Page 1 of 145
PUBLIC COMMUNITY HEALTH - NCLEX - WITH
EXPLANATIONS QUESTIONS EXAM MOST
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. According to the American Academy of Pediatrics, which of the following
activities are expectations for a school health nurse?
a. Ensuring that children with health problems are accepted by their peers
b. Driving children home if parents can't pick them up
c. Giving emergency care in the school or during school events
d. Giving medications as needed if children are ill
ANS: C
School nursing responsibilities include making sure that children get the health care
they need, including emergency care in the school; keeping track of the state-
required vaccinations that children have received; carrying out the required
screening of the children based on state law; and ensuring that children with health
problems are able to learn in the classroom. The nurse cannot convince children to
accept other children as peers, although certainly efforts should be made. HIPAA
would not allow individual examples of health problems to be shared, other than
providing group statistics.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
2. Which of the following statements best explains why many school nurses
are not able to ensure that all children receive needed health care in the
schools?
a. There is a shortage of baccalaureate-prepared nurses with national school
, Page 2 of 145
health nurse certification.
b. Most nurses prefer to be employed in hospitals giving direct care.
c. Most school districts are unable to afford a nurse in every school.
d. School districts and taxpayers see no need for nurses in schools.
ANS: C
In Healthy People 2020, objective ECBP-5 states that there should be one nurse for
every 750 children in each school (U.S. Department of Health and Human Services,
2010). Most schools have not achieved this objective. In 2006, approximately 40% of
the nation's schools met that standard. The new objective is that 44.7% of the
country's elementary, middle, junior high, and senior high schools have this many
nurses by 2020 (U.S. Department of Health and Human Services, 2010). Having
fewer nurses in the schools means that the nurses are expected to perform many
different functions. It is therefore possible that they are unable to provide the amount
of comprehensive care that the students need (Croghan, 2009).
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
3. A school health nurse is requested by the board of education to assist in
choosing new playground equipment for an elementary school that meets
safety standards. Which of the following best describes the nurse's role in this
scenario?
a. Case manager
b. Consultant
c. Counselor
d. Health educator
ANS: B
The school nurse is the person best able to provide health information to school
administrators, teachers, and parent-teacher groups. As a consultant, the school
nurse can provide professional information about proposed changes in the school
environment and their effect on the health of the children. The nurse also can
recommend changes in the school's policies or ask community organizations to help
make the children's schools healthier places.
DIF: Cognitive Level: Apply (Application) REF: p. 570
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4. At the annual community health fair, the school health nurse displays a
science booth that examines the hazards of ineffective hand washing. Which
of the following best describes the nurse's role in this scenario?
a. Consultant
b. Community outreach
c. Counselor
d. Researcher
ANS: B
When participating in community outreach, nurses reach out to residents in the
community. One common way this occurs is when nurses are involved in activities
such as community health fairs or festivals in the schools.
DIF: Cognitive Level: Apply (Application) REF: p. 570
5. Which of the following best explains why school nurses are involved in
helping teachers with the task of teaching children how to practice problem
solving, communication, and other life skills?
a. Teacher shortages have required nurses to be increasingly involved in
teaching life skills.
b. Because so many nurses want to be employed in schools, this
responsibility was assumed to increase employment opportunities.
c. States are requiring nurses to screen and to teach life skills.
d. Nurses have been enlisted in this role to help reduce risk factors for future
health problems in school children.
ANS: D
School health nurses were originally involved in this capacity in 1987 after the CDC
began funding schools for HIV-prevention education programs. This program was so
successful that it was expanded to include programs to teach children prevention of
other chronic illnesses caused in part by risk factors such as poor diet, lack of
exercise, and smoking. The schools are actively involved in helping the children
practice problem solving, communication, and other life skills so that they can reduce
their risk factors for health problems.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 571
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6. Which of the following best describes services that are offered at a school-
based health center?
a. Employee care at a discounted cost at the school
b. Care to others in the community
c. Sex education, birth control, family planning, and care throughout
pregnancy
d. Referral and networking with other health care services in the community
ANS: B
School-based health centers give care not only to students but also to other persons
in the community. They may provide social services, daycare, job training, and
educational counseling in addition to the medical and nursing care, mental health
counseling, and dental care seen in smaller school-based centers.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 571
7. The school health nurse has enlisted the assistance of high school role
models in the areas of sports and scholarship to provide an antidrug
presentation to their peers. Which of the following levels of prevention is being
implemented?
a. Primary
b. Secondary
c. Tertiary
d. Both primary and secondary
ANS: A
Primary prevention interventions by the school nurse include educating children and
adolescents about the effects of drugs. In preventing use, students are taught by the
school nurse to stay away from drugs such as marijuana, cocaine, crack, heroin, and
alcohol.
