Community Health Hesi Practice Exam - Actual Exam Questions And Verified Answers With Rationales - Immunization & Herd Immunity
Excellence - Graded A+ Latest
Community Health HESI | Public Health Nursing | High Yield | Graded A+ Latest
TABLE OF CONTENTS
1. I. Community Assessment - Windshield Survey Objective Observation Data Collection Demographics Vital Statistics Environment Health Resources
Interviews, Community as Client
2. II. Epidemiology - Epidemiology Triangle Agent Host Environment, Epidemic Curve Attack Rate Incidence Prevalence, Outbreak Investigation Case
Definition Source Transmission Control Measures
3. III. Levels of Prevention - Primary Prevention Prevent Disease Before Occurrence Vaccine Health Education Hand Hygiene Health Promotion,
Secondary Prevention Early Detection Screening Contact Tracing TB Skin Test IGRA Isolate Treat Latent, Tertiary Prevention Prevent Complications
Disability Rehabilitation Treatment After Diagnosis Prescribing Antihypertensive DASH Diet Prevent Stroke MI
4. IV. Environmental Health - Lead Poisoning Old Housing Primary Prevention Remove Lead Paint Hazard Educate Secondary Screening Blood Lead
Tertiary Chelation, Waterborne Diseases Cholera Giardia Cryptosporidium E. coli Hepatitis A Typhoid Contaminated Water, Air Pollution
5. V. Communicable Disease - Contact Tracing TB Secondary Prevention, STI Primary Prevention Abstinence Condoms Education Vaccination HPV
Hep B Secondary Screening Tertiary Treatment Complications, Influenza Primary Prevention Vaccine Hand Hygiene Secondary Screening
6. VI. Immunization & Herd Immunity - Herd Immunity Measles 95% Coverage Polio 80-85% Influenza Lower Protects Unvaccinated If Enough
Vaccinated, Vaccine Schedule, Healthy People 2030 Goals Increase Immunization Rates Reduce Preventable Disease Eliminate Disparities
7. VII. Health Disparities & Vulnerable Populations - Health Disparity Difference Health Outcomes Between Groups Higher Infant Mortality African
American Diabetes Low Income Access Differences, Refugee Population Cultural Competence Health Beliefs Practices Language Interpreter Trust
Trauma Informed Barriers Access Culturally Sensitive Care, Elderly Living Alone Home Visit Safety Fall Hazards ADLs IADLs Medication Adherence
Nutrition Social Support Isolation Elder Abuse Environment, SIDS Primary Prevention Supine Back to Sleep Firm Mattress No Soft Bedding No Smoking
Breastfeeding Pacifier Room Sharing Not Bed Sharing
8. VIII. Disaster Management - Disaster Phases Mitigation Prevention Preparedness Drills Training Stockpiling Response Recovery, Preparedness
Phase Planning Drills Training Stockpiling, Response Phase Priority Triage Save Lives Emergency Care Shelter Safety Communication, Recovery
Rebuilding
9. IX. Family & Home Health - Home Visit Elderly Safety Fall Hazards ADLs IADLs Medication Adherence Nutrition Social Support Isolation Elder Abuse
Environment, Family Assessment
10. X. Health Education & Behavior Change - Health Belief Model Perceived Susceptibility Severity Benefits Barriers Self-Efficacy, Transtheoretical
Model Stages Change Precontemplation Contemplation Preparation Action Maintenance, Social Cognitive Theory, Community-Level Obesity
Interventions Farmers Market Access Walking Trails School Lunch Policy Community Gardens Bike Lanes Worksite Wellness Policy Environmental
Change
11. XI. Program Planning & Evaluation - Outcome Evaluation Measure Effect Program Health Outcomes Decreased Incidence Improved Immunization
Rates Behavior Change vs Process Evaluation Activities Implementation, Planning Implementation Evaluation
12. XII. Practice Questions - Each Asked Like Real Community Health HESI Exam
13. XIII. Answer Key with Verified Answers With Rationales Graded A+ Latest
,COMMUNITY HEALTH HESI PRACTICE EXAM - QUESTIONS ASKED LIKE REAL EXAM
Based on Community Health HESI Blueprint - Community Assessment Epidemiology Levels Prevention Environmental Health Communicable Disease Immunization Health Disparities Disaster Management
Family Home Health Education Behavior Change Program Planning Evaluation. High Yield.
