answers and rationales 2026/2027 version /instant pdf
1. A community health nurse is planning an influenza vaccination clinic for older
adults. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Restorative care
Correct Answer: A. Primary prevention.
Rationale: Immunizations prevent disease before it occurs and are considered primary
prevention.
2. A nurse is reviewing data collected during a community assessment. Which
finding should receive the highest priority?
A. An increase in new tuberculosis cases over the past 6 months
B. A shortage of recreational facilities
C. Limited public transportation
D. Increased traffic congestion
Correct Answer: A. An increase in new tuberculosis cases over the past 6 months.
Rationale: Tuberculosis is a communicable disease that poses a significant public health risk
and requires prompt intervention.
3. Which action best demonstrates secondary prevention?
A. Conducting blood pressure screenings at a community health fair
B. Administering childhood immunizations
C. Teaching clients about smoking cessation
,D. Providing rehabilitation after a stroke
Correct Answer: A. Conducting blood pressure screenings at a community health fair.
Rationale: Secondary prevention focuses on early detection and treatment of disease.
4. A home health nurse enters a client's residence and notices loose electrical
wires and cluttered walkways. Which action should the nurse take first?
A. Discuss the hazards with the client and develop a safety plan.
B. Notify the local fire department immediately.
C. Remove all clutter without the client's permission.
D. End the visit immediately.
Correct Answer: A. Discuss the hazards with the client and develop a safety plan.
Rationale: The nurse should collaborate with the client to reduce environmental hazards while
respecting autonomy.
5. Which client should the community health nurse prioritize for follow-up?
A. A client recently diagnosed with active pulmonary tuberculosis
B. A client requesting nutrition education
C. A client needing an annual vision screening
D. A client requesting exercise recommendations
Correct Answer: A. A client recently diagnosed with active pulmonary tuberculosis.
Rationale: Active tuberculosis requires timely treatment and public health follow-up to prevent
disease transmission.
6. Which statement best describes the purpose of epidemiology?
A. To study the distribution and causes of disease within populations
B. To diagnose diseases in hospitalized clients
, C. To provide bedside nursing care
D. To prescribe medications
Correct Answer: A. To study the distribution and causes of disease within populations.
Rationale: Epidemiology examines disease patterns to guide prevention and public health
interventions.
7. Which intervention is appropriate during the tertiary prevention stage?
A. Cardiac rehabilitation after myocardial infarction
B. Childhood immunizations
C. Prenatal vitamins
D. Blood pressure screening
Correct Answer: A. Cardiac rehabilitation after myocardial infarction.
Rationale: Tertiary prevention reduces complications and improves function after disease
occurs.
8. A nurse is teaching a group about hand hygiene. Which statement by a
participant indicates understanding?
A. "I should wash my hands before and after preparing food."
B. "Hand sanitizer replaces handwashing after gardening."
C. "Warm water is unnecessary when washing visibly soiled hands."
D. "Gloves eliminate the need for hand hygiene."
Correct Answer: A. "I should wash my hands before and after preparing food."
Rationale: Proper hand hygiene helps prevent disease transmission.
9. Which client is at greatest risk for developing heat-related illness?