LPN/LVN Community Health
Competency Exam — Code: LPN-CH-
COMP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
A community health LPN is conducting a home visit for an older adult who lives
alone. Which finding requires the nurse to prioritize a safety intervention?
A. The client reports eating one meal daily
B. The client keeps medications in a weekly pill organizer
C. The client has several loose electrical cords across the hallway
D. The client reports waking twice during the night
Answer: C. Several loose electrical cords across the hallway
Rationale: Loose electrical cords create an immediate fall and injury hazard,
particularly for older adults. Community health nursing emphasizes
environmental assessment and prevention of avoidable injury.
,2.
During a community assessment, the nurse notes an increase in tuberculosis
cases among people experiencing homelessness. Which intervention best
represents primary prevention?
A. Providing directly observed therapy to infected clients
B. Screening high-risk individuals for tuberculosis
C. Treating clients with confirmed tuberculosis
D. Monitoring clients for medication adverse effects
Answer: B. Screening high-risk individuals for tuberculosis
Rationale: Screening can identify disease early and prevent transmission
through timely intervention. Treatment is directed at clients who already have
disease, while primary prevention more broadly focuses on preventing disease
before it occurs.
3.
A client with newly diagnosed hypertension says, “I don't understand why I need
medication because I feel perfectly healthy.” What is the nurse's best response?
A. “Hypertension usually causes severe symptoms when it becomes dangerous.”
B. “You should take the medication because your provider prescribed it.”
C. “High blood pressure can damage organs even when you have no symptoms.”
D. “You can stop the medication once your blood pressure becomes normal.”
Answer: C. “High blood pressure can damage organs even when you have no
symptoms.”
Rationale: Hypertension is often asymptomatic but can progressively damage
the heart, kidneys, brain, and blood vessels. Explaining the risk improves
understanding and adherence.
4.
,A community health nurse is planning an influenza vaccination campaign. Which
population should receive priority for outreach?
A. Healthy adults ages 25–35
B. Adults who exercise regularly
C. Older adults and individuals with chronic illnesses
D. Adolescents with no chronic health conditions
Answer: C. Older adults and individuals with chronic illnesses
Rationale: Older adults and people with chronic conditions are at increased risk
for severe influenza complications and hospitalization. Targeted outreach can
reduce morbidity in high-risk populations.
5.
A client with diabetes tells the LPN, “I cannot afford the food my dietitian
recommended.” Which action is most appropriate?
A. Tell the client to eat whatever food is available
B. Refer the client to community nutrition and food-assistance resources
C. Recommend eliminating carbohydrates completely
D. Tell the client to skip meals when glucose is elevated
Answer: B. Refer the client to community nutrition and food-assistance
resources
Rationale: Community health nursing addresses social determinants of health,
including food insecurity. Connecting the client with appropriate resources
supports realistic disease management.
6.
During a home visit, an LPN finds a child with fever, cough, conjunctivitis, and a
generalized maculopapular rash. What is the priority action?
A. Encourage increased oral fluids
B. Recommend an over-the-counter antipyretic
, C. Immediately notify the appropriate public health authority
D. Schedule a routine follow-up visit
Answer: C. Immediately notify the appropriate public health authority
Rationale: The findings are highly concerning for measles, a highly contagious
disease that requires prompt public health notification and infection-control
measures.
7.
Which intervention is an example of secondary prevention?
A. Teaching adolescents about healthy nutrition
B. Administering childhood immunizations
C. Screening adults for colorectal cancer
D. Providing rehabilitation after a stroke
Answer: C. Screening adults for colorectal cancer
Rationale: Secondary prevention focuses on early detection of disease through
screening and prompt identification of abnormalities.
8.
A client with chronic obstructive pulmonary disease lives in an area with frequent
air pollution alerts. Which teaching is most appropriate?
A. Exercise outdoors during pollution alerts
B. Keep windows open to increase ventilation
C. Monitor air-quality reports and limit outdoor exposure when pollution is high
D. Discontinue prescribed inhalers during poor air quality
Answer: C. Monitor air-quality reports and limit outdoor exposure when
pollution is high
Competency Exam — Code: LPN-CH-
COMP | 100-Question Advanced
Practice Exam 2026 | Questions &
Answers with Detailed Rationales |
Complete Exam Prep & Study Guide
1.
