**Title:** **Community & Public Health Nursing:
NCLEX-RN Population-Focused Practice Exam**
---
### Question 1 of 108
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) Blood pressure screening at a health fair
B) Teaching healthy eating and exercise to school children
C) Cardiac rehabilitation for post-MI clients
D) Monitoring medication adherence for hypertensive clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) is secondary. Rehab and
adherence (C, D) are tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating and exercise to school children
---
### Question 2 of 108
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) A child with a broken arm and crying
B) An elderly client with a rapid, weak pulse and cool skin
C) A client walking with a minor laceration on the hand
,D) A client with a sprained ankle who is able to bear weight
💫RATIONALE✔️✔️: Rapid, weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
(A) is urgent but stable. Minor injuries (C, D) are walking wounded.
💫ANSWER✔️✔️: B) An elderly client with a rapid, weak pulse and cool skin
---
### Question 3 of 92
A community health nurse is assessing a home-bound elderly client. Which finding is most concerning
for elder abuse?
A) The client reports feeling lonely
B) Bruises in various stages of healing on the arms and back
C) The home has clutter on the floor
D) The client uses a walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse. Loneliness
and clutter are common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various stages of healing on the arms and back
---
### Question 4 of 108
A nurse is providing education about the Affordable Care Act. Which statement by a client indicates
understanding?
A) “The ACA eliminated all private health insurance.”
,B) “The ACA requires most Americans to have health insurance.”
C) “The ACA only covers hospital care.”
D) “The ACA is only for elderly adults.”
💫RATIONALE✔️✔️: ACA includes individual mandate (B). It expanded coverage but did not eliminate
private insurance. It covers more than hospitals and all ages.
💫ANSWER✔️✔️: B) “The ACA requires most Americans to have health insurance.”
---
### Question 5 of 108
**Select-All-That-Apply (SATA):** A nurse is planning a secondary prevention program for cervical
cancer. Which interventions should be included? (Select all that apply.)
A) Pap smear screening for sexually active women
B) HPV vaccination for adolescents
C) Colposcopy for abnormal Pap results
D) Teaching about HPV transmission
E) Referral for treatment of cervical cancer
💫RATIONALE✔️✔️: Secondary prevention includes screening (A) and early diagnosis (C). HPV vaccination
(B) is primary. Teaching (D) is primary. Treatment (E) is tertiary.
💫ANSWER✔️✔️: A, C
---
### Question 6 of 108
, A community health nurse is investigating an outbreak of food poisoning. Which term describes the
number of new cases in a specific time period?
A) Prevalence
B) Incidence
C) Morbidity
D) Mortality
💫RATIONALE✔️✔️: Incidence (B) is new cases over time. Prevalence is total cases. Morbidity is illness
rate. Mortality is death rate.
💫ANSWER✔️✔️: B) Incidence
---
### Question 7 of 108
A nurse is providing education about the chain of infection. Which is the correct order?
A) Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible host
B) Susceptible host → Reservoir → Portal of exit → Mode of transmission → Portal of entry
C) Portal of entry → Reservoir → Mode of transmission → Portal of exit → Susceptible host
D) Reservoir → Portal of entry → Mode of transmission → Portal of exit → Susceptible host
💫RATIONALE✔️✔️: Correct order (A): Reservoir, exit, transmission, entry, host. Breaking any link
prevents infection.
💫ANSWER✔️✔️: A) Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible
host
---
NCLEX-RN Population-Focused Practice Exam**
---
### Question 1 of 108
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) Blood pressure screening at a health fair
B) Teaching healthy eating and exercise to school children
C) Cardiac rehabilitation for post-MI clients
D) Monitoring medication adherence for hypertensive clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) is secondary. Rehab and
adherence (C, D) are tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating and exercise to school children
---
### Question 2 of 108
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) A child with a broken arm and crying
B) An elderly client with a rapid, weak pulse and cool skin
C) A client walking with a minor laceration on the hand
,D) A client with a sprained ankle who is able to bear weight
💫RATIONALE✔️✔️: Rapid, weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
(A) is urgent but stable. Minor injuries (C, D) are walking wounded.
💫ANSWER✔️✔️: B) An elderly client with a rapid, weak pulse and cool skin
---
### Question 3 of 92
A community health nurse is assessing a home-bound elderly client. Which finding is most concerning
for elder abuse?
A) The client reports feeling lonely
B) Bruises in various stages of healing on the arms and back
C) The home has clutter on the floor
D) The client uses a walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse. Loneliness
and clutter are common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various stages of healing on the arms and back
---
### Question 4 of 108
A nurse is providing education about the Affordable Care Act. Which statement by a client indicates
understanding?
A) “The ACA eliminated all private health insurance.”
,B) “The ACA requires most Americans to have health insurance.”
C) “The ACA only covers hospital care.”
D) “The ACA is only for elderly adults.”
💫RATIONALE✔️✔️: ACA includes individual mandate (B). It expanded coverage but did not eliminate
private insurance. It covers more than hospitals and all ages.
💫ANSWER✔️✔️: B) “The ACA requires most Americans to have health insurance.”
---
### Question 5 of 108
**Select-All-That-Apply (SATA):** A nurse is planning a secondary prevention program for cervical
cancer. Which interventions should be included? (Select all that apply.)
A) Pap smear screening for sexually active women
B) HPV vaccination for adolescents
C) Colposcopy for abnormal Pap results
D) Teaching about HPV transmission
E) Referral for treatment of cervical cancer
💫RATIONALE✔️✔️: Secondary prevention includes screening (A) and early diagnosis (C). HPV vaccination
(B) is primary. Teaching (D) is primary. Treatment (E) is tertiary.
💫ANSWER✔️✔️: A, C
---
### Question 6 of 108
, A community health nurse is investigating an outbreak of food poisoning. Which term describes the
number of new cases in a specific time period?
A) Prevalence
B) Incidence
C) Morbidity
D) Mortality
💫RATIONALE✔️✔️: Incidence (B) is new cases over time. Prevalence is total cases. Morbidity is illness
rate. Mortality is death rate.
💫ANSWER✔️✔️: B) Incidence
---
### Question 7 of 108
A nurse is providing education about the chain of infection. Which is the correct order?
A) Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible host
B) Susceptible host → Reservoir → Portal of exit → Mode of transmission → Portal of entry
C) Portal of entry → Reservoir → Mode of transmission → Portal of exit → Susceptible host
D) Reservoir → Portal of entry → Mode of transmission → Portal of exit → Susceptible host
💫RATIONALE✔️✔️: Correct order (A): Reservoir, exit, transmission, entry, host. Breaking any link
prevents infection.
💫ANSWER✔️✔️: A) Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible
host
---
