take health-related action if they
perceive a threat to their health (perceived susceptibility and severity) and believe that the benefits of
taking action outweigh the barriers. A perceived risk and a belief in the efficacy of the intervention are
key motivators.
**8. A community health nurse is evaluating the effectiveness of a diabetes management program.
Which of the following measures is the best indicator of the program's success?**
, A) The number of clients who attended the educational sessions
B) The level of client satisfaction with the program
C) A decrease in the average HbA1c levels of participants
D) The cost of the program compared to other programs
🎯CORRECT CHOICE: C
💡EXPLANATION: The best indicator of success for a diabetes management program is a measurable
improvement in health outcomes. A decrease in HbA1c levels is a direct measure of improved glycemic
control and a key clinical indicator of reduced risk for diabetic complications.
**9. A nurse is providing care to a migrant farmworker community. Which of the following is a
significant barrier to healthcare access that this population may face?**
A) High income levels
B) Access to employer-sponsored health insurance
C) Language barriers and frequent relocation
D) Proximity to tertiary care centers
🎯CORRECT CHOICE: C
💡EXPLANATION: Migrant farmworkers often face multiple barriers to care, including language barriers,
frequent relocation, lack of transportation, low income, and lack of health insurance. These challenges
make it difficult to establish continuity of care and access preventive services.
**10. A community health nurse is implementing a "Healthy Eating, Active Living" campaign at a local
elementary school. This intervention is an example of which of the following?**
A) Primary prevention aimed at changing health behaviors
B) Secondary prevention aimed at early detection of obesity
C) Tertiary prevention aimed at managing chronic disease
D) A community-based screening program
🎯CORRECT CHOICE: A
💡EXPLANATION: The campaign is a health promotion and disease prevention activity focused on
encouraging healthy behaviors. This is a classic example of primary prevention. The goal is to promote
wellness and prevent the development of obesity and related chronic diseases in the school-age
population.
