NCLEX -COMMUNITY HEALTH QUESTIONS &
ANSWERS
The three levels of the Intervention Wheel are:
A) Communities, systems, and individuals/families.
B) Interventions, color wedges, and levels of practice.
C) Population base, levels of practice, and public health interventions.
D) Populations at risk, populations of interest, and levels of practice. - Answers -A
Public health nursing practice is guided by the community's priorities as identified by
community:
A) Assessment.
B) Diagnosis.
C) Interventions.
D) Planning. - Answers -A
Collaboration is an intervention that would be located where in the Intervention Wheel?
A) Red wedge at the individual/family level of practice.
B) Blue wedge at the community level of practice.
C) Orange wedge at the community level of practice.
D) Green wedge at the systems level of practice. - Answers -C
The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors,
and practices of the population of interest is referred to as:
A) Advocacy.
B) Coalition building.
C) Consultation.
D) Social marketing. - Answers -D
Promotion of the creation of immunization registries that combine immunization
information from different sources into a single electronic record to provide official
immunization records for schools, daycare centers, health departments, and clinics is a
goal of:
A) Community-level practice.
B) Family-level practice.
C) Individual-level practice.
D) Systems-level practice. - Answers -D
An occupational health nurse practitioner's physical assessment of a factory worker
identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and
forearms. The nurse's priorities should be to:
A) Contact factory senior management, educate workers about their exposure, and
clean the area.
,B) Contact the Occupational Safety and Health Administration immediately and remove
the offending chemical in the work environment.
C) Immediately evacuate the worker's nearby workspace and treat the worker and other
exposed workers.
D) Treat the client and obtain a comprehensive exposure history; if an onsite
environmental exposure is suspected as the cause, screen other at-risk workers and
ensure that the environmental risk is identified and eliminated. - Answers -D
A college health nurse is working with students, faculty, and staff to improve
environmental air quality. To address the primary cause of air pollution on campus, the
nurse plans a precautionary intervention. Which of the following interventions best
demonstrates an appropriate approach?
A) Encourage the use of electric cars and scooters on campus.
B) Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the
primary mode of transportation on campus.
C) Make the entire campus a no-smoking zone.
D) Establish a policy to reduce electricity consumption in university buildings by raising
the thermostat to 78 degrees in the summer and lowering the thermostat to 70 degrees
in the winter. - Answers -B
Campaigns to decrease the inequitable burden of environmental risks on the poor and
people of color in the United States strive to apply the ethical principle of:
A) Societal justice.
B) Nonmaleficence.
C) Compliance and enforcement of the Environmental Protection Agency Regulatory
Act.
D) Environmental justice. - Answers -D
A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
A) Community strengths and weaknesses.
B) Environment and human health/disease.
C) Toxicology studies conducted by the Environmental Protection Agency and the
environment.
D) Federal and state environmental regulations. - Answers -B
The Superfund Amendments and Reauthorization Act (SARA) increased the
involvement of the states and their citizens in the cleanup of toxic waste sites and
stressed the importance of permanent remedies and innovative treatment technologies.
Another important aspect of this federal legislation was that it:
A) Provided for the appointment of state emergency response commissions.
B) Increased focus on the human health problems related to hazardous waste sites.
C) Established a new safety standard of reasonable certainty of no harm that is to be
applied to all pesticides used on food.
, D) Reduced the amount of pollution by mandating cost-effective changes in production,
operation, and raw materials use. - Answers -B
The monitoring and public reporting of air quality in a local community to assist
individuals with asthma or other respiratory conditions best illustrates the application of:
A) Compliance and enforcement.
B) Environmental epidemiology.
C) Secondary prevention.
D) Toxicology. - Answers -B
When applying the nursing process to environmental health, the nurse would:
A) Conduct an assessment focused on the client's presenting problem.
B) Coordinate interventions with the primary care provider of record.
C) Examine criteria that are limited to the client's immediate responses.
D) Include outcome measures that involve mitigation and elimination of the contributing
factors. - Answers -D
When a nurse evaluates the completeness and accuracy of information made available
to community residents regarding the impact of rezoning of land parcels for industrial
use, the nurse can best be described as:
A) Advocating for ethical choices.
B) Communicating risk.
C) Controlling environmental damage.
D) Volunteering for service on state boards. - Answers -A
The role of the nurse who wants to become more active in environmental health could
include which of the following (select all that apply)?
A) Assessing farmworkers for pesticide exposure and providing pesticide risk education.
B) Conducting epidemiologic investigations as a public health nurse.
C) Developing corporate policy to protect workers from unsafe levels of toxic agents.
D) Organizing the local community to encourage landlords to remove lead-based paint.
E) Working as a skilled risk communicator for a local chemical manufacturer. - Answers
-A,B,C,D,E
When confirmed cases of the mumps, a vaccine-preventable disease, emerged on
college campuses in fall 2006, public health nurses conducted outreach at campuses
and collaborated with student health officials to increase the number of students with full
immunization compliance. This is an example of:
A) Community-level practice.
B) Family-level practice.
C) Individual-level practice.
D) Systems-level practice. - Answers -A
A nursing diagnosis of Increased risk for delayed development, injury, and disease
because of inadequate parenting by a primary parent experiencing depression would
ANSWERS
The three levels of the Intervention Wheel are:
A) Communities, systems, and individuals/families.
