NR442/NR 442 Exam 4 V3 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is participating in a disaster simulation where a ‘victim’ presents
with a respiratory rate of 34 breaths per minute. According to the START triage system, which
color tag should the nurse assign?
A. Green
B. Red
C. Yellow
D. Black
Correct Answer: B
Expert Explanation: In the Simple Triage and Rapid Treatment (START) system, any
individual with a respiratory rate greater than 30 breaths per minute is categorized as
‘Immediate.’ This requires a red tag to signal that the patient needs priority medical
attention. If the respirations were under 30, the nurse would then assess perfusion and
mental status to determine the appropriate classification.
2. Which action by a community health nurse represents the ‘Mitigation’ phase of disaster
management?
A. Conducting a disaster drill with local emergency responders
,B. Providing psychological first aid to survivors after the event
C. Establishing a triage station at the scene of a mass casualty event
D. Advocating for stronger building codes and sea wall construction
Correct Answer: D
Expert Explanation: Mitigation involves taking proactive measures to prevent or reduce
the impact of a disaster before it occurs. Advocating for improved infrastructure or land-
use planning is a key component of this phase. This differs from preparedness, which
focuses on readiness and training for an impending or potential event.
3. During a home visit, a nurse uses the ‘I PREPARE’ mnemonic to assess environmental
health risks. What does the ‘R’ in the middle of the mnemonic stand for?
A. Resources and Referrals
B. Radiological risks
C. Residence
D. Respiratory hazards
Correct Answer: C
Expert Explanation: The ‘I PREPARE’ tool is used to systematically collect an
environmental health history. The ‘R’ in the third position stands for Residence, which
involves asking about the age of the home, heating sources, and recent remodeling. This
, helps identify potential exposures like lead paint, carbon monoxide, or asbestos within the
living environment.
4. A nurse is working in a rural community where many residents are migrant farmworkers.
Which barrier to care is most specific to this population?
A. High levels of health literacy regarding chronic disease
B. Universal access to employer-sponsored health insurance
C. Frequent relocation which disrupts continuity of care
D. An oversupply of primary care providers in the local area
Correct Answer: C
Expert Explanation: Migrant farmworkers often face significant barriers due to their
mobile lifestyle, which prevents the establishment of a medical home. This lack of
continuity leads to fragmented care and poorly managed chronic conditions. Additionally,
language barriers and fear of immigration status can further impede access to necessary
health services.
5. In the legislative process, where does a bill go immediately after it is introduced in either
the House or the Senate?
A. The President’s desk for signing
B. A committee for review and deliberation
C. A general vote by the entire legislative body
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is participating in a disaster simulation where a ‘victim’ presents
with a respiratory rate of 34 breaths per minute. According to the START triage system, which
color tag should the nurse assign?
A. Green
B. Red
C. Yellow
D. Black
Correct Answer: B
Expert Explanation: In the Simple Triage and Rapid Treatment (START) system, any
individual with a respiratory rate greater than 30 breaths per minute is categorized as
‘Immediate.’ This requires a red tag to signal that the patient needs priority medical
attention. If the respirations were under 30, the nurse would then assess perfusion and
mental status to determine the appropriate classification.
2. Which action by a community health nurse represents the ‘Mitigation’ phase of disaster
management?
A. Conducting a disaster drill with local emergency responders
,B. Providing psychological first aid to survivors after the event
C. Establishing a triage station at the scene of a mass casualty event
D. Advocating for stronger building codes and sea wall construction
Correct Answer: D
Expert Explanation: Mitigation involves taking proactive measures to prevent or reduce
the impact of a disaster before it occurs. Advocating for improved infrastructure or land-
use planning is a key component of this phase. This differs from preparedness, which
focuses on readiness and training for an impending or potential event.
3. During a home visit, a nurse uses the ‘I PREPARE’ mnemonic to assess environmental
health risks. What does the ‘R’ in the middle of the mnemonic stand for?
A. Resources and Referrals
B. Radiological risks
C. Residence
D. Respiratory hazards
Correct Answer: C
Expert Explanation: The ‘I PREPARE’ tool is used to systematically collect an
environmental health history. The ‘R’ in the third position stands for Residence, which
involves asking about the age of the home, heating sources, and recent remodeling. This
, helps identify potential exposures like lead paint, carbon monoxide, or asbestos within the
living environment.
4. A nurse is working in a rural community where many residents are migrant farmworkers.
Which barrier to care is most specific to this population?
A. High levels of health literacy regarding chronic disease
B. Universal access to employer-sponsored health insurance
C. Frequent relocation which disrupts continuity of care
D. An oversupply of primary care providers in the local area
Correct Answer: C
Expert Explanation: Migrant farmworkers often face significant barriers due to their
mobile lifestyle, which prevents the establishment of a medical home. This lack of
continuity leads to fragmented care and poorly managed chronic conditions. Additionally,
language barriers and fear of immigration status can further impede access to necessary
health services.
5. In the legislative process, where does a bill go immediately after it is introduced in either
the House or the Senate?
A. The President’s desk for signing
B. A committee for review and deliberation
C. A general vote by the entire legislative body
