NUR 206/NUR206 Exam 3 V1 | Community Nursing
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is conducting an environmental health assessment. Which of
the following mnemonic components should the nurse use to evaluate a client’s past work
history?
A. PEST
B. I PREPARE
C. SWOT
D. ABCDE
Correct Answer: B
Explanation: The I PREPARE mnemonic is a tool used by nurses to gather an
environmental health history. The second ‘P’ specifically stands for Past Work, which helps
identify previous exposures to hazardous substances. This assessment is vital for
identifying long-term occupational risks that might impact current health status.
2. In the event of a mass casualty incident, which color tag should the nurse assign to a client
who has a compound fracture of the femur but is conscious and breathing?
A. Green
B. Black
C. Red
,D. Yellow
Correct Answer: D
Explanation: The yellow tag is assigned to clients who have significant injuries but are not
yet in immediate life-threatening danger. A compound fracture requires urgent care but is
categorized as ‘delayed’ compared to respiratory distress. This triage system helps
maximize the number of lives saved during a disaster by prioritizing those with the most
critical needs.
3. A nurse is teaching a community group about primary prevention of lead poisoning in
children. Which of the following instructions should the nurse include?
A. Screen all children for blood lead levels at age 1.
B. Wet-mop floors and windowsills regularly.
C. Increase dietary intake of calcium and iron.
D. Refer children with high levels for chelation therapy.
Correct Answer: B
Explanation: Wet-mopping floors and windowsills is a primary prevention strategy to
reduce the presence of lead-contaminated dust in the home. Primary prevention focuses on
preventing the exposure before it occurs rather than screening for the effects. This method
is particularly effective in older homes where lead-based paint may be deteriorating.
, 4. Which of the following describes the role of a nurse as a ‘consultant’ within a community
setting?
A. Providing direct clinical care to a specific population.
B. Providing information and specialized knowledge to groups to solve problems.
C. Managing the financial budget of a health clinic.
D. Supervising other healthcare staff in a hospital unit.
Correct Answer: B
Explanation: The consultant role involves acting as a resource person who shares
expertise to help others make decisions or solve health-related problems. This role is
distinct from direct care provision or administrative management. It emphasizes the
collaborative nature of community health nursing where the nurse empowers the
community to improve its own health outcomes.
5. A nurse is working with a rural community that has a high incidence of pesticide-related
illnesses. Which of the following is a tertiary prevention strategy for this population?
A. Providing rehabilitation for a worker with neurological damage from pesticides.
B. Screening farmworkers for pesticide exposure levels.
C. Conducting a health fair to teach about PPE usage.
D. Lobbying for stricter regulations on pesticide spraying.
Correct Answer: A
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is conducting an environmental health assessment. Which of
the following mnemonic components should the nurse use to evaluate a client’s past work
history?
A. PEST
B. I PREPARE
C. SWOT
D. ABCDE
Correct Answer: B
Explanation: The I PREPARE mnemonic is a tool used by nurses to gather an
environmental health history. The second ‘P’ specifically stands for Past Work, which helps
identify previous exposures to hazardous substances. This assessment is vital for
identifying long-term occupational risks that might impact current health status.
2. In the event of a mass casualty incident, which color tag should the nurse assign to a client
who has a compound fracture of the femur but is conscious and breathing?
A. Green
B. Black
C. Red
,D. Yellow
Correct Answer: D
Explanation: The yellow tag is assigned to clients who have significant injuries but are not
yet in immediate life-threatening danger. A compound fracture requires urgent care but is
categorized as ‘delayed’ compared to respiratory distress. This triage system helps
maximize the number of lives saved during a disaster by prioritizing those with the most
critical needs.
3. A nurse is teaching a community group about primary prevention of lead poisoning in
children. Which of the following instructions should the nurse include?
A. Screen all children for blood lead levels at age 1.
B. Wet-mop floors and windowsills regularly.
C. Increase dietary intake of calcium and iron.
D. Refer children with high levels for chelation therapy.
Correct Answer: B
Explanation: Wet-mopping floors and windowsills is a primary prevention strategy to
reduce the presence of lead-contaminated dust in the home. Primary prevention focuses on
preventing the exposure before it occurs rather than screening for the effects. This method
is particularly effective in older homes where lead-based paint may be deteriorating.
, 4. Which of the following describes the role of a nurse as a ‘consultant’ within a community
setting?
A. Providing direct clinical care to a specific population.
B. Providing information and specialized knowledge to groups to solve problems.
C. Managing the financial budget of a health clinic.
D. Supervising other healthcare staff in a hospital unit.
Correct Answer: B
Explanation: The consultant role involves acting as a resource person who shares
expertise to help others make decisions or solve health-related problems. This role is
distinct from direct care provision or administrative management. It emphasizes the
collaborative nature of community health nursing where the nurse empowers the
community to improve its own health outcomes.
5. A nurse is working with a rural community that has a high incidence of pesticide-related
illnesses. Which of the following is a tertiary prevention strategy for this population?
A. Providing rehabilitation for a worker with neurological damage from pesticides.
B. Screening farmworkers for pesticide exposure levels.
C. Conducting a health fair to teach about PPE usage.
D. Lobbying for stricter regulations on pesticide spraying.
Correct Answer: A
