NR442/NR 442 Exam 1 V1 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include?
A. Providing influenza immunizations for the upcoming season.
B. Performing blood pressure screenings at a local senior center.
C. Teaching a client how to manage their insulin for Type 2 diabetes.
D. Conducting a support group for individuals who have lost a spouse.
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a hallmark of primary prevention as they stimulate
the immune system before exposure to a pathogen occurs. This level of care aims to
promote health and protect against specific threats in the community.
2. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
data should the nurse identify as a component of this assessment?
A. Interviews with community leaders regarding health concerns.
B. Observation of the quality of housing and availability of parks.
C. Analysis of the morbidity rates from the local health department.
,D. Results of focus groups conducted with adolescent residents.
Correct Answer: B
Expert Explanation: A windshield survey is an informal assessment where the nurse
observes the community while driving or walking through the area. It provides a visual
overview of the physical environment, such as housing conditions, public spaces, and
general safety. This method is used to gain an initial understanding of the community’s
assets and needs without direct interaction with residents.
3. A public health nurse is reviewing the epidemiology triad for a recent outbreak of
foodborne illness. Which of the following should the nurse identify as the ‘agent’ in this
model?
A. The contaminated raw eggs used in the recipe.
B. The undercooked meat served at the community picnic.
C. The Salmonella bacteria found in the food samples.
D. The individuals who became ill after eating the meal.
Correct Answer: C
Expert Explanation: In the epidemiology triad, the agent is the animate or inanimate
factor that must be present or lacking for a disease or condition to develop. In this scenario,
Salmonella is the specific biological pathogen responsible for the illness. The other
components of the triad include the host, which are the affected individuals, and the
environment, which is the setting or conditions that allowed the transmission.
,4. A nurse is working with a migrant farmworker who has been exposed to pesticides. Which
of the following symptoms should the nurse prioritize during the assessment?
A. Nausea, dizziness, and muscle weakness.
B. Increased appetite and weight gain.
C. Dry skin and brittle nails.
D. Intermittent hearing loss and ear pain.
Correct Answer: A
Expert Explanation: Acute pesticide exposure often manifests with neuromuscular and
gastrointestinal symptoms such as nausea, dizziness, and muscle fasciculations or
weakness. Migrant farmworkers are at high risk for these exposures due to their
occupation and potential lack of protective equipment. Immediate identification and
intervention are necessary to prevent long-term neurological or systemic complications.
5. A nurse is using the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure
history. What does the ‘E’ in the mnemonic represent?
A. Education level.
B. Employment history.
C. Environmental concerns.
D. Emergency preparedness.
Correct Answer: C
, Expert Explanation: The ‘I PREPARE’ mnemonic is a tool designed to help nurses
systematically assess a client’s environmental health history. The first ‘E’ stands for
Environmental Concerns, which prompts the nurse to ask about current or past exposures
in the home or community. This tool is essential for identifying environmental triggers that
may contribute to chronic illnesses or acute symptoms.
6. A nurse is planning a secondary prevention activity for a community with a high incidence
of hypertension. Which of the following actions should the nurse take?
A. Educating high school students about a low-sodium diet.
B. Distributing brochures about the dangers of smoking.
C. Providing cardiac rehabilitation for patients after a stroke.
D. Organizing a free blood pressure screening event at a mall.
Correct Answer: D
Expert Explanation: Secondary prevention involves the early detection and treatment of
disease to prevent further progression and disability. Screenings, such as blood pressure
checks, are the most common example of secondary prevention as they identify
asymptomatic individuals with early signs of illness. This allows for early intervention and
management of the condition before complications arise.
7. Which of the following is an example of tertiary prevention for a client who has chronic
obstructive pulmonary disease (COPD)?
A. Administering a pneumococcal vaccine to the client.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include?
A. Providing influenza immunizations for the upcoming season.
B. Performing blood pressure screenings at a local senior center.
C. Teaching a client how to manage their insulin for Type 2 diabetes.
D. Conducting a support group for individuals who have lost a spouse.
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a hallmark of primary prevention as they stimulate
the immune system before exposure to a pathogen occurs. This level of care aims to
promote health and protect against specific threats in the community.
2. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
data should the nurse identify as a component of this assessment?
A. Interviews with community leaders regarding health concerns.
B. Observation of the quality of housing and availability of parks.
C. Analysis of the morbidity rates from the local health department.
,D. Results of focus groups conducted with adolescent residents.
Correct Answer: B
Expert Explanation: A windshield survey is an informal assessment where the nurse
observes the community while driving or walking through the area. It provides a visual
overview of the physical environment, such as housing conditions, public spaces, and
general safety. This method is used to gain an initial understanding of the community’s
assets and needs without direct interaction with residents.
3. A public health nurse is reviewing the epidemiology triad for a recent outbreak of
foodborne illness. Which of the following should the nurse identify as the ‘agent’ in this
model?
A. The contaminated raw eggs used in the recipe.
B. The undercooked meat served at the community picnic.
C. The Salmonella bacteria found in the food samples.
D. The individuals who became ill after eating the meal.
Correct Answer: C
Expert Explanation: In the epidemiology triad, the agent is the animate or inanimate
factor that must be present or lacking for a disease or condition to develop. In this scenario,
Salmonella is the specific biological pathogen responsible for the illness. The other
components of the triad include the host, which are the affected individuals, and the
environment, which is the setting or conditions that allowed the transmission.
,4. A nurse is working with a migrant farmworker who has been exposed to pesticides. Which
of the following symptoms should the nurse prioritize during the assessment?
A. Nausea, dizziness, and muscle weakness.
B. Increased appetite and weight gain.
C. Dry skin and brittle nails.
D. Intermittent hearing loss and ear pain.
Correct Answer: A
Expert Explanation: Acute pesticide exposure often manifests with neuromuscular and
gastrointestinal symptoms such as nausea, dizziness, and muscle fasciculations or
weakness. Migrant farmworkers are at high risk for these exposures due to their
occupation and potential lack of protective equipment. Immediate identification and
intervention are necessary to prevent long-term neurological or systemic complications.
5. A nurse is using the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure
history. What does the ‘E’ in the mnemonic represent?
A. Education level.
B. Employment history.
C. Environmental concerns.
D. Emergency preparedness.
Correct Answer: C
, Expert Explanation: The ‘I PREPARE’ mnemonic is a tool designed to help nurses
systematically assess a client’s environmental health history. The first ‘E’ stands for
Environmental Concerns, which prompts the nurse to ask about current or past exposures
in the home or community. This tool is essential for identifying environmental triggers that
may contribute to chronic illnesses or acute symptoms.
6. A nurse is planning a secondary prevention activity for a community with a high incidence
of hypertension. Which of the following actions should the nurse take?
A. Educating high school students about a low-sodium diet.
B. Distributing brochures about the dangers of smoking.
C. Providing cardiac rehabilitation for patients after a stroke.
D. Organizing a free blood pressure screening event at a mall.
Correct Answer: D
Expert Explanation: Secondary prevention involves the early detection and treatment of
disease to prevent further progression and disability. Screenings, such as blood pressure
checks, are the most common example of secondary prevention as they identify
asymptomatic individuals with early signs of illness. This allows for early intervention and
management of the condition before complications arise.
7. Which of the following is an example of tertiary prevention for a client who has chronic
obstructive pulmonary disease (COPD)?
A. Administering a pneumococcal vaccine to the client.
