ALL VERSIONS ACTUAL EXAM
Question 1
A community health nurse is conducting a windshield survey in a rural
community. Which of the following data should the nurse collect as part of
this assessment?
A) Individual client medical histories.
B) The number of health clinics in the county.
C) The availability of public transportation and housing conditions.
D) Personal opinions of community leaders.
E) The specific health behaviors of individual residents.
Correct Answer: C) The availability of public transportation and
housing conditions.
Rationale: A windshield survey involves systematic observation of a
community from a vehicle, collecting data on physical conditions,
housing, transportation, signs of community life, and environmental
factors that impact health.
Question 2
A nurse is preparing a presentation for a group of older adults at a
community center about preventing influenza. Which of the following levels
of prevention is this activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
E) Health restoration
Correct Answer: A) Primary prevention
Rationale: Primary prevention aims to prevent disease or injury
before it occurs. Immunizations (like the flu vaccine) and health
education on prevention are classic examples.
,Question 3
A community health nurse is working with a local health department during
an outbreak of measles. Which role is the nurse primarily performing?
A) Case manager
B) Health educator
C) Epidemiologist
D) Advocate
E) Policy developer
Correct Answer: C) Epidemiologist
Rationale: During an outbreak, the nurse's role in identifying cases,
tracing contacts, investigating the spread of the disease, and
implementing control measures aligns with epidemiological
principles and functions.
Question 4
A nurse is conducting a home visit for a client who is recovering from a
stroke. The client requires assistance with activities of daily living (ADLs) and
has limited mobility. The nurse is arranging for home health aide services.
Which nursing role is the nurse demonstrating?
A) Advocate
B) Case manager
C) Health educator
D) Direct care provider
E) Researcher
Correct Answer: B) Case manager
Rationale: Case management involves coordinating care, services,
and resources to meet the client's needs, especially those with
complex conditions requiring multiple services, as demonstrated by
arranging home health aide services.
Question 5
A community health nurse is planning a screening program for hypertension
,at a local church. Which of the following levels of prevention is this activity?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
E) Disease management
Correct Answer: B) Secondary prevention
Rationale: Secondary prevention focuses on early detection and
prompt treatment of disease to prevent progression or minimize
severity. Screening for hypertension identifies individuals who may
have the condition but are undiagnosed.
Question 6
A nurse is educating a group of parents about the importance of childhood
immunizations. Which of the following concepts is the nurse emphasizing?
A) Health restoration
B) Tertiary prevention
C) Primary prevention
D) Secondary prevention
E) Risk reduction
Correct Answer: C) Primary prevention
Rationale: Immunizations are a classic example of primary
prevention, as they aim to prevent the occurrence of infectious
diseases.
Question 7
A community health nurse is developing a health promotion program for
adolescents aimed at preventing substance abuse. Which of the following
teaching strategies would be most effective?
A) Lecturing about the dangers of substance abuse.
B) Providing only statistics on drug overdose deaths.
C) Engaging adolescents in interactive discussions about refusal skills and
, healthy coping mechanisms.
D) Showing graphic images of addiction.
E) Providing written handouts only.
Correct Answer: C) Engaging adolescents in interactive discussions
about refusal skills and healthy coping mechanisms.
Rationale: Active, participatory learning strategies are generally
more effective for adolescents, as they promote critical thinking,
skill-building, and peer interaction in a supportive environment.
Question 8
A nurse is performing a home visit for an older adult client who lives alone
and has a history of falls. Which of the following is the priority intervention?
A) Advise the client to get regular exercise.
B) Assess the home environment for fall hazards.
C) Provide information about healthy eating.
D) Discuss financial planning for retirement.
E) Refer the client for memory screening.
Correct Answer: B) Assess the home environment for fall hazards.
Rationale: Assessing the home environment for potential fall hazards
(e.g., throw rugs, poor lighting, cluttered pathways) is a direct
primary prevention strategy for a client with a history of falls,
addressing an immediate safety risk.
Question 9
A community health nurse is involved in developing a local policy to increase
access to fresh fruits and vegetables in low-income neighborhoods. Which of
the following nursing roles is this activity?
A) Case manager
B) Health educator
C) Direct care provider
D) Advocate
E) Researcher