2025 ACTUAL EXAM (3 VERSIONS) COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES 2025
1. A nurse is planning primary prevention activities for a community. Which of
the following should the nurse include?
A. Teaching clients who have diabetes about foot care
B. Administering influenza vaccinations to healthy adults
C. Referring clients with hypertension to a dietitian
D. Screening high school students for scoliosis
✅ Answer: B. Administering influenza vaccinations to healthy adults
Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic example.
2. A home health nurse is visiting a client who has COPD and is receiving oxygen.
Which of the following safety practices should the nurse reinforce?
,A. Use petroleum-based lubricants
B. Store oxygen tanks on their side
C. Avoid using electrical appliances near oxygen
D. Keep oxygen flow rate above 6 L/min at all times
✅ Answer: C. Avoid using electrical appliances near oxygen
Rationale: Electrical appliances can spark and cause fires in oxygen-rich
environments.
3. Which of the following is an example of tertiary prevention?
A. Immunizations
B. Early disease screening
C. Risk assessment
D. Rehabilitation for stroke patients
✅ Answer: D. Rehabilitation for stroke patients
Rationale: Tertiary prevention aims to reduce the impact of ongoing illness or
injury that has lasting effects.
4. A community health nurse is assigned to a new case involving suspected child
abuse. What is the nurse's priority action?
A. Report the suspected abuse to child protective services
B. Document findings in the child’s health record
C. Refer the family to social services
D. Provide the child with community resources
,✅ Answer: A. Report the suspected abuse to child protective services
Rationale: Legally and ethically, nurses are mandated reporters. Reporting
suspected abuse is the priority.
5. A nurse is educating a group of teens on STI prevention. Which of the
following teaching methods is most appropriate?
A. Reading from a textbook
B. Distributing pamphlets only
C. Interactive games and discussion groups
D. One-on-one teaching sessions only
✅ Answer: C. Interactive games and discussion groups
Rationale: Active learning techniques are more engaging and effective with
adolescent learners.
6. A nurse is evaluating outcomes for a smoking cessation program. Which type
of evaluation is being conducted?
A. Formative
B. Summative
C. Process
D. Developmental
✅ Answer: B. Summative
Rationale: Summative evaluations assess the outcome or impact after the
program ends.
, 7. Which of the following is a component of the epidemiological triangle?
A. Time
B. Age
C. Agent
D. Susceptibility
✅ Answer: C. Agent
Rationale: The epidemiological triangle includes the agent, host, and
environment.
8. A nurse is developing a disaster response plan. Which of the following actions
is an example of secondary prevention?
A. Setting up a temporary shelter to triage victims
B. Providing CPR training before a disaster
C. Conducting disaster drills
D. Teaching community disaster preparedness
✅ Answer: A. Setting up a temporary shelter to triage victims
Rationale: Secondary prevention involves early detection and prompt
intervention during a crisis.
9. Which of the following best describes an endemic?
A. A disease present in a community at a constant, expected level
B. A widespread outbreak over several countries