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Community and Public Health Nursing · Community Health Nursing Exam Questions

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Showing all 15 practice questions with expert explanatory rationales.

Question 1 of 15

Case excerpt

A nurse is conducting a community assessment in an area with high rates of uncontrolled asthma among children.

Which environmental factor should the nurse investigate?

A. Indoor mold, pests, smoke exposure, and housing conditions
B. The color of school uniforms
C. The number of local clothing stores
D. The number of public art displays
E. Residents' preferred television programs

Expert Explanatory Rationale

Correct Answer: A. Indoor mold, pests, smoke exposure, and housing conditions

Indoor allergens and irritants, including mold, pests, and smoke, can worsen asthma and are important environmental assessment targets.

Question 2 of 15

Case excerpt

A nurse is counseling a client who has recently been diagnosed with hypertension.

Which community resource may best support long-term self-management?

A. A one-time unrelated festival
B. An unregulated supplement vendor
C. A low-cost blood-pressure monitoring and education program
D. A service that offers only cosmetic procedures
E. A program that discourages follow-up visits

Expert Explanatory Rationale

Correct Answer: C. A low-cost blood-pressure monitoring and education program

Accessible monitoring, education, and follow-up can support blood-pressure control and self-management.

Question 3 of 15

Case excerpt

A community nurse is preparing a presentation about sexually transmitted infection prevention for young adults.

Which approach is most appropriate in this situation: A community nurse is preparing a presentation about sexually transmitted infection prevention for young adults?

A. Use fear and shame to discourage sexual activity
B. Provide confidential, inclusive education about testing, condoms, vaccination, and treatment
C. Exclude questions about same-sex behavior
D. Promise that symptoms always appear when infection is present
E. Recommend treatment only for people with visible symptoms

Expert Explanatory Rationale

Correct Answer: B. Provide confidential, inclusive education about testing, condoms, vaccination, and treatment

Accurate, nonjudgmental, inclusive education supports prevention, screening, and timely treatment; many infections can be asymptomatic.

Question 4 of 15

Case excerpt

A nurse is reviewing data that show a high rate of missed prenatal visits in a rural area.

Which response best addresses a likely structural barrier?

A. Reduce prenatal clinic hours
B. Require more frequent visits without transport support
C. Explore transportation, cost, appointment availability, and telehealth access with community partners
D. Stop outreach to people who miss appointments
E. Label clients as unmotivated

Expert Explanatory Rationale

Correct Answer: C. Explore transportation, cost, appointment availability, and telehealth access with community partners

Understanding practical barriers and collaborating on access solutions is more effective than blaming individuals.

Question 5 of 15

Case excerpt

A public health nurse is teaching parents how to prevent accidental drowning in toddlers.

Which recommendation is most important?

A. Keep pool gates propped open
B. Provide constant, close supervision around water and use barriers such as four-sided pool fencing
C. Rely on inflatable toys for safety
D. Allow toddlers to play near a pool if adults are indoors
E. Teach toddlers to swim as a substitute for supervision

Expert Explanatory Rationale

Correct Answer: B. Provide constant, close supervision around water and use barriers such as four-sided pool fencing

Close, constant supervision and effective barriers are critical layers of drowning prevention; flotation toys and swim skills do not replace them.

Question 6 of 15

Case excerpt

A nurse is assessing a client who may be experiencing food insecurity.

Which question is most appropriate?

A. In the past 12 months, have you worried that food would run out before you had money to buy more?'
B. Can your relatives pay for groceries?'
C. You have enough food, don't you?'
D. Why do you make poor food choices?'
E. Do you agree that food insecurity is a personal failure?'

Expert Explanatory Rationale

Correct Answer: A. In the past 12 months, have you worried that food would run out before you had money to buy more?'

A direct, nonjudgmental screening question helps identify food insecurity and can guide connection to resources.

Question 7 of 15

Case excerpt

A community nurse is planning a fall-prevention workshop for older adults.

Which content should be included?

A. Using loose slippers indoors
B. Keeping frequently used items on high shelves
C. Avoiding all physical activity
D. Turning off night lights
E. Medication review, vision checks, strength and balance activity, and home hazard reduction

Expert Explanatory Rationale

Correct Answer: E. Medication review, vision checks, strength and balance activity, and home hazard reduction

Multifactorial fall prevention includes medication review, vision assessment, exercise, and safer home environments.

Question 8 of 15

Case excerpt

A nurse is supporting a client who has limited access to internet and cannot use an online patient portal.

Which action best promotes health equity?

A. Require portal use for all services
B. Cancel appointments that cannot be booked online
C. Share login credentials with another person
D. Offer phone, in-person, or paper-based ways to receive information and schedule care
E. Assume the client is uninterested in care

Expert Explanatory Rationale

Correct Answer: D. Offer phone, in-person, or paper-based ways to receive information and schedule care

Providing non-digital access options prevents technology barriers from excluding people from care.

Question 9 of 15

Case excerpt

Community Health Nursing Exam Questions: A nurse is assessing environmental contributors to childhood asthma. Which factors should be explored.