DIF: Cognitive Level: Apply (Application) REF: p. 572
8. Which of the following best describes the primary reason that school health
nurses spend so much time on educational programs that teach children the
importance of water and fire safety, using a seatbelt in the car, and wearing a
helmet when biking or skateboarding?
a. Because children won't know if someone doesn't tell them
PUBLIC COMMUNITY HEALTH - NCLEX - WITH
EXPLANATIONS QUESTIONS EXAM MOST
COMPREHENSIVE 2026 QUESTIONS EXAM LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
100 %
1. According to the American Academy of Pediatrics, which of the following
activities are expectations for a school health nurse?
a. Ensuring that children with health problems are accepted by their peers
b. Driving children home if parents can't pick them up
c. Giving emergency care in the school or during school events
d. Giving medications as needed if children are ill
ANS: C
School nursing responsibilities include making sure that children get the health care
they need, including emergency care in the school; keeping track of the state-
required vaccinations that children have received; carrying out the required
screening of the children based on state law; and ensuring that children with health
problems are able to learn in the classroom. The nurse cannot convince children to
accept other children as peers, although certainly efforts should be made. HIPAA
would not allow individual examples of health problems to be shared, other than
providing group statistics.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
2. Which of the following statements best explains why many school nurses
are not able to ensure that all children receive needed health care in the
schools?
a. There is a shortage of baccalaureate-prepared nurses with national school
, Page 2 of 145
health nurse certification.
b. Most nurses prefer to be employed in hospitals giving direct care.
c. Most school districts are unable to afford a nurse in every school.
d. School districts and taxpayers see no need for nurses in schools.
ANS: C
In Healthy People 2020, objective ECBP-5 states that there should be one nurse for
every 750 children in each school (U.S. Department of Health and Human Services,
2010). Most schools have not achieved this objective. In 2006, approximately 40% of
the nation's schools met that standard. The new objective is that 44.7% of the
country's elementary, middle, junior high, and senior high schools have this many
nurses by 2020 (U.S. Department of Health and Human Services, 2010). Having
fewer nurses in the schools means that the nurses are expected to perform many
different functions. It is therefore possible that they are unable to provide the amount
of comprehensive care that the students need (Croghan, 2009).
DIF: Cognitive Level: Understand (Comprehension) REF: p. 569
3. A school health nurse is requested by the board of education to assist in
choosing new playground equipment for an elementary school that meets
safety standards. Which of the following best describes the nurse's role in this
scenario?
a. Case manager
b. Consultant
c. Counselor
d. Health educator
ANS: B
The school nurse is the person best able to provide health information to school
administrators, teachers, and parent-teacher groups. As a consultant, the school
nurse can provide professional information about proposed changes in the school
environment and their effect on the health of the children. The nurse also can
recommend changes in the school's policies or ask community organizations to help
make the children's schools healthier places.
DIF: Cognitive Level: Apply (Application) REF: p. 570
, Page 3 of 145
4. At the annual community health fair, the school health nurse displays a
science booth that examines the hazards of ineffective hand washing. Which
of the following best describes the nurse's role in this scenario?
a. Consultant
b. Community outreach
c. Counselor
d. Researcher
ANS: B
When participating in community outreach, nurses reach out to residents in the
community. One common way this occurs is when nurses are involved in activities
such as community health fairs or festivals in the schools.
DIF: Cognitive Level: Apply (Application) REF: p. 570
5. Which of the following best explains why school nurses are involved in
helping teachers with the task of teaching children how to practice problem
solving, communication, and other life skills?
a. Teacher shortages have required nurses to be increasingly involved in
teaching life skills.
b. Because so many nurses want to be employed in schools, this
responsibility was assumed to increase employment opportunities.
c. States are requiring nurses to screen and to teach life skills.
d. Nurses have been enlisted in this role to help reduce risk factors for future
health problems in school children.
ANS: D
School health nurses were originally involved in this capacity in 1987 after the CDC
began funding schools for HIV-prevention education programs. This program was so
successful that it was expanded to include programs to teach children prevention of
other chronic illnesses caused in part by risk factors such as poor diet, lack of
exercise, and smoking. The schools are actively involved in helping the children
practice problem solving, communication, and other life skills so that they can reduce
their risk factors for health problems.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 571
, Page 4 of 145
6. Which of the following best describes services that are offered at a school-
based health center?
a. Employee care at a discounted cost at the school
b. Care to others in the community
c. Sex education, birth control, family planning, and care throughout
pregnancy
d. Referral and networking with other health care services in the community
ANS: B
School-based health centers give care not only to students but also to other persons
in the community. They may provide social services, daycare, job training, and
educational counseling in addition to the medical and nursing care, mental health
counseling, and dental care seen in smaller school-based centers.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 571
7. The school health nurse has enlisted the assistance of high school role
models in the areas of sports and scholarship to provide an antidrug
presentation to their peers. Which of the following levels of prevention is being
implemented?
a. Primary
b. Secondary
c. Tertiary
d. Both primary and secondary
ANS: A
Primary prevention interventions by the school nurse include educating children and
adolescents about the effects of drugs. In preventing use, students are taught by the
school nurse to stay away from drugs such as marijuana, cocaine, crack, heroin, and
alcohol.
DIF: Cognitive Level: Apply (Application) REF: p. 572
8. Which of the following best describes the primary reason that school health
nurses spend so much time on educational programs that teach children the
importance of water and fire safety, using a seatbelt in the car, and wearing a
helmet when biking or skateboarding?
a. Because children won't know if someone doesn't tell them
