ULTIMATE COMMUNITY HEALTH RN V2 EXIT HESI
PRACTICE EXAM | LATEST 100 QUESTIONS WITH
RATIONALES AND CORRECT VERIFIED ANSWERS
2026 A+ GUARANTEED
1. A community health nurse is planning a primary prevention program to
reduce the incidence of hypertension. Which intervention best represents
primary prevention?
A. Screening adults for elevated blood pressure
B. Teaching healthy eating and regular exercise habits
C. Referring clients with hypertension to a cardiologist
D. Providing rehabilitation after a stroke
Answer: B. Teaching healthy eating and regular exercise habits
Rationale: Primary prevention focuses on preventing disease before it occurs by
promoting healthy lifestyles and reducing risk factors.
2. Which client should the community health nurse visit first during home
health rounds?
A. A client with controlled diabetes requesting dietary education
B. A postpartum mother reporting heavy vaginal bleeding
C. An older adult requesting assistance with transportation
D. A client needing routine medication reconciliation
Answer: B. A postpartum mother reporting heavy vaginal bleeding
Rationale: Heavy postpartum bleeding suggests hemorrhage, a life-threatening
emergency requiring immediate assessment.
, 3. During a home visit, a nurse observes loose rugs throughout the client's
home. What is the nurse's priority action?
A. Remove the rugs immediately without permission
B. Document the observation only
C. Discuss fall risks and recommend removing or securing the rugs
D. Contact adult protective services
Answer: C. Discuss fall risks and recommend removing or securing the rugs
Rationale: Client education while respecting autonomy is the appropriate nursing
intervention.
4. A nurse is investigating an increase in measles cases within a community.
What is the priority intervention?
A. Encourage vitamin supplementation
B. Promote immunization of susceptible individuals
C. Increase antibiotic distribution
D. Recommend daily exercise
Answer: B. Promote immunization of susceptible individuals
Rationale: Vaccination is the most effective method for preventing measles
transmission.
5. Which action best demonstrates secondary prevention?
A. Smoking cessation education
B. Colonoscopy screening for adults at recommended intervals
C. Physical therapy following hip surgery
D. Hospice care for terminal illness
Answer: B. Colonoscopy screening for adults at recommended intervals
Rationale: Secondary prevention identifies disease early through screening.
, 6. Which client is at greatest risk for developing tuberculosis?
A. A healthy college student
B. A resident of a crowded homeless shelter
C. A preschool teacher
D. A grocery store cashier
Answer: B. A resident of a crowded homeless shelter
Rationale: Crowded living conditions significantly increase TB transmission risk.
7. Which vaccine should a healthy newborn receive shortly after birth?
A. Influenza
B. Hepatitis B
C. MMR
D. Varicella
Answer: B. Hepatitis B
Rationale: Hepatitis B vaccination is routinely administered shortly after birth.
8. Which statement by a client indicates understanding of food safety?
A. "I'll thaw meat on the kitchen counter overnight."
B. "I'll wash fruits and vegetables before eating them."
C. "I'll leave cooked food out until bedtime."
D. "I'll taste questionable food to see if it's spoiled."
Answer: B. "I'll wash fruits and vegetables before eating them."
Rationale: Proper washing reduces foodborne illness risk.
, 9. Which family would benefit most from referral to the Women, Infants, and
Children (WIC) program?
A. A high-income family with private insurance
B. A low-income pregnant woman at nutritional risk
C. A retired couple
D. A healthy young adult
Answer: B. A low-income pregnant woman at nutritional risk
Rationale: WIC provides nutritional support to eligible women, infants, and
children.
10.Which finding during a home assessment requires immediate intervention?
A. Smoke detector missing batteries
B. Expired canned food
C. Cluttered magazines on a shelf
D. Decorative candles
Answer: A. Smoke detector missing batteries
Rationale: Functional smoke detectors are essential for fire safety.
11.A nurse is planning health education for adolescents. Which topic is most
appropriate for injury prevention?
A. Osteoporosis prevention
B. Seat belt use and distracted driving
C. Medicare enrollment
D. Dementia screening
Answer: B. Seat belt use and distracted driving
Rationale: Motor vehicle injuries are a leading cause of adolescent death.
