WGU D450 HESI Community Health Exam
2026-2027: ALL 250+ QUESTIONS AND
CORRECT ANSWERS
1. The nurse is designing a community health project based on a report
provided by the World Health Organization that describes healthcare
problems in the United States. Which healthcare issue should the nurse give
the highest priority when planning the project?
• a. overuse of diagnostic technology
• b. government-based health insurance
• c. the neonatal and infant mortality rates
• d. number of people without access to healthcare
Correct answer:>>- d. number of people without access to healthcare
2. The nurse is conducting a process evaluation of a prevention education
program for older adults who are at risk for substance abuse. Which data
source provides the information the nurse needs to conduct this process
evaluation?
• a. client's score on an alcohol screening instrument
• b. results of a urine drug and alcohol screen
• c. most recent community census data
• d. documentation of client education in the nursing record
Correct answer:>>- d. documentation of client education in the nursing
record
3. A 17-year-old unmarried, pregnant client with drug addiction is a high
school dropout, homeless, and has a history of past abuse arrives at the clinic
for her first prenatal visit. Which findings should the nurse document as
health risk factors for the client? (Select all that apply)
• a. age
, • b. school dropout
• c. drug addiction
• d. history of abuse
• e. pregnancy
• f. homelessness
• g. unmarried
Correct Answers - a. age, b. school dropout, c. drug addiction, d. history
of abuse, e. pregnancy, f. homelessness, g. unmarried
4. A client presents at a community-based clinic with complaints of shortness
of breath, headache, dizziness, and nausea. During the assessment, the nurse
learns that the client is a migrant worker who often uses a gasoline-powered
pressure washer to clean equipment and farm buildings. Which type of
poisoning is the most likely etiology of this client's symptoms?
• a. asbestos
• b. silica dust
• c. histoplasmosis
• d. carbon monoxide
Correct answer:>>- d. carbon monoxide
5. The nurse working in a community health clinic that serves recent Somali
immigrants notes that most mothers refuse to give permission for routine
immunizations of their preschoolers. Which individual is likely to have the
most influence on these women's perceptions about their children's healthcare
needs?
• a. husbands
• b. clinic healthcare provider
• c. older females
• d. tribal chief
Correct answer:>>- d. tribal chief
6. The community health nurse is planning a series of educational courses
about the healthcare system and meeting healthcare needs for the community
,center. Which adjunct issue should the nurse address for a group of older
adults?
• a. peer concerns
• b. adult daycare
• c. retirement issues
• d. vocational concerns
Correct answer:>>- c. retirement issues
7. A female adult walks into a local community health clinic and tells the
nurse that she is homeless and cannot seem to find help. Which statement
indicates to the nurse that a client is feeling separated from society and
helpless?
• a. "I'm feeling really isolated from everyone and scared."
• b. "I feel like I cannot get enough food to live any longer."
• c. "I know that I will always be poor so what's the use of trying?"
• d. "People like me are never respected, no matter how well we do."
Correct answer:>>- a. "I'm feeling really isolated from everyone and
scared."
8. A community health nurse is planning to implement an outreach program
for a community group. Which criteria should the nurse clarify about the
program when examining sources for funding?
• a. the number of staff needed to implement the program
• b. the program's alignment with the funding source's mission
• c. the number of participants the program can accommodate
• d. the program's location and accessibility
Correct answer:>>- b. the program's alignment with the funding
source's mission
9. The community health nurse is using the epidemiological triangle to analyze
the spread of a communicable disease in a local school. Which component of
the triangle would include the school building's ventilation system?
• a. host
, • b. agent
• c. environment
• d. vector
Correct answer:>>- c. environment
10. A nurse is conducting a community health assessment and identifies a high
prevalence of obesity among school-aged children. Which level of prevention
would a program that provides nutrition education in elementary schools
represent?
• a. primary prevention
• b. secondary prevention
• c. tertiary prevention
• d. primordial prevention
Correct answer:>>- a. primary prevention
11. The community health nurse is reviewing Healthy People 2030 objectives.
Which priority area would the nurse identify as most relevant for a
community with high rates of opioid overdoses?
• a. access to healthcare
• b. substance abuse prevention and treatment
• c. environmental health
• d. maternal and child health
Correct answer:>>- b. substance abuse prevention and treatment
12. A nurse is providing care in a migrant health clinic. Which cultural factor
is most important for the nurse to consider when developing health education
materials for this population?
