PNR 208/PNR208 Exam 2 V1 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning an immunization clinic for children in a local
neighborhood. This is an example of which level of prevention?
A. Quaternary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primary prevention
Answer: D
Rationale: Primary prevention focuses on health promotion and the prevention of the
initial occurrence of disease or injury. Immunizations are a classic example of this level
because they build immunity before exposure. By providing vaccines, the nurse helps
maintain the health of the community and reduces the incidence of infectious diseases.
2. Which intervention should the nurse include as part of secondary prevention for a group of
older adults?
A. Conducting blood pressure screenings
B. Providing rehabilitation after a stroke
C. Teaching about healthy diet choices
,D. Administering the annual flu vaccine
Answer: A
Rationale: Secondary prevention involves early detection and intervention to stop the
progression of a disease. Blood pressure screenings help identify hypertension in its early
stages before complications arise. This allows for prompt treatment and management to
prevent long-term damage to the body.
3. A nurse is working with a patient who has a chronic leg ulcer and is providing wound care
instructions. This action is categorized as:
A. Primary prevention
B. Secondary prevention
C. Health promotion
D. Tertiary prevention
Answer: D
Rationale: Tertiary prevention