HESI RN COMMUNITY HEALTH NURSING
ACCURATE PRACTICE EXAM WITH ALL POSSIBLE
APPROVED WELL ELABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY (100% CORRECT VERIFIED
SOLUTIONS) 2026-2027 CURRENTLY UPDATED
VERSION Q&A GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A community health nurse is conducting a needs
assessment in a rural county with a high rate of
diabetes. Which data source provides the most
reliable evidence for prioritizing interventions?
A. Local newspaper articles about diabetes clinics
B. State health department vital statistics and
hospital discharge data
C. A single focus group with five diabetic patients
,D. The nurse’s personal observations during home
visits
Correct Answer: B
Rationale: State health department vital statistics
and hospital discharge data provide population-
level, objective, and reliable epidemiological data.
Focus groups and personal observations are
valuable but lack generalizability, and newspaper
articles are not primary data sources.
2. During a home visit, a client with tuberculosis
refuses to take prescribed medications. What is the
nurse’s priority action?
A. Respect the client’s autonomy and document the
refusal
B. Notify the local health department immediately
C. Ask the client to sign an against-medical-advice
form
D. Call the client’s family to enforce adherence
Correct Answer: B
Rationale: Tuberculosis is a reportable infectious
,disease with public health implications. The nurse
must notify the local health department to initiate
directly observed therapy (DOT) and prevent
transmission. Autonomy is important but does not
override public safety.
3. Which level of prevention is represented by a
community health nurse teaching handwashing to
elementary school children?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: Primary prevention aims to prevent
disease before it occurs. Handwashing education
reduces the incidence of infections. Secondary
prevention involves screening, and tertiary
prevention focuses on managing existing disease.
, 4. A nurse is using the PRECEDE-PROCEED model for
a smoking cessation program. Which phase involves
identifying the social and environmental factors
that influence smoking behavior?
A. Phase 1 (Social assessment)
B. Phase 2 (Epidemiological assessment)
C. Phase 3 (Educational and ecological assessment)
D. Phase 4 (Administrative and policy assessment)
Correct Answer: C
Rationale: Phase 3 of the PRECEDE-PROCEED
model, the educational and ecological assessment,
identifies predisposing, enabling, and reinforcing
factors that influence behavior, including social
and environmental determinants. Phase 1 focuses
on quality of life, Phase 2 on health problems, and
Phase 4 on resources and policies.
5. A community health nurse is evaluating a new
mobile clinic for underserved populations. Which
indicator most effectively measures access to care?
A. Number of clinic staff members
ACCURATE PRACTICE EXAM WITH ALL POSSIBLE
APPROVED WELL ELABORATED PRACTICE
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
EXPERT ANSWER KEY (100% CORRECT VERIFIED
SOLUTIONS) 2026-2027 CURRENTLY UPDATED
VERSION Q&A GUARANTEED PASS A+ INSTANT
DOWNLOAD PDF
1. A community health nurse is conducting a needs
assessment in a rural county with a high rate of
diabetes. Which data source provides the most
reliable evidence for prioritizing interventions?
A. Local newspaper articles about diabetes clinics
B. State health department vital statistics and
hospital discharge data
C. A single focus group with five diabetic patients
,D. The nurse’s personal observations during home
visits
Correct Answer: B
Rationale: State health department vital statistics
and hospital discharge data provide population-
level, objective, and reliable epidemiological data.
Focus groups and personal observations are
valuable but lack generalizability, and newspaper
articles are not primary data sources.
2. During a home visit, a client with tuberculosis
refuses to take prescribed medications. What is the
nurse’s priority action?
A. Respect the client’s autonomy and document the
refusal
B. Notify the local health department immediately
C. Ask the client to sign an against-medical-advice
form
D. Call the client’s family to enforce adherence
Correct Answer: B
Rationale: Tuberculosis is a reportable infectious
,disease with public health implications. The nurse
must notify the local health department to initiate
directly observed therapy (DOT) and prevent
transmission. Autonomy is important but does not
override public safety.
3. Which level of prevention is represented by a
community health nurse teaching handwashing to
elementary school children?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: Primary prevention aims to prevent
disease before it occurs. Handwashing education
reduces the incidence of infections. Secondary
prevention involves screening, and tertiary
prevention focuses on managing existing disease.
, 4. A nurse is using the PRECEDE-PROCEED model for
a smoking cessation program. Which phase involves
identifying the social and environmental factors
that influence smoking behavior?
A. Phase 1 (Social assessment)
B. Phase 2 (Epidemiological assessment)
C. Phase 3 (Educational and ecological assessment)
D. Phase 4 (Administrative and policy assessment)
Correct Answer: C
Rationale: Phase 3 of the PRECEDE-PROCEED
model, the educational and ecological assessment,
identifies predisposing, enabling, and reinforcing
factors that influence behavior, including social
and environmental determinants. Phase 1 focuses
on quality of life, Phase 2 on health problems, and
Phase 4 on resources and policies.
5. A community health nurse is evaluating a new
mobile clinic for underserved populations. Which
indicator most effectively measures access to care?
A. Number of clinic staff members
