NUR 206/NUR206 Exam 3 V3 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. During the response phase of a disaster, a nurse uses the START triage system. Which client
should be assigned a RED tag?
A. A client with a minor laceration who is walking around.
B. A client who is not breathing after airway repositioning.
C. A client with a respiratory rate of 35 breaths per minute.
D. A client with a broken arm and a pulse rate of 90.
Correct Answer: C
Expert Explanation: In the START triage system, a respiratory rate greater than 30
breaths per minute indicates an immediate need for care, warranting a red tag. This system
is designed to quickly identify victims who require life-saving interventions within
minutes. Immediate attention to respiratory distress is a priority to improve survival
outcomes in a mass casualty event.
2. An occupational health nurse is conducting a walk-through of a manufacturing plant.
Which action represents primary prevention?
A. Performing annual audiometric screenings for workers.
B. Providing hearing protection to all employees in noisy areas.
,C. Managing a workers’ compensation claim for hearing loss.
D. Referring an employee to an audiologist for hearing aids.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the occurrence of disease
or injury by eliminating or reducing risk factors. Providing personal protective equipment
(PPE) like earplugs ensures that the injury never happens in the first place. This differs
from secondary prevention, which involves screening, and tertiary prevention, which
involves rehabilitation.
3. A community health nurse is using the I-PREPARE mnemonic to assess environmental
exposure. What does the first ‘P’ stand for?
A. Present work
B. Past medical history
C. Potential hazards
D. Pollutant sources
Correct Answer: A
Expert Explanation: The first ‘P’ in I-PREPARE stands for Present Work, which involves
asking about current employment and potential workplace exposures. Understanding the
client’s daily environment is crucial for identifying toxins like chemicals or heavy metals.
This assessment tool helps nurses systematically evaluate environmental health risks
during a routine visit.
, 4. A school nurse is managing a student with a new diagnosis of Type 1 Diabetes. Which level
of prevention is the nurse practicing when assisting the student with insulin administration?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Tertiary prevention involves the management of an existing chronic
condition to prevent complications and maximize quality of life. By helping the student
manage insulin, the nurse is preventing acute episodes of hypo- or hyperglycemia. This role
is a vital component of school nursing to ensure students remain stable and ready to learn.
5. Which organization is responsible for conducting research and making recommendations
for the prevention of work-related injury and illness?
A. National Institute for Occupational Safety and Health (NIOSH)
B. Occupational Safety and Health Administration (OSHA)
C. World Health Organization (WHO)
D. Centers for Disease Control and Prevention (CDC)
Correct Answer: A
Nursing Concepts Q&A with Rationale |
Fortis College
1. During the response phase of a disaster, a nurse uses the START triage system. Which client
should be assigned a RED tag?
A. A client with a minor laceration who is walking around.
B. A client who is not breathing after airway repositioning.
C. A client with a respiratory rate of 35 breaths per minute.
D. A client with a broken arm and a pulse rate of 90.
Correct Answer: C
Expert Explanation: In the START triage system, a respiratory rate greater than 30
breaths per minute indicates an immediate need for care, warranting a red tag. This system
is designed to quickly identify victims who require life-saving interventions within
minutes. Immediate attention to respiratory distress is a priority to improve survival
outcomes in a mass casualty event.
2. An occupational health nurse is conducting a walk-through of a manufacturing plant.
Which action represents primary prevention?
A. Performing annual audiometric screenings for workers.
B. Providing hearing protection to all employees in noisy areas.
,C. Managing a workers’ compensation claim for hearing loss.
D. Referring an employee to an audiologist for hearing aids.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the occurrence of disease
or injury by eliminating or reducing risk factors. Providing personal protective equipment
(PPE) like earplugs ensures that the injury never happens in the first place. This differs
from secondary prevention, which involves screening, and tertiary prevention, which
involves rehabilitation.
3. A community health nurse is using the I-PREPARE mnemonic to assess environmental
exposure. What does the first ‘P’ stand for?
A. Present work
B. Past medical history
C. Potential hazards
D. Pollutant sources
Correct Answer: A
Expert Explanation: The first ‘P’ in I-PREPARE stands for Present Work, which involves
asking about current employment and potential workplace exposures. Understanding the
client’s daily environment is crucial for identifying toxins like chemicals or heavy metals.
This assessment tool helps nurses systematically evaluate environmental health risks
during a routine visit.
, 4. A school nurse is managing a student with a new diagnosis of Type 1 Diabetes. Which level
of prevention is the nurse practicing when assisting the student with insulin administration?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Tertiary prevention involves the management of an existing chronic
condition to prevent complications and maximize quality of life. By helping the student
manage insulin, the nurse is preventing acute episodes of hypo- or hyperglycemia. This role
is a vital component of school nursing to ensure students remain stable and ready to learn.
5. Which organization is responsible for conducting research and making recommendations
for the prevention of work-related injury and illness?
A. National Institute for Occupational Safety and Health (NIOSH)
B. Occupational Safety and Health Administration (OSHA)
C. World Health Organization (WHO)
D. Centers for Disease Control and Prevention (CDC)
Correct Answer: A
