NR442/NR 442 Exam 2 V1 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is implementing a primary prevention strategy to reduce the
incidence of obesity in a local school district. Which of the following actions should the nurse
take?
A. Conducting body mass index (BMI) screenings for all students.
B. Developing an exercise program for students who are already overweight.
C. Collaborating with the cafeteria to provide healthier meal options.
D. Providing counseling for students diagnosed with type 2 diabetes.
Correct Answer: C
Expert Explanation: Primary prevention aims to prevent a disease or condition before it
ever occurs. By collaborating with the cafeteria to provide healthier meal options, the nurse
is addressing the environment to promote health for the entire student population. This
intervention is proactive and focuses on health promotion and risk reduction rather than
screening or treatment.
2. When conducting an environmental health assessment using the ‘I PREPARE’ mnemonic,
which of the following questions should the nurse ask to address the ‘P’ in the mnemonic?
A. What is your primary language spoken at home?
,B. What is your present work and potential exposures?
C. Are there any physical hazards in your neighborhood?
D. Do you have any past medical history of respiratory issues?
Correct Answer: B
Expert Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to gather a
systematic environmental health history. The first ‘P’ in the mnemonic stands for ‘Present
work’ and involves asking about current employment and possible exposures to hazardous
materials. Understanding current occupational risks is essential for identifying
environmental factors that may impact a patient’s health.
3. A nurse is performing a triage at the scene of a mass casualty incident. Which of the
following clients should the nurse tag with a red color?
A. A client who has a minor laceration on the arm and is walking around.
B. A client who is unconscious and has a sucking chest wound.
C. A client who has an open fracture of the tibia and is crying in pain.
D. A client who has no spontaneous respirations even after airway repositioning.
Correct Answer: B
Expert Explanation: In mass casualty triage, the red tag indicates an ‘immediate’ priority
for clients who have life-threatening injuries but a high chance of survival if treated
quickly. A sucking chest wound is a critical respiratory emergency that requires immediate
,intervention to maintain life. This differs from green tags for the ‘walking wounded’ or
black tags for those who are deceased or have non-survivable injuries.
4. A community health nurse is educating a group of migrant farmworkers about pesticide
exposure. Which of the following symptoms should the nurse include as an early sign of acute
pesticide poisoning?
A. Bradycardia and hypertension
B. Nausea, dizziness, and headache
C. Increased appetite and constipation
D. Dry mouth and blurred vision
Correct Answer: B
Expert Explanation: Migrant farmworkers are at high risk for acute pesticide poisoning
due to their occupational environment. Early symptoms typically include neurological and
gastrointestinal signs such as nausea, dizziness, headache, and abdominal cramps. It is
critical for the nurse to teach workers to recognize these signs early to seek medical
attention and prevent further toxicity.
5. Which of the following is an example of a secondary prevention activity for a nurse
working in a rural community?
A. Teaching a class on safe pesticide application to farmers.
B. Providing physical therapy for a client recovering from a stroke.
C. Performing skin cancer screenings at a local health fair.
, D. Advocating for better public transportation in the area.
Correct Answer: C
Expert Explanation: Secondary prevention focuses on early detection and screening to
identify diseases in their earliest stages. Skin cancer screenings are a classic example of
secondary prevention as they aim to catch malignancies before they progress. This
contrasts with primary prevention which prevents the disease and tertiary prevention
which focuses on rehabilitation.
6. A hospice nurse is providing end-of-life care for a client. Which of the following is the
primary goal of hospice care?
A. Prolonging the client’s life through aggressive medical treatments.
B. Curing the underlying terminal illness.
C. Providing comfort and palliative care to improve quality of life.
D. Assisting the client with physical therapy to regain independence.
Correct Answer: C
Expert Explanation: Hospice care is a specialized form of care designed for individuals in
the terminal phase of an illness. The primary focus is on palliation, which means managing
symptoms and providing emotional support rather than seeking a cure. The goal is to
ensure the client dies with dignity while maintaining the highest possible quality of life
during their remaining time.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is implementing a primary prevention strategy to reduce the
incidence of obesity in a local school district. Which of the following actions should the nurse
take?
