Proctored Exam 2025/2026
Updated Comprehensive Exam |
NCLEX-Standard Questions with Answers
, 1. A community health nurse is reviewing data that indicate an increased rate of newly
diagnosed cases of pertussis within the past month in a specific county. Which term best
describes this finding?
a. Prevalence
b. Incidence
c. Endemic
d. Mortality
Answer: b. Incidence
2. Which intervention is an example of primary prevention in community health nursing?
a. Providing physical therapy after hip surgery
b. Conducting blood pressure screenings at a health fair
c. Administering influenza immunizations at a community clinic
d. Coordinating hospice services for a client with cancer
Answer: c. Administering influenza immunizations at a community clinic
3. A nurse identifies that a rural population has limited access to transportation for medical
appointments. This situation is best categorized as which social determinant of health?
a. Biological factor
b. Environmental exposure
c. Health care access barrier
d. Genetic predisposition
Answer: c. Health care access barrier
4. During a home visit, a nurse observes bruises in various stages of healing on a
6-year-old child. The caregiver reports the child “falls often.” What is the nurse’s priority
action?
a. Document findings and continue assessment
b. Confront the caregiver about possible abuse
c. Report suspected abuse to child protective services
d. Schedule a follow-up visit
Answer: c. Report suspected abuse to child protective services
5. A community health nurse is using the epidemiologic triangle to analyze a hepatitis A
outbreak. Contaminated food would be classified as which component?
a. Host
b. Agent
c. Environment
d. Vector
Answer: b. Agent
6. Which client should the nurse prioritize during disaster triage using the START system?
a. A client who is ambulatory with minor lacerations
b. A client who is apneic and does not breathe after airway repositioning
c. A client with respirations of 36/min and capillary refill greater than 2 seconds
d. A client with a fractured wrist and stable vital signs