NR-442/NR442 Exam 2 V2 | Community Health
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is conducting a windshield survey of a local neighborhood.
Which of the following observations would be most indicative of the ‘environment’
component of the assessment?
A. The presence of several community health clinics within a 5-mile radius.
B. The demographic makeup of people walking on the streets.
C. The age and condition of the housing and availability of green spaces.
D. The frequency of public transportation services available to residents.
Correct Answer: C
Explanation: A windshield survey is a systematic observation of a community from a
moving vehicle. Assessing the age and condition of housing and the availability of green
spaces directly addresses the physical environment and potential hazards. This helps the
nurse identify social determinants of health that impact the community’s well-being.
2. In the event of a mass casualty incident, a nurse is using the START triage system. A patient
is breathing at 32 breaths per minute. Which color tag should the nurse assign?
A. Green
B. Red
,C. Yellow
D. Black
Correct Answer: B
Explanation: Under the Simple Triage and Rapid Treatment (START) method, respirations
over 30 per minute indicate an immediate priority. This patient requires urgent medical
attention to survive the trauma. Therefore, a red tag is applied to signal that the patient is
‘Immediate’ for transport and treatment.
3. A nurse is teaching a community class about primary prevention of lead poisoning in
children. Which intervention should the nurse include?
A. Screening children for blood lead levels at age 1 and 2.
B. Administering chelation therapy to children with high lead levels.
C. Referring families to lead abatement programs after a positive test.
D. Ensuring children have a diet high in calcium and iron.
Correct Answer: D
Explanation: Primary prevention aims to prevent the occurrence of disease or injury
before it happens. Providing a diet high in calcium and iron helps prevent lead absorption
in the gut. Screening and therapy are considered secondary and tertiary levels of
prevention, respectively.
, 4. Which phase of the disaster management cycle includes activities such as conducting
emergency drills and training first responders?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
Correct Answer: B
Explanation: Preparedness involves planning and readiness activities that take place
before a disaster occurs. Drills and training sessions ensure that personnel are equipped to
handle an actual emergency effectively. This differs from mitigation, which focuses on long-
term risk reduction like building levees.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following is an example of an ‘agent’ in the epidemiological triangle?
A. Contaminated potato salad
B. Salmonella bacteria
C. Elderly residents at a picnic
D. High outdoor temperatures during the picnic
Correct Answer: B
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is conducting a windshield survey of a local neighborhood.
Which of the following observations would be most indicative of the ‘environment’
component of the assessment?
A. The presence of several community health clinics within a 5-mile radius.
B. The demographic makeup of people walking on the streets.
C. The age and condition of the housing and availability of green spaces.
D. The frequency of public transportation services available to residents.
Correct Answer: C
Explanation: A windshield survey is a systematic observation of a community from a
moving vehicle. Assessing the age and condition of housing and the availability of green
spaces directly addresses the physical environment and potential hazards. This helps the
nurse identify social determinants of health that impact the community’s well-being.
2. In the event of a mass casualty incident, a nurse is using the START triage system. A patient
is breathing at 32 breaths per minute. Which color tag should the nurse assign?
A. Green
B. Red
,C. Yellow
D. Black
Correct Answer: B
Explanation: Under the Simple Triage and Rapid Treatment (START) method, respirations
over 30 per minute indicate an immediate priority. This patient requires urgent medical
attention to survive the trauma. Therefore, a red tag is applied to signal that the patient is
‘Immediate’ for transport and treatment.
3. A nurse is teaching a community class about primary prevention of lead poisoning in
children. Which intervention should the nurse include?
A. Screening children for blood lead levels at age 1 and 2.
B. Administering chelation therapy to children with high lead levels.
C. Referring families to lead abatement programs after a positive test.
D. Ensuring children have a diet high in calcium and iron.
Correct Answer: D
Explanation: Primary prevention aims to prevent the occurrence of disease or injury
before it happens. Providing a diet high in calcium and iron helps prevent lead absorption
in the gut. Screening and therapy are considered secondary and tertiary levels of
prevention, respectively.
, 4. Which phase of the disaster management cycle includes activities such as conducting
emergency drills and training first responders?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
Correct Answer: B
Explanation: Preparedness involves planning and readiness activities that take place
before a disaster occurs. Drills and training sessions ensure that personnel are equipped to
handle an actual emergency effectively. This differs from mitigation, which focuses on long-
term risk reduction like building levees.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following is an example of an ‘agent’ in the epidemiological triangle?
A. Contaminated potato salad
B. Salmonella bacteria
C. Elderly residents at a picnic
D. High outdoor temperatures during the picnic
Correct Answer: B