1. A nurse is planning a primary prevention program for influenza in a community. What is example of primary prevention?
A. Primary prevention - prevent disease before occurrence - influenza vaccine, health education hand hygiene, health promotion
B. Rehabilitation
C. Screening
D. Treatment
Answer: A
Rationale: Primary prevention prevent disease before occurrence vaccine health education hand hygiene health promotion. Secondary screening early detection. Tertiary
rehabilitation treatment complications.
2. A public health nurse is using the levels of prevention for a client with hypertension diagnosed. What level is prescribing antihypertensive and DASH diet
education?
A. Primary
B. Secondary? Actually diagnosed hypertension treatment to prevent complications is secondary? No primary prevent occurrence, secondary early detection screening,
tertiary prevent complications disability - prescribing antihypertensive DASH diet after diagnosis to prevent complications stroke MI is tertiary? Or secondary? Hypertension
diagnosis secondary is screening, tertiary is treatment to prevent complications - so prescribing is tertiary
C. No level
D. Only primary
Answer: B
Rationale: Levels: primary prevent occurrence health promotion vaccine, secondary early detection screening, tertiary prevent complications disability rehabilitation
treatment after diagnosis hypertension treatment DASH diet prevent complications stroke MI is tertiary.
3. A nurse is educating about herd immunity. What percentage vaccination needed for herd immunity for measles?
A. No herd immunity
B. Only 30%
C. 50%
D. Herd immunity measles highly contagious requires 95% vaccination coverage, polio 80-85%, influenza lower - concept protects unvaccinated if enough vaccinated
Answer: D
Rationale: Herd immunity measles highly contagious requires 95% coverage polio 80-85% influenza lower protects unvaccinated if enough vaccinated.
4. A community has high incidence of lead poisoning in children living in old housing. What is the most appropriate intervention?
A. Primary prevention - remove lead paint hazard, educate, screening secondary - blood lead levels, but primary remove hazard, secondary screening, tertiary chelation
treatment
B. Only screening
C. No intervention
D. Tertiary prevention
Answer: A
Rationale: Lead poisoning old housing primary prevention remove lead paint hazard educate, secondary screening blood lead levels, tertiary chelation treatment. Most
appropriate primary remove hazard.
5. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
B. No community intervention
C. Only medication
D. Individual counseling only
Answer: A
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
6. A community health nurse is planning a smoking cessation program. What model is appropriate for behavior change?
A. No model
B. No behavior model
C. Only one model
D. Behavior change models - Health Belief Model perceived susceptibility severity benefits barriers self-efficacy, Transtheoretical Model stages change precontemplation
contemplation preparation action maintenance, Social Cognitive Theory
Answer: D
Rationale: Behavior change Health Belief Model perceived susceptibility severity benefits barriers self-efficacy Transtheoretical stages change precontemplation
contemplation preparation action maintenance Social Cognitive Theory.
7. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
B. Individual counseling only
C. Only medication
D. No community intervention
Answer: A
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
8. A nurse is evaluating a community health program. What is outcome evaluation?
A. Only input
B. Only process
C. Outcome evaluation - measure effect program on health outcomes - decreased incidence disease, improved immunization rates, behavior change, vs process evaluation
activities implementation
,D. No evaluation
Answer: C
Rationale: Outcome evaluation measure effect program on health outcomes decreased incidence improved immunization rates behavior change vs process evaluation
activities implementation.
