Community Health Nursing Exam Review
2025/2026 | NCLEX‑Style Complete Prep
Series | Verified Rationales & Mnemonics
100 Questions
1. A community health nurse is planning a primary prevention program. Which activity best exemplifies
primary prevention?
A) Screening for hypertension at a community health fair
B) Administering influenza vaccines to older adults
C) Providing case management for patients with diabetes
D) Teaching a patient how to perform wound care
🎯CORRECT CHOICE: B) Administering influenza vaccines to older adults
💡EXPLANATION: Primary prevention aims to prevent disease before it occurs. Immunizations are a
classic example of primary prevention, protecting individuals from disease acquisition.
2. A nurse is assessing a community's health status. Which data source would provide the most
comprehensive information about the community's health outcomes?
A) Hospital discharge data
B) Vital statistics (births, deaths, marriages)
C) Community health survey
D) State health department annual report
🎯CORRECT CHOICE: B) Vital statistics (births, deaths, marriages)
💡EXPLANATION: Vital statistics provide crucial data on births and deaths, including infant mortality,
maternal mortality, and causes of death. This data is essential for assessing community health status.
,3. A community health nurse is using the epidemiological triangle to understand a disease outbreak. The
three components of the epidemiological triangle are:
A) Host, agent, and environment
B) Person, place, and time
C) Incidence, prevalence, and mortality
D) Risk, susceptibility, and transmission
🎯CORRECT CHOICE: A) Host, agent, and environment
💡EXPLANATION: The epidemiological triangle consists of the host (the susceptible individual), the agent
(the cause of disease), and the environment (external factors that allow transmission). This model helps
identify points of intervention.
4. A nurse is implementing a tertiary prevention program for a community. Which activity is most
appropriate for tertiary prevention?
A) Promoting a smoking cessation campaign
B) Conducting cholesterol screening for middle-aged adults
C) Providing a rehabilitation program for stroke survivors
D) Teaching nutrition classes to pregnant women
🎯CORRECT CHOICE: C) Providing a rehabilitation program for stroke survivors
💡EXPLANATION: Tertiary prevention aims to reduce the impact of an already established disease by
restoring function and reducing complications. Rehabilitation programs are a key example.
5. A community health nurse is examining the social determinants of health. Which factor is a social
determinant of health?
A) Individual genetic predisposition
B) Access to health care services
C) The patient's age
D) A virus causing an infection
🎯CORRECT CHOICE: B) Access to health care services
,💡EXPLANATION: Social determinants of health are the conditions in which people are born, grow, work,
live, and age. These include socioeconomic status, education, neighborhood and physical environment,
employment, and social support networks, as well as access to healthcare.
6. A nurse is educating a patient about a communicable disease. The nurse explains the chain of
infection. Which link in the chain is the patient?
A) Reservoir
B) Portal of exit
C) Susceptible host
D) Mode of transmission
🎯CORRECT CHOICE: C) Susceptible host
💡EXPLANATION: The patient, being at risk for infection, is the susceptible host in the chain of infection.
The chain includes the infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
and susceptible host.
7. A community health nurse is evaluating a program's effectiveness. Which evaluation method
measures the program's impact on the community's health outcomes?
A) Process evaluation
B) Outcome evaluation
C) Formative evaluation
D) Structural evaluation
🎯CORRECT CHOICE: B) Outcome evaluation
💡EXPLANATION: Outcome evaluation measures the effect of a program on the health status of the
target population. It assesses whether the program achieved its objectives.
8. A nurse is working with a community that has a high rate of teenage pregnancy. Which nursing
intervention is most appropriate for primary prevention?
A) Providing prenatal care to pregnant teenagers
B) Offering parenting classes to teenage parents
, C) Implementing a school-based sex education program
D) Establishing a support group for teenage mothers
🎯CORRECT CHOICE: C) Implementing a school-based sex education program
💡EXPLANATION: Primary prevention aims to prevent the problem from occurring. Sex education
programs aim to prevent teenage pregnancy before it happens.
9. The community health nurse uses the term "epidemiology." What is the primary focus of
epidemiology?
A) The study of the distribution and determinants of health-related states
B) The clinical treatment of infectious diseases
C) The administration of public health programs
D) The provision of health care to underserved populations
🎯CORRECT CHOICE: A) The study of the distribution and determinants of health-related states
💡EXPLANATION: Epidemiology is the study of how often diseases occur in different groups of people
and why. It involves determining the distribution (who, where, when) and determinants (causes, risk
factors) of health conditions.
10. A nurse is conducting a community needs assessment. Which action is the first step in this process?
A) Collecting data from various sources
B) Establishing a planning committee
C) Identifying the population of interest
D) Analyzing available resources
🎯CORRECT CHOICE: C) Identifying the population of interest
💡EXPLANATION: The first step in a community needs assessment is to clearly define the community or
population that is the focus of the assessment. This sets the boundaries for all subsequent steps.
