NSG 3480 Exam 4 V2 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides the most information about the community’s potential health risks
related to the environment?
A. The presence of recreational parks and green spaces.
B. The availability of public transportation routes.
C. The number of grocery stores within a five-mile radius.
D. The proximity of residential housing to heavy industrial plants.
Correct Answer: D
Explanation: Proximity to industrial plants identifies potential exposure to environmental
toxins such as air pollution or chemical runoff. This observation is critical for assessing
environmental health hazards in a specific geographic area. Identifying these risks is the
first step in creating a community-wide mitigation plan.
2. Using the START triage system during a mass casualty incident, how should a nurse
categorize a victim who is unable to follow simple commands and has a respiratory rate of 35
breaths per minute?
A. Green (Minor)
B. Yellow (Delayed)
,C. Black (Deceased)
D. Red (Immediate)
Correct Answer: D
Explanation: A respiratory rate over 30 per minute and an inability to follow commands
indicate a Red (Immediate) tag. These individuals require immediate medical attention to
survive their injuries. The START system uses respirations, perfusion, and mental status
(RPM) to quickly prioritize care.
3. A nurse is teaching a community group about primary prevention for communicable
diseases. Which intervention should the nurse include?
A. Providing TB skin testing for high-risk populations.
B. Administering influenza vaccinations to elderly residents.
C. Monitoring antibiotic compliance in patients with pneumonia.
D. Conducting partner notification for individuals with STIs.
Correct Answer: B
Explanation: Immunization is a classic example of primary prevention because it prevents
the disease from occurring in the first place. Secondary prevention involves screening, such
as TB testing, while tertiary prevention focuses on rehabilitation and management. Primary
prevention aims to reduce the incidence of disease by enhancing host resistance.
, 4. During a disaster response, which action by the nurse demonstrates the recovery phase of
the disaster management cycle?
A. Assisting with long-term mental health counseling for survivors.
B. Participating in a mock disaster drill at a local hospital.
C. Performing initial triage at the site of a structural collapse.
D. Identifying vulnerable populations before a predicted hurricane.
Correct Answer: A
Explanation: The recovery phase focuses on restoring the community to its normal state
and addressing long-term needs, including psychological trauma. Mitigation and
preparedness happen before the disaster, while response occurs during the event.
Recovery often involves rebuilding infrastructure and providing ongoing support services.
5. A nurse is assessing a child for potential lead poisoning. Which of the following
environmental factors is the most common source of lead exposure in children?
A. Contaminated soil in public playgrounds.
B. Improperly glazed ceramic dishes used for cooking.
C. Lead-based paint in homes built before 1978.
D. Leaching from old copper water pipes.
Correct Answer: C
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides the most information about the community’s potential health risks
related to the environment?
A. The presence of recreational parks and green spaces.
B. The availability of public transportation routes.
C. The number of grocery stores within a five-mile radius.
D. The proximity of residential housing to heavy industrial plants.
Correct Answer: D
Explanation: Proximity to industrial plants identifies potential exposure to environmental
toxins such as air pollution or chemical runoff. This observation is critical for assessing
environmental health hazards in a specific geographic area. Identifying these risks is the
first step in creating a community-wide mitigation plan.
2. Using the START triage system during a mass casualty incident, how should a nurse
categorize a victim who is unable to follow simple commands and has a respiratory rate of 35
breaths per minute?
A. Green (Minor)
B. Yellow (Delayed)
,C. Black (Deceased)
D. Red (Immediate)
Correct Answer: D
Explanation: A respiratory rate over 30 per minute and an inability to follow commands
indicate a Red (Immediate) tag. These individuals require immediate medical attention to
survive their injuries. The START system uses respirations, perfusion, and mental status
(RPM) to quickly prioritize care.
3. A nurse is teaching a community group about primary prevention for communicable
diseases. Which intervention should the nurse include?
A. Providing TB skin testing for high-risk populations.
B. Administering influenza vaccinations to elderly residents.
C. Monitoring antibiotic compliance in patients with pneumonia.
D. Conducting partner notification for individuals with STIs.
Correct Answer: B
Explanation: Immunization is a classic example of primary prevention because it prevents
the disease from occurring in the first place. Secondary prevention involves screening, such
as TB testing, while tertiary prevention focuses on rehabilitation and management. Primary
prevention aims to reduce the incidence of disease by enhancing host resistance.
, 4. During a disaster response, which action by the nurse demonstrates the recovery phase of
the disaster management cycle?
A. Assisting with long-term mental health counseling for survivors.
B. Participating in a mock disaster drill at a local hospital.
C. Performing initial triage at the site of a structural collapse.
D. Identifying vulnerable populations before a predicted hurricane.
Correct Answer: A
Explanation: The recovery phase focuses on restoring the community to its normal state
and addressing long-term needs, including psychological trauma. Mitigation and
preparedness happen before the disaster, while response occurs during the event.
Recovery often involves rebuilding infrastructure and providing ongoing support services.
5. A nurse is assessing a child for potential lead poisoning. Which of the following
environmental factors is the most common source of lead exposure in children?
A. Contaminated soil in public playgrounds.
B. Improperly glazed ceramic dishes used for cooking.
C. Lead-based paint in homes built before 1978.
D. Leaching from old copper water pipes.
Correct Answer: C