9. A nurse is working with a refugee population. What is important cultural consideration?
A. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
B. Only language
C. Ignore culture
D. No cultural consideration
Answer: A
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
10. A nurse is assessing water quality in a community. What disease is waterborne?
A. Only air
B. No waterborne
C. Waterborne diseases - cholera, giardia, cryptosporidium, E. coli, hepatitis A, typhoid - due to contaminated water
D. Influenza
Answer: C
Rationale: Waterborne cholera giardia cryptosporidium E. coli hepatitis A typhoid contaminated water.
11. A community health nurse is conducting contact tracing for tuberculosis. What level of prevention is contact tracing?
A. Secondary prevention - early detection screening contact tracing TB skin test IGRA, isolate, treat latent
B. Tertiary
C. Primary
D. No prevention
Answer: A
Rationale: Contact tracing TB is secondary prevention early detection screening TB skin test IGRA isolate treat latent. Primary vaccine education, tertiary rehabilitation.
12. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. Only vitals
B. Only medication
C. No assessment
D. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
Answer: D
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
13. A public health nurse is using the levels of prevention for a client with hypertension diagnosed. What level is prescribing antihypertensive and DASH diet
education?
A. Primary
B. Secondary? Actually diagnosed hypertension treatment to prevent complications is secondary? No primary prevent occurrence, secondary early detection screening,
tertiary prevent complications disability - prescribing antihypertensive DASH diet after diagnosis to prevent complications stroke MI is tertiary? Or secondary? Hypertension
diagnosis secondary is screening, tertiary is treatment to prevent complications - so prescribing is tertiary
C. No level
D. Only primary
Answer: B
Rationale: Levels: primary prevent occurrence health promotion vaccine, secondary early detection screening, tertiary prevent complications disability rehabilitation
treatment after diagnosis hypertension treatment DASH diet prevent complications stroke MI is tertiary.
14. A community has an outbreak of foodborne illness. What is the role of epidemiology?
A. Only treatment
B. Epidemiology outbreak investigation - identify agent source transmission, case definition, attack rate, epidemic curve, control measures
C. No role
D. No investigation
Answer: B
Rationale: Epidemiology outbreak investigation identify agent source transmission case definition attack rate epidemic curve control measures.
15. A nurse is teaching about sexually transmitted infection prevention in a community. What is primary prevention?
A. Primary prevention STI - abstinence condoms education, vaccination HPV Hep B, secondary screening, tertiary treatment complications
B. Only treatment
C. No prevention
D. Screening for STI
Answer: A
Rationale: Primary STI prevention abstinence condoms education vaccination HPV Hep B secondary screening tertiary treatment complications.
16. A community has high incidence of lead poisoning in children living in old housing. What is the most appropriate intervention?
A. Only screening
B. No intervention
C. Tertiary prevention
D. Primary prevention - remove lead paint hazard, educate, screening secondary - blood lead levels, but primary remove hazard, secondary screening, tertiary chelation
treatment
Answer: D
Rationale: Lead poisoning old housing primary prevention remove lead paint hazard educate, secondary screening blood lead levels, tertiary chelation treatment. Most
appropriate primary remove hazard.
17. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. No assessment
B. Only medication
, C. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
D. Only vitals
Answer: C
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
18. A community health nurse assesses a family with a newborn. What is primary prevention for SIDS?
A. Only side sleeping
B. Prone sleeping
C. No prevention
D. Primary prevention SIDS - supine sleeping back to sleep, firm mattress no soft bedding no smoking, breastfeeding, pacifier, room sharing not bed sharing
Answer: D
Rationale: Primary prevention SIDS supine sleeping back to sleep firm mattress no soft bedding no smoking breastfeeding pacifier room sharing not bed sharing.
19. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. Only vitals
B. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
C. Only medication
D. No assessment
Answer: B
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
20. A nurse is working with a refugee population. What is important cultural consideration?
A. Only language
B. Ignore culture
C. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
D. No cultural consideration
Answer: C
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
21. A public health nurse is assessing a community. What is the first step of community assessment?
A. Evaluate
B. Windshield survey and community assessment - gather data demographics, vital statistics, environment, health resources, windshield survey objective observation, data
collection interviews
C. No assessment
D. Implement program
Answer: B
Rationale: Community assessment first step windshield survey and data collection demographics vital statistics environment health resources objective observation
interviews.
22. A public health nurse is assessing immunization rates in a community. What is Healthy People 2030 goal?
A. Only treatment
B. Healthy People 2030 goals - increase immunization rates, reduce preventable disease, eliminate disparities, promote health across lifespan
C. No goal
D. No prevention goals
Answer: B
Rationale: Healthy People 2030 increase immunization rates reduce preventable disease eliminate disparities promote health lifespan.
23. A nurse is working with a refugee population. What is important cultural consideration?
A. Ignore culture
B. Only language
C. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
D. No cultural consideration
Answer: C
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
24. A public health nurse uses the epidemiology triangle to assess disease. What are the components?
A. Only host
B. Epidemiology triangle - agent, host, environment - agent causative, host susceptible, environment factors that affect
C. No triangle
D. Only agent
Answer: B
Rationale: Epidemiology triangle agent causative, host susceptible, environment factors affect transmission.
25. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Individual counseling only
B. No community intervention
C. Only medication
D. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
Answer: D
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
26. A public health nurse is assessing a community. What is the first step of community assessment?
A. Evaluate
B. No assessment
C. Windshield survey and community assessment - gather data demographics, vital statistics, environment, health resources, windshield survey objective observation, data
collection interviews
Excellence - Graded A+ Latest
Community Health HESI | Public Health Nursing | High Yield | Graded A+ Latest
TABLE OF CONTENTS
1. I. Community Assessment - Windshield Survey Objective Observation Data Collection Demographics Vital Statistics Environment Health Resources
Interviews, Community as Client
2. II. Epidemiology - Epidemiology Triangle Agent Host Environment, Epidemic Curve Attack Rate Incidence Prevalence, Outbreak Investigation Case
Definition Source Transmission Control Measures
3. III. Levels of Prevention - Primary Prevention Prevent Disease Before Occurrence Vaccine Health Education Hand Hygiene Health Promotion,
Secondary Prevention Early Detection Screening Contact Tracing TB Skin Test IGRA Isolate Treat Latent, Tertiary Prevention Prevent Complications
Disability Rehabilitation Treatment After Diagnosis Prescribing Antihypertensive DASH Diet Prevent Stroke MI
4. IV. Environmental Health - Lead Poisoning Old Housing Primary Prevention Remove Lead Paint Hazard Educate Secondary Screening Blood Lead
Tertiary Chelation, Waterborne Diseases Cholera Giardia Cryptosporidium E. coli Hepatitis A Typhoid Contaminated Water, Air Pollution
5. V. Communicable Disease - Contact Tracing TB Secondary Prevention, STI Primary Prevention Abstinence Condoms Education Vaccination HPV
Hep B Secondary Screening Tertiary Treatment Complications, Influenza Primary Prevention Vaccine Hand Hygiene Secondary Screening
6. VI. Immunization & Herd Immunity - Herd Immunity Measles 95% Coverage Polio 80-85% Influenza Lower Protects Unvaccinated If Enough
Vaccinated, Vaccine Schedule, Healthy People 2030 Goals Increase Immunization Rates Reduce Preventable Disease Eliminate Disparities
