Community Health Nursing Practice
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. Which statement best describes the primary goal of community
health nursing?
A. Providing specialized treatment to hospitalized clients
B. Promoting and protecting the health of populations
C. Managing acute surgical emergencies
D. Providing only rehabilitative services
Answer: B. Promoting and protecting the health of populations
Rationale: Community health nursing focuses on improving the health
of individuals, families, groups, and entire populations. Prevention,
health promotion, disease surveillance, education, environmental
health, and community participation are central activities.
2. Which level of prevention aims to prevent disease before it occurs?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Rehabilitative prevention
Answer: C. Primary prevention
Rationale: Primary prevention occurs before a disease or injury
develops. Immunization, health education, exercise promotion,
nutritional counseling, and smoking prevention are examples.
, 3. Which activity is an example of secondary prevention?
A. Rehabilitation after a stroke
B. Immunization against influenza
C. Screening adults for hypertension
D. Teaching children about healthy eating
Answer: C. Screening adults for hypertension
Rationale: Secondary prevention emphasizes early detection and
prompt intervention. Screening for hypertension can identify disease
before complications develop.
4. Which activity represents tertiary prevention?
A. Childhood immunization
B. Prenatal nutrition education
C. Blood pressure screening
D. Cardiac rehabilitation after myocardial infarction
Answer: D. Cardiac rehabilitation after myocardial infarction
Rationale: Tertiary prevention reduces complications, disability, and
loss of function after a disease has occurred. Cardiac rehabilitation
helps clients regain function and reduce recurrence.
5. A community health nurse is conducting a windshield survey.
What is the nurse primarily assessing?
A. Individual medication adherence
B. Hospital staffing patterns
C. Observable characteristics of the community environment
D. Genetic risks of community residents
Answer: C. Observable characteristics of the community
environment
,Rationale: A windshield survey involves systematic observation of
housing, transportation, businesses, sanitation, safety, recreation,
population characteristics, and other visible community features.
6. Which source provides the most direct information about
community residents' perceptions of health needs?
A. Census records
B. Mortality statistics
C. Hospital discharge data
D. Community interviews and focus groups
Answer: D. Community interviews and focus groups
Rationale: Community members can directly describe perceived health
concerns, barriers, priorities, resources, and cultural considerations
through interviews and focus groups.
7. What is the first step in the community health nursing process?
A. Implementation
B. Evaluation
C. Planning
D. Assessment
Answer: D. Assessment
Rationale: Assessment involves collecting and analyzing information
about the population, environment, health status, resources, and
determinants of health. Planning should follow assessment findings.
8. Which factor is considered a social determinant of health?
A. Blood type
B. Eye color
, C. Access to safe housing
D. Genetic inheritance alone
Answer: C. Access to safe housing
Rationale: Social determinants include conditions in which people are
born, grow, live, work, and age. Housing, education, income,
transportation, food access, and social support can strongly influence
health.
9. A community has a high rate of uncontrolled diabetes. Which
intervention should the nurse prioritize?
A. Distributing hospital advertisements
B. Developing culturally appropriate diabetes self-management
education
C. Increasing emergency department staffing
D. Limiting community exercise programs
Answer: B. Developing culturally appropriate diabetes self-
management education
Rationale: Education that addresses diet, medication adherence,
glucose monitoring, physical activity, and complication prevention can
improve diabetes control. Cultural appropriateness increases relevance
and participation.
10. Which principle is most important when planning community
health interventions?
A. The nurse should determine priorities without community input.
B. The most expensive intervention should be selected.
C. Community members should participate in identifying and
addressing health priorities.
D. Interventions should focus exclusively on individual behavior.
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A | Instant Download Pdf
1. Which statement best describes the primary goal of community
health nursing?
A. Providing specialized treatment to hospitalized clients
B. Promoting and protecting the health of populations
C. Managing acute surgical emergencies
D. Providing only rehabilitative services
Answer: B. Promoting and protecting the health of populations
Rationale: Community health nursing focuses on improving the health
of individuals, families, groups, and entire populations. Prevention,
health promotion, disease surveillance, education, environmental
health, and community participation are central activities.
2. Which level of prevention aims to prevent disease before it occurs?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Rehabilitative prevention
Answer: C. Primary prevention
Rationale: Primary prevention occurs before a disease or injury
develops. Immunization, health education, exercise promotion,
nutritional counseling, and smoking prevention are examples.
, 3. Which activity is an example of secondary prevention?
A. Rehabilitation after a stroke
B. Immunization against influenza
C. Screening adults for hypertension
D. Teaching children about healthy eating
Answer: C. Screening adults for hypertension
Rationale: Secondary prevention emphasizes early detection and
prompt intervention. Screening for hypertension can identify disease
before complications develop.
4. Which activity represents tertiary prevention?
A. Childhood immunization
B. Prenatal nutrition education
C. Blood pressure screening
D. Cardiac rehabilitation after myocardial infarction
Answer: D. Cardiac rehabilitation after myocardial infarction
Rationale: Tertiary prevention reduces complications, disability, and
loss of function after a disease has occurred. Cardiac rehabilitation
helps clients regain function and reduce recurrence.
5. A community health nurse is conducting a windshield survey.
What is the nurse primarily assessing?
A. Individual medication adherence
B. Hospital staffing patterns
C. Observable characteristics of the community environment
D. Genetic risks of community residents
Answer: C. Observable characteristics of the community
environment
,Rationale: A windshield survey involves systematic observation of
housing, transportation, businesses, sanitation, safety, recreation,
population characteristics, and other visible community features.
6. Which source provides the most direct information about
community residents' perceptions of health needs?
A. Census records
B. Mortality statistics
C. Hospital discharge data
D. Community interviews and focus groups
Answer: D. Community interviews and focus groups
Rationale: Community members can directly describe perceived health
concerns, barriers, priorities, resources, and cultural considerations
through interviews and focus groups.
7. What is the first step in the community health nursing process?
A. Implementation
B. Evaluation
C. Planning
D. Assessment
Answer: D. Assessment
Rationale: Assessment involves collecting and analyzing information
about the population, environment, health status, resources, and
determinants of health. Planning should follow assessment findings.
8. Which factor is considered a social determinant of health?
A. Blood type
B. Eye color
, C. Access to safe housing
D. Genetic inheritance alone
Answer: C. Access to safe housing
Rationale: Social determinants include conditions in which people are
born, grow, live, work, and age. Housing, education, income,
transportation, food access, and social support can strongly influence
health.
9. A community has a high rate of uncontrolled diabetes. Which
intervention should the nurse prioritize?
A. Distributing hospital advertisements
B. Developing culturally appropriate diabetes self-management
education
C. Increasing emergency department staffing
D. Limiting community exercise programs
Answer: B. Developing culturally appropriate diabetes self-
management education
Rationale: Education that addresses diet, medication adherence,
glucose monitoring, physical activity, and complication prevention can
improve diabetes control. Cultural appropriateness increases relevance
and participation.
10. Which principle is most important when planning community
health interventions?
A. The nurse should determine priorities without community input.
B. The most expensive intervention should be selected.
C. Community members should participate in identifying and
addressing health priorities.
D. Interventions should focus exclusively on individual behavior.
