Sentinel U Nursing Simulations Exam 3 - Questions with
Correct Answers (Verified Update)
50 questions
1. During a community simulation, a nurse sees a large homeless encampment near a river, no
public restrooms and several people coughing. The most urgent community health concern to
investigate is:
A. Communicable disease risk (e.g., tuberculosis, hepatitis A) related to crowding and poor
sanitation
B. Lack of art galleries
C. Traffic congestion
D. Low voter turnout
Correct Answer: A. Communicable disease risk (e.g., tuberculosis, hepatitis A) related to
crowding and poor sanitation
Rationale: Crowding and poor sanitation increase infectious disease spread.
2. Using the same scenario, the best first intervention would be:
A. Clearing the encampment without services
B. Waiting for residents to visit a distant clinic
C. Outreach with screening, hygiene resources and referral to services
D. Distributing English-only flyers
Correct Answer: C. Outreach with screening, hygiene resources and referral to services
Rationale: Outreach brings services to the population.
3. A community has a high school dropout rate, few jobs and high rates of teen pregnancy.
Which SDOH domains are most involved?
A. Health care quality only
B. Education access and quality and economic stability
C. Built environment only
D. None
Correct Answer: B. Education access and quality and economic stability
Rationale: Education and income strongly influence health outcomes.
4. A nurse calculates that a district of 6,000 residents has 90 children with elevated blood lead
levels. The prevalence is:
A. 15%
B. 0.15%
C. 1.5%
D. 9%
Correct Answer: C. 1.5%
Rationale: ,000 = 0.015.
5. Community A (8,000 people) had 24 opioid overdoses; Community B (40,000) had 80. Which
has the higher rate?
A. Community B
B. They are equal
C. It cannot be determined
D. Community A (3 per 1,000 vs. 2 per 1,000)
Correct Answer: D. Community A (3 per 1,000 vs. 2 per 1,000)
Rationale: 24/8,000 = 3 per 1,000; 80/40,000 = 2 per 1,000.
, 6. A town plans a sidewalk and lighting project to encourage walking. To evaluate its outcome,
the nurse should measure:
A. Changes in physical activity levels and related health indicators over time
B. The number of meetings held
C. The cost of concrete only
D. Attendance at the ribbon cutting
Correct Answer: A. Changes in physical activity levels and related health indicators over time
Rationale: Outcome evaluation looks at health-related change.
7. Which is the best SMART objective for a rural hypertension program?
A. Lower blood pressure in the county
B. Increase awareness of hypertension
C. Help people eat less salt
D. By December 2027, 70% of enrolled adults will have BP below 140/90 at 6-month follow-up
Correct Answer: D. By December 2027, 70% of enrolled adults will have BP below 140/90 at
6-month follow-up
Rationale: It specifies who, what, how much and by when.
8. A rural county lacks a pharmacy, and older adults miss medication refills. The most practical
intervention is:
A. Telling residents to drive 90 miles weekly
B. Doing nothing
C. Building a hospital
D. Mail-order pharmacy enrollment with telehealth medication reviews
Correct Answer: D. Mail-order pharmacy enrollment with telehealth medication reviews
Rationale: Bringing services to residents addresses distance barriers.
9. During a home visit, a 78-year-old with heart failure has ankle swelling, a 2 kg weight gain
since last week and shortness of breath lying flat. The nurse should first:
A. Encourage more fluids
B. Tell the patient to lie flat
C. Schedule a visit next month
D. Recognize signs of fluid overload, assess further and contact the provider
Correct Answer: D. Recognize signs of fluid overload, assess further and contact the provider
Rationale: These cues suggest worsening heart failure.
10. During the same visit, the nurse finds the patient's medications in unlabeled containers. The
best intervention is:
A. Throw away the medications
B. Leave them as they are
C. Tell the patient to guess
D. Reconcile medications, set up a labeled pill organizer and arrange pharmacy support
Correct Answer: D. Reconcile medications, set up a labeled pill organizer and arrange
pharmacy support
Rationale: Medication safety is a priority in home care.
