NSG 440 Exam 3 V3 | NSG 440 Population Health |
Actual Q&A with Rationale (NSG440 Exam 3) |
Grand Canyon University
1. A public health nurse is conducting an environmental health assessment using the ‘I
PREPARE’ mnemonic. Which question should the nurse ask to address the ‘P’ representing
‘Past Work’?
A. What was the longest job you held in the past?
B. What types of hobbies do you engage in regularly?
C. Are you currently exposed to any chemicals at your job?
D. Is there a history of health problems in your family?
Correct Answer: A
Explanation: The ‘P’ in ‘I PREPARE’ stands for Past Work, which involves identifying
previous occupational exposures. Asking about the longest job held helps the nurse identify
potential long-term exposures to toxins or hazards. This mnemonic is essential for
systematically assessing environmental risks in a population health context.
2. A nurse is working in a rural community. Which of the following are recognized barriers to
healthcare access for individuals in rural settings? (Select all that apply.)
A. Distances and lack of public transportation
B. Increased density of health professional specialists
,C. Predictable and consistent weather conditions
D. Inadequate provider insurance coverage
E. Cultural and social isolation
F. Shortage of primary care providers
Correct Answer: A, D, E, F
Explanation: Rural populations face unique challenges including geographic distance from
clinics and a significant lack of public transit. Economic barriers like lack of insurance and a
systemic shortage of healthcare professionals further impede access to care. Social and
cultural isolation also plays a role in how residents seek or avoid medical intervention.
3. Which level of prevention is a public health nurse implementing when educating a group of
migrant farmworkers about the use of personal protective equipment (PPE) to prevent
pesticide exposure?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Educating workers on PPE use before exposure occurs aims to prevent the onset
, of illness related to toxins. This is a proactive approach rather than a reactive one involving
screening or treatment.
4. A community health nurse is reviewing the ‘Healthy People 2030’ objectives. Which
statement best describes the primary goal of this initiative?
A. To provide universal health insurance to all citizens by 2030.
B. To eliminate all infectious diseases within the United States.
C. To decrease the number of nursing students entering the workforce.
D. To achieve health equity, eliminate disparities, and improve the health of all groups.
Correct Answer: D
Explanation: Healthy People 2030 focuses on high-level goals such as health equity and
the elimination of disparities among different populations. It serves as a national roadmap
for improving population health through data-driven objectives. The initiative emphasizes
social determinants of health rather than just clinical outcomes.
5. During a disaster response, a triage nurse uses the START (Simple Triage and Rapid
Treatment) system. A patient is found to be unconscious, has a respiratory rate of 32 breaths
per minute, and a capillary refill of 4 seconds. What color tag should this patient receive?
A. Green
B. Yellow
C. Black
Actual Q&A with Rationale (NSG440 Exam 3) |
Grand Canyon University
1. A public health nurse is conducting an environmental health assessment using the ‘I
PREPARE’ mnemonic. Which question should the nurse ask to address the ‘P’ representing
‘Past Work’?
A. What was the longest job you held in the past?
B. What types of hobbies do you engage in regularly?
C. Are you currently exposed to any chemicals at your job?
D. Is there a history of health problems in your family?
Correct Answer: A
Explanation: The ‘P’ in ‘I PREPARE’ stands for Past Work, which involves identifying
previous occupational exposures. Asking about the longest job held helps the nurse identify
potential long-term exposures to toxins or hazards. This mnemonic is essential for
systematically assessing environmental risks in a population health context.
2. A nurse is working in a rural community. Which of the following are recognized barriers to
healthcare access for individuals in rural settings? (Select all that apply.)
A. Distances and lack of public transportation
B. Increased density of health professional specialists
,C. Predictable and consistent weather conditions
D. Inadequate provider insurance coverage
E. Cultural and social isolation
F. Shortage of primary care providers
Correct Answer: A, D, E, F
Explanation: Rural populations face unique challenges including geographic distance from
clinics and a significant lack of public transit. Economic barriers like lack of insurance and a
systemic shortage of healthcare professionals further impede access to care. Social and
cultural isolation also plays a role in how residents seek or avoid medical intervention.
3. Which level of prevention is a public health nurse implementing when educating a group of
migrant farmworkers about the use of personal protective equipment (PPE) to prevent
pesticide exposure?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Educating workers on PPE use before exposure occurs aims to prevent the onset
, of illness related to toxins. This is a proactive approach rather than a reactive one involving
screening or treatment.
4. A community health nurse is reviewing the ‘Healthy People 2030’ objectives. Which
statement best describes the primary goal of this initiative?
A. To provide universal health insurance to all citizens by 2030.
B. To eliminate all infectious diseases within the United States.
C. To decrease the number of nursing students entering the workforce.
D. To achieve health equity, eliminate disparities, and improve the health of all groups.
Correct Answer: D
Explanation: Healthy People 2030 focuses on high-level goals such as health equity and
the elimination of disparities among different populations. It serves as a national roadmap
for improving population health through data-driven objectives. The initiative emphasizes
social determinants of health rather than just clinical outcomes.
5. During a disaster response, a triage nurse uses the START (Simple Triage and Rapid
Treatment) system. A patient is found to be unconscious, has a respiratory rate of 32 breaths
per minute, and a capillary refill of 4 seconds. What color tag should this patient receive?
A. Green
B. Yellow
C. Black