7. VII. Health Disparities & Vulnerable Populations - Health Disparity Difference Health Outcomes Between Groups Higher Infant Mortality African
American Diabetes Low Income Access Differences, Refugee Population Cultural Competence Health Beliefs Practices Language Interpreter Trust
Trauma Informed Barriers Access Culturally Sensitive Care, Elderly Living Alone Home Visit Safety Fall Hazards ADLs IADLs Medication Adherence
Nutrition Social Support Isolation Elder Abuse Environment, SIDS Primary Prevention Supine Back to Sleep Firm Mattress No Soft Bedding No Smoking
Breastfeeding Pacifier Room Sharing Not Bed Sharing
8. VIII. Disaster Management - Disaster Phases Mitigation Prevention Preparedness Drills Training Stockpiling Response Recovery, Preparedness
Phase Planning Drills Training Stockpiling, Response Phase Priority Triage Save Lives Emergency Care Shelter Safety Communication, Recovery
Rebuilding
9. IX. Family & Home Health - Home Visit Elderly Safety Fall Hazards ADLs IADLs Medication Adherence Nutrition Social Support Isolation Elder Abuse
Environment, Family Assessment
10. X. Health Education & Behavior Change - Health Belief Model Perceived Susceptibility Severity Benefits Barriers Self-Efficacy, Transtheoretical
Model Stages Change Precontemplation Contemplation Preparation Action Maintenance, Social Cognitive Theory, Community-Level Obesity
Interventions Farmers Market Access Walking Trails School Lunch Policy Community Gardens Bike Lanes Worksite Wellness Policy Environmental
Change
11. XI. Program Planning & Evaluation - Outcome Evaluation Measure Effect Program Health Outcomes Decreased Incidence Improved Immunization
Rates Behavior Change vs Process Evaluation Activities Implementation, Planning Implementation Evaluation
12. XII. Practice Questions - Each Asked Like Real Community Health HESI Exam
13. XIII. Answer Key with Verified Answers With Rationales Graded A+ Latest
,COMMUNITY HEALTH HESI PRACTICE EXAM - QUESTIONS ASKED LIKE REAL EXAM
Based on Community Health HESI Blueprint - Community Assessment Epidemiology Levels Prevention Environmental Health Communicable Disease Immunization Health Disparities Disaster Management
Family Home Health Education Behavior Change Program Planning Evaluation. High Yield.
1. A nurse is planning a primary prevention program for influenza in a community. What is example of primary prevention?
A. Primary prevention - prevent disease before occurrence - influenza vaccine, health education hand hygiene, health promotion
B. Rehabilitation
C. Screening
D. Treatment
Answer: A
Rationale: Primary prevention prevent disease before occurrence vaccine health education hand hygiene health promotion. Secondary screening early detection. Tertiary
rehabilitation treatment complications.
2. A public health nurse is using the levels of prevention for a client with hypertension diagnosed. What level is prescribing antihypertensive and DASH diet
education?
A. Primary
B. Secondary? Actually diagnosed hypertension treatment to prevent complications is secondary? No primary prevent occurrence, secondary early detection screening,
tertiary prevent complications disability - prescribing antihypertensive DASH diet after diagnosis to prevent complications stroke MI is tertiary? Or secondary? Hypertension
diagnosis secondary is screening, tertiary is treatment to prevent complications - so prescribing is tertiary
C. No level
D. Only primary
Answer: B
Rationale: Levels: primary prevent occurrence health promotion vaccine, secondary early detection screening, tertiary prevent complications disability rehabilitation
treatment after diagnosis hypertension treatment DASH diet prevent complications stroke MI is tertiary.
3. A nurse is educating about herd immunity. What percentage vaccination needed for herd immunity for measles?
A. No herd immunity
B. Only 30%
C. 50%
D. Herd immunity measles highly contagious requires 95% vaccination coverage, polio 80-85%, influenza lower - concept protects unvaccinated if enough vaccinated
Answer: D
Rationale: Herd immunity measles highly contagious requires 95% coverage polio 80-85% influenza lower protects unvaccinated if enough vaccinated.
4. A community has high incidence of lead poisoning in children living in old housing. What is the most appropriate intervention?
