NR442/NR 442 Exam 4 V1 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is performing triage at a mass casualty incident. Which tag
should the nurse assign to a client who has a sucking chest wound and a respiratory rate of
32/min?
A. Black
B. Yellow
C. Red
D. Green
Correct Answer: C
Expert Explanation: The client should be assigned a red tag, indicating an immediate
threat to life. A sucking chest wound and rapid respirations satisfy the criteria for
immediate medical attention in the START triage system. This triage category is reserved
for those who require stabilization within minutes to survive.
2. A nurse is teaching a community class about lead poisoning in children. Which of the
following instructions should the nurse include?
A. Use hot tap water when preparing infant formula.
B. Ensure the child consumes a diet high in calcium and iron.
,C. Test children for lead exposure starting at age 5.
D. Wet-mop floors once a month to remove lead dust.
Correct Answer: B
Expert Explanation: Adequate intake of calcium and iron is crucial because it helps reduce
the body’s absorption of lead. Children who are malnourished or have mineral deficiencies
are at a higher risk for lead toxicity. The nurse should emphasize nutritional strategies as a
key component of secondary prevention.
3. A nurse is evaluating the health literacy of a client. Which of the following observations
indicates that the client may have low health literacy?
A. The client asks for educational materials to take home.
B. The client identifies medications by looking at the color of the pill.
C. The client correctly explains the purpose of their medication.
D. The client asks follow-up questions during the teaching session.
Correct Answer: B
Expert Explanation: Identifying medications by physical appearance rather than reading
the label is a common compensatory behavior for low health literacy. This indicates the
client may struggle to comprehend written instructions or medical terminology. Nurses
must use simplified language and the teach-back method to ensure effective
communication.
,4. A community health nurse is planning a primary prevention program for adolescent
substance abuse. Which of the following activities should the nurse include?
A. Providing referrals to a local detoxification center.
B. Teaching stress management techniques to middle school students.
C. Conducting random drug screenings at a local high school.
D. Facilitating a support group for teens recovering from addiction.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial onset of a
condition through education and skill-building. Stress management techniques provide
students with healthy coping mechanisms to avoid turning to substances. This upstream
approach targets the population before any abuse occurs.
5. A nurse in a rural health clinic is caring for a client who is a migrant farmworker. Which of
the following is the primary barrier to healthcare for this population?
A. Lack of interest in preventative healthcare.
B. Overabundance of specialized providers in rural areas.
C. High levels of health insurance coverage.
D. Frequent movement and lack of residency status.
Correct Answer: D
, Expert Explanation: Migrant farmworkers often face barriers such as mobility, language
differences, and fear of deportation. Their transient lifestyle makes it difficult to establish a
medical home or maintain continuity of care. Addressing these social determinants is
essential for improving health outcomes in this vulnerable group.
6. A nurse is assessing a client for pesticide exposure. Which of the following clinical findings
is associated with acute organophosphate poisoning?
A. Tachycardia and hypertension.
B. Mydriasis and urinary retention.
C. Dry mucous membranes and constipation.
D. Excessive salivation and diaphoresis.
Correct Answer: D
Expert Explanation: Organophosphate poisoning triggers a cholinergic crisis, often
remembered by the mnemonic SLUDGE (Salivation, Lacrimation, Urination, Defecation, GI
upset, Emesis). The nurse should monitor for symptoms like bradycardia and increased
secretions that can lead to respiratory failure. Immediate administration of atropine is
often required in these emergencies.
7. A community health nurse is conducting a windshield survey. Which of the following
observations should the nurse record as a measure of environmental health?
A. The number of religious centers in the neighborhood.
B. The presence of lead-based paint in older homes.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is performing triage at a mass casualty incident. Which tag
should the nurse assign to a client who has a sucking chest wound and a respiratory rate of
32/min?
A. Black
B. Yellow
C. Red
D. Green
Correct Answer: C
Expert Explanation: The client should be assigned a red tag, indicating an immediate
threat to life. A sucking chest wound and rapid respirations satisfy the criteria for
immediate medical attention in the START triage system. This triage category is reserved
for those who require stabilization within minutes to survive.
2. A nurse is teaching a community class about lead poisoning in children. Which of the
following instructions should the nurse include?
A. Use hot tap water when preparing infant formula.
B. Ensure the child consumes a diet high in calcium and iron.
,C. Test children for lead exposure starting at age 5.
D. Wet-mop floors once a month to remove lead dust.
Correct Answer: B
Expert Explanation: Adequate intake of calcium and iron is crucial because it helps reduce
the body’s absorption of lead. Children who are malnourished or have mineral deficiencies
are at a higher risk for lead toxicity. The nurse should emphasize nutritional strategies as a
key component of secondary prevention.
3. A nurse is evaluating the health literacy of a client. Which of the following observations
indicates that the client may have low health literacy?
A. The client asks for educational materials to take home.
B. The client identifies medications by looking at the color of the pill.
C. The client correctly explains the purpose of their medication.
D. The client asks follow-up questions during the teaching session.
Correct Answer: B
Expert Explanation: Identifying medications by physical appearance rather than reading
the label is a common compensatory behavior for low health literacy. This indicates the
client may struggle to comprehend written instructions or medical terminology. Nurses
must use simplified language and the teach-back method to ensure effective
communication.
,4. A community health nurse is planning a primary prevention program for adolescent
substance abuse. Which of the following activities should the nurse include?
A. Providing referrals to a local detoxification center.
B. Teaching stress management techniques to middle school students.
C. Conducting random drug screenings at a local high school.
D. Facilitating a support group for teens recovering from addiction.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial onset of a
condition through education and skill-building. Stress management techniques provide
students with healthy coping mechanisms to avoid turning to substances. This upstream
approach targets the population before any abuse occurs.
5. A nurse in a rural health clinic is caring for a client who is a migrant farmworker. Which of
the following is the primary barrier to healthcare for this population?
A. Lack of interest in preventative healthcare.
B. Overabundance of specialized providers in rural areas.
C. High levels of health insurance coverage.
D. Frequent movement and lack of residency status.
Correct Answer: D
, Expert Explanation: Migrant farmworkers often face barriers such as mobility, language
differences, and fear of deportation. Their transient lifestyle makes it difficult to establish a
medical home or maintain continuity of care. Addressing these social determinants is
essential for improving health outcomes in this vulnerable group.
6. A nurse is assessing a client for pesticide exposure. Which of the following clinical findings
is associated with acute organophosphate poisoning?
A. Tachycardia and hypertension.
B. Mydriasis and urinary retention.
C. Dry mucous membranes and constipation.
D. Excessive salivation and diaphoresis.
Correct Answer: D
Expert Explanation: Organophosphate poisoning triggers a cholinergic crisis, often
remembered by the mnemonic SLUDGE (Salivation, Lacrimation, Urination, Defecation, GI
upset, Emesis). The nurse should monitor for symptoms like bradycardia and increased
secretions that can lead to respiratory failure. Immediate administration of atropine is
often required in these emergencies.
7. A community health nurse is conducting a windshield survey. Which of the following
observations should the nurse record as a measure of environmental health?
A. The number of religious centers in the neighborhood.
B. The presence of lead-based paint in older homes.