A. Conducting body mass index (BMI) screenings for all students.
B. Developing an exercise program for students who are already overweight.
C. Collaborating with the cafeteria to provide healthier meal options.
D. Providing counseling for students diagnosed with type 2 diabetes.
Correct Answer: C
Expert Explanation: Primary prevention aims to prevent a disease or condition before it
ever occurs. By collaborating with the cafeteria to provide healthier meal options, the nurse
is addressing the environment to promote health for the entire student population. This
intervention is proactive and focuses on health promotion and risk reduction rather than
screening or treatment.
2. When conducting an environmental health assessment using the ‘I PREPARE’ mnemonic,
which of the following questions should the nurse ask to address the ‘P’ in the mnemonic?
A. What is your primary language spoken at home?
,B. What is your present work and potential exposures?
C. Are there any physical hazards in your neighborhood?
D. Do you have any past medical history of respiratory issues?
Correct Answer: B
Expert Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to gather a
systematic environmental health history. The first ‘P’ in the mnemonic stands for ‘Present
work’ and involves asking about current employment and possible exposures to hazardous
materials. Understanding current occupational risks is essential for identifying
environmental factors that may impact a patient’s health.
3. A nurse is performing a triage at the scene of a mass casualty incident. Which of the
following clients should the nurse tag with a red color?
A. A client who has a minor laceration on the arm and is walking around.
B. A client who is unconscious and has a sucking chest wound.
C. A client who has an open fracture of the tibia and is crying in pain.
D. A client who has no spontaneous respirations even after airway repositioning.
Correct Answer: B
Expert Explanation: In mass casualty triage, the red tag indicates an ‘immediate’ priority
for clients who have life-threatening injuries but a high chance of survival if treated
quickly. A sucking chest wound is a critical respiratory emergency that requires immediate
,intervention to maintain life. This differs from green tags for the ‘walking wounded’ or
black tags for those who are deceased or have non-survivable injuries.
4. A community health nurse is educating a group of migrant farmworkers about pesticide
exposure. Which of the following symptoms should the nurse include as an early sign of acute
pesticide poisoning?
A. Bradycardia and hypertension
B. Nausea, dizziness, and headache
C. Increased appetite and constipation
D. Dry mouth and blurred vision
Correct Answer: B
Expert Explanation: Migrant farmworkers are at high risk for acute pesticide poisoning
due to their occupational environment. Early symptoms typically include neurological and
gastrointestinal signs such as nausea, dizziness, headache, and abdominal cramps. It is
critical for the nurse to teach workers to recognize these signs early to seek medical
attention and prevent further toxicity.
5. Which of the following is an example of a secondary prevention activity for a nurse
working in a rural community?
A. Teaching a class on safe pesticide application to farmers.
B. Providing physical therapy for a client recovering from a stroke.
C. Performing skin cancer screenings at a local health fair.
, D. Advocating for better public transportation in the area.
Correct Answer: C
Expert Explanation: Secondary prevention focuses on early detection and screening to
identify diseases in their earliest stages. Skin cancer screenings are a classic example of
secondary prevention as they aim to catch malignancies before they progress. This
contrasts with primary prevention which prevents the disease and tertiary prevention
which focuses on rehabilitation.
6. A hospice nurse is providing end-of-life care for a client. Which of the following is the
primary goal of hospice care?
A. Prolonging the client’s life through aggressive medical treatments.
B. Curing the underlying terminal illness.
C. Providing comfort and palliative care to improve quality of life.
D. Assisting the client with physical therapy to regain independence.
Correct Answer: C
Expert Explanation: Hospice care is a specialized form of care designed for individuals in
the terminal phase of an illness. The primary focus is on palliation, which means managing
symptoms and providing emotional support rather than seeking a cure. The goal is to
ensure the client dies with dignity while maintaining the highest possible quality of life
during their remaining time.
