Community Health
Objective Assessment
(3 Full Exams)
Actual Questions with Verified Answers
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➢210+ OA Exam Questions w/ Answers
➢Expert Rationales included.
➢120 OA Practice Qs w/ Ans
➢EXAM Study Guide
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,Table of Contents
D450 OA EXAM SET 1 ......................................................................... 2
D450 OA EXAM SET 2 ....................................................................... 41
D450 OA EXAM SET 3 ....................................................................... 94
D450 OA Practice Qs w/ Ans .......................................................... 161
D450 EXAM STUDY GUIDE .............................................................. 207
D450 OA EXAM SET 1
Question 1
A community health nurse responds to a call about an unconscious individual found in a
park. Upon arrival, the nurse observes slow respiratory depression, gurgling sounds,
blue/gray skin color, inability to talk, disorientation, and pinpoint pupils. What is the
most likely cause of these signs and symptoms?
A. Hypoglycemic crisis
B. Opioid drug overdose
C. Acute myocardial infarction
D. Severe allergic reaction
Correc Answer:
B. Opioid drug overdose
Rationale: The classic triad for opioid overdose includes respiratory depression, pinpoint
pupils (miosis), and altered mental status. The gurgling sounds (often called the "death
rattle") result from decreased gag reflex and fluid accumulation. Blue/gray skin color
, (cyanosis) indicates severe hypoxia from respiratory depression. These findings are
pathognomonic for opioid toxicity and require immediate administration of naloxone
(Narcan).
Question 2
A nurse is educating community members about emergency response to opioid
overdose. What is naloxone, and what is its primary function?
A. A sedative that calms the patient during withdrawal
B. Narcan — a medication that rapidly reverses the effects of opioid overdose
C. An antibiotic that treats secondary infections from IV drug use
D. A long-acting opioid that prevents withdrawal symptoms
Correc Answer:
B. Narcan — a medication that rapidly reverses the effects of opioid overdose
Rationale: Naloxone (brand name Narcan) is a competitive opioid antagonist that
displaces opioids from mu-receptors in the brain. It rapidly reverses respiratory
depression and sedation caused by opioid overdose. It has no effect on non-opioid
substances and does not produce euphoria or respiratory depression itself, making it
safe for bystander administration.
Question 3
A bystander has just administered naloxone to a person experiencing an opioid
overdose. Which sequence of actions should the bystander follow next?
A. Place patient in prone position, administer CPR, wait 10 minutes for response
B. Lay patient on back, spray naloxone into nose, place patient on side, monitor for
response within 2–3 minutes, call 911
C. Sit patient upright, give oral naloxone, encourage walking to stimulate circulation
D. Immediately begin chest compressions regardless of breathing status
Correc Answer:
B. Lay patient on back, spray naloxone into nose, place patient on side, monitor for
response within 2–3 minutes, call 911