A. Primary prevention - remove lead paint hazard, educate, screening secondary - blood lead levels, but primary remove hazard, secondary screening, tertiary chelation
treatment
B. Only screening
C. No intervention
D. Tertiary prevention
Answer: A
Rationale: Lead poisoning old housing primary prevention remove lead paint hazard educate, secondary screening blood lead levels, tertiary chelation treatment. Most
appropriate primary remove hazard.
5. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
B. No community intervention
C. Only medication
D. Individual counseling only
Answer: A
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
6. A community health nurse is planning a smoking cessation program. What model is appropriate for behavior change?
A. No model
B. No behavior model
C. Only one model
D. Behavior change models - Health Belief Model perceived susceptibility severity benefits barriers self-efficacy, Transtheoretical Model stages change precontemplation
contemplation preparation action maintenance, Social Cognitive Theory
Answer: D
Rationale: Behavior change Health Belief Model perceived susceptibility severity benefits barriers self-efficacy Transtheoretical stages change precontemplation
contemplation preparation action maintenance Social Cognitive Theory.
7. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
B. Individual counseling only
C. Only medication
D. No community intervention
Answer: A
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
8. A nurse is evaluating a community health program. What is outcome evaluation?
A. Only input
B. Only process
C. Outcome evaluation - measure effect program on health outcomes - decreased incidence disease, improved immunization rates, behavior change, vs process evaluation
activities implementation
,D. No evaluation
Answer: C
Rationale: Outcome evaluation measure effect program on health outcomes decreased incidence improved immunization rates behavior change vs process evaluation
activities implementation.
9. A nurse is working with a refugee population. What is important cultural consideration?
A. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
B. Only language
C. Ignore culture
D. No cultural consideration
Answer: A
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
10. A nurse is assessing water quality in a community. What disease is waterborne?
A. Only air
B. No waterborne
C. Waterborne diseases - cholera, giardia, cryptosporidium, E. coli, hepatitis A, typhoid - due to contaminated water
D. Influenza
Answer: C
Rationale: Waterborne cholera giardia cryptosporidium E. coli hepatitis A typhoid contaminated water.
11. A community health nurse is conducting contact tracing for tuberculosis. What level of prevention is contact tracing?
A. Secondary prevention - early detection screening contact tracing TB skin test IGRA, isolate, treat latent
B. Tertiary
C. Primary
D. No prevention
Answer: A
Rationale: Contact tracing TB is secondary prevention early detection screening TB skin test IGRA isolate treat latent. Primary vaccine education, tertiary rehabilitation.
12. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. Only vitals
B. Only medication
C. No assessment
D. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
Answer: D
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
13. A public health nurse is using the levels of prevention for a client with hypertension diagnosed. What level is prescribing antihypertensive and DASH diet
education?
A. Primary
B. Secondary? Actually diagnosed hypertension treatment to prevent complications is secondary? No primary prevent occurrence, secondary early detection screening,
tertiary prevent complications disability - prescribing antihypertensive DASH diet after diagnosis to prevent complications stroke MI is tertiary? Or secondary? Hypertension
diagnosis secondary is screening, tertiary is treatment to prevent complications - so prescribing is tertiary
C. No level
D. Only primary
Answer: B
Rationale: Levels: primary prevent occurrence health promotion vaccine, secondary early detection screening, tertiary prevent complications disability rehabilitation
treatment after diagnosis hypertension treatment DASH diet prevent complications stroke MI is tertiary.
14. A community has an outbreak of foodborne illness. What is the role of epidemiology?
A. Only treatment
B. Epidemiology outbreak investigation - identify agent source transmission, case definition, attack rate, epidemic curve, control measures
C. No role
D. No investigation
Answer: B
Rationale: Epidemiology outbreak investigation identify agent source transmission case definition attack rate epidemic curve control measures.
15. A nurse is teaching about sexually transmitted infection prevention in a community. What is primary prevention?
A. Primary prevention STI - abstinence condoms education, vaccination HPV Hep B, secondary screening, tertiary treatment complications
B. Only treatment
C. No prevention
D. Screening for STI
Answer: A
Rationale: Primary STI prevention abstinence condoms education vaccination HPV Hep B secondary screening tertiary treatment complications.
