RN Community Health Online Practice 2019
EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant Download
PDF
EXAM COVERAGE
1. Epidemiology and Communicable Disease Control
2. Community Assessment and Population Health
3. Environmental Health and Occupational Hazards
4. Vulnerable Populations and Health Disparities
5. Disaster Management and Emergency Preparedness
6. Health Promotion and Disease Prevention Strategies
7. Home Health and Hospice Nursing Practice
8. Public Health Policy and Healthcare Systems
9. Ethical and Legal Considerations in Community Health
10. Cultural Competence and Community Advocacy
1. A nurse is conducting a community assessment in a rural area where there is a high prevalence of
lead poisoning in children. Which of the following actions should the nurse prioritize to address
the primary cause of exposure in this population?
A. Screen all children for blood lead levels during school registration.
, B. Advocate for the inspection and remediation of lead-based paint in older housing units.
C. Distribute educational pamphlets to parents regarding the risks of lead exposure.
D. Refer children with elevated blood lead levels to a pediatric specialist.
CORRECT ANSWER : B
Rationale: Addressing the primary source of environmental lead exposure in older homes is the
most effective public health intervention. Screening and education are secondary or tertiary
measures that do not eliminate the environmental hazard, which is the root cause of the
poisoning.
2. A community health nurse is planning a primary prevention program for a population at risk for
developing type 2 diabetes. Which of the following interventions best aligns with the definition
of primary prevention?
A. Providing blood glucose screening at a local health fair.
B. Educating a group of adults on healthy nutrition and physical activity habits.
C. Assisting newly diagnosed diabetic patients with medication adherence.
D. Conducting foot exams for patients with long-standing diabetes.
CORRECT ANSWER : B
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and education. Options A, C, and D are examples of secondary and tertiary
prevention, which focus on early detection or managing existing disease conditions.
3. A public health nurse is monitoring an outbreak of influenza within a long-term care facility.
Which of the following actions is the most effective method to stop the transmission of the virus
among residents?
A. Administering antiviral medications to all staff members.
B. Implementing strict cohorting and isolation of symptomatic residents.
C. Increasing the frequency of cleaning common areas.
D. Encouraging all residents to increase their intake of vitamin C.
CORRECT ANSWER : B
, Rationale: Cohorting and isolating symptomatic individuals are essential infection control
measures to break the chain of transmission in institutional settings. Antivirals and cleaning are
supportive, but physical separation is the most direct way to contain an active outbreak.
4. A nurse is assessing the health needs of a migrant farmworker community. Which of the
following is a major barrier to healthcare access that the nurse should identify?
A. Lack of interest in health improvement among the population.
B. Limited mobility and lack of consistent transportation to clinics.
C. A preference for traditional medicine over Western healthcare.
D. High levels of literacy among the workforce.
CORRECT ANSWER : B
Rationale: Migrant workers frequently face significant structural barriers, including lack of
transportation, language barriers, and irregular work schedules, which prevent them from
accessing routine care. Attributing these challenges to personal choices or lack of interest
ignores the systemic disparities these workers face.
5. A community health nurse is preparing a disaster management plan for a flood-prone area.
Which of the following should be included in the mitigation phase of the plan?
A. Conducting a community drill to practice emergency evacuation.
B. Advocating for the construction of levees and improved drainage systems.
C. Identifying local shelters that can house displaced residents.
D. Stockpiling medical supplies for use after the flood.
CORRECT ANSWER : B
Rationale: Mitigation involves long-term measures to reduce the impact of a disaster before it
occurs, such as infrastructure improvements. Drills, shelter identification, and stockpiling are
components of the preparedness phase.
6. A nurse is working with a community to improve the health of the local adolescent population.
Which of the following is an example of an epidemiological indicator that the nurse should use
to evaluate the community’s health?
A. The number of high school students who graduate on time.
B. The incidence rate of sexually transmitted infections (STIs) among adolescents.
, C. The local unemployment rate for young adults.
D. The number of recreational facilities in the area.
CORRECT ANSWER : B
Rationale: Epidemiological indicators are specific quantitative data points that describe the
health status of a population. Incidence rates of STIs directly measure health outcomes, whereas
the other options describe social or environmental factors.
7. A nurse is providing care to a client who recently immigrated to the U.S. and follows a
traditional cultural diet. Which of the following is the most culturally competent way to
encourage a heart-healthy diet?
A. Instruct the client to stop eating their traditional foods and adopt a low-sodium American diet.
B. Incorporate the client’s traditional food preferences into a low-sodium meal plan.
C. Tell the client that their traditional diet is the cause of their hypertension.
D. Provide the client with a standard pamphlet on the DASH diet without modifications.
CORRECT ANSWER : B
Rationale: Culturally competent care involves respecting the client's cultural identity while
providing evidence-based health advice. Modifying the client’s existing preferences ensures
better adherence and respects their dietary traditions.
8. A home health nurse is visiting an elderly client who lives alone and is at risk for falls. Which of
the following interventions should the nurse prioritize?
A. Recommending the client move to an assisted living facility immediately.
B. Removing throw rugs and ensuring adequate lighting in all rooms.
C. Providing a list of local social activities for the client to attend.
D. Suggesting the client hire a professional caregiver for 24-hour supervision.
CORRECT ANSWER : B
Rationale: Home safety modifications, such as removing fall hazards, are simple, high-impact
interventions that support independence and safety. Relocation or 24-hour care are overly
restrictive measures that should only be considered if safety cannot be maintained in the current
environment.
EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant Download
EXAM COVERAGE
1. Epidemiology and Communicable Disease Control
2. Community Assessment and Population Health
3. Environmental Health and Occupational Hazards
4. Vulnerable Populations and Health Disparities
5. Disaster Management and Emergency Preparedness
6. Health Promotion and Disease Prevention Strategies
7. Home Health and Hospice Nursing Practice
8. Public Health Policy and Healthcare Systems
9. Ethical and Legal Considerations in Community Health
10. Cultural Competence and Community Advocacy
1. A nurse is conducting a community assessment in a rural area where there is a high prevalence of
lead poisoning in children. Which of the following actions should the nurse prioritize to address
the primary cause of exposure in this population?
A. Screen all children for blood lead levels during school registration.
, B. Advocate for the inspection and remediation of lead-based paint in older housing units.
C. Distribute educational pamphlets to parents regarding the risks of lead exposure.
D. Refer children with elevated blood lead levels to a pediatric specialist.
CORRECT ANSWER : B
Rationale: Addressing the primary source of environmental lead exposure in older homes is the
most effective public health intervention. Screening and education are secondary or tertiary
measures that do not eliminate the environmental hazard, which is the root cause of the
poisoning.
2. A community health nurse is planning a primary prevention program for a population at risk for
developing type 2 diabetes. Which of the following interventions best aligns with the definition
of primary prevention?
A. Providing blood glucose screening at a local health fair.
B. Educating a group of adults on healthy nutrition and physical activity habits.
C. Assisting newly diagnosed diabetic patients with medication adherence.
D. Conducting foot exams for patients with long-standing diabetes.
CORRECT ANSWER : B
Rationale: Primary prevention aims to prevent disease before it occurs through health
promotion and education. Options A, C, and D are examples of secondary and tertiary
prevention, which focus on early detection or managing existing disease conditions.
3. A public health nurse is monitoring an outbreak of influenza within a long-term care facility.
Which of the following actions is the most effective method to stop the transmission of the virus
among residents?
A. Administering antiviral medications to all staff members.
B. Implementing strict cohorting and isolation of symptomatic residents.
C. Increasing the frequency of cleaning common areas.
D. Encouraging all residents to increase their intake of vitamin C.
CORRECT ANSWER : B
, Rationale: Cohorting and isolating symptomatic individuals are essential infection control
measures to break the chain of transmission in institutional settings. Antivirals and cleaning are
supportive, but physical separation is the most direct way to contain an active outbreak.
4. A nurse is assessing the health needs of a migrant farmworker community. Which of the
following is a major barrier to healthcare access that the nurse should identify?
A. Lack of interest in health improvement among the population.
B. Limited mobility and lack of consistent transportation to clinics.
C. A preference for traditional medicine over Western healthcare.
D. High levels of literacy among the workforce.
CORRECT ANSWER : B
Rationale: Migrant workers frequently face significant structural barriers, including lack of
transportation, language barriers, and irregular work schedules, which prevent them from
accessing routine care. Attributing these challenges to personal choices or lack of interest
ignores the systemic disparities these workers face.
5. A community health nurse is preparing a disaster management plan for a flood-prone area.
Which of the following should be included in the mitigation phase of the plan?
A. Conducting a community drill to practice emergency evacuation.
B. Advocating for the construction of levees and improved drainage systems.
C. Identifying local shelters that can house displaced residents.
D. Stockpiling medical supplies for use after the flood.
CORRECT ANSWER : B
Rationale: Mitigation involves long-term measures to reduce the impact of a disaster before it
occurs, such as infrastructure improvements. Drills, shelter identification, and stockpiling are
components of the preparedness phase.
6. A nurse is working with a community to improve the health of the local adolescent population.
Which of the following is an example of an epidemiological indicator that the nurse should use
to evaluate the community’s health?
A. The number of high school students who graduate on time.
B. The incidence rate of sexually transmitted infections (STIs) among adolescents.
, C. The local unemployment rate for young adults.
D. The number of recreational facilities in the area.
CORRECT ANSWER : B
Rationale: Epidemiological indicators are specific quantitative data points that describe the
health status of a population. Incidence rates of STIs directly measure health outcomes, whereas
the other options describe social or environmental factors.
7. A nurse is providing care to a client who recently immigrated to the U.S. and follows a
traditional cultural diet. Which of the following is the most culturally competent way to
encourage a heart-healthy diet?
A. Instruct the client to stop eating their traditional foods and adopt a low-sodium American diet.
B. Incorporate the client’s traditional food preferences into a low-sodium meal plan.
C. Tell the client that their traditional diet is the cause of their hypertension.
D. Provide the client with a standard pamphlet on the DASH diet without modifications.
CORRECT ANSWER : B
Rationale: Culturally competent care involves respecting the client's cultural identity while
providing evidence-based health advice. Modifying the client’s existing preferences ensures
better adherence and respects their dietary traditions.
8. A home health nurse is visiting an elderly client who lives alone and is at risk for falls. Which of
the following interventions should the nurse prioritize?
A. Recommending the client move to an assisted living facility immediately.
B. Removing throw rugs and ensuring adequate lighting in all rooms.
C. Providing a list of local social activities for the client to attend.
D. Suggesting the client hire a professional caregiver for 24-hour supervision.
CORRECT ANSWER : B
Rationale: Home safety modifications, such as removing fall hazards, are simple, high-impact
interventions that support independence and safety. Relocation or 24-hour care are overly
restrictive measures that should only be considered if safety cannot be maintained in the current
environment.
