**Title:** **Community Health Nursing:
Population-Focused Practice for the NCLEX-RN**
---
### Question 1 of 87
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) BP screening at health fair
B) Teaching healthy eating/exercise to school children
C) Cardiac rehab for post-MI clients
D) Monitoring med adherence for HTN clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) secondary.
Rehab/adherence (C,D) tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating/exercise to school children
---
### Question 2 of 87
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) Child with broken arm, crying
B) Elderly client with rapid weak pulse, cool skin
,C) Client walking with minor hand laceration
D) Client with sprained ankle, weight-bearing
💫RATIONALE✔️✔️: Rapid weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
urgent but stable. Minor injuries walking wounded.
💫ANSWER✔️✔️: B) Elderly client with rapid weak pulse, cool skin
---
### Question 3 of 87
**Select-All-That-Apply (SATA):** A nurse is using the epidemiological triangle to analyze a TB outbreak.
Which components are included? (Select all that apply.)
A) Host (susceptible person)
B) Agent (M. tuberculosis)
C) Environment (crowded housing)
D) Time (duration)
E) Vector (mosquito)
💫RATIONALE✔️✔️: Epidemiological triangle: host (A), agent (B), environment (C). Time not part. Vector
specific to certain diseases.
💫ANSWER✔️✔️: A, B, C
---
### Question 4 of 87
A community health nurse assesses a homebound elderly client. Which finding is most concerning for
elder abuse?
,A) Client reports feeling lonely
B) Bruises in various healing stages on arms/back
C) Home has clutter on floor
D) Client uses walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse.
Loneliness/clutter common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various healing stages on arms/back
---
### Question 5 of 87
A nurse provides education about herd immunity. Which statement indicates understanding?
A) "Herd immunity means everyone is vaccinated."
B) "When most people are immune, it protects those who cannot be vaccinated."
C) "Herd immunity only works for viral infections."
D) "Once herd immunity achieved, disease eradicated forever."
💫RATIONALE✔️✔️: Herd immunity protects vulnerable populations when vaccination rates high (B). Does
not require 100% vaccination.
💫ANSWER✔️✔️: B) "When most people are immune, it protects those who cannot be vaccinated."
---
### Question 6 of 87
, A nurse is planning a smoking cessation program. Which intervention is tertiary prevention?
A) Banning tobacco advertising
B) Nicotine replacement for current smokers
C) Treating lung cancer in a client who smokes
D) Teaching children about smoking dangers
💫RATIONALE✔️✔️: Treating lung cancer (C) is tertiary (reducing disability/death). Banning ads/teaching
kids primary. Nicotine replacement secondary/primary.
💫ANSWER✔️✔️: C) Treating lung cancer in a client who smokes
---
### Question 7 of 87
**Select-All-That-Apply (SATA):** A nurse assesses a community's vulnerability to disaster. Which
populations at highest risk? (Select all that apply.)
A) Older adults with mobility issues
B) Children in daycare centers
C) Individuals with chronic medical conditions
D) College students in dorms
E) Homeless individuals
💫RATIONALE✔️✔️: Vulnerable: elderly (A), children (B), chronic illness (C), homeless (E). College students
generally not highest risk.
💫ANSWER✔️✔️: A, B, C, E
---
Population-Focused Practice for the NCLEX-RN**
---
### Question 1 of 87
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) BP screening at health fair
B) Teaching healthy eating/exercise to school children
C) Cardiac rehab for post-MI clients
D) Monitoring med adherence for HTN clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) secondary.
Rehab/adherence (C,D) tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating/exercise to school children
---
### Question 2 of 87
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) Child with broken arm, crying
B) Elderly client with rapid weak pulse, cool skin
,C) Client walking with minor hand laceration
D) Client with sprained ankle, weight-bearing
💫RATIONALE✔️✔️: Rapid weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
urgent but stable. Minor injuries walking wounded.
💫ANSWER✔️✔️: B) Elderly client with rapid weak pulse, cool skin
---
### Question 3 of 87
**Select-All-That-Apply (SATA):** A nurse is using the epidemiological triangle to analyze a TB outbreak.
Which components are included? (Select all that apply.)
A) Host (susceptible person)
B) Agent (M. tuberculosis)
C) Environment (crowded housing)
D) Time (duration)
E) Vector (mosquito)
💫RATIONALE✔️✔️: Epidemiological triangle: host (A), agent (B), environment (C). Time not part. Vector
specific to certain diseases.
💫ANSWER✔️✔️: A, B, C
---
### Question 4 of 87
A community health nurse assesses a homebound elderly client. Which finding is most concerning for
elder abuse?
,A) Client reports feeling lonely
B) Bruises in various healing stages on arms/back
C) Home has clutter on floor
D) Client uses walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse.
Loneliness/clutter common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various healing stages on arms/back
---
### Question 5 of 87
A nurse provides education about herd immunity. Which statement indicates understanding?
A) "Herd immunity means everyone is vaccinated."
B) "When most people are immune, it protects those who cannot be vaccinated."
C) "Herd immunity only works for viral infections."
D) "Once herd immunity achieved, disease eradicated forever."
💫RATIONALE✔️✔️: Herd immunity protects vulnerable populations when vaccination rates high (B). Does
not require 100% vaccination.
💫ANSWER✔️✔️: B) "When most people are immune, it protects those who cannot be vaccinated."
---
### Question 6 of 87
, A nurse is planning a smoking cessation program. Which intervention is tertiary prevention?
A) Banning tobacco advertising
B) Nicotine replacement for current smokers
C) Treating lung cancer in a client who smokes
D) Teaching children about smoking dangers
💫RATIONALE✔️✔️: Treating lung cancer (C) is tertiary (reducing disability/death). Banning ads/teaching
kids primary. Nicotine replacement secondary/primary.
💫ANSWER✔️✔️: C) Treating lung cancer in a client who smokes
---
### Question 7 of 87
**Select-All-That-Apply (SATA):** A nurse assesses a community's vulnerability to disaster. Which
populations at highest risk? (Select all that apply.)
A) Older adults with mobility issues
B) Children in daycare centers
C) Individuals with chronic medical conditions
D) College students in dorms
E) Homeless individuals
💫RATIONALE✔️✔️: Vulnerable: elderly (A), children (B), chronic illness (C), homeless (E). College students
generally not highest risk.
💫ANSWER✔️✔️: A, B, C, E
---
