Community Health Practice Exam A 2026|
Actual Questions and Correct Answers with
Explanations
Question 1
A community health nurse is conducting a needs assessment of a community. The nurse should
identify that which of the following methods will yield direct data?
Health surveys
Medical records
Informant interviews
Morbidity/mortality statistics
Correct Answer: Informant interviews
Explanation: The nurse should identify that informant interviews with community members or
leaders will provide direct (primary) data. This information can help the nurse identify services
needed by the community. Health surveys, medical records, and morbidity/mortality statistics all
yield secondary data.
Question 2
A home health nurse is evaluating a caregiver's technique for providing care to a client who has a
chronic tracheostomy. Which of the following statements by the caregiver indicates an
understanding of the procedure?
"I should remove the soiled ties before replacing them with clean ones."
"I will use tap water to clean the inner cannula."
"I should use a slip knot to secure the tracheostomy ties."
"I will cut a four inch by four inch gauze to use as a dressing."
,Correct Answer: "I will use tap water to clean the inner cannula."
Explanation: The caregiver can use tap water when performing tracheostomy care in the home
setting. The old ties should remain in place until new ones are secured, a square knot (not slip
knot) should be used, and the 4×4 gauze should be folded (not cut) to avoid aspiration of fibers.
Question 3
A nurse is assessing the risks and benefits of meal delivery services for an older adult client who
lives alone and has no transportation. Which of the following ethical principles is the nurse
demonstrating?
Distributive justice
Respect for autonomy
Fidelity
Beneficence
Correct Answer: Beneficence
Explanation: The nurse is demonstrating the ethical principle of beneficence by determining if
the client needs this service to maintain their health (doing good). Distributive justice involves
fair allocation of limited resources, respect for autonomy involves honoring the client’s choice,
and fidelity involves keeping promises/following through on referrals.
Question 4
A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
Educate the community about disease transmission.
Determine the incidence rate.
Institute prophylactic treatment.
Discuss treatment plans with the clients' families.
, Correct Answer: Determine the incidence rate.
Explanation: The first action (assessment phase of the nursing process) is to determine the
number of new cases of scabies for comparison to prior incidence data to confirm an increase.
Education, prophylaxis, and treatment discussions are important but follow assessment.
Question 5
A case manager at a home health agency is obtaining equipment for a client's home use. Which
of the following actions is a violation of client confidentiality?
The case manager used a computer at the agency with an automatic sign-off mechanism.
The case manager left a clipboard with the client's prescription information face up on the office
desk.
The case manager sent a fax to the equipment company on a machine using programmed speed
dial.
The case manager shared the client's name with the equipment company.
Correct Answer: The case manager left a clipboard with the client's prescription information face
up on the office desk.
Explanation: When using a clipboard, the case manager should place it face down so that a
client's personal health information is not visible to other individuals. The other actions are
appropriate safeguards or permitted sharing with members of the care team.
Question 6
A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease?
Withdrawal from social activities
Forgetting the location of common objects
Actual Questions and Correct Answers with
Explanations
Question 1
A community health nurse is conducting a needs assessment of a community. The nurse should
identify that which of the following methods will yield direct data?
Health surveys
Medical records
Informant interviews
Morbidity/mortality statistics
Correct Answer: Informant interviews
Explanation: The nurse should identify that informant interviews with community members or
leaders will provide direct (primary) data. This information can help the nurse identify services
needed by the community. Health surveys, medical records, and morbidity/mortality statistics all
yield secondary data.
Question 2
A home health nurse is evaluating a caregiver's technique for providing care to a client who has a
chronic tracheostomy. Which of the following statements by the caregiver indicates an
understanding of the procedure?
"I should remove the soiled ties before replacing them with clean ones."
"I will use tap water to clean the inner cannula."
"I should use a slip knot to secure the tracheostomy ties."
"I will cut a four inch by four inch gauze to use as a dressing."
,Correct Answer: "I will use tap water to clean the inner cannula."
Explanation: The caregiver can use tap water when performing tracheostomy care in the home
setting. The old ties should remain in place until new ones are secured, a square knot (not slip
knot) should be used, and the 4×4 gauze should be folded (not cut) to avoid aspiration of fibers.
Question 3
A nurse is assessing the risks and benefits of meal delivery services for an older adult client who
lives alone and has no transportation. Which of the following ethical principles is the nurse
demonstrating?
Distributive justice
Respect for autonomy
Fidelity
Beneficence
Correct Answer: Beneficence
Explanation: The nurse is demonstrating the ethical principle of beneficence by determining if
the client needs this service to maintain their health (doing good). Distributive justice involves
fair allocation of limited resources, respect for autonomy involves honoring the client’s choice,
and fidelity involves keeping promises/following through on referrals.
Question 4
A community health nurse suspects an outbreak of scabies in the local area. Which of the
following actions should the nurse take first?
Educate the community about disease transmission.
Determine the incidence rate.
Institute prophylactic treatment.
Discuss treatment plans with the clients' families.
, Correct Answer: Determine the incidence rate.
Explanation: The first action (assessment phase of the nursing process) is to determine the
number of new cases of scabies for comparison to prior incidence data to confirm an increase.
Education, prophylaxis, and treatment discussions are important but follow assessment.
Question 5
A case manager at a home health agency is obtaining equipment for a client's home use. Which
of the following actions is a violation of client confidentiality?
The case manager used a computer at the agency with an automatic sign-off mechanism.
The case manager left a clipboard with the client's prescription information face up on the office
desk.
The case manager sent a fax to the equipment company on a machine using programmed speed
dial.
The case manager shared the client's name with the equipment company.
Correct Answer: The case manager left a clipboard with the client's prescription information face
up on the office desk.
Explanation: When using a clipboard, the case manager should place it face down so that a
client's personal health information is not visible to other individuals. The other actions are
appropriate safeguards or permitted sharing with members of the care team.
Question 6
A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease?
Withdrawal from social activities
Forgetting the location of common objects
