NCLEX Past Questions and Answers in Community Health Nursing

Community Health Nursing focuses on the community and is designed to improve the health system and lives of people living within a community.

Becoming a community or public health nurse offers many job opportunities such as working in schools, churches, outpatient centers, Hospitals, Religious institutions, and government agencies (such as the U.S Public Health Services.

Before you can become a community health nurse, you must have a Bachelor of Science in Nursing (BSN) from an accredited nursing school before you can be allowed to practice.

After obtaining your nursing certificate, the next step you need to take is to register and write the NCLEX-RN exam to qualify to become a registered community health nurse.

One of the ways of preparing and passing the community health nursing NCLEX Exam is to practice the past questions and answers.

The NCLEX uses computerized adaptive testing (CAT) technology to deliver its exam, ensuring a valid and reliable measurement of nursing competency. 

The questions are objective and are drawn from eight content areas with a maximum. You are expected to answer the  questions correctly within an allotted time frame to be able to pass the exam.

This content will provide you with NCLEX exam Past questions and answers in Community Health Nursing, you can use this as a study guide to prepare ahead after registering for the NCLEX exam.

NCLEX Past Questions and Answers in Community Health Nursing 

The following are the past questions and answers in Community Health Nursing.

1.The three components of the intervention wheels are 

1. Communities, Systems and Individuals/Families
2. Intervention, Colour Wedges, and level of Practice 
3. Population base, levels of Practice and Public Health Intervention
4. Populations of Risk, Population of Interest and level of practice 

Correct Answer ( C)

2. Public/ Community Health Nursing practice is guided by the community’s priorities as identified by community

1. Assessment
2. Diagnosis 
3. Interventions
4. Planning 

Correct Answer (A)

3. Collaboration intervention is an intervention that would be located where in the intervention wheel

1. Red wedge at the individual/ family level of practice 
2. Blue wedge at the community level of practice 
3. Orange wedge at the community level of practice 
4. Green wedge at the system level of practice 

Correct Answer ( C)

4. The intervention used to influence the knowledge, altitudes, beliefs, value, behavior and population of interest is referred to as 

1. Advocacy 
2. Coalition Building 
3. Consultation
4. Social Marketing 

Correct Answer ( D)

5. Promotion of the creation of immunization registers that combines immunization information from different sources into a single electronic record to provide official immunization records for school, daycare, centers, health departments and clinics is a goal of 

1. community-Level Practice 
2. Family-level Practice 
3. Individual-level Practice 
4. System level-practice 

Correct Answer ( D)

6. When confirmed cases of the mumps, a vaccine-preventable disease emerged on college campuses in fall 2006, public health nurses conducted outreaches on campuses and collaborated with student health officials to increase the number of students with full immunization compliance. This is an example of 

1. community-level practice 
2. Family-level practice 
3. Individual-level practice 
4. System-level practice 

Correct Answer ( A)

7. A Nursing Diagnosis of increased risk is delayed development, injury and disease because of inadequate parenting by a primary parent experiencing depression would most likely indicate that the nursing process is being applied at ______ level of practice and the ____ level of prevention

1. Individual/Family + Secondary 
2. Community + primary 
3. Community + secondary 
4. Individual/Family + primary 

Correct Answer ( A)

8. After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal council on behalf of nurse’s clients who live in substandard housing under the fear of eviction. The Nurse is applying the ____ component of the nursing process to a  ____ level of practice 

1. Evaluation + systems
2. Assessment + community 
3. Implementation + systems 
4. Diagnosis + community

Correct Answer ( C)

9. Factors related to the determinant of health identified in Healthy peace 2020 include which of the following 

1. Education and literacy
2. Planning 
3. Collaboration 
4. Intervention 

Correct Answer ( A)

10. Campaigns to decrease the inequitable burden of environmental risks on the poor and people of color in the United States strive to apply the ethical principle of 

1. Societal Justice
2. Nonmaleficence
3. Compliance and enforcement of the environmental protection agency regulatory Act
4. Environmental justice 

Correct Answer ( D)

11. A community health nurse manager has integrated exposure history elements into into the assessment practices of the health that are relevant to the urban industrial community served. This strategy indicates that the nurse manager is aware of the relationship between 

1. Community Strengths and Weaknesses
2. Environmental and Human Health/disease
3. Toxicology studies conducted by the environmental protection agency and environment 
4. Federal and state environment regulations

Correct Answer ( B)

12. The monitoring and public reporting of air quality in a local community to assist individuals with asthma or other respiratory conditions best illustrates the application of 

1. Compliance and enforcement 
2. Environmental epidemiology 
3. Secondary prevention 
4. Toxicology 

Correct Answer ( B)

13. When applying the nursing process to environmental health, the nurse would

1. Conduct an assessment focused on the client’s presenting problem
2. Coordinate interventions with the primary care provider record
3. Examine criteria that are limited to the client’s immediate response 
4. Include outcomes measures that involves mitigation and elimination of the contributing factors 

Correct Answer ( D)

14. When a nurse evaluates the completeness and accuracy of the information made available to community residents regarding the impact of rezoning of land parcels for industrial use, the nurse can best be as 

1. Advocating for ethical choices
2. Communicating risks
3. Controlling environmental damage
4. Volunteering for service on state boards 

Correct Answer ( A)

15. A state health public region reported 39 cases of meningitis  in children of 15 years of age and younger to date this year. Seven of  these children died, the total population of the region is 780,000 of whom 84,000 are children aged 15 years old and younger. What is the prevalence proportion of meningitis in that region thus far in the current year?

