NR-442/NR442 Exam 4 V2 | Community Health
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is conducting a windshield survey of a new neighborhood.
Which of the following observations provides information about the community’s health
risks?
A. The presence of a local farmers market.
B. Abundant green space and walking trails.
C. Numerous fast-food restaurants on the main road.
D. The construction of a new primary care clinic.
Correct Answer: C
Explanation: Observing numerous fast-food restaurants indicates a potential health risk
related to poor nutrition and obesity in the community. Windshield surveys are an
objective way to assess the physical and social environment. This assessment helps the
nurse identify areas where primary prevention strategies may be needed to address
lifestyle-related illnesses.
2. A nurse is using the START triage system during a mass casualty incident. A patient is found
to be unconscious with a respiratory rate of 8 breaths per minute. Which color tag should the
nurse apply?
A. Green
,B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: In the Simple Triage and Rapid Treatment (START) system, an unconscious
patient with respiratory distress is classified as immediate or Red. This category is
reserved for those who require life-saving interventions within a very short timeframe. The
nurse must quickly assess respirations, perfusion, and mental status to determine the
appropriate priority tag.
3. Which of the following activities represents secondary prevention in occupational health
nursing?
A. Installing ergonomic workstations in the administrative office.
B. Teaching proper lifting techniques to warehouse workers.
C. Conducting hearing screenings for employees exposed to loud noise.
D. Providing physical therapy for an employee with a back injury.
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and screening to identify
health problems before they become severe. Hearing screenings allow the nurse to detect
, early signs of noise-induced hearing loss among at-risk employees. This level of prevention
aims to reduce the prevalence of a condition through prompt intervention.
4. A community health nurse is investigating an outbreak of Hepatitis A. Which of the
following is the most likely mode of transmission?
A. Respiratory droplets
B. Needle-stick injuries
C. Sexual contact with infected blood
D. Contaminated food or water
Correct Answer: D
Explanation: Hepatitis A is primarily transmitted through the fecal-oral route, often via
contaminated food or water sources. The nurse should investigate recent community
gatherings or restaurants where infected food handlers may have worked. Identifying the
source is critical to preventing further spread and implementing post-exposure
prophylaxis.
5. A nurse is assessing a home health client who has Medicare. Which of the following criteria
is required for Medicare to reimburse for home health services?
A. The client must be able to drive to the clinic for follow-up.
B. The client must require 24-hour skilled nursing care.
C. The client must be recovering from a surgical procedure only.
Nursing Q&A with Rationale | Chamberlain
University
1. A community health nurse is conducting a windshield survey of a new neighborhood.
Which of the following observations provides information about the community’s health
risks?
A. The presence of a local farmers market.
B. Abundant green space and walking trails.
C. Numerous fast-food restaurants on the main road.
D. The construction of a new primary care clinic.
Correct Answer: C
Explanation: Observing numerous fast-food restaurants indicates a potential health risk
related to poor nutrition and obesity in the community. Windshield surveys are an
objective way to assess the physical and social environment. This assessment helps the
nurse identify areas where primary prevention strategies may be needed to address
lifestyle-related illnesses.
2. A nurse is using the START triage system during a mass casualty incident. A patient is found
to be unconscious with a respiratory rate of 8 breaths per minute. Which color tag should the
nurse apply?
A. Green
,B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: In the Simple Triage and Rapid Treatment (START) system, an unconscious
patient with respiratory distress is classified as immediate or Red. This category is
reserved for those who require life-saving interventions within a very short timeframe. The
nurse must quickly assess respirations, perfusion, and mental status to determine the
appropriate priority tag.
3. Which of the following activities represents secondary prevention in occupational health
nursing?
A. Installing ergonomic workstations in the administrative office.
B. Teaching proper lifting techniques to warehouse workers.
C. Conducting hearing screenings for employees exposed to loud noise.
D. Providing physical therapy for an employee with a back injury.
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and screening to identify
health problems before they become severe. Hearing screenings allow the nurse to detect
, early signs of noise-induced hearing loss among at-risk employees. This level of prevention
aims to reduce the prevalence of a condition through prompt intervention.
4. A community health nurse is investigating an outbreak of Hepatitis A. Which of the
following is the most likely mode of transmission?
A. Respiratory droplets
B. Needle-stick injuries
C. Sexual contact with infected blood
D. Contaminated food or water
Correct Answer: D
Explanation: Hepatitis A is primarily transmitted through the fecal-oral route, often via
contaminated food or water sources. The nurse should investigate recent community
gatherings or restaurants where infected food handlers may have worked. Identifying the
source is critical to preventing further spread and implementing post-exposure
prophylaxis.
5. A nurse is assessing a home health client who has Medicare. Which of the following criteria
is required for Medicare to reimburse for home health services?
A. The client must be able to drive to the clinic for follow-up.
B. The client must require 24-hour skilled nursing care.
C. The client must be recovering from a surgical procedure only.