Correct Answers (Verified Update)
50 questions
1. During a community simulation, a nurse sees a large homeless encampment near a river, no
public restrooms and several people coughing. The most urgent community health concern to
investigate is:
A. Communicable disease risk (e.g., tuberculosis, hepatitis A) related to crowding and poor
sanitation
B. Lack of art galleries
C. Traffic congestion
D. Low voter turnout
Correct Answer: A. Communicable disease risk (e.g., tuberculosis, hepatitis A) related to
crowding and poor sanitation
Rationale: Crowding and poor sanitation increase infectious disease spread.
2. Using the same scenario, the best first intervention would be:
A. Clearing the encampment without services
B. Waiting for residents to visit a distant clinic
C. Outreach with screening, hygiene resources and referral to services
D. Distributing English-only flyers
Correct Answer: C. Outreach with screening, hygiene resources and referral to services
Rationale: Outreach brings services to the population.
3. A community has a high school dropout rate, few jobs and high rates of teen pregnancy.
Which SDOH domains are most involved?
A. Health care quality only
B. Education access and quality and economic stability
C. Built environment only
D. None
Correct Answer: B. Education access and quality and economic stability
Rationale: Education and income strongly influence health outcomes.
4. A nurse calculates that a district of 6,000 residents has 90 children with elevated blood lead
levels. The prevalence is:
A. 15%
B. 0.15%
C. 1.5%
D. 9%
Correct Answer: C. 1.5%
Rationale: ,000 = 0.015.
5. Community A (8,000 people) had 24 opioid overdoses; Community B (40,000) had 80. Which
has the higher rate?
A. Community B
B. They are equal
C. It cannot be determined
D. Community A (3 per 1,000 vs. 2 per 1,000)
Correct Answer: D. Community A (3 per 1,000 vs. 2 per 1,000)
Rationale: 24/8,000 = 3 per 1,000; 80/40,000 = 2 per 1,000.
, 6. A town plans a sidewalk and lighting project to encourage walking. To evaluate its outcome,
the nurse should measure:
A. Changes in physical activity levels and related health indicators over time
B. The number of meetings held
C. The cost of concrete only
D. Attendance at the ribbon cutting
Correct Answer: A. Changes in physical activity levels and related health indicators over time
Rationale: Outcome evaluation looks at health-related change.
7. Which is the best SMART objective for a rural hypertension program?
A. Lower blood pressure in the county
B. Increase awareness of hypertension
C. Help people eat less salt
D. By December 2027, 70% of enrolled adults will have BP below 140/90 at 6-month follow-up
Correct Answer: D. By December 2027, 70% of enrolled adults will have BP below 140/90 at
6-month follow-up
Rationale: It specifies who, what, how much and by when.
8. A rural county lacks a pharmacy, and older adults miss medication refills. The most practical
intervention is:
A. Telling residents to drive 90 miles weekly
B. Doing nothing
C. Building a hospital
D. Mail-order pharmacy enrollment with telehealth medication reviews
Correct Answer: D. Mail-order pharmacy enrollment with telehealth medication reviews
Rationale: Bringing services to residents addresses distance barriers.
9. During a home visit, a 78-year-old with heart failure has ankle swelling, a 2 kg weight gain
since last week and shortness of breath lying flat. The nurse should first:
A. Encourage more fluids
B. Tell the patient to lie flat
C. Schedule a visit next month
D. Recognize signs of fluid overload, assess further and contact the provider
Correct Answer: D. Recognize signs of fluid overload, assess further and contact the provider
Rationale: These cues suggest worsening heart failure.
10. During the same visit, the nurse finds the patient's medications in unlabeled containers. The
best intervention is:
A. Throw away the medications
B. Leave them as they are
C. Tell the patient to guess
D. Reconcile medications, set up a labeled pill organizer and arrange pharmacy support
Correct Answer: D. Reconcile medications, set up a labeled pill organizer and arrange
pharmacy support
Rationale: Medication safety is a priority in home care.
