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HESI Community Health Test Bank 2025 | NCLEX-Style Public
Health Nursing Questions + Answers
1. Levels of Prevention – Tertiary
Question:
A community health nurse visits a client with COPD to ensure they are using their oxygen and inhalers
correctly. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Preventive screening
✅ Answer: C. Tertiary prevention
Rationale:
Tertiary prevention focuses on managing and reducing complications of existing illness.
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2. Epidemiology – Incidence vs Prevalence
Question:
Which best defines incidence in epidemiology?
A. Total number of cases at one time
B. Number of new cases over a specific time
C. Cases that resulted in death
D. Total recovered cases in a year
✅ Answer: B. Number of new cases over a specific time
Rationale:
Incidence tracks the rate of new disease occurrences in a given time period.
3. Immunizations – Public Health Strategy
Question:
What is the primary purpose of immunization programs in public health?
A. Treat disease
B. Prevent outbreaks
C. Cure infections
D. Reduce hospital length of stay
✅ Answer: B. Prevent outbreaks
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Rationale:
Vaccination programs help achieve herd immunity and reduce disease transmission.
4. Disaster Management – Role of Nurse
Question:
During a natural disaster, what is the community health nurse’s primary role in the response phase?
A. Rebuild infrastructure
B. Identify vulnerable populations and provide triage
C. Secure funding for the community
D. Train volunteers for future response
✅ Answer: B. Identify vulnerable populations and provide triage
Rationale:
In the response phase, nurses focus on assessment, triage, and meeting urgent needs.
5. Communicable Disease – Reporting
Question:
Which condition must be reported to public health authorities?
A. Hypertension
B. Type 2 diabetes
C. Tuberculosis
D. Osteoarthritis
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✅ Answer: C. Tuberculosis
Rationale:
TB is a reportable communicable disease due to its public health risk.
6. Home Visit – First Action
Question:
A community health nurse arrives at a home for the first time. What should they do first?
A. Begin client teaching
B. Review discharge instructions
C. Introduce themselves and assess for safety
D. Ask the client to describe their symptoms
✅ Answer: C. Introduce themselves and assess for safety
Rationale:
Establishing rapport and ensuring safety are essential first steps in any home health visit.
7. Cultural Competence
Question:
Which action best demonstrates cultural competence?
A. Explaining to clients that American practices are superior
B. Asking clients about health practices important to their culture
HESI Community Health Test Bank 2025 | NCLEX-Style Public
Health Nursing Questions + Answers
1. Levels of Prevention – Tertiary
Question:
A community health nurse visits a client with COPD to ensure they are using their oxygen and inhalers
correctly. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Preventive screening
✅ Answer: C. Tertiary prevention
Rationale:
Tertiary prevention focuses on managing and reducing complications of existing illness.
,2
2. Epidemiology – Incidence vs Prevalence
Question:
Which best defines incidence in epidemiology?
A. Total number of cases at one time
B. Number of new cases over a specific time
C. Cases that resulted in death
D. Total recovered cases in a year
✅ Answer: B. Number of new cases over a specific time
Rationale:
Incidence tracks the rate of new disease occurrences in a given time period.
3. Immunizations – Public Health Strategy
Question:
What is the primary purpose of immunization programs in public health?
A. Treat disease
B. Prevent outbreaks
C. Cure infections
D. Reduce hospital length of stay
✅ Answer: B. Prevent outbreaks
,3
Rationale:
Vaccination programs help achieve herd immunity and reduce disease transmission.
4. Disaster Management – Role of Nurse
Question:
During a natural disaster, what is the community health nurse’s primary role in the response phase?
A. Rebuild infrastructure
B. Identify vulnerable populations and provide triage
C. Secure funding for the community
D. Train volunteers for future response
✅ Answer: B. Identify vulnerable populations and provide triage
Rationale:
In the response phase, nurses focus on assessment, triage, and meeting urgent needs.
5. Communicable Disease – Reporting
Question:
Which condition must be reported to public health authorities?
A. Hypertension
B. Type 2 diabetes
C. Tuberculosis
D. Osteoarthritis
, 4
✅ Answer: C. Tuberculosis
Rationale:
TB is a reportable communicable disease due to its public health risk.
6. Home Visit – First Action
Question:
A community health nurse arrives at a home for the first time. What should they do first?
A. Begin client teaching
B. Review discharge instructions
C. Introduce themselves and assess for safety
D. Ask the client to describe their symptoms
✅ Answer: C. Introduce themselves and assess for safety
Rationale:
Establishing rapport and ensuring safety are essential first steps in any home health visit.
7. Cultural Competence
Question:
Which action best demonstrates cultural competence?
A. Explaining to clients that American practices are superior
B. Asking clients about health practices important to their culture