A nurse is assessing environmental contributors to childhood asthma. Which factors should be explored? (Select all that apply)

A. The color of the child's bedroom walls
B. Indoor mold and dampness
C. Cockroach or rodent exposure
D. Poor ventilation and outdoor air pollution
E. Secondhand smoke

Expert Explanatory Rationale

Correct Answer: B. Indoor mold and dampness; C. Cockroach or rodent exposure; D. Poor ventilation and outdoor air pollution; E. Secondhand smoke

Mold, pests, smoke, and poor air quality can trigger asthma symptoms and should be assessed.

Question 10 of 15

Case excerpt

Community Health Nursing Exam Questions: A community nurse is teaching about STI prevention. Which messages are accurate.

A community nurse is teaching about STI prevention. Which messages are accurate? (Select all that apply)

A. Vaccines are available for some infections, including HPV and hepatitis B
B. A person without symptoms never needs testing
C. Condoms reduce but do not eliminate transmission risk
D. Routine testing depends on age and risk factors
E. Many STIs can occur without symptoms

Expert Explanatory Rationale

Correct Answer: A. Vaccines are available for some infections, including HPV and hepatitis B; C. Condoms reduce but do not eliminate transmission risk; D. Routine testing depends on age and risk factors; E. Many STIs can occur without symptoms

STIs may be asymptomatic; testing, barrier methods, and available vaccines are important prevention strategies.

Question 11 of 15

Case excerpt

Community Health Nursing Exam Questions: A nurse is screening a family for food insecurity. Which approaches are appropriate.

A nurse is screening a family for food insecurity. Which approaches are appropriate? (Select all that apply)

A. Conduct screening privately when possible
B. Assume food insecurity based only on appearance
C. Offer information about local food resources
D. Consider how food access affects chronic disease management
E. Ask direct, nonjudgmental questions

Expert Explanatory Rationale

Correct Answer: A. Conduct screening privately when possible; C. Offer information about local food resources; D. Consider how food access affects chronic disease management; E. Ask direct, nonjudgmental questions

Respectful screening and resource connection identify needs without stereotyping or relying on appearance.

Question 12 of 15

Case excerpt

Community Health Nursing Exam Questions: A public health nurse is teaching parents about toddler drowning prevention. Which actions are recommended.

A public health nurse is teaching parents about toddler drowning prevention. Which actions are recommended? (Select all that apply)

A. Rely on swim lessons as a replacement for supervision
B. Maintain close, constant adult supervision around water
C. Empty small containers of water after use
D. Keep gates closed and self-latching
E. Use four-sided isolation fencing around home pools where applicable

Expert Explanatory Rationale

Correct Answer: B. Maintain close, constant adult supervision around water; C. Empty small containers of water after use; D. Keep gates closed and self-latching; E. Use four-sided isolation fencing around home pools where applicable

Supervision, barriers, secure gates, and removing standing water reduce drowning risk; swim skills do not replace supervision.

Question 13 of 15

Case excerpt

Community Health Nursing Exam Questions: A nurse is planning fall-prevention education for older adults. Which interventions should be discussed.

A nurse is planning fall-prevention education for older adults. Which interventions should be discussed? (Select all that apply)

A. Improve lighting and remove home hazards
B. Review medicines that may cause dizziness or sedation
C. Avoid all walking and exercise
D. Assess vision and footwear
E. Encourage appropriate strength and balance activity

Expert Explanatory Rationale

Correct Answer: A. Improve lighting and remove home hazards; B. Review medicines that may cause dizziness or sedation; D. Assess vision and footwear; E. Encourage appropriate strength and balance activity

Medication review, vision and footwear assessment, strength/balance activity, and home safety are evidence-based fall-prevention measures.

Question 14 of 15

Case excerpt

Community Health Nursing Exam Questions: A community program has a budget of $1,200 for 8 equal health workshops. What is the budget per workshop? Enter the number only.

A community program has a budget of $1,200 for 8 equal health workshops. What is the budget per workshop? Enter the number only.

Expert Explanatory Rationale

Correct Answer: 150

$1,200 ÷ 8 workshops = $150 per workshop.

Question 15 of 15

Case excerpt

Community Health Nursing Exam Questions: A nurse is conducting a home safety visit for an older adult at risk of falls. Place the actions in the appropriate order.

A nurse is conducting a home safety visit for an older adult at risk of falls. Place the actions in the appropriate order.

A. Ask about recent falls, dizziness, and daily activities
B. Inspect lighting, walkways, rugs, and bathroom access
C. Review medicines and identify possible fall-risk effects
D. Agree on practical home modifications and referrals
E. Reassess changes and fall frequency at follow-up

Expert Explanatory Rationale

Correct Answer: A. Ask about recent falls, dizziness, and daily activities; B. Inspect lighting, walkways, rugs, and bathroom access; C. Review medicines and identify possible fall-risk effects; D. Agree on practical home modifications and referrals; E. Reassess changes and fall frequency at follow-up

A structured assessment informs hazard review, medication review, practical interventions, and follow-up.

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