PNR 208/PNR208 Exam 4 V2 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program about primary prevention for a group of
local residents. Which of the following topics should the nurse include?
A. Importance of wearing seatbelts and helmets
B. The importance of annual mammograms
C. How to manage Type 2 Diabetes
D. Physical therapy techniques for stroke recovery
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Wearing seatbelts and helmets are safety measures that prevent injury before it
happens. This differs from secondary prevention, which involves screening, and tertiary
prevention, which involves rehabilitation.
2. Which action by a community nurse represents secondary prevention for a group of clients
at risk for lead poisoning?
A. Performing blood lead level screenings for toddlers
B. Educating parents about the dangers of lead paint
C. Referring a child with high lead levels to a specialist
,D. Advocating for laws to remove lead from older housing
Answer: A
Rationale: Secondary prevention involves early detection and treatment of a condition to
limit the severity. Screening toddlers for blood lead levels allows for early intervention
before significant neurological damage occurs. Education and advocacy are generally
primary prevention strategies.
3. A nurse is working with a client who has a chronic leg ulcer. The nurse provides instructions
on wound care and nutrition to promote healing. Which level of prevention is this?
A. Primary Prevention
B. Secondary Prevention
C. Quaternary Prevention
D. Tertiary Prevention
Answer: D
Rationale: Tertiary prevention aims to prevent further disability and restore function in
individuals with an established disease. By managing an existing wound and providing
nutritional support, the nurse is preventing complications like infection or amputation.
This phase occurs after the disease has already manifested.
4. In the epidemiological triangle, which of the following represents the ‘host’?
A. A child with a compromised immune system
, B. A virus or bacteria
C. Contaminated water
D. The local climate and weather
Answer: A
Rationale: The host is the living being that is affected by the agent. In this scenario, the
child is the susceptible individual who can harbor the disease. The virus is the agent, while
the water and climate are environmental factors.
5. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations provides information about the community’s health?
A. The number of residents who own pets
B. The presence of grocery stores with fresh produce
C. The architectural style of the local library
D. The color of the street signs
Answer: B
Rationale: A windshield survey is an informal observation of a community while driving or
walking. Access to fresh produce indicates food security and the availability of healthy
lifestyle choices. This data helps the nurse assess the social determinants of health within
that specific geographic area.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program about primary prevention for a group of
local residents. Which of the following topics should the nurse include?
A. Importance of wearing seatbelts and helmets
B. The importance of annual mammograms
C. How to manage Type 2 Diabetes
D. Physical therapy techniques for stroke recovery
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Wearing seatbelts and helmets are safety measures that prevent injury before it
happens. This differs from secondary prevention, which involves screening, and tertiary
prevention, which involves rehabilitation.
2. Which action by a community nurse represents secondary prevention for a group of clients
at risk for lead poisoning?
A. Performing blood lead level screenings for toddlers
B. Educating parents about the dangers of lead paint
C. Referring a child with high lead levels to a specialist
,D. Advocating for laws to remove lead from older housing
Answer: A
Rationale: Secondary prevention involves early detection and treatment of a condition to
limit the severity. Screening toddlers for blood lead levels allows for early intervention
before significant neurological damage occurs. Education and advocacy are generally
primary prevention strategies.
3. A nurse is working with a client who has a chronic leg ulcer. The nurse provides instructions
on wound care and nutrition to promote healing. Which level of prevention is this?
A. Primary Prevention
B. Secondary Prevention
C. Quaternary Prevention
D. Tertiary Prevention
Answer: D
Rationale: Tertiary prevention aims to prevent further disability and restore function in
individuals with an established disease. By managing an existing wound and providing
nutritional support, the nurse is preventing complications like infection or amputation.
This phase occurs after the disease has already manifested.
4. In the epidemiological triangle, which of the following represents the ‘host’?
A. A child with a compromised immune system
, B. A virus or bacteria
C. Contaminated water
D. The local climate and weather
Answer: A
Rationale: The host is the living being that is affected by the agent. In this scenario, the
child is the susceptible individual who can harbor the disease. The virus is the agent, while
the water and climate are environmental factors.
5. A nurse is conducting a windshield survey of a new neighborhood. Which of the following
observations provides information about the community’s health?
A. The number of residents who own pets
B. The presence of grocery stores with fresh produce
C. The architectural style of the local library
D. The color of the street signs
Answer: B
Rationale: A windshield survey is an informal observation of a community while driving or
walking. Access to fresh produce indicates food security and the availability of healthy
lifestyle choices. This data helps the nurse assess the social determinants of health within
that specific geographic area.
