NSG 440 Exam 3 V2 | NSG 440 Population
Health | Actual Q&A with Rationale
(NSG440 Exam 3) | Grand Canyon
University
1. A community health nurse is conducting a windshield survey. Which of the following
components should the nurse include? (Select All That Apply)
A. Condition of housing and presence of vacant lots
B. Availability of public transportation and sidewalks
C. Census data regarding ethnic breakdown of the neighborhood
D. Presence of religious facilities and social services
E. Types of businesses and industries in the area
F. Interview transcripts from local community leaders
Correct Answer: A, B, D, E
Explanation: A windshield survey is a primary data collection method used to observe
community characteristics from a vehicle. Items like housing condition, transportation, and
types of businesses are observable during the drive. Census data and interview transcripts
represent secondary data or qualitative interviews, which are separate from the physical
windshield survey observation.
,2. A nurse is explaining the concept of ‘Resource Stewardship’ in population health. Which
action best exemplifies this principle?
A. Allocating high-cost treatments to every patient regardless of outcome.
B. Limiting all patient care to primary prevention to save costs.
C. Ensuring healthcare resources are used effectively to achieve the greatest health impact
for the community.
D. Prioritizing individual patient preferences over population-level health data.
Correct Answer: C
Explanation: Resource stewardship involves the ethical and efficient management of
health resources. It focuses on achieving the maximum health benefit for the entire
population through evidence-based decisions. This principle balances individual needs
with the collective good of the community.
3. During a disaster response, a nurse is using the START triage system. A victim is breathing
at a rate of 24/min, has a capillary refill of 1.5 seconds, and can follow simple commands.
Which tag should the nurse apply?
A. Red (Immediate)
B. Black (Deceased)
C. Green (Minor)
D. Yellow (Delayed)
, Correct Answer: D
Explanation: The victim meets the criteria for Yellow because they are stable in the ‘RPM’
(Respiration, Perfusion, Mental Status) assessment. Their respirations are under 30,
perfusion is under 2 seconds, and they are conscious enough to follow commands. This
indicates their injuries are serious but not immediately life-threatening.
4. A community nurse is assessing environmental health risks using the I-PREPARE mnemonic.
What does the ‘P’ stand for? (Select All That Apply)
A. Present Work
B. Past Work
C. Potential Exposures
D. Primary Prevention
E. Personal Protective Equipment
Correct Answer: A, B
Explanation: The I-PREPARE tool is specifically designed to help nurses systematically
assess environmental exposures. The two ‘P’ components stand for ‘Present Work’ and
‘Past Work’ to identify occupational hazards. Other components include Investigate,
Residence, Environmental concerns, Activities, Resources/Referrals, and Educate.
5. A nurse is teaching a group about the transmission of Tuberculosis (TB). Which statement
by a participant indicates understanding of the education?
A. TB is spread through skin-to-skin contact with an infected person.
Health | Actual Q&A with Rationale
(NSG440 Exam 3) | Grand Canyon
University
1. A community health nurse is conducting a windshield survey. Which of the following
components should the nurse include? (Select All That Apply)
A. Condition of housing and presence of vacant lots
B. Availability of public transportation and sidewalks
C. Census data regarding ethnic breakdown of the neighborhood
D. Presence of religious facilities and social services
E. Types of businesses and industries in the area
F. Interview transcripts from local community leaders
Correct Answer: A, B, D, E
Explanation: A windshield survey is a primary data collection method used to observe
community characteristics from a vehicle. Items like housing condition, transportation, and
types of businesses are observable during the drive. Census data and interview transcripts
represent secondary data or qualitative interviews, which are separate from the physical
windshield survey observation.
,2. A nurse is explaining the concept of ‘Resource Stewardship’ in population health. Which
action best exemplifies this principle?
A. Allocating high-cost treatments to every patient regardless of outcome.
B. Limiting all patient care to primary prevention to save costs.
C. Ensuring healthcare resources are used effectively to achieve the greatest health impact
for the community.
D. Prioritizing individual patient preferences over population-level health data.
Correct Answer: C
Explanation: Resource stewardship involves the ethical and efficient management of
health resources. It focuses on achieving the maximum health benefit for the entire
population through evidence-based decisions. This principle balances individual needs
with the collective good of the community.
3. During a disaster response, a nurse is using the START triage system. A victim is breathing
at a rate of 24/min, has a capillary refill of 1.5 seconds, and can follow simple commands.
Which tag should the nurse apply?
A. Red (Immediate)
B. Black (Deceased)
C. Green (Minor)
D. Yellow (Delayed)
, Correct Answer: D
Explanation: The victim meets the criteria for Yellow because they are stable in the ‘RPM’
(Respiration, Perfusion, Mental Status) assessment. Their respirations are under 30,
perfusion is under 2 seconds, and they are conscious enough to follow commands. This
indicates their injuries are serious but not immediately life-threatening.
4. A community nurse is assessing environmental health risks using the I-PREPARE mnemonic.
What does the ‘P’ stand for? (Select All That Apply)
A. Present Work
B. Past Work
C. Potential Exposures
D. Primary Prevention
E. Personal Protective Equipment
Correct Answer: A, B
Explanation: The I-PREPARE tool is specifically designed to help nurses systematically
assess environmental exposures. The two ‘P’ components stand for ‘Present Work’ and
‘Past Work’ to identify occupational hazards. Other components include Investigate,
Residence, Environmental concerns, Activities, Resources/Referrals, and Educate.
5. A nurse is teaching a group about the transmission of Tuberculosis (TB). Which statement
by a participant indicates understanding of the education?
A. TB is spread through skin-to-skin contact with an infected person.