16. A community has high incidence of lead poisoning in children living in old housing. What is the most appropriate intervention?
A. Only screening
B. No intervention
C. Tertiary prevention
D. Primary prevention - remove lead paint hazard, educate, screening secondary - blood lead levels, but primary remove hazard, secondary screening, tertiary chelation
treatment
Answer: D
Rationale: Lead poisoning old housing primary prevention remove lead paint hazard educate, secondary screening blood lead levels, tertiary chelation treatment. Most
appropriate primary remove hazard.
17. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. No assessment
B. Only medication
, C. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
D. Only vitals
Answer: C
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
18. A community health nurse assesses a family with a newborn. What is primary prevention for SIDS?
A. Only side sleeping
B. Prone sleeping
C. No prevention
D. Primary prevention SIDS - supine sleeping back to sleep, firm mattress no soft bedding no smoking, breastfeeding, pacifier, room sharing not bed sharing
Answer: D
Rationale: Primary prevention SIDS supine sleeping back to sleep firm mattress no soft bedding no smoking breastfeeding pacifier room sharing not bed sharing.
19. A nurse is conducting a home visit to an elderly client living alone. What is important to assess?
A. Only vitals
B. Home visit elderly living alone - safety fall hazards, ADLs IADLs, medication adherence, nutrition, social support isolation, elder abuse, environment
C. Only medication
D. No assessment
Answer: B
Rationale: Home visit elderly alone safety fall hazards ADLs IADLs medication adherence nutrition social support isolation elder abuse environment.
20. A nurse is working with a refugee population. What is important cultural consideration?
A. Only language
B. Ignore culture
C. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
D. No cultural consideration
Answer: C
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
21. A public health nurse is assessing a community. What is the first step of community assessment?
A. Evaluate
B. Windshield survey and community assessment - gather data demographics, vital statistics, environment, health resources, windshield survey objective observation, data
collection interviews
C. No assessment
D. Implement program
Answer: B
Rationale: Community assessment first step windshield survey and data collection demographics vital statistics environment health resources objective observation
interviews.
22. A public health nurse is assessing immunization rates in a community. What is Healthy People 2030 goal?
A. Only treatment
B. Healthy People 2030 goals - increase immunization rates, reduce preventable disease, eliminate disparities, promote health across lifespan
C. No goal
D. No prevention goals
Answer: B
Rationale: Healthy People 2030 increase immunization rates reduce preventable disease eliminate disparities promote health lifespan.
23. A nurse is working with a refugee population. What is important cultural consideration?
A. Ignore culture
B. Only language
C. Cultural competence - assess health beliefs practices, language interpreter, trust, trauma informed, barriers access, culturally sensitive care
D. No cultural consideration
Answer: C
Rationale: Cultural competence refugee health beliefs practices language interpreter trust trauma informed barriers access culturally sensitive care.
24. A public health nurse uses the epidemiology triangle to assess disease. What are the components?
A. Only host
B. Epidemiology triangle - agent, host, environment - agent causative, host susceptible, environment factors that affect
C. No triangle
D. Only agent
Answer: B
Rationale: Epidemiology triangle agent causative, host susceptible, environment factors affect transmission.
25. A nurse is working with a community with high rates of obesity. What is an example of a community-level intervention?
A. Individual counseling only
B. No community intervention
C. Only medication
D. Community-level - farmers market access, walking trails, school lunch policy, community gardens, bike lanes, worksite wellness
Answer: D
Rationale: Community-level obesity interventions farmers market access walking trails school lunch policy community gardens bike lanes worksite wellness policy
environmental change.
26. A public health nurse is assessing a community. What is the first step of community assessment?
A. Evaluate
B. No assessment
C. Windshield survey and community assessment - gather data demographics, vital statistics, environment, health resources, windshield survey objective observation, data
collection interviews
