WGU D450 COMMUNITY HEALTH HESI
EXAM – COMPLETE TEST BANK (100
QUESTIONS & ANSWERS) Plus Rationales |
Instant Pdf Download 2026
QUESTIONS 1–25: Community Health Nursing Fundamentals &
Levels of Prevention
1. What is the primary focus of community health nursing?
a) Individual patient care in hospitals
b) Disease treatment in clinical settings
c) Health promotion and disease prevention in populations
d) Emergency response only
Answer: c) Health promotion and disease prevention in
populations
Rationale: Community health nursing focuses on health
promotion and disease prevention at the population level,
,emphasizing the community as the client rather than individual
care .
2. Which of the following best describes the concept of
"community as client"?
a) Treating individual patients within a community
b) Viewing the entire population as the unit of care
c) Working only with community leaders
d) Providing care only in community clinics
Answer: b) Viewing the entire population as the unit of care
Rationale: The "community as client" concept involves viewing
the entire population or community as the focus of nursing care,
not just individuals within it .
3. A community health nurse is planning a childhood
immunization drive at local schools. Which level of
prevention does this activity best represent?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
,Answer: a) Primary prevention
Rationale: Immunization is a primary prevention strategy
because it prevents disease before it occurs .
4. A school nurse implements a vision screening program
for all first-grade students. Which level of prevention is
this?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
Answer: b) Secondary prevention
Rationale: Screening for early detection of a condition in
asymptomatic individuals is secondary prevention .
5. A nurse teaches a diabetic patient how to monitor blood
glucose and recognize signs of hypoglycemia. Which level
of prevention is this?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primordial prevention
, Answer: c) Tertiary prevention
Rationale: Tertiary prevention focuses on managing an existing
chronic disease to prevent complications and disability .
6. A community health nurse is asked to report the number
of existing asthma cases among children under age 5 in the
county. What measure should the nurse provide?
a) Incidence rate
b) Attack rate
c) Point prevalence
d) Secondary attack rate
Answer: c) Point prevalence
Rationale: Point prevalence measures the number of existing
cases in a population at a specific point in time .
7. A nurse calculates that there were 150 deaths from
motor vehicle crashes in a population of 500,000 over one
year. What is the mortality rate per 100,000?
a) 15 per 100,000
b) 30 per 100,000
c) 50 per 100,000
d) 75 per 100,000
EXAM – COMPLETE TEST BANK (100
QUESTIONS & ANSWERS) Plus Rationales |
Instant Pdf Download 2026
QUESTIONS 1–25: Community Health Nursing Fundamentals &
Levels of Prevention
1. What is the primary focus of community health nursing?
a) Individual patient care in hospitals
b) Disease treatment in clinical settings
c) Health promotion and disease prevention in populations
d) Emergency response only
Answer: c) Health promotion and disease prevention in
populations
Rationale: Community health nursing focuses on health
promotion and disease prevention at the population level,
,emphasizing the community as the client rather than individual
care .
2. Which of the following best describes the concept of
"community as client"?
a) Treating individual patients within a community
b) Viewing the entire population as the unit of care
c) Working only with community leaders
d) Providing care only in community clinics
Answer: b) Viewing the entire population as the unit of care
Rationale: The "community as client" concept involves viewing
the entire population or community as the focus of nursing care,
not just individuals within it .
3. A community health nurse is planning a childhood
immunization drive at local schools. Which level of
prevention does this activity best represent?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
,Answer: a) Primary prevention
Rationale: Immunization is a primary prevention strategy
because it prevents disease before it occurs .
4. A school nurse implements a vision screening program
for all first-grade students. Which level of prevention is
this?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Health promotion
Answer: b) Secondary prevention
Rationale: Screening for early detection of a condition in
asymptomatic individuals is secondary prevention .
5. A nurse teaches a diabetic patient how to monitor blood
glucose and recognize signs of hypoglycemia. Which level
of prevention is this?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primordial prevention
, Answer: c) Tertiary prevention
Rationale: Tertiary prevention focuses on managing an existing
chronic disease to prevent complications and disability .
6. A community health nurse is asked to report the number
of existing asthma cases among children under age 5 in the
county. What measure should the nurse provide?
a) Incidence rate
b) Attack rate
c) Point prevalence
d) Secondary attack rate
Answer: c) Point prevalence
Rationale: Point prevalence measures the number of existing
cases in a population at a specific point in time .
7. A nurse calculates that there were 150 deaths from
motor vehicle crashes in a population of 500,000 over one
year. What is the mortality rate per 100,000?
a) 15 per 100,000
b) 30 per 100,000
c) 50 per 100,000
d) 75 per 100,000