• a. religious beliefs
• b. language and literacy levels
• c. gender roles
• d. dietary preferences
Correct answer:>>- b. language and literacy levels
2026-2027: ALL 250+ QUESTIONS AND
CORRECT ANSWERS
1. The nurse is designing a community health project based on a report
provided by the World Health Organization that describes healthcare
problems in the United States. Which healthcare issue should the nurse give
the highest priority when planning the project?
• a. overuse of diagnostic technology
• b. government-based health insurance
• c. the neonatal and infant mortality rates
• d. number of people without access to healthcare
Correct answer:>>- d. number of people without access to healthcare
2. The nurse is conducting a process evaluation of a prevention education
program for older adults who are at risk for substance abuse. Which data
source provides the information the nurse needs to conduct this process
evaluation?
• a. client's score on an alcohol screening instrument
• b. results of a urine drug and alcohol screen
• c. most recent community census data
• d. documentation of client education in the nursing record
Correct answer:>>- d. documentation of client education in the nursing
record
3. A 17-year-old unmarried, pregnant client with drug addiction is a high
school dropout, homeless, and has a history of past abuse arrives at the clinic
for her first prenatal visit. Which findings should the nurse document as
health risk factors for the client? (Select all that apply)
• a. age
, • b. school dropout
• c. drug addiction
• d. history of abuse
• e. pregnancy
• f. homelessness
• g. unmarried
Correct Answers - a. age, b. school dropout, c. drug addiction, d. history
of abuse, e. pregnancy, f. homelessness, g. unmarried
4. A client presents at a community-based clinic with complaints of shortness
of breath, headache, dizziness, and nausea. During the assessment, the nurse
learns that the client is a migrant worker who often uses a gasoline-powered
pressure washer to clean equipment and farm buildings. Which type of
poisoning is the most likely etiology of this client's symptoms?
• a. asbestos
• b. silica dust
• c. histoplasmosis
• d. carbon monoxide
Correct answer:>>- d. carbon monoxide
5. The nurse working in a community health clinic that serves recent Somali
immigrants notes that most mothers refuse to give permission for routine
immunizations of their preschoolers. Which individual is likely to have the
most influence on these women's perceptions about their children's healthcare
needs?
• a. husbands
• b. clinic healthcare provider
• c. older females
• d. tribal chief
Correct answer:>>- d. tribal chief
6. The community health nurse is planning a series of educational courses
about the healthcare system and meeting healthcare needs for the community
,center. Which adjunct issue should the nurse address for a group of older
adults?
• a. peer concerns
• b. adult daycare
• c. retirement issues
• d. vocational concerns
Correct answer:>>- c. retirement issues
7. A female adult walks into a local community health clinic and tells the
nurse that she is homeless and cannot seem to find help. Which statement
indicates to the nurse that a client is feeling separated from society and
helpless?
• a. "I'm feeling really isolated from everyone and scared."
• b. "I feel like I cannot get enough food to live any longer."
• c. "I know that I will always be poor so what's the use of trying?"
• d. "People like me are never respected, no matter how well we do."
Correct answer:>>- a. "I'm feeling really isolated from everyone and
scared."
8. A community health nurse is planning to implement an outreach program
for a community group. Which criteria should the nurse clarify about the
program when examining sources for funding?
• a. the number of staff needed to implement the program
• b. the program's alignment with the funding source's mission
• c. the number of participants the program can accommodate
• d. the program's location and accessibility
Correct answer:>>- b. the program's alignment with the funding
source's mission
9. The community health nurse is using the epidemiological triangle to analyze
the spread of a communicable disease in a local school. Which component of
the triangle would include the school building's ventilation system?
• a. host
, • b. agent
• c. environment
• d. vector
Correct answer:>>- c. environment
10. A nurse is conducting a community health assessment and identifies a high
prevalence of obesity among school-aged children. Which level of prevention
would a program that provides nutrition education in elementary schools
represent?
• a. primary prevention
• b. secondary prevention
• c. tertiary prevention
• d. primordial prevention
Correct answer:>>- a. primary prevention
11. The community health nurse is reviewing Healthy People 2030 objectives.
Which priority area would the nurse identify as most relevant for a
community with high rates of opioid overdoses?
• a. access to healthcare
• b. substance abuse prevention and treatment
• c. environmental health
• d. maternal and child health
Correct answer:>>- b. substance abuse prevention and treatment
12. A nurse is providing care in a migrant health clinic. Which cultural factor
is most important for the nurse to consider when developing health education
materials for this population?
• a. religious beliefs
• b. language and literacy levels
• c. gender roles
• d. dietary preferences
Correct answer:>>- b. language and literacy levels
