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NBDHE · Free practice questions
Ten original NBDHE practice questions on community health and research principles, each answered on this page with a rationale and a source.
Last updated 2026-09-08
Question 1 of 10
Answer B: How were forms delivered and what barriers did families report?
This examines the delivery process and obstacles to participation. Why the other choices do not fit: A: That counterfactual concerns impact, not the immediate implementation issue. C: This input count alone does not explain form delivery or family barriers. D: That asks about a later outcome rather than the current delivery problem.
Common trap: Choosing an outcome measure before understanding implementation.
Source: CDC Evaluation Framework 2024
Question 2 of 10
Answer B: 60 referrals issued; 24 follow-up visits confirmed
Issuing a referral and confirming a completed follow-up are distinct events. Why the other choices do not fit: A: Adding referral events to completed visits double counts different stages. C: This reverses the stipulated events. D: 24 of 60 describes the referred group; the total school denominator is not given.
Common trap: Combining different stages under one completion label.
Source: CDC School Sealant Programs
Question 3 of 10
Answer A: Please tell me in your own words how you will arrange the visit.
An own-words explanation makes understanding observable and allows clarification. Why the other choices do not fit: B: A promise about memory is not an explanation of the current plan. C: Verbatim reading need not demonstrate understanding. D: A yes/no answer provides little evidence of understanding.
Common trap: Replacing understanding with yes/no agreement.
Source: AHRQ Teach-Back Method
Question 4 of 10
Answer C: Explain the step differently, then check understanding again
Teach-back checks the clarity of the explanation and supports another attempt. Why the other choices do not fit: A: The method is an opportunity to clarify, not a pass/fail memory test. B: Faster repetition does not address the observed misunderstanding. D: A signature does not demonstrate comprehension of the step.
Common trap: Treating teach-back as a test of the listener.
Source: AHRQ Teach-Back Method
Question 5 of 10
Answer A: Caries-related need and barriers to obtaining private care
CDC describes the programs as reaching children at higher risk who may lack access to private care. Why the other choices do not fit: B: Publicity is not evidence of oral-health need or access barriers. C: High existing access alone does not identify the access barriers described. D: Convenience does not establish the intended population need.
Common trap: Choosing delivery convenience as a proxy for community need.
Source: CDC School Sealant Programs
Question 6 of 10
Answer B: Ask affected families about their experiences and barriers
Qualitative information can address reasons that event counts alone do not explain. Why the other choices do not fit: A: That assigns a cause without gathering supporting evidence. C: Changing the label would misrepresent the event. D: Extra precision does not add information about the reasons.
Common trap: Expecting numeric event counts to explain every cause.
Source: CDC Evaluation Framework 2024
Question 7 of 10
Answer D: Agree on the event definition and denominator, then reconcile the data
Unlike measures cannot be combined as if they represented the same event. Why the other choices do not fit: A: Selecting the higher number introduces a misleading summary. B: A common label does not make different events comparable. C: Multiplication does not reconcile incompatible definitions.
Common trap: Assuming identical labels imply identical measures.
Source: CDC Evaluation Framework 2024
Question 8 of 10
Answer D: Revise the instructions and reassess the selected follow-up measure
Acting on findings links the evaluation to an improvement and another assessment. Why the other choices do not fit: A: That does not use the actionable finding. B: The model describes an expected relationship, not a completed correction. C: Finding a communication defect does not measure a health improvement.
Common trap: Ending evaluation at the report rather than using its findings.
Source: CDC Evaluation Framework
Question 9 of 10
Answer D: Point prevalence of 20%
40 existing cases divided by 200 examined at that point equals 20%. Why the other choices do not fit: A: No person-time denominator is provided. B: There is no second group risk for a ratio. C: There is no new-case count or annual follow-up.
Common trap: Calling existing cases new cases.
Source: CDC Morbidity Frequency Measures
Question 10 of 10
Answer B: 10%
The 18 new cases are divided by the 180 initially unaffected people at risk. Why the other choices do not fit: A: The case count is not a percentage without the correct denominator. C: 18 divided by 198 incorrectly adds new cases to the original denominator. D: 162 divided by 180 describes those who did not become cases.
Common trap: Changing the initially at-risk denominator after events occur.
Source: CDC Morbidity Frequency Measures
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