1. 4.1/100,000
2. 5/100,000
3. 46/100,000
4. 50/100,000

Correct Answer ( C)

16. John snow played a critical role in the development of modern disease surveillance when he

1. Devised a more strategically valid method of analyzing epidemiology data 
2. Discovered causal agent for anthrax, tuberculosis and cholera 
3. Tracked incident of Tuberculosis in the tenements of New York City
4. Used geographic mapping to demonstrate the connection between water supply and cholera

Correct Answer ( D)

17. A business executive develops flu-like symptoms 1 day after returning by air from a trans-Atlantic 2 days conference that involved lengthy meetings into the evening. The scenario best illustrates the interaction of 

1. Host and agent
2. Host, agent, and environment 
3. Risk and casualty
4. Morbidity and disease 

Correct Answer ( B)

18. A nurse is concerned about the Accuracy of the purified protein derivative (tuberculin) test in screening individuals with tuberculosis exposure for follow-up chest radiography. The nurse concern is related to which aspect of the test’s validity 

1. Reliability 
2. Sensitivity
3. Specificity
4. Variability

Correct Answer ( B)

19. Case fatality from breast cancer has decreased in recent years, although the incidence of breast cancer has increased. Descriptive epidemiology would the component of time to explain this changes in terms of 

1. Cyclical pattern 
2. Even-related clusters 
3. Point epidemic
4. Secular trends

Correct Answer ( D)

20. An American takes a long-awaited vacation in sunny Mexico, spending days on the beach eating fresh raspberries from a nearby vendor and drinking bottled water. The tourist may be altering

1. Agent host -environment interaction 
2. Circadian rhythm 
3. Herd immunity 
4. Host resistance 

Correct Answer ( A)

21. An example of secondary prevention of infectious disease is

1. Malaria chemoprophylaxis
2. Pneumocystis carinii pneumonia chemoprophylaxis
3. Quarantine 
4. Restaurant inspections

Correct Answer ( C)

22. Emerging infectious diseases may arise as a result of factors operating singly or in combination, and these factors may include which of the following 

1. Environmental changes
2. Body Structure 
3. Health system 
4. Phobia 

Correct Answer ( A)

23. The client most at risk of reactivación of latent infections of tuberculosis (TB) are 

1. Immunocompromised persons, substance abusers, and those with diabetes 
2. Individuals previously treated for TB
3. Long-term cigarette smokers
4. Persons with new-onset asthma or emphysema 

Correct Answer ( A)

24. Many behaviors place any individual-regardless of age, gender, ethnicity or other characteristics at greater risks for sexually transmitted diseases (STDs). The nurse should include primary prevention interventions in all client encounters through the discussion of

1. Partner notification 
2. Safer sex
3. Standard precautions 
4. Use of drugs 

Correct Answer ( B)

25. A population-level tertiary prevention invention typically carried out by nurses caring for those with communicable diseases in the community is 

1. HIV test results counselling
2. Needle exchange 
3. Partner notification 
4. Instruction in standard precautions 

Correct Answer ( D)

26. A community oriented nurse seeking to implement Evidence-based practice (EBP) in the community clinic’s programs. The best model for this nurse to apply is 

1. Action research and review 
2. Community development 
3. Community Research utilization 
4. Community Planning 

Correct Answer ( B)

27. When nurses work with communities, “best practices “- the application of the best available evidence to improve practice must also be 

1. Accessible and diverse
2. Competent and compliant
3. Culturally and financially appropriate 
4. Reasonable and deliverable in a timely fashion 

Correct Answer ( C)

28. Randomized controlled trials are often inappropriate for evaluating many public health interventions. The most common approach to establishing evidence in public health is the use of

1. Blinded studies 
2. Case-controlled studies 
3. Expert opinion
4. Research synthesis 

Correct Answer ( B)

29. When a public health nurse uses evidence-based intervention to evaluate the effectiveness, accessibility and quality of population-based services within the community, the nurse is addressing the core public health function of 

1. Assessment 
2. Assurance 
3. Policy development 
4. Research 

Correct Answer ( B)

30. Which community attribute is an indication of a community’s health status?

1. Mean educational level 
2. Location of health facilities within the community 
3. Ratio of police to citizens 
4. Suicide rate 

Correct Answer ( D)

Final thought 

Studying the NCLEX pass questions and answers in community health nursing gives you enough confidence and helps equip you fully for the NCLEX exam.

Passing the NCLEX-RN exam is one of the basic requirements to practice nursing. This exam protects the public by testing your knowledge of patient care.

You must answer questions that imitate real-life clinical situations. 

The NCLEX is a big task, but it’s doable with sufficient preparation. Explore the various insights on the NCLEX’s format, learning styles, and test-taking strategies.

The questions are organized into four categories, they

Include the Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity.

Specifically, the NCLEX exam past questions and answers above better simulate hospital settings — and assess the characteristics that today’s nurses need to deliver safe, high-quality care. These skills include:

• Critical thinking 
• Judgment
• Decision-making
• Clinical skills