RN Community Health Online Practice 2026 a

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Sample questions from RN Community Health Online Practice 2026 a

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

1. 1.During a county vaccination clinic, an RN is assigned to administer vaccines, a licensed practical nurse (LPN) is assigned to obtain vaccine histories and administer vaccines to eligible clients, and an unlicensed assistive personnel (UAP) is assigned to direct clients to the observation area. Which task is appropriate for the RN to delegate to the LPN?

   • A.Evaluate a client who develops wheezing during the post-vaccination observation period
   • B.Provide initial teaching about symptoms that require emergency care after vaccination
   • C.Administer a prescribed vaccine to a client whose history and eligibility have been verified by the RN
   • D.Assess a client who reports a previous severe reaction to a vaccine and determine whether vaccination is appropriate

   Rationale: The LPN can administer a prescribed vaccine to an eligible client after the RN completes the assessment and verifies the client's history. Determining eligibility after a severe reaction, providing initial teaching, and evaluating new wheezing require RN-level assessment, teaching, or clinical judgment. The RN should also respond promptly to wheezing because it can indicate anaphylaxis.

2. 2.During a home visit, an RN is planning care for a client who has limited mobility and lives alone. Which actions are appropriate to include in the plan to support safe, coordinated community care? Select all that apply.

   • A.With the client's permission, contact the primary care provider to share a change in the client's ability to transfer
   • B.Document the client's stated goals and the agreed-upon follow-up plan in the health record
   • C.Ask the UAP to assess the client's home for medication interactions and revise the medication schedule
   • D.Share the client's diagnosis with a neighbor who offered to check in, even though the client has not authorized disclosure
   • E.Arrange a referral to occupational therapy to evaluate transfer safety and needed equipment

   Rationale: With the client's permission, communicating a functional change to the provider supports continuity and timely care. Occupational therapy can assess transfers and equipment, and documenting the client's goals and follow-up plan helps coordinate services. Medication assessment and schedule changes require a licensed clinician, not a UAP, and a neighbor should not receive confidential information without the client's authorization.

3. 3.At change of shift in a community health center, the RN receives reports about four clients. Which client should the RN assess first?

   • A.A client who began an antibiotic yesterday and now has lip swelling and difficulty swallowing
   • B.A client with diabetes who reports a new foot blister but has no fever and a blood glucose level of 186 mg/dL
   • C.A client with chronic obstructive pulmonary disease who requests help arranging transportation to a pulmonary appointment next week
   • D.A client with hypertension who has a blood pressure of 164/92 mm Hg and denies headache or visual changes

   Rationale: Lip swelling with difficulty swallowing after starting an antibiotic suggests a potentially life-threatening allergic reaction and requires immediate assessment and emergency response. The foot blister needs prompt follow-up to prevent complications but is not the most urgent finding in the absence of systemic symptoms. Transportation planning and an elevated but asymptomatic blood pressure can be addressed after the airway threat.

4. 4.A county public health nurse is coordinating shelter placement after flooding. Which client should be prioritized for a shelter with reliable electricity and refrigerated medication storage?

   • A.A client who takes an oral antibiotic and has a 5-day supply stored at room temperature
   • B.A client who uses a cane and has family members available to assist with transportation
   • C.A client who has seasonal allergies and reports mild nasal congestion
   • D.A client who uses an electric-powered ventilator and has a battery expected to last 2 hours

   Answer and rationale are in the full material.

5. 5.The provider prescribes a home health referral for an older adult after discharge from the hospital. The client says, "I do not want anyone coming into my home." Which response by the RN best supports the client's rights and safe transition of care?

   • A.Schedule the first visit without discussing it further because the provider prescribed the service
   • B.Ask what concerns the client has, explain available services, and notify the provider of the client's decision
   • C.Ask the client's adult child to consent to the referral on the client's behalf
   • D.Tell the client that refusing the referral will delay discharge until the provider changes the order

   Answer and rationale are in the full material.