PRACTICE EXAM | LATEST 100 QUESTIONS WITH
RATIONALES AND CORRECT VERIFIED ANSWERS
2026 A+ GUARANTEED
1. A community health nurse is planning a primary prevention program to
reduce the incidence of hypertension. Which intervention best represents
primary prevention?
A. Screening adults for elevated blood pressure
B. Teaching healthy eating and regular exercise habits
C. Referring clients with hypertension to a cardiologist
D. Providing rehabilitation after a stroke
Answer: B. Teaching healthy eating and regular exercise habits
Rationale: Primary prevention focuses on preventing disease before it occurs by
promoting healthy lifestyles and reducing risk factors.
2. Which client should the community health nurse visit first during home
health rounds?
A. A client with controlled diabetes requesting dietary education
B. A postpartum mother reporting heavy vaginal bleeding
C. An older adult requesting assistance with transportation
D. A client needing routine medication reconciliation
Answer: B. A postpartum mother reporting heavy vaginal bleeding
Rationale: Heavy postpartum bleeding suggests hemorrhage, a life-threatening
emergency requiring immediate assessment.
, 3. During a home visit, a nurse observes loose rugs throughout the client's
home. What is the nurse's priority action?
A. Remove the rugs immediately without permission
B. Document the observation only
C. Discuss fall risks and recommend removing or securing the rugs
D. Contact adult protective services
Answer: C. Discuss fall risks and recommend removing or securing the rugs
Rationale: Client education while respecting autonomy is the appropriate nursing
intervention.
4. A nurse is investigating an increase in measles cases within a community.
What is the priority intervention?
A. Encourage vitamin supplementation
B. Promote immunization of susceptible individuals
C. Increase antibiotic distribution
D. Recommend daily exercise
Answer: B. Promote immunization of susceptible individuals
Rationale: Vaccination is the most effective method for preventing measles
transmission.
5. Which action best demonstrates secondary prevention?
A. Smoking cessation education
B. Colonoscopy screening for adults at recommended intervals
C. Physical therapy following hip surgery
D. Hospice care for terminal illness
Answer: B. Colonoscopy screening for adults at recommended intervals
Rationale: Secondary prevention identifies disease early through screening.
, 6. Which client is at greatest risk for developing tuberculosis?
A. A healthy college student
B. A resident of a crowded homeless shelter
C. A preschool teacher
D. A grocery store cashier
Answer: B. A resident of a crowded homeless shelter
Rationale: Crowded living conditions significantly increase TB transmission risk.
7. Which vaccine should a healthy newborn receive shortly after birth?
A. Influenza
B. Hepatitis B
C. MMR
D. Varicella
Answer: B. Hepatitis B
Rationale: Hepatitis B vaccination is routinely administered shortly after birth.
8. Which statement by a client indicates understanding of food safety?
A. "I'll thaw meat on the kitchen counter overnight."
B. "I'll wash fruits and vegetables before eating them."
C. "I'll leave cooked food out until bedtime."
D. "I'll taste questionable food to see if it's spoiled."
Answer: B. "I'll wash fruits and vegetables before eating them."
Rationale: Proper washing reduces foodborne illness risk.
, 9. Which family would benefit most from referral to the Women, Infants, and
Children (WIC) program?
A. A high-income family with private insurance
B. A low-income pregnant woman at nutritional risk
C. A retired couple
D. A healthy young adult
Answer: B. A low-income pregnant woman at nutritional risk
Rationale: WIC provides nutritional support to eligible women, infants, and
children.
10.Which finding during a home assessment requires immediate intervention?
A. Smoke detector missing batteries
B. Expired canned food
C. Cluttered magazines on a shelf
D. Decorative candles
Answer: A. Smoke detector missing batteries
Rationale: Functional smoke detectors are essential for fire safety.
11.A nurse is planning health education for adolescents. Which topic is most
appropriate for injury prevention?
A. Osteoporosis prevention
B. Seat belt use and distracted driving
C. Medicare enrollment
D. Dementia screening
Answer: B. Seat belt use and distracted driving
Rationale: Motor vehicle injuries are a leading cause of adolescent death.