B) Interventions, color wedges, and levels of practice.
C) Population base, levels of practice, and public health interventions.
D) Populations at risk, populations of interest, and levels of practice. - Answers -A
Public health nursing practice is guided by the community's priorities as identified by
community:
A) Assessment.
B) Diagnosis.
C) Interventions.
D) Planning. - Answers -A
Collaboration is an intervention that would be located where in the Intervention Wheel?
A) Red wedge at the individual/family level of practice.
B) Blue wedge at the community level of practice.
C) Orange wedge at the community level of practice.
D) Green wedge at the systems level of practice. - Answers -C
The intervention used to influence the knowledge, attitudes, values, beliefs, behaviors,
and practices of the population of interest is referred to as:
A) Advocacy.
B) Coalition building.
C) Consultation.
D) Social marketing. - Answers -D
Promotion of the creation of immunization registries that combine immunization
information from different sources into a single electronic record to provide official
immunization records for schools, daycare centers, health departments, and clinics is a
goal of:
A) Community-level practice.
B) Family-level practice.
C) Individual-level practice.
D) Systems-level practice. - Answers -D
An occupational health nurse practitioner's physical assessment of a factory worker
identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and
forearms. The nurse's priorities should be to:
A) Contact factory senior management, educate workers about their exposure, and
clean the area.
,B) Contact the Occupational Safety and Health Administration immediately and remove
the offending chemical in the work environment.
C) Immediately evacuate the worker's nearby workspace and treat the worker and other
exposed workers.
D) Treat the client and obtain a comprehensive exposure history; if an onsite
environmental exposure is suspected as the cause, screen other at-risk workers and
ensure that the environmental risk is identified and eliminated. - Answers -D
A college health nurse is working with students, faculty, and staff to improve
environmental air quality. To address the primary cause of air pollution on campus, the
nurse plans a precautionary intervention. Which of the following interventions best
demonstrates an appropriate approach?
A) Encourage the use of electric cars and scooters on campus.
B) Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the
primary mode of transportation on campus.
C) Make the entire campus a no-smoking zone.
D) Establish a policy to reduce electricity consumption in university buildings by raising
the thermostat to 78 degrees in the summer and lowering the thermostat to 70 degrees
in the winter. - Answers -B
Campaigns to decrease the inequitable burden of environmental risks on the poor and
people of color in the United States strive to apply the ethical principle of:
A) Societal justice.
B) Nonmaleficence.
C) Compliance and enforcement of the Environmental Protection Agency Regulatory
Act.
D) Environmental justice. - Answers -D
A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
A) Community strengths and weaknesses.
B) Environment and human health/disease.
C) Toxicology studies conducted by the Environmental Protection Agency and the
environment.
D) Federal and state environmental regulations. - Answers -B
The Superfund Amendments and Reauthorization Act (SARA) increased the
involvement of the states and their citizens in the cleanup of toxic waste sites and
stressed the importance of permanent remedies and innovative treatment technologies.
Another important aspect of this federal legislation was that it:
A) Provided for the appointment of state emergency response commissions.
B) Increased focus on the human health problems related to hazardous waste sites.
C) Established a new safety standard of reasonable certainty of no harm that is to be
applied to all pesticides used on food.
, D) Reduced the amount of pollution by mandating cost-effective changes in production,
operation, and raw materials use. - Answers -B
The monitoring and public reporting of air quality in a local community to assist
individuals with asthma or other respiratory conditions best illustrates the application of:
A) Compliance and enforcement.
B) Environmental epidemiology.
C) Secondary prevention.
D) Toxicology. - Answers -B
When applying the nursing process to environmental health, the nurse would:
A) Conduct an assessment focused on the client's presenting problem.
B) Coordinate interventions with the primary care provider of record.
C) Examine criteria that are limited to the client's immediate responses.
D) Include outcome measures that involve mitigation and elimination of the contributing
factors. - Answers -D
When a nurse evaluates the completeness and accuracy of information made available
to community residents regarding the impact of rezoning of land parcels for industrial
use, the nurse can best be described as:
A) Advocating for ethical choices.
B) Communicating risk.
C) Controlling environmental damage.
D) Volunteering for service on state boards. - Answers -A
The role of the nurse who wants to become more active in environmental health could
include which of the following (select all that apply)?
A) Assessing farmworkers for pesticide exposure and providing pesticide risk education.
B) Conducting epidemiologic investigations as a public health nurse.
C) Developing corporate policy to protect workers from unsafe levels of toxic agents.
D) Organizing the local community to encourage landlords to remove lead-based paint.
E) Working as a skilled risk communicator for a local chemical manufacturer. - Answers
-A,B,C,D,E
When confirmed cases of the mumps, a vaccine-preventable disease, emerged on
college campuses in fall 2006, public health nurses conducted outreach at campuses
and collaborated with student health officials to increase the number of students with full
immunization compliance. This is an example of:
A) Community-level practice.
B) Family-level practice.
C) Individual-level practice.
D) Systems-level practice. - Answers -A
A nursing diagnosis of Increased risk for delayed development, injury, and disease
because of inadequate parenting by a primary parent experiencing depression would
