NUR 206/NUR206 Final Exam V2 | Community
Nursing Concepts Q&A with Rationale | Fortis
College
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Explanation: Secondary prevention focuses on early detection and screening of diseases to
provide prompt treatment and limit disability. Screening for hypertension allows the nurse
to identify individuals with elevated blood pressure who may not yet be symptomatic. This
level of care is essential for reducing the long-term impact of chronic conditions through
early intervention.
2. Which of the following activities best describes the nurse’s role in primary prevention for
communicable diseases?
A. Providing DOT (Directly Observed Therapy) for a patient with TB
B. Educating a group of adolescents about the importance of vaccines
,C. Conducting a contact investigation for a client diagnosed with Syphilis
D. Managing a support group for individuals living with HIV/AIDS
Correct Answer: B
Explanation: Primary prevention aims to prevent the onset of disease through health
promotion and specific protection measures. Immunization education is a classic example
of primary prevention as it reduces the susceptibility of the population. By educating
adolescents, the nurse helps build immunity before exposure to infectious agents occurs.
3. When performing a windshield survey, what is the primary objective for the community
health nurse?
A. To interview key informants in the neighborhood
B. To analyze statistical data from the local health department
C. To obtain a preliminary overview of the community’s environment and resources
D. To provide direct clinical care to residents in their homes
Correct Answer: C
Explanation: A windshield survey is an informal observation method used to collect
objective data about a community’s physical characteristics. It allows the nurse to observe
the condition of housing, the presence of green spaces, and the availability of services while
driving or walking through the area. This assessment serves as the foundation for
identifying community needs and planning further data collection.
, 4. In the ‘I-PREPARE’ environmental exposure history mnemonic, what does the ‘E’ stand for?
A. Environmental concerns
B. Evidence
C. Employment
D. Eating habits
Correct Answer: A
Explanation: The ‘E’ in the I-PREPARE mnemonic stands for Environmental concerns,
which prompts the nurse to ask about regional issues like air or water quality. The I-
PREPARE tool was developed to help health professionals systematically assess
environmental exposure history. Identifying these concerns is vital for determining if a
patient’s symptoms are linked to their physical surroundings.
5. A nurse is triaging victims at the scene of a mass casualty incident. A victim is unconscious,
has a respiratory rate of 32 breaths/min, and a capillary refill of 4 seconds. Which color tag
should the nurse apply?
A. Red (Immediate)
B. Yellow (Delayed)
C. Green (Minor)
D. Black (Deceased)
Correct Answer: A
Nursing Concepts Q&A with Rationale | Fortis
College
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Explanation: Secondary prevention focuses on early detection and screening of diseases to
provide prompt treatment and limit disability. Screening for hypertension allows the nurse
to identify individuals with elevated blood pressure who may not yet be symptomatic. This
level of care is essential for reducing the long-term impact of chronic conditions through
early intervention.
2. Which of the following activities best describes the nurse’s role in primary prevention for
communicable diseases?
A. Providing DOT (Directly Observed Therapy) for a patient with TB
B. Educating a group of adolescents about the importance of vaccines
,C. Conducting a contact investigation for a client diagnosed with Syphilis
D. Managing a support group for individuals living with HIV/AIDS
Correct Answer: B
Explanation: Primary prevention aims to prevent the onset of disease through health
promotion and specific protection measures. Immunization education is a classic example
of primary prevention as it reduces the susceptibility of the population. By educating
adolescents, the nurse helps build immunity before exposure to infectious agents occurs.
3. When performing a windshield survey, what is the primary objective for the community
health nurse?
A. To interview key informants in the neighborhood
B. To analyze statistical data from the local health department
C. To obtain a preliminary overview of the community’s environment and resources
D. To provide direct clinical care to residents in their homes
Correct Answer: C
Explanation: A windshield survey is an informal observation method used to collect
objective data about a community’s physical characteristics. It allows the nurse to observe
the condition of housing, the presence of green spaces, and the availability of services while
driving or walking through the area. This assessment serves as the foundation for
identifying community needs and planning further data collection.
, 4. In the ‘I-PREPARE’ environmental exposure history mnemonic, what does the ‘E’ stand for?
A. Environmental concerns
B. Evidence
C. Employment
D. Eating habits
Correct Answer: A
Explanation: The ‘E’ in the I-PREPARE mnemonic stands for Environmental concerns,
which prompts the nurse to ask about regional issues like air or water quality. The I-
PREPARE tool was developed to help health professionals systematically assess
environmental exposure history. Identifying these concerns is vital for determining if a
patient’s symptoms are linked to their physical surroundings.
5. A nurse is triaging victims at the scene of a mass casualty incident. A victim is unconscious,
has a respiratory rate of 32 breaths/min, and a capillary refill of 4 seconds. Which color tag
should the nurse apply?
A. Red (Immediate)
B. Yellow (Delayed)
C. Green (Minor)
D. Black (Deceased)
Correct Answer: A
