NUR 206/NUR206 Exam 3 V1 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is planning an educational session about nutrition for a group of
local elementary school students. Which level of prevention does this represent?
A. Quaternary
B. Secondary
C. Tertiary
D. Primary
Correct Answer: D
Expert Explanation: Primary prevention focuses on health promotion and the prevention
of disease or injury before it occurs. Educating children about nutrition aims to establish
healthy habits that prevent future chronic illnesses like obesity or diabetes. This proactive
approach is essential for reducing the long-term incidence of health issues within the
community.
2. A nurse is investigating an outbreak of foodborne illness at a local community center.
According to the epidemiological triangle, which factor represents the virus or bacteria
causing the illness?
A. Agent
,B. Environment
C. Host
D. Vector
Correct Answer: A
Expert Explanation: The agent is the animate or inanimate factor that must be present for
a disease to develop. In cases of foodborne illness, the specific pathogen such as Salmonella
or E. coli serves as the agent. Identifying the agent is a critical step in epidemiology to
implement effective control and prevention measures.
3. A nurse is working with a migrant farmworker community. What is a primary barrier to
healthcare access commonly faced by this population?
A. Excessive health insurance coverage
B. High levels of health literacy
C. Frequent movement to follow work
D. Preference for urban living
Correct Answer: C
Expert Explanation: Migrant workers often relocate frequently to follow agricultural
seasons, which creates significant challenges for continuity of care. This transient lifestyle
makes it difficult to establish a permanent medical home or complete long-term treatment
,plans. Additionally, these workers often face language barriers and lack of transportation
to rural clinics.
4. Which action should a home health nurse take first during the initial home visit with a new
client?
A. Administer prescribed medications
B. Introduce themselves and establish a rapport
C. Perform a thorough home safety assessment
D. Document the physical assessment findings
Correct Answer: B
Expert Explanation: Establishing a professional relationship and rapport is the
foundational first step in the home health nursing process. Building trust is necessary for
effective communication and ensuring the client is comfortable with the nurse entering
their private space. Once rapport is established, the nurse can more effectively proceed
with assessments and interventions.
5. During a mass casualty incident, a nurse uses the START triage system. Which color tag
should be assigned to a victim with a minor fracture who is able to walk?
A. Green
B. Yellow
C. Red
, D. Black
Correct Answer: A
Expert Explanation: The green tag is reserved for the ‘walking wounded,’ which includes
individuals with minor injuries who are hemodynamically stable. These patients are
prioritized last because their conditions are not life-threatening and can wait for treatment.
This triage strategy ensures that medical resources are first directed to those with the
highest chance of survival who need immediate care.
6. In the ‘I PREPARE’ mnemonic for assessing environmental health risks, what does the first
‘P’ represent?
A. Potential hazards
B. Past work
C. Pollution
D. Present work
Correct Answer: D
Expert Explanation: The ‘I PREPARE’ tool is used to systematically identify environmental
exposures in clinical practice. The first ‘P’ stands for ‘Present Work,’ prompting the nurse to
ask about current job duties and potential exposures at the workplace. This assessment is
vital for determining if a client’s health issues are linked to their current occupational
environment.
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is planning an educational session about nutrition for a group of
local elementary school students. Which level of prevention does this represent?
A. Quaternary
B. Secondary
C. Tertiary
D. Primary
Correct Answer: D
Expert Explanation: Primary prevention focuses on health promotion and the prevention
of disease or injury before it occurs. Educating children about nutrition aims to establish
healthy habits that prevent future chronic illnesses like obesity or diabetes. This proactive
approach is essential for reducing the long-term incidence of health issues within the
community.
2. A nurse is investigating an outbreak of foodborne illness at a local community center.
According to the epidemiological triangle, which factor represents the virus or bacteria
causing the illness?
A. Agent
,B. Environment
C. Host
D. Vector
Correct Answer: A
Expert Explanation: The agent is the animate or inanimate factor that must be present for
a disease to develop. In cases of foodborne illness, the specific pathogen such as Salmonella
or E. coli serves as the agent. Identifying the agent is a critical step in epidemiology to
implement effective control and prevention measures.
3. A nurse is working with a migrant farmworker community. What is a primary barrier to
healthcare access commonly faced by this population?
A. Excessive health insurance coverage
B. High levels of health literacy
C. Frequent movement to follow work
D. Preference for urban living
Correct Answer: C
Expert Explanation: Migrant workers often relocate frequently to follow agricultural
seasons, which creates significant challenges for continuity of care. This transient lifestyle
makes it difficult to establish a permanent medical home or complete long-term treatment
,plans. Additionally, these workers often face language barriers and lack of transportation
to rural clinics.
4. Which action should a home health nurse take first during the initial home visit with a new
client?
A. Administer prescribed medications
B. Introduce themselves and establish a rapport
C. Perform a thorough home safety assessment
D. Document the physical assessment findings
Correct Answer: B
Expert Explanation: Establishing a professional relationship and rapport is the
foundational first step in the home health nursing process. Building trust is necessary for
effective communication and ensuring the client is comfortable with the nurse entering
their private space. Once rapport is established, the nurse can more effectively proceed
with assessments and interventions.
5. During a mass casualty incident, a nurse uses the START triage system. Which color tag
should be assigned to a victim with a minor fracture who is able to walk?
A. Green
B. Yellow
C. Red
, D. Black
Correct Answer: A
Expert Explanation: The green tag is reserved for the ‘walking wounded,’ which includes
individuals with minor injuries who are hemodynamically stable. These patients are
prioritized last because their conditions are not life-threatening and can wait for treatment.
This triage strategy ensures that medical resources are first directed to those with the
highest chance of survival who need immediate care.
6. In the ‘I PREPARE’ mnemonic for assessing environmental health risks, what does the first
‘P’ represent?
A. Potential hazards
B. Past work
C. Pollution
D. Present work
Correct Answer: D
Expert Explanation: The ‘I PREPARE’ tool is used to systematically identify environmental
exposures in clinical practice. The first ‘P’ stands for ‘Present Work,’ prompting the nurse to
ask about current job duties and potential exposures at the workplace. This assessment is
vital for determining if a client’s health issues are linked to their current occupational
environment.
