Community Health Exam

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Sample questions from Community Health Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A community health nurse is beginning an assessment of a neighborhood with high rates of uncontrolled hypertension. Which action should the nurse take first?

   • A.Gather local health data and ask residents about community strengths and concerns
   • B.Request funding for a medication assistance program
   • C.Select a standardized hypertension education curriculum
   • D.Schedule weekly blood pressure screening events

   Rationale: Community assessment begins with collecting population data and learning how residents perceive their needs and resources. Screening may become part of the plan, but it should not precede assessment. Funding requests and curriculum selection assume that the intervention has already been identified. Effective community programs are based on assessed needs rather than professional assumptions.

2. 2.A home health nurse is coordinating care for an older adult discharged after heart failure treatment. The client reports being unable to afford medications and having no transportation. Which action best demonstrates case management?

   • A.Explain the importance of taking medications every day
   • B.Coordinate medication assistance, transportation, and follow-up with the care team
   • C.Ask the client to call the clinic after symptoms worsen
   • D.Recommend moving to a long-term care facility

   Rationale: Case management coordinates services across settings to address barriers and achieve agreed-upon outcomes. Medication teaching alone does not resolve financial or transportation barriers. Waiting for symptoms to worsen promotes crisis care rather than continuity. Facility placement is not justified solely by needs that community resources may address.

3. 3.At a community blood pressure clinic, which task is most appropriate for the RN to delegate to trained assistive personnel?

   • A.Interpret a participant's blood pressure trend
   • B.Teach a participant how to adjust dietary sodium intake
   • C.Decide whether a participant needs emergency evaluation
   • D.Measure and record blood pressure using the approved protocol

   Rationale: Trained assistive personnel may collect standardized measurements when the RN provides supervision and clear reporting parameters. Deciding whether emergency evaluation is needed requires nursing judgment. Individualized teaching and interpretation of trends also remain RN responsibilities. Delegation transfers performance of a task, not accountability for assessment and follow-up.

4. 4.A public health nurse is evaluating whether a proposed community health program reflects meaningful community participation. Which features support this conclusion? Select all that apply.

   • A.The program defines participation solely as attendance at lectures
   • B.Community representatives help evaluate program outcomes
   • C.Residents help identify the program's priority health concerns
   • D.Meeting locations and times accommodate residents' schedules
   • E.Professionals make all final decisions without explaining them to residents

   Answer and rationale are in the full material.

5. 5.After a bus crash, a nurse performs primary disaster triage using the adult START approach. Which client should receive an immediate, red designation?

   • A.A client who walks to the collection area with a wrist injury
   • B.A client who remains apneic after airway repositioning
   • C.A client with spontaneous respirations of 36/min
   • D.A client with a closed leg fracture, respirations of 22/min, a palpable radial pulse, and the ability to follow commands

   Answer and rationale are in the full material.