Answers 2026/2027
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (15 Questions)
**1.** A community health nurse is planning an immunization clinic in a rural
community. Which action should the nurse take FIRST?
A) Arrange for vaccine storage equipment
B) Notify community leaders of the clinic date
C) Develop an outreach and education plan
D) Conduct a community needs assessment
**Correct Answer:** D) Conduct a community needs assessment
**Rationale:** A community needs assessment is the first step in any
community health program to identify gaps and tailor interventions. Planning
interventions before assessing community needs may result in ineffective or
irrelevant programs.
**2.** A nurse is applying the public health core functions. Which activity is
an example of **assurance**?
A) Conducting a community health survey
B) Developing a policy to increase access to clean water
C) Evaluating the effectiveness of a community nutrition program
D) Ensuring that a community has access to a free tuberculosis screening
clinic
,**Correct Answer:** D) Ensuring that a community has access to a free
tuberculosis screening clinic
**Rationale:** The three core public health functions are assessment, policy
development, and assurance. Assurance involves ensuring that necessary
health services are available and accessible to the community.
**3.** Who is the "client" in community health nursing?
A) The individual patient only
B) The family unit only
C) The community or population
D) The healthcare facility
**Correct Answer:** C) The community or population
**Rationale:** In community health nursing, the client is the community or
population as a whole, not just the individual patient. While community
health nurses may provide individual care, the defining characteristic is the
population focus.
**4.** A nurse is using the public health intervention wheel. Which of the
following is a public health intervention at the **systems** level?
A) Providing direct care to a patient with tuberculosis
B) Advocating for policy changes to improve air quality
C) Educating a group of adolescents about safe sex practices
D) Conducting a screening for hypertension at a community fair
, **Correct Answer:** B) Advocating for policy changes to improve air quality
**Rationale:** The public health intervention wheel categorizes interventions
at three levels: individual/family, community, and systems. The systems
level involves changing organizations, policies, and laws.
**5.** A community health nurse is working to reduce the incidence of
childhood obesity. Which activity reflects a **population-focused** approach?
A) Counseling an obese child about healthy eating
B) Developing a school-based nutrition education program for all students
C) Referring a family to a weight management clinic
D) Providing one-on-one dietary counseling to a child with diabetes
**Correct Answer:** B) Developing a school-based nutrition education
program for all students
**Rationale:** Population-focused care addresses the health of an entire
population or aggregate. School-based programs reach all students and
address the root causes of obesity at a community level.
**6.** A nurse is reviewing the Healthy People 2030 objectives. Which
statement best describes the purpose of Healthy People?
A) To provide funding for community health programs
B) To establish national health priorities and measurable objectives
C) To regulate healthcare facilities
D) To mandate immunizations for children