Community Health Practice Exam B 2026|
Actual Questions and Correct Answers with
Explanations
Question 1
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a computer for 8 hr at a time. Which of the following information is the priority for the nurse
to include?
"Take a walk after work."
"Point and flex your toes periodically."
"Have your visual acuity assessed regularly."
"Adjust your chair so that your elbows are at desk height."
Correct Answer: "Point and flex your toes periodically."
Explanation: The greatest risk to staff members who are immobile for long periods is venous
thromboembolism. Therefore, the nurse should encourage the staff members to frequently
change the position of their feet and legs (point and flex toes periodically) to promote venous
return. The other options are important but not the priority.
Question 2
An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse
should counsel the client about the risk for which of the following adverse effects?
Urinary retention
Polycythemia
Hypokalemia
Gastric ulcerations
,Correct Answer: Gastric ulcerations
Explanation: Daily use of NSAIDs, such as ibuprofen, increases the risk for gastric ulceration,
perforation, and hemorrhage.
Question 3
A home health nurse is visiting with an older adult client. Which of the following observations
indicates the need for a home modification?
The home has power strips that have breakers.
The client uses an electric toaster oven for cooking.
There are two rocking chairs in the living room.
The bathtub has a seat and a hand-held shower head.
Correct Answer: There are two rocking chairs in the living room.
Explanation: Rocking chairs and swivel chairs require modification. The nurse should block the
motion of the chairs to keep them stable so that the client can easily get in and out.
Question 4
A community health nurse is planning a health education program for adults. The nurse should
plan to take which of the following actions during the program?
Use medical terminology throughout the presentation.
Provide take-home materials written at a 6th-grade level.
Extend the presentation to include as much information as possible.
Avoid the use of technology to display images and videos.
Correct Answer: Provide take-home materials written at a 6th-grade level.
, Explanation: The American Medical Association and the National Institutes of Health
recommend that take-home documents are written at a 6th- to 8th-grade level or lower to
promote client understanding.
Question 5
A home health nurse is conducting a follow-up visit for a client who was recently discharged
from an acute rehabilitation program for alcohol use disorder. Which of the following actions
should the nurse take?
Tell the client to take naltrexone daily.
Instruct the client to take buprenorphine for the next 9 to 12 months.
Teach the client to avoid foods that contain tyramine.
Schedule transcranial magnetic stimulation (TMS) biweekly.
Correct Answer: Tell the client to take naltrexone daily.
Explanation: The nurse should instruct the client to take naltrexone daily to decrease cravings
for alcohol. Naltrexone is prescribed to assist with alcohol withdrawal and prevent relapse.
Question 6
A home health nurse is planning care for the day. Which of the following clients should the nurse
visit first?
An older adult client who was treated in the emergency department last night for a stage 3
pressure injury
A school-age child who was treated in the emergency department last night for status asthmaticus
An older adult client who has a newly prescribed antihypertensive medication and needs a BP
check
A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing
Actual Questions and Correct Answers with
Explanations
Question 1
A school nurse is teaching health promotion to a group of staff members who sit at a desk and
use a computer for 8 hr at a time. Which of the following information is the priority for the nurse
to include?
"Take a walk after work."
"Point and flex your toes periodically."
"Have your visual acuity assessed regularly."
"Adjust your chair so that your elbows are at desk height."
Correct Answer: "Point and flex your toes periodically."
Explanation: The greatest risk to staff members who are immobile for long periods is venous
thromboembolism. Therefore, the nurse should encourage the staff members to frequently
change the position of their feet and legs (point and flex toes periodically) to promote venous
return. The other options are important but not the priority.
Question 2
An occupational health nurse is assessing a client who reports taking ibuprofen daily. The nurse
should counsel the client about the risk for which of the following adverse effects?
Urinary retention
Polycythemia
Hypokalemia
Gastric ulcerations
,Correct Answer: Gastric ulcerations
Explanation: Daily use of NSAIDs, such as ibuprofen, increases the risk for gastric ulceration,
perforation, and hemorrhage.
Question 3
A home health nurse is visiting with an older adult client. Which of the following observations
indicates the need for a home modification?
The home has power strips that have breakers.
The client uses an electric toaster oven for cooking.
There are two rocking chairs in the living room.
The bathtub has a seat and a hand-held shower head.
Correct Answer: There are two rocking chairs in the living room.
Explanation: Rocking chairs and swivel chairs require modification. The nurse should block the
motion of the chairs to keep them stable so that the client can easily get in and out.
Question 4
A community health nurse is planning a health education program for adults. The nurse should
plan to take which of the following actions during the program?
Use medical terminology throughout the presentation.
Provide take-home materials written at a 6th-grade level.
Extend the presentation to include as much information as possible.
Avoid the use of technology to display images and videos.
Correct Answer: Provide take-home materials written at a 6th-grade level.
, Explanation: The American Medical Association and the National Institutes of Health
recommend that take-home documents are written at a 6th- to 8th-grade level or lower to
promote client understanding.
Question 5
A home health nurse is conducting a follow-up visit for a client who was recently discharged
from an acute rehabilitation program for alcohol use disorder. Which of the following actions
should the nurse take?
Tell the client to take naltrexone daily.
Instruct the client to take buprenorphine for the next 9 to 12 months.
Teach the client to avoid foods that contain tyramine.
Schedule transcranial magnetic stimulation (TMS) biweekly.
Correct Answer: Tell the client to take naltrexone daily.
Explanation: The nurse should instruct the client to take naltrexone daily to decrease cravings
for alcohol. Naltrexone is prescribed to assist with alcohol withdrawal and prevent relapse.
Question 6
A home health nurse is planning care for the day. Which of the following clients should the nurse
visit first?
An older adult client who was treated in the emergency department last night for a stage 3
pressure injury
A school-age child who was treated in the emergency department last night for status asthmaticus
An older adult client who has a newly prescribed antihypertensive medication and needs a BP
check
A school-age child whose percutaneous endoscopic gastrostomy (PEG) tube needs changing
