COMMUNITY HEALTH EXAM
TEST QUESTIONS AND
ANSWERS 2025/2026
The community health nurses is counseling a group of 14 year olds about safe sexual practices. Which
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health teaching strategy would be most effective for the nurse to use with this age group?
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A.Encourage group members to describe personal experiences in practicing safe sex Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Provide the group with statistical data about behaviors leading to venereal diseases
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C. Tell the group that for aids prevention abstinence is the best safe sex practice
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D. Role play situations in which the adolescent is rewarded for practicing safe sex - CORRECT ANSWER -
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D. Role play situations in which the adolescent is rewarded for practicing safe sex
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A young adult man goes to an emergency treatment area after finishing a marathon run. He is weak dizzy
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and remains thirsty after drinking a pint of a flavored sports drink. What action should the nurse
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implement first?
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A. Instruct the runner that a urine sample is needed Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Send for the automatic external defibrillator Il` Il` Il` Il` Il` Il`
C. Determine if there are friends or family nearby Il` Il` Il` Il` Il` Il` Il` Il`
D. Give the runner another pint of fluids to drink - CORRECT ANSWER -D. Give the runner another pint of
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fluids to drink Il` Il` Il` Il`
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An older adult male who fractured his right hip is discharged to home one week following an arthroplasty.
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Which adjustment to the clients home environment is most important for the home health nurse to
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implement?
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A. Lower the temperature on the clients water heater Il` Il` Il` Il` Il` Il` Il` Il`
B. Encourage the client to wear rubber soled shoes Il` Il` Il` Il` Il` Il` Il` Il`
C. Ensure that an elevated toilet seat is installed Il` Il` Il` Il` Il` Il` Il` Il`
D. Leave motion activated light in the living room - CORRECT ANSWER -C. Ensure that an elevated toilet
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seat is installed
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The nurse is caring for four clients in a women's health clinic. Which client should the nurse assess for risk
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for pelvic inflammatory disease?
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A. 30 year old with endometriosis
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B. 40 year old with leiomyoma Il` Il` Il` Il` Il`
C. 50 year old perimenopause Il` Il` Il` Il`
D. 20 year old with gonorrhea - CORRECT ANSWER -D. A 20 year old with gonorrhea
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The nurse is teaching a group of adults at a health fair about healthy life style choices. Which information is
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most important for the nurse to emphasize?
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A. Completely stop the use of cigarette and tobacco products Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Eat a diet high in fruits vegetables and whole grains
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C. Avoid the midday sun and use sunscreen Il` Il` Il` Il` Il` Il` Il`
D. Perform monthly self examination of breasts and testes - CORRECT ANSWER -A. Completely stop the
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use of cigarette and tobacco products
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The school nurse who is reviewing immunization records of students who will start kindergarten within the
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next month notes that most of the students have only received on does of the measles mumps rubella
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vaccine. Which intervention should the nurse implement?
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A. Note in the student records that the second dose of the MMR vaccine should be administered Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
prior to entering first grade
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B. Send notices home with the children on the first day of class advising that MMR vaccine series Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
must be completed
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,C. Contact kindergarten parents to remind them that the second dose of MMR is due at eh start of Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
the school year
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D. Speak at the next parent teacher association meeting to teach parents the benefits of immunizing Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
their children - CORRECT ANSWER -B. Send notices home with the children on the first day of class
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advising that MMR vaccine series must be completed
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A middle aged male client presents for his annual health visit at a community clinic. He is 5 ft 10 in tall
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weighs 250 pounds, and works as an accountant. He smokes at least one pack of cigarettes every day for
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the last 15 years. Which secondary prevention measure should the nurse recommend the client to follow?
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A. Compliance with antihypertensive and lipid lowering agents. Il` Il` Il` Il` Il` Il` Il`
B. Increase physical activity and diet low in saturated fat Il` Il` Il` Il` Il` Il` Il` Il` Il`
C. Smoking cessation Il` Il`
D. Blood pressure and lipid screening - CORRECT ANSWER -D. Blood pressure and lipid screening
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A male high school student is referred to the school nurse because he lost consciousness during
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gymnastics class. His neurological vital signs are with normal limits, and his blood pressure is 100/62. He is
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6 ft 3 in tall wighs 135 pound and his body mass index is 16.9. which assessment data should the nurse
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obtain first?
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A. Serial bp reading every 30 minutes Il` Il` Il` Il` Il` Il`
B. Twenty-four hour diet recall Il` Il` Il` Il`
C. Use of performance enhancing drugs
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D. Recent exposure to allergens - CORRECT ANSWER -B. Twenty-four hour diet recall
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The nurse is planning to implement a health education program on breast screening for Hispanic women at
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a community center. Which component of the teaching plan best provides culturally competent care?
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A. Provide handouts and brochures in the English and Spanish languages Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
B. Ask a Hispanic breast cancer survivor to present the educational class
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C. Include treatment modalities with survival statistics for Hispanic womenIl` Il` Il` Il` Il` Il` Il` Il` Il`
, D. Design flyers that target Hispanic women encouraging their attendance - CORRECT ANSWER -A. Provide
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handouts and brochures in the English and Spanish
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The nurse is planning a health education program for 10-year old. Which setting is most likely to increase
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the preadolescent's participation in the program?
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A. The school classroom Il` Il` Il`
B. Community center Il` Il`
C. Home of one of the children Il` Il` Il` Il` Il` Il`
D. A local place of worship - CORRECT ANSWER -A. The school classroom
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The public health nurse receives grant funding to implement primary prevention strategies for migrant
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farm workers and their families. Which action should the nurse plan to include?
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A. Teach a class in providing first aid for heat exhaustion
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B. Organize free community wide tuberculosis screenings Il` Il` Il` Il` Il` Il`
C. Distribute brochures on measures to avoid pesticide exposure Il` Il` Il` Il` Il` Il` Il` Il`
D. Ask a physical therapist to speak about managing low back pain - CORRECT ANSWER -C. Distribute
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brochures on measures to avoid pesticide exposure
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The parish nurse notes that an elderly male client has had a 5 lbs weight loss since his check up one month
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ago. The client has good hygiene, still drives a car and lives alone. To which agency should the nurse refer
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this client?
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A. The adult day care center Il` Il` Il` Il` Il`
B. The social security administration office
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C. The women infant and children office Il` Il` Il` Il` Il` Il`
D. The senior citizen center - CORRECT ANSWER -D. The senior citizen center
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The nurse is screening for hypertension at a local health fair. One of the community residents has a blood
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pressure reading of 138/80. Which interventions should the nurse implement for this client? (Select all
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that apply)
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