COMMUNITY HEALTH NURSING EXAM 2025-2026
Community Health Nursing Study Guide – Key Exam Questions with
Answers & Rationales (Public Health Focus)
Major Keywords: Community health nursing exam questions, public health nursing review, community nursing multiple choice questions, health promotion
and prevention, NCLEX community health practice, ATI public health nursing, primary goals of community nursing, nursing care for families and
communities, community nursing study guide, HESI community health test prep.
1. Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion of health and
prevention of illness
B. To enhance the capacity of individuals, families and communities to cope with their health needs
C. To increase the productivity of the people by providing them with services that will increase their level
of health
D. To contribute to national development through promotion of family welfare, focusing particularly on
mothers and children.
Answer:
B. To enhance the capacity of individuals, families and communities to cope with their health needs
Rationale:
(B) To enhance the capacity of individuals, families and communities to cope with their health needs
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people.
B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
C. The services are based on the available resources within the community.
D. Priority setting is based on the magnitude of the health problems identified.
Answer:
B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
Rationale:
(B) The nurse has to conduct community diagnosis to determine nursing needs and problems.
3. Population-focused nursing practice requires which of the following processes?
A. Community organizing
B. Nursing process
C. Community diagnosis
D. Epidemiologic process
Answer:
C. Community diagnosis
,Rationale:
(C) Community diagnosis. Population-focused nursing care means providing care based on the greater need of
the majority of the population. The greater need is identified through community diagnosis.
4. R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other
factor must be considered in determining the occupational health privileges to which the workers will be
entitled?
A. Type of occupation: agricultural, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees
Answer:
B. Location of the workplace in relation to health facilities
Rationale:
(B) Location of the workplace in relation to health facilities. Based on R.A. 1054, an occupational nurse must
be employed when there are 30 to 100 employees and the workplace is more than 1 km. away from the nearest
health center.
5. A business firm must employ an occupational health nurse when it has at least how many employees?
A. 21
B. 101
C. 201
D. 301
Answer:
B. 101
Rationale:
(B) 101. Again, this is based on R.A. 1054.
6. When the occupational health nurse employs ergonomic principles, she is performing which of her
roles?
A. Health care provider
B. Health educator
C. Health care coordinator
D. Environmental manager
Answer:
D. Environmental manager
Rationale:
(D) Environmental manager. Ergonomics is improving efficiency of workers by improving the worker's
environment through appropriately designed furniture, for example.
,7. A garment factory does not have an occupational nurse. Who shall provide the occupational health
needs of the factory workers?
A. Occupational health nurse at the Provincial Health Office
B. Physician employed by the factory
C. Public health nurse of the RHU of their municipality
D. Rural sanitary inspector of the RHU of their municipality
Answer:
C. Public health nurse of the RHU of their municipality
Rationale:
(C) Public health nurse of the RHU of their municipality. You're right! This question is based on R.A.1054.
8. "Public health services are given free of charge." Is this statement true or false?
A. The statement is true; it is the responsibility of government to provide basic services.
B. The statement is false; people pay indirectly for public health services.
C. The statement may be true or false, depending on the specific service required.
D. The statement may be true or false, depending on policies of the government concerned.
Answer:
B. The statement is false; people pay indirectly for public health services.
Rationale:
(B) The statement is false; people pay indirectly for public health services. Community health services,
including public health services, are pre-paid services, though taxation, for example.
9. According to C.E.Winslow, which of the following is the goal of Public Health?
A. For people to attain their birthrights of health and longevity
B. For promotion of health and prevention of disease
C. For people to have access to basic health services
D. For people to be organized in their health efforts
Answer:
A. For people to attain their birthrights of health and longevity
Rationale:
(A) For people to attain their birthrights of health and longevity. According to Winslow, all public health efforts
are for people to realize their birthrights of health and longevity.
10. We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos.
What other statistic may be used to determine attainment of longevity?
A. Age-specific mortality rate
B. Proportionate mortality rate
, C. Swaroop's index
D. Case fatality rate
Answer:
C. Swaroop's index
Rationale:
(C) Swaroop's index. Swaroop's index is the percentage of the deaths aged 50 years or older. Its inverse
represents the percentage of untimely deaths (those who died younger than 50 years).
11. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital.
B. Services are provided free of charge to people within the catchment area.
C. The public health nurse functions as part of a team providing a public health nursing services.
D. Public health nursing focuses on preventive, not curative, services.
Answer:
D. Public health nursing focuses on preventive, not curative, services.
Rationale:
(D) Public health nursing focuses on preventive, not curative, services.The catchment area in PHN consists of a
residential community, many of whom are well individuals who have greater need for preventive rather than
curative services.
12. According to Margaret Shetland, the philosophy of public health nursing is based on which of the
following?
A. Health and longevity as birthrights
B. The mandate of the state to protect the birthrights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
Answer:
D. The worth and dignity of man
Rationale:
(D) The worth and dignity of man. This is a direct quote from Dr. Margaret Shetland's statements on Public
Health Nursing.
13. Which of the following is the mission of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health care
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
Community Health Nursing Study Guide – Key Exam Questions with
Answers & Rationales (Public Health Focus)
Major Keywords: Community health nursing exam questions, public health nursing review, community nursing multiple choice questions, health promotion
and prevention, NCLEX community health practice, ATI public health nursing, primary goals of community nursing, nursing care for families and
communities, community nursing study guide, HESI community health test prep.
1. Which is the primary goal of community health nursing?
A. To support and supplement the efforts of the medical profession in the promotion of health and
prevention of illness
B. To enhance the capacity of individuals, families and communities to cope with their health needs
C. To increase the productivity of the people by providing them with services that will increase their level
of health
D. To contribute to national development through promotion of family welfare, focusing particularly on
mothers and children.
Answer:
B. To enhance the capacity of individuals, families and communities to cope with their health needs
Rationale:
(B) To enhance the capacity of individuals, families and communities to cope with their health needs
2. CHN is a community-based practice. Which best explains this statement?
A. The service is provided in the natural environment of people.
B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
C. The services are based on the available resources within the community.
D. Priority setting is based on the magnitude of the health problems identified.
Answer:
B. The nurse has to conduct community diagnosis to determine nursing needs and problems.
Rationale:
(B) The nurse has to conduct community diagnosis to determine nursing needs and problems.
3. Population-focused nursing practice requires which of the following processes?
A. Community organizing
B. Nursing process
C. Community diagnosis
D. Epidemiologic process
Answer:
C. Community diagnosis
,Rationale:
(C) Community diagnosis. Population-focused nursing care means providing care based on the greater need of
the majority of the population. The greater need is identified through community diagnosis.
4. R.A. 1054 is also known as the Occupational Health Act. Aside from number of employees, what other
factor must be considered in determining the occupational health privileges to which the workers will be
entitled?
A. Type of occupation: agricultural, commercial, industrial
B. Location of the workplace in relation to health facilities
C. Classification of the business enterprise based on net profit
D. Sex and age composition of employees
Answer:
B. Location of the workplace in relation to health facilities
Rationale:
(B) Location of the workplace in relation to health facilities. Based on R.A. 1054, an occupational nurse must
be employed when there are 30 to 100 employees and the workplace is more than 1 km. away from the nearest
health center.
5. A business firm must employ an occupational health nurse when it has at least how many employees?
A. 21
B. 101
C. 201
D. 301
Answer:
B. 101
Rationale:
(B) 101. Again, this is based on R.A. 1054.
6. When the occupational health nurse employs ergonomic principles, she is performing which of her
roles?
A. Health care provider
B. Health educator
C. Health care coordinator
D. Environmental manager
Answer:
D. Environmental manager
Rationale:
(D) Environmental manager. Ergonomics is improving efficiency of workers by improving the worker's
environment through appropriately designed furniture, for example.
,7. A garment factory does not have an occupational nurse. Who shall provide the occupational health
needs of the factory workers?
A. Occupational health nurse at the Provincial Health Office
B. Physician employed by the factory
C. Public health nurse of the RHU of their municipality
D. Rural sanitary inspector of the RHU of their municipality
Answer:
C. Public health nurse of the RHU of their municipality
Rationale:
(C) Public health nurse of the RHU of their municipality. You're right! This question is based on R.A.1054.
8. "Public health services are given free of charge." Is this statement true or false?
A. The statement is true; it is the responsibility of government to provide basic services.
B. The statement is false; people pay indirectly for public health services.
C. The statement may be true or false, depending on the specific service required.
D. The statement may be true or false, depending on policies of the government concerned.
Answer:
B. The statement is false; people pay indirectly for public health services.
Rationale:
(B) The statement is false; people pay indirectly for public health services. Community health services,
including public health services, are pre-paid services, though taxation, for example.
9. According to C.E.Winslow, which of the following is the goal of Public Health?
A. For people to attain their birthrights of health and longevity
B. For promotion of health and prevention of disease
C. For people to have access to basic health services
D. For people to be organized in their health efforts
Answer:
A. For people to attain their birthrights of health and longevity
Rationale:
(A) For people to attain their birthrights of health and longevity. According to Winslow, all public health efforts
are for people to realize their birthrights of health and longevity.
10. We say that a Filipino has attained longevity when he is able to reach the average lifespan of Filipinos.
What other statistic may be used to determine attainment of longevity?
A. Age-specific mortality rate
B. Proportionate mortality rate
, C. Swaroop's index
D. Case fatality rate
Answer:
C. Swaroop's index
Rationale:
(C) Swaroop's index. Swaroop's index is the percentage of the deaths aged 50 years or older. Its inverse
represents the percentage of untimely deaths (those who died younger than 50 years).
11. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital.
B. Services are provided free of charge to people within the catchment area.
C. The public health nurse functions as part of a team providing a public health nursing services.
D. Public health nursing focuses on preventive, not curative, services.
Answer:
D. Public health nursing focuses on preventive, not curative, services.
Rationale:
(D) Public health nursing focuses on preventive, not curative, services.The catchment area in PHN consists of a
residential community, many of whom are well individuals who have greater need for preventive rather than
curative services.
12. According to Margaret Shetland, the philosophy of public health nursing is based on which of the
following?
A. Health and longevity as birthrights
B. The mandate of the state to protect the birthrights of its citizens
C. Public health nursing as a specialized field of nursing
D. The worth and dignity of man
Answer:
D. The worth and dignity of man
Rationale:
(D) The worth and dignity of man. This is a direct quote from Dr. Margaret Shetland's statements on Public
Health Nursing.
13. Which of the following is the mission of the Department of Health?
A. Health for all Filipinos
B. Ensure the accessibility and quality of health care
C. Improve the general health status of the population
D. Health in the hands of the Filipino people by the year 2020