2025/2026 | NCLEX‑Style Complete Prep
Series | Verified Rationales & Mnemonics
100 Questions
1. A community health nurse is planning a primary prevention program. Which activity best exemplifies
primary prevention?
A) Screening for hypertension at a community health fair
B) Administering influenza vaccines to older adults
C) Providing case management for patients with diabetes
D) Teaching a patient how to perform wound care
🎯CORRECT CHOICE: B) Administering influenza vaccines to older adults
💡EXPLANATION: Primary prevention aims to prevent disease before it occurs. Immunizations are a
classic example of primary prevention, protecting individuals from disease acquisition.
2. A nurse is assessing a community's health status. Which data source would provide the most
comprehensive information about the community's health outcomes?
A) Hospital discharge data
B) Vital statistics (births, deaths, marriages)
C) Community health survey
D) State health department annual report
🎯CORRECT CHOICE: B) Vital statistics (births, deaths, marriages)
💡EXPLANATION: Vital statistics provide crucial data on births and deaths, including infant mortality,
maternal mortality, and causes of death. This data is essential for assessing community health status.
,3. A community health nurse is using the epidemiological triangle to understand a disease outbreak. The
three components of the epidemiological triangle are:
A) Host, agent, and environment
B) Person, place, and time
C) Incidence, prevalence, and mortality
D) Risk, susceptibility, and transmission
🎯CORRECT CHOICE: A) Host, agent, and environment
💡EXPLANATION: The epidemiological triangle consists of the host (the susceptible individual), the agent
(the cause of disease), and the environment (external factors that allow transmission). This model helps
identify points of intervention.
4. A nurse is implementing a tertiary prevention program for a community. Which activity is most
appropriate for tertiary prevention?
A) Promoting a smoking cessation campaign
B) Conducting cholesterol screening for middle-aged adults
C) Providing a rehabilitation program for stroke survivors
D) Teaching nutrition classes to pregnant women
🎯CORRECT CHOICE: C) Providing a rehabilitation program for stroke survivors
💡EXPLANATION: Tertiary prevention aims to reduce the impact of an already established disease by
restoring function and reducing complications. Rehabilitation programs are a key example.
5. A community health nurse is examining the social determinants of health. Which factor is a social
determinant of health?
A) Individual genetic predisposition
B) Access to health care services
C) The patient's age
D) A virus causing an infection
🎯CORRECT CHOICE: B) Access to health care services
,💡EXPLANATION: Social determinants of health are the conditions in which people are born, grow, work,
live, and age. These include socioeconomic status, education, neighborhood and physical environment,
employment, and social support networks, as well as access to healthcare.
6. A nurse is educating a patient about a communicable disease. The nurse explains the chain of
infection. Which link in the chain is the patient?
A) Reservoir
B) Portal of exit
C) Susceptible host
D) Mode of transmission
🎯CORRECT CHOICE: C) Susceptible host
💡EXPLANATION: The patient, being at risk for infection, is the susceptible host in the chain of infection.
The chain includes the infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
and susceptible host.
7. A community health nurse is evaluating a program's effectiveness. Which evaluation method
measures the program's impact on the community's health outcomes?
A) Process evaluation
B) Outcome evaluation
C) Formative evaluation
D) Structural evaluation
🎯CORRECT CHOICE: B) Outcome evaluation
💡EXPLANATION: Outcome evaluation measures the effect of a program on the health status of the
target population. It assesses whether the program achieved its objectives.
8. A nurse is working with a community that has a high rate of teenage pregnancy. Which nursing
intervention is most appropriate for primary prevention?
A) Providing prenatal care to pregnant teenagers
B) Offering parenting classes to teenage parents
, C) Implementing a school-based sex education program
D) Establishing a support group for teenage mothers
🎯CORRECT CHOICE: C) Implementing a school-based sex education program
💡EXPLANATION: Primary prevention aims to prevent the problem from occurring. Sex education
programs aim to prevent teenage pregnancy before it happens.
9. The community health nurse uses the term "epidemiology." What is the primary focus of
epidemiology?
A) The study of the distribution and determinants of health-related states
B) The clinical treatment of infectious diseases
C) The administration of public health programs
D) The provision of health care to underserved populations
🎯CORRECT CHOICE: A) The study of the distribution and determinants of health-related states
💡EXPLANATION: Epidemiology is the study of how often diseases occur in different groups of people
and why. It involves determining the distribution (who, where, when) and determinants (causes, risk
factors) of health conditions.
10. A nurse is conducting a community needs assessment. Which action is the first step in this process?
A) Collecting data from various sources
B) Establishing a planning committee
C) Identifying the population of interest
D) Analyzing available resources
🎯CORRECT CHOICE: C) Identifying the population of interest
💡EXPLANATION: The first step in a community needs assessment is to clearly define the community or
population that is the focus of the assessment. This sets the boundaries for all subsequent steps.
