NUR 206/NUR206 Exam 4 V1 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a screening for hypertension at a local senior
center. This activity represents which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and prompt
intervention to limit the severity of a disease. Screening programs, such as blood pressure
checks, are classic examples of identifying asymptomatic individuals who may have a
condition. This differs from primary prevention, which focuses on health promotion and
disease prevention before it occurs.
2. Which component of the epidemiological triangle refers to the living or nonliving reservoir
that can harbor an infectious agent?
A. Host
B. Agent
,C. Environment
D. Vector
Correct Answer: C
Expert Explanation: The environment in the epidemiological triangle includes all external
factors that influence the interaction between the host and the agent. This includes
physical, social, and economic factors that allow for disease transmission or provide a
habitat for the agent. Understanding the environment is crucial for community nurses to
implement effective control measures.
3. In the event of a mass casualty disaster, which triage color tag would a nurse assign to a
client with a sucking chest wound and significant respiratory distress?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Expectant)
D. Red (Immediate)
Correct Answer: D
Expert Explanation: The red tag is used for individuals with life-threatening injuries who
have a high probability of survival if treated immediately. A sucking chest wound causes
respiratory compromise that requires rapid intervention to prevent death. This
prioritization ensures that limited resources are directed toward those with the most
urgent but salvageable conditions.
, 4. A nurse is performing a windshield survey of a community. Which of the following
observations provides information about the community’s economic status?
A. The presence of spiritual and religious centers
B. The location of the local health department
C. The types of housing and the condition of yards
D. The availability of public transportation and bus stops
Correct Answer: C
Expert Explanation: Housing conditions and yard maintenance are direct indicators of the
socioeconomic status and financial resources within a neighborhood. Observations of well-
kept versus dilapidated housing can suggest the level of income and investment in the area.
This assessment helps the nurse identify potential health disparities related to poverty or
environmental hazards.
5. Which of the following is an example of tertiary prevention for a client with diabetes
mellitus?
A. Providing a foot care clinic to prevent ulceration
B. Teaching healthy eating habits to schoolchildren
C. Performing routine hemoglobin A1c screenings
D. Distributing pamphlets about the signs of hypoglycemia
Correct Answer: A
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a screening for hypertension at a local senior
center. This activity represents which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and prompt
intervention to limit the severity of a disease. Screening programs, such as blood pressure
checks, are classic examples of identifying asymptomatic individuals who may have a
condition. This differs from primary prevention, which focuses on health promotion and
disease prevention before it occurs.
2. Which component of the epidemiological triangle refers to the living or nonliving reservoir
that can harbor an infectious agent?
A. Host
B. Agent
,C. Environment
D. Vector
Correct Answer: C
Expert Explanation: The environment in the epidemiological triangle includes all external
factors that influence the interaction between the host and the agent. This includes
physical, social, and economic factors that allow for disease transmission or provide a
habitat for the agent. Understanding the environment is crucial for community nurses to
implement effective control measures.
3. In the event of a mass casualty disaster, which triage color tag would a nurse assign to a
client with a sucking chest wound and significant respiratory distress?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Expectant)
D. Red (Immediate)
Correct Answer: D
Expert Explanation: The red tag is used for individuals with life-threatening injuries who
have a high probability of survival if treated immediately. A sucking chest wound causes
respiratory compromise that requires rapid intervention to prevent death. This
prioritization ensures that limited resources are directed toward those with the most
urgent but salvageable conditions.
, 4. A nurse is performing a windshield survey of a community. Which of the following
observations provides information about the community’s economic status?
A. The presence of spiritual and religious centers
B. The location of the local health department
C. The types of housing and the condition of yards
D. The availability of public transportation and bus stops
Correct Answer: C
Expert Explanation: Housing conditions and yard maintenance are direct indicators of the
socioeconomic status and financial resources within a neighborhood. Observations of well-
kept versus dilapidated housing can suggest the level of income and investment in the area.
This assessment helps the nurse identify potential health disparities related to poverty or
environmental hazards.
5. Which of the following is an example of tertiary prevention for a client with diabetes
mellitus?
A. Providing a foot care clinic to prevent ulceration
B. Teaching healthy eating habits to schoolchildren
C. Performing routine hemoglobin A1c screenings
D. Distributing pamphlets about the signs of hypoglycemia
Correct Answer: A