A community health LPN is conducting a home visit for an older adult who lives
alone. Which finding requires the nurse to prioritize a safety intervention?
A. The client reports eating one meal daily
B. The client keeps medications in a weekly pill organizer
C. The client has several loose electrical cords across the hallway
D. The client reports waking twice during the night
Answer: C. Several loose electrical cords across the hallway
Rationale: Loose electrical cords create an immediate fall and injury hazard,
particularly for older adults. Community health nursing emphasizes
environmental assessment and prevention of avoidable injury.
,2.
During a community assessment, the nurse notes an increase in tuberculosis
cases among people experiencing homelessness. Which intervention best
represents primary prevention?
A. Providing directly observed therapy to infected clients
B. Screening high-risk individuals for tuberculosis
C. Treating clients with confirmed tuberculosis
D. Monitoring clients for medication adverse effects
Answer: B. Screening high-risk individuals for tuberculosis
Rationale: Screening can identify disease early and prevent transmission
through timely intervention. Treatment is directed at clients who already have
disease, while primary prevention more broadly focuses on preventing disease
before it occurs.
3.
A client with newly diagnosed hypertension says, “I don't understand why I need
medication because I feel perfectly healthy.” What is the nurse's best response?
A. “Hypertension usually causes severe symptoms when it becomes dangerous.”
B. “You should take the medication because your provider prescribed it.”
C. “High blood pressure can damage organs even when you have no symptoms.”
D. “You can stop the medication once your blood pressure becomes normal.”
Answer: C. “High blood pressure can damage organs even when you have no
symptoms.”
Rationale: Hypertension is often asymptomatic but can progressively damage
the heart, kidneys, brain, and blood vessels. Explaining the risk improves
understanding and adherence.
4.
,A community health nurse is planning an influenza vaccination campaign. Which
population should receive priority for outreach?
A. Healthy adults ages 25–35
B. Adults who exercise regularly
C. Older adults and individuals with chronic illnesses
D. Adolescents with no chronic health conditions
Answer: C. Older adults and individuals with chronic illnesses
Rationale: Older adults and people with chronic conditions are at increased risk
for severe influenza complications and hospitalization. Targeted outreach can
reduce morbidity in high-risk populations.
5.
A client with diabetes tells the LPN, “I cannot afford the food my dietitian
recommended.” Which action is most appropriate?
A. Tell the client to eat whatever food is available
B. Refer the client to community nutrition and food-assistance resources
C. Recommend eliminating carbohydrates completely
D. Tell the client to skip meals when glucose is elevated
Answer: B. Refer the client to community nutrition and food-assistance
resources
Rationale: Community health nursing addresses social determinants of health,
including food insecurity. Connecting the client with appropriate resources
supports realistic disease management.
6.
During a home visit, an LPN finds a child with fever, cough, conjunctivitis, and a
generalized maculopapular rash. What is the priority action?
A. Encourage increased oral fluids
B. Recommend an over-the-counter antipyretic
, C. Immediately notify the appropriate public health authority
D. Schedule a routine follow-up visit
Answer: C. Immediately notify the appropriate public health authority
Rationale: The findings are highly concerning for measles, a highly contagious
disease that requires prompt public health notification and infection-control
measures.
7.
Which intervention is an example of secondary prevention?
A. Teaching adolescents about healthy nutrition
B. Administering childhood immunizations
C. Screening adults for colorectal cancer
D. Providing rehabilitation after a stroke
Answer: C. Screening adults for colorectal cancer
Rationale: Secondary prevention focuses on early detection of disease through
screening and prompt identification of abnormalities.
8.
A client with chronic obstructive pulmonary disease lives in an area with frequent
air pollution alerts. Which teaching is most appropriate?
A. Exercise outdoors during pollution alerts
B. Keep windows open to increase ventilation
C. Monitor air-quality reports and limit outdoor exposure when pollution is high
D. Discontinue prescribed inhalers during poor air quality
Answer: C. Monitor air-quality reports and limit outdoor exposure when
pollution is high
