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1. A community health nurse is planning a program to reduce the incidence of type 2
diabetes in adults. Which of the following interventions is most appropriate?
a. Administer insulin to all adults
b. Provide education on healthy eating and exercise
c. Conduct weekly blood glucose monitoring
d. Encourage adults to avoid all carbohydrates
b. Provide education on healthy eating and exercise
Rationale: Primary prevention in community health focuses on education and lifestyle
modifications to prevent the onset of disease.
2. Which of the following is an example of secondary prevention?
a. Immunization programs
b. Screening for hypertension
c. Teaching about nutrition
d. Encouraging physical activity
b. Screening for hypertension
Rationale: Secondary prevention aims to detect disease early, before symptoms occur,
allowing for timely intervention.
3. A nurse is assessing a community for health risks. Which data source is an example of
a primary source?
a. Local census data
b. Patient interviews
c. Hospital discharge records
d. Published research articles
,b. Patient interviews
Rationale: Primary sources are original data collected directly from individuals or groups,
such as through interviews or surveys.
4. Which of the following is a modifiable risk factor for cardiovascular disease?
a. Age
b. Gender
c. Smoking
d. Family history
c. Smoking
Rationale: Modifiable risk factors can be changed or controlled through interventions,
such as smoking cessation.
5. A nurse is preparing a home safety plan for an elderly client. Which intervention is
most important to prevent falls?
a. Encourage the client to wear loose clothing
b. Remove rugs and secure electrical cords
c. Limit fluid intake
d. Avoid exercise
b. Remove rugs and secure electrical cords
Rationale: Environmental modifications are critical to prevent falls in older adults.
6. Which of the following describes herd immunity?
a. Immunity develops only after illness
b. A population is protected when a critical mass is immunized
c. Individuals develop immunity through exposure to multiple infections
d. Immunity is inherited genetically
b. A population is protected when a critical mass is immunized
Rationale: Herd immunity occurs when enough people are immunized, reducing disease
spread.
7. A nurse is planning a community health program for smoking cessation. Which
approach is most effective?
a. Mandating fines for smoking
b. Providing education and support groups
c. Restricting cigarette sales only to adults
d. Posting anti-smoking posters
b. Providing education and support groups
Rationale: Behavior change is most successful when education is combined with support
and resources.
, 8. Which of the following is the best method to evaluate the effectiveness of a
community health intervention?
a. Counting flyers distributed
b. Monitoring health outcome data
c. Observing the number of meetings held
d. Checking staff attendance
b. Monitoring health outcome data
Rationale: Evaluation focuses on measurable changes in health outcomes to determine
intervention effectiveness.
9. A nurse is teaching a group about sexually transmitted infections. Which statement
indicates correct understanding?
a. Only sexually active women need STI testing
b. Condoms reduce the risk of STI transmission
c. STIs are always symptomatic
d. Antibiotics prevent viral STIs
b. Condoms reduce the risk of STI transmission
Rationale: Condoms are effective in reducing transmission of many STIs, although not
100% protective.
10. Which action represents tertiary prevention?
a. Administering vaccines
b. Teaching healthy nutrition
c. Rehabilitation after stroke
d. Screening for cancer
c. Rehabilitation after stroke
Rationale: Tertiary prevention focuses on reducing complications and improving quality of
life after disease has occurred.
11. Which of the following is a priority when preparing for a mass immunization clinic?
a. Staff training and cold chain maintenance
b. Advertising on social media
c. Offering free snacks to attendees
d. Setting up chairs in a waiting area
a. Staff training and cold chain maintenance
Rationale: Proper staff training and vaccine storage are critical to ensure safety and
effectiveness.
12. A nurse is assessing community environmental health. Which finding requires
immediate attention?
a. Overcrowded housing