ACTUAL EXAM COMPLETE 180 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
1. A nurse is conducting a community assessment. Which of the following data
sources is primary?
A. Medical records
B. Birth certificates
C. Windshield survey
D. Health department statistics
✅ Correct Answer: C. Windshield survey
Rationale: A windshield survey is a direct observation made by the nurse and is
considered primary data. The others are secondary sources.
2. Which action demonstrates the nurse’s role as a case manager?
,A. Performing a health screening at a school
B. Coordinating care between home health and physical therapy
C. Teaching a client about hypertension management
D. Lobbying for policy change
✅ Correct Answer: B. Coordinating care between home health and physical
therapy
Rationale: A case manager coordinates services to meet client health needs
across multiple settings.
3. A community health nurse is using the epidemiological triangle. What is
considered the host?
A. Bacteria
B. Air
C. Human
D. Contaminated water
✅ Correct Answer: C. Human
Rationale: The host is the living being affected by the disease; humans are hosts
in this context.
4. Which of the following is an example of tertiary prevention?
A. Immunization
B. Screening for TB
C. Support group for stroke survivors
D. Nutritional education for teens
✅ Correct Answer: C. Support group for stroke survivors
Rationale: Tertiary prevention focuses on rehabilitation and limiting disability
after illness has occurred.
5. A nurse teaches about safe food handling. What level of prevention is this?
,A. Primary
B. Secondary
C. Tertiary
D. Quaternary
✅ Correct Answer: A. Primary
Rationale: Teaching safe food handling helps prevent illness before it occurs.
6. What is the purpose of the I PREPARE mnemonic?
A. Identify risk factors for workplace injuries
B. Assess environmental exposures
C. Prioritize immunizations
D. Guide nutritional assessments
✅ Correct Answer: B. Assess environmental exposures
Rationale: I PREPARE helps structure a comprehensive environmental health
history.
7. A nurse suspects elder abuse. What is the priority action?
A. Document the suspected abuse
B. Report to adult protective services
C. Refer to social worker
D. Assess caregiver stress
✅ Correct Answer: B. Report to adult protective services
Rationale: Nurses are mandated reporters; suspected abuse must be reported
immediately.
8. Which client should the community health nurse visit first?
A. A client needing a dressing change
B. A newly diagnosed diabetic
C. A COPD client reporting dyspnea
D. A client asking for flu vaccine
, ✅ Correct Answer: C. A COPD client reporting dyspnea
Rationale: Airway issues are always priority, indicating a potential emergency.
9. What is the primary focus of hospice care?
A. Disease cure
B. Palliative care
C. Rehabilitation
D. Risk reduction
✅ Correct Answer: B. Palliative care
Rationale: Hospice care focuses on comfort and quality of life, not cure.
10. A nurse teaches teens about preventing STIs. This is what level of
prevention?
A. Primary
B. Secondary
C. Tertiary
D. Diagnostic
✅ Correct Answer: A. Primary
Rationale: Education on STI prevention is a primary prevention activity.
11. Which population is at greatest risk for developing hypertension?
A. Young adult women
B. African American adults
C. Asian American children
D. Hispanic elderly men
✅ Correct Answer: B. African American adults
Rationale: African Americans have higher rates of hypertension due to genetics,
diet, and socioeconomic factors.
12. A nurse uses a community’s birth rate, death rate, and migration patterns to
evaluate what?