NR-442/NR442 Exam 2 V3 | Community Health
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is planning a primary prevention program for a group of local
seniors. Which of the following activities should the nurse include?
A. Providing education on the importance of the influenza vaccine
B. Blood pressure screenings at the local community center
C. Leading a support group for individuals with chronic heart failure
D. Referring clients with high glucose levels to an endocrinologist
Correct Answer: A
Explanation: Primary prevention focuses on health promotion and disease prevention
before any illness occurs. Educating seniors on the influenza vaccine is a proactive measure
to prevent the onset of the disease. In contrast, screenings are secondary prevention, and
support groups or referrals for existing conditions are tertiary prevention.
2. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations provides information about the ‘environment’ subsystem?
A. The prevalence of multi-generational households
B. The presence of air pollution from a nearby industrial plant
C. The availability of public transportation and bus stops
,D. The types of religious institutions located in the area
Correct Answer: B
Explanation: Windshield surveys allow nurses to observe community components while
driving through the area. Air pollution directly relates to the environmental health
subsystem and potential respiratory risks for the population. Observations about
households relate to demographics, while transportation and religion fall under other
community subsystems.
3. A nurse is using the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure.
What does the ‘P’ in the mnemonic represent?
A. Pollutants in the home
B. Past work history
C. Personal health habits
D. Population density
Correct Answer: B
Explanation: The ‘I PREPARE’ tool is used to help health professionals systematically
assess environmental exposure. The ‘P’ stands for Present work, and the second ‘P’ stands
for Past work history. Understanding a client’s occupational history is vital for identifying
long-term exposure to toxins or carcinogens.
, 4. During a disaster response, a community health nurse is triaging victims using the START
system. The nurse encounters a victim with a respiratory rate of 34/min. Which color tag
should the nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: According to the Simple Triage and Rapid Treatment (START) method, any
adult with a respiratory rate greater than 30 breaths per minute is tagged as Red
(Immediate). This indicates a life-threatening condition that requires priority medical
attention. Delayed (Yellow) or Minor (Green) categories are for those with more stable
physiological parameters.
5. Which of the following is an example of a secondary prevention strategy for a school nurse
addressing bullying?
A. Implementing a school-wide ‘kindness’ curriculum
B. Drafting a zero-tolerance policy for the school board
C. Providing counseling to a student who is a habitual bully
D. Conducting surveys to identify students who have been bullied
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is planning a primary prevention program for a group of local
seniors. Which of the following activities should the nurse include?
A. Providing education on the importance of the influenza vaccine
B. Blood pressure screenings at the local community center
C. Leading a support group for individuals with chronic heart failure
D. Referring clients with high glucose levels to an endocrinologist
Correct Answer: A
Explanation: Primary prevention focuses on health promotion and disease prevention
before any illness occurs. Educating seniors on the influenza vaccine is a proactive measure
to prevent the onset of the disease. In contrast, screenings are secondary prevention, and
support groups or referrals for existing conditions are tertiary prevention.
2. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations provides information about the ‘environment’ subsystem?
A. The prevalence of multi-generational households
B. The presence of air pollution from a nearby industrial plant
C. The availability of public transportation and bus stops
,D. The types of religious institutions located in the area
Correct Answer: B
Explanation: Windshield surveys allow nurses to observe community components while
driving through the area. Air pollution directly relates to the environmental health
subsystem and potential respiratory risks for the population. Observations about
households relate to demographics, while transportation and religion fall under other
community subsystems.
3. A nurse is using the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure.
What does the ‘P’ in the mnemonic represent?
A. Pollutants in the home
B. Past work history
C. Personal health habits
D. Population density
Correct Answer: B
Explanation: The ‘I PREPARE’ tool is used to help health professionals systematically
assess environmental exposure. The ‘P’ stands for Present work, and the second ‘P’ stands
for Past work history. Understanding a client’s occupational history is vital for identifying
long-term exposure to toxins or carcinogens.
, 4. During a disaster response, a community health nurse is triaging victims using the START
system. The nurse encounters a victim with a respiratory rate of 34/min. Which color tag
should the nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: According to the Simple Triage and Rapid Treatment (START) method, any
adult with a respiratory rate greater than 30 breaths per minute is tagged as Red
(Immediate). This indicates a life-threatening condition that requires priority medical
attention. Delayed (Yellow) or Minor (Green) categories are for those with more stable
physiological parameters.
5. Which of the following is an example of a secondary prevention strategy for a school nurse
addressing bullying?
A. Implementing a school-wide ‘kindness’ curriculum
B. Drafting a zero-tolerance policy for the school board
C. Providing counseling to a student who is a habitual bully
D. Conducting surveys to identify students who have been bullied
