NR442/NR 442 Exam 3 V1 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A nurse is working in a disaster area following a hurricane. Which action should the nurse
take first during the ‘Response’ phase of the disaster management cycle?
A. Provide stress management counseling to rescue workers.
B. Review the facility’s emergency operations plan.
C. Identify community areas prone to flooding.
D. Perform a rapid physical assessment of survivors.
Correct Answer: D
Expert Explanation: The response phase begins immediately after the disaster occurs and
focuses on life-saving actions such as triage and physical assessment. Reviewing plans is
part of the preparedness phase, while identifying flood-prone areas is part of mitigation.
Providing counseling is typically part of the recovery or late-response phase to address the
mental health of responders.
2. A community health nurse is planning a primary prevention program for a population of
migrant farmworkers. Which of the following interventions should the nurse include?
A. Screening workers for pesticide toxicity levels.
B. Referring workers to a rehabilitation clinic for chronic back pain.
,C. Administering antidotes to workers with organophosphate poisoning.
D. Providing education on the proper use of personal protective equipment.
Correct Answer: D
Expert Explanation: Primary prevention aims to prevent disease or injury before it occurs
by reducing risk factors. Education on the use of personal protective equipment (PPE)
helps prevent the initial exposure to harmful chemicals. In contrast, screening is a
secondary prevention measure, and treatment or rehabilitation falls under tertiary
prevention.
3. When using the ‘I-PREPARE’ mnemonic for environmental health assessments, what does
the ‘E’ in the final position stand for?
A. Education
B. Epidemiology
C. Exposures
D. Environment
Correct Answer: A
Expert Explanation: The final letter in the I-PREPARE mnemonic stands for Education,
which involves providing materials to the client about environmental risks. The acronym is
a systematic tool used by nurses to gather an environmental history from individuals. The
other ‘E’ in the mnemonic stands for Environmental concerns regarding the workplace or
home.
,4. A school nurse is managing a child with a severe peanut allergy. Which level of prevention
is the nurse implementing when training teachers on how to use an epinephrine auto-
injector?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Quaternary Prevention
Correct Answer: B
Expert Explanation: Tertiary prevention focuses on managing a chronic condition or
preventing complications after a diagnosis has been made. Training staff to use life-saving
medication for a known allergy helps minimize the severity of a potential anaphylactic
reaction. Primary prevention would involve banning peanuts from the school entirely to
prevent the development of a reaction.
5. An occupational health nurse is conducting an exit interview for a factory worker. Which
type of assessment is the nurse performing?
A. Secondary prevention screening
B. Environmental survey
C. Tertiary prevention evaluation
D. Health hazard evaluation
, Correct Answer: A
Expert Explanation: Exit interviews and physicals are considered secondary prevention
as they aim to detect any work-related illnesses or injuries that may have occurred during
employment. This allows for early intervention and documentation of the worker’s health
status at the time of departure. This process ensures that any latent occupational diseases
are identified before they progress further.
6. A nurse is conducting a triage for victims of a building collapse using the START method. A
victim is breathing at a rate of 24/min, has a radial pulse present, and is unable to follow
simple commands. Which color tag should the nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Expert Explanation: Under the START (Simple Triage and Rapid Treatment) system, a
person who is unable to follow simple commands (impaired mental status) is tagged Red
(Immediate). Even if respirations and perfusion are within normal limits, the neurological
deficit indicates a life-threatening injury. Immediate care is required to increase the chance
of survival for this patient.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A nurse is working in a disaster area following a hurricane. Which action should the nurse
take first during the ‘Response’ phase of the disaster management cycle?
A. Provide stress management counseling to rescue workers.
B. Review the facility’s emergency operations plan.
C. Identify community areas prone to flooding.
D. Perform a rapid physical assessment of survivors.
Correct Answer: D
Expert Explanation: The response phase begins immediately after the disaster occurs and
focuses on life-saving actions such as triage and physical assessment. Reviewing plans is
part of the preparedness phase, while identifying flood-prone areas is part of mitigation.
Providing counseling is typically part of the recovery or late-response phase to address the
mental health of responders.
2. A community health nurse is planning a primary prevention program for a population of
migrant farmworkers. Which of the following interventions should the nurse include?
A. Screening workers for pesticide toxicity levels.
B. Referring workers to a rehabilitation clinic for chronic back pain.
,C. Administering antidotes to workers with organophosphate poisoning.
D. Providing education on the proper use of personal protective equipment.
Correct Answer: D
Expert Explanation: Primary prevention aims to prevent disease or injury before it occurs
by reducing risk factors. Education on the use of personal protective equipment (PPE)
helps prevent the initial exposure to harmful chemicals. In contrast, screening is a
secondary prevention measure, and treatment or rehabilitation falls under tertiary
prevention.
3. When using the ‘I-PREPARE’ mnemonic for environmental health assessments, what does
the ‘E’ in the final position stand for?
A. Education
B. Epidemiology
C. Exposures
D. Environment
Correct Answer: A
Expert Explanation: The final letter in the I-PREPARE mnemonic stands for Education,
which involves providing materials to the client about environmental risks. The acronym is
a systematic tool used by nurses to gather an environmental history from individuals. The
other ‘E’ in the mnemonic stands for Environmental concerns regarding the workplace or
home.
,4. A school nurse is managing a child with a severe peanut allergy. Which level of prevention
is the nurse implementing when training teachers on how to use an epinephrine auto-
injector?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Quaternary Prevention
Correct Answer: B
Expert Explanation: Tertiary prevention focuses on managing a chronic condition or
preventing complications after a diagnosis has been made. Training staff to use life-saving
medication for a known allergy helps minimize the severity of a potential anaphylactic
reaction. Primary prevention would involve banning peanuts from the school entirely to
prevent the development of a reaction.
5. An occupational health nurse is conducting an exit interview for a factory worker. Which
type of assessment is the nurse performing?
A. Secondary prevention screening
B. Environmental survey
C. Tertiary prevention evaluation
D. Health hazard evaluation
, Correct Answer: A
Expert Explanation: Exit interviews and physicals are considered secondary prevention
as they aim to detect any work-related illnesses or injuries that may have occurred during
employment. This allows for early intervention and documentation of the worker’s health
status at the time of departure. This process ensures that any latent occupational diseases
are identified before they progress further.
6. A nurse is conducting a triage for victims of a building collapse using the START method. A
victim is breathing at a rate of 24/min, has a radial pulse present, and is unable to follow
simple commands. Which color tag should the nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Expert Explanation: Under the START (Simple Triage and Rapid Treatment) system, a
person who is unable to follow simple commands (impaired mental status) is tagged Red
(Immediate). Even if respirations and perfusion are within normal limits, the neurological
deficit indicates a life-threatening injury. Immediate care is required to increase the chance
of survival for this patient.
