**Title:** **Community Health & Disaster
Nursing: NCLEX-RN Population-Focused Exam**
---
### Question 1 of 69
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) Blood pressure screening at a health fair
B) Teaching healthy eating and exercise to school children
C) Cardiac rehabilitation for post-MI clients
D) Monitoring medication adherence for hypertensive clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) is secondary. Rehab and
adherence (C, D) are tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating and exercise to school children
---
### Question 2 of 69
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) A child with a broken arm and crying
B) An elderly client with a rapid, weak pulse and cool skin
,C) A client walking with a minor laceration on the hand
D) A client with a sprained ankle who is able to bear weight
💫RATIONALE✔️✔️: Rapid, weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
urgent but stable. Minor injuries are walking wounded.
💫ANSWER✔️✔️: B) An elderly client with a rapid, weak pulse and cool skin
---
### Question 3 of 69
**Select-All-That-Apply (SATA):** A nurse is using the epidemiological triangle to analyze a tuberculosis
outbreak. Which components are included? (Select all that apply.)
A) Host (susceptible person)
B) Agent (Mycobacterium tuberculosis)
C) Environment (crowded living conditions)
D) Time (duration of outbreak)
E) Vector (mosquito)
💫RATIONALE✔️✔️: Epidemiological triangle includes host (A), agent (B), environment (C). Time (D) not
part. Vector (E) specific to certain diseases.
💫ANSWER✔️✔️: A, B, C
---
### Question 4 of 69
A community health nurse is assessing a home-bound elderly client. Which finding is most concerning
for elder abuse?
,A) The client reports feeling lonely
B) Bruises in various stages of healing on the arms and back
C) The home has clutter on the floor
D) The client uses a walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse. Loneliness
and clutter common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various stages of healing on the arms and back
---
### Question 5 of 69
A nurse is providing education about herd immunity. Which statement by a client indicates
understanding?
A) "Herd immunity means everyone is vaccinated."
B) "When most people are immune, it protects those who cannot be vaccinated."
C) "Herd immunity only works for viral infections."
D) "Once herd immunity is achieved, disease is eradicated forever."
💫RATIONALE✔️✔️: Herd immunity protects vulnerable populations when vaccination rates are high (B).
It does not require 100% vaccination.
💫ANSWER✔️✔️: B) "When most people are immune, it protects those who cannot be vaccinated."
---
### Question 6 of 69
, A nurse is planning a smoking cessation program. Which intervention is considered tertiary prevention?
A) Banning tobacco advertising
B) Providing nicotine replacement therapy to current smokers
C) Treating lung cancer in a client who smokes
D) Teaching children about the dangers of smoking
💫RATIONALE✔️✔️: Treating lung cancer (C) is tertiary (reducing disability/death). Banning ads and
teaching kids are primary. Nicotine replacement is secondary/primary.
💫ANSWER✔️✔️: C) Treating lung cancer in a client who smokes
---
### Question 7 of 69
**Select-All-That-Apply (SATA):** A nurse is assessing a community’s vulnerability to a disaster. Which
populations are at highest risk? (Select all that apply.)
A) Older adults with mobility issues
B) Children in daycare centers
C) Individuals with chronic medical conditions
D) College students in dorms
E) Homeless individuals
💫RATIONALE✔️✔️: Vulnerable populations: elderly (A), children (B), chronic illness (C), homeless (E).
College students generally not highest risk.
💫ANSWER✔️✔️: A, B, C, E
---
Nursing: NCLEX-RN Population-Focused Exam**
---
### Question 1 of 69
A community health nurse is planning a primary prevention program for heart disease. Which
intervention should the nurse include?
A) Blood pressure screening at a health fair
B) Teaching healthy eating and exercise to school children
C) Cardiac rehabilitation for post-MI clients
D) Monitoring medication adherence for hypertensive clients
💫RATIONALE✔️✔️: Primary prevention prevents disease onset (B). Screening (A) is secondary. Rehab and
adherence (C, D) are tertiary.
💫ANSWER✔️✔️: B) Teaching healthy eating and exercise to school children
---
### Question 2 of 69
A nurse is triaging clients after a hurricane. Which client should receive care first?
A) A child with a broken arm and crying
B) An elderly client with a rapid, weak pulse and cool skin
,C) A client walking with a minor laceration on the hand
D) A client with a sprained ankle who is able to bear weight
💫RATIONALE✔️✔️: Rapid, weak pulse and cool skin indicate shock (B) — immediate threat. Broken arm
urgent but stable. Minor injuries are walking wounded.
💫ANSWER✔️✔️: B) An elderly client with a rapid, weak pulse and cool skin
---
### Question 3 of 69
**Select-All-That-Apply (SATA):** A nurse is using the epidemiological triangle to analyze a tuberculosis
outbreak. Which components are included? (Select all that apply.)
A) Host (susceptible person)
B) Agent (Mycobacterium tuberculosis)
C) Environment (crowded living conditions)
D) Time (duration of outbreak)
E) Vector (mosquito)
💫RATIONALE✔️✔️: Epidemiological triangle includes host (A), agent (B), environment (C). Time (D) not
part. Vector (E) specific to certain diseases.
💫ANSWER✔️✔️: A, B, C
---
### Question 4 of 69
A community health nurse is assessing a home-bound elderly client. Which finding is most concerning
for elder abuse?
,A) The client reports feeling lonely
B) Bruises in various stages of healing on the arms and back
C) The home has clutter on the floor
D) The client uses a walker for mobility
💫RATIONALE✔️✔️: Bruises in various stages (B) suggest repeated trauma and possible abuse. Loneliness
and clutter common but not abuse indicators.
💫ANSWER✔️✔️: B) Bruises in various stages of healing on the arms and back
---
### Question 5 of 69
A nurse is providing education about herd immunity. Which statement by a client indicates
understanding?
A) "Herd immunity means everyone is vaccinated."
B) "When most people are immune, it protects those who cannot be vaccinated."
C) "Herd immunity only works for viral infections."
D) "Once herd immunity is achieved, disease is eradicated forever."
💫RATIONALE✔️✔️: Herd immunity protects vulnerable populations when vaccination rates are high (B).
It does not require 100% vaccination.
💫ANSWER✔️✔️: B) "When most people are immune, it protects those who cannot be vaccinated."
---
### Question 6 of 69
, A nurse is planning a smoking cessation program. Which intervention is considered tertiary prevention?
A) Banning tobacco advertising
B) Providing nicotine replacement therapy to current smokers
C) Treating lung cancer in a client who smokes
D) Teaching children about the dangers of smoking
💫RATIONALE✔️✔️: Treating lung cancer (C) is tertiary (reducing disability/death). Banning ads and
teaching kids are primary. Nicotine replacement is secondary/primary.
💫ANSWER✔️✔️: C) Treating lung cancer in a client who smokes
---
### Question 7 of 69
**Select-All-That-Apply (SATA):** A nurse is assessing a community’s vulnerability to a disaster. Which
populations are at highest risk? (Select all that apply.)
A) Older adults with mobility issues
B) Children in daycare centers
C) Individuals with chronic medical conditions
D) College students in dorms
E) Homeless individuals
💫RATIONALE✔️✔️: Vulnerable populations: elderly (A), children (B), chronic illness (C), homeless (E).
College students generally not highest risk.
💫ANSWER✔️✔️: A, B, C, E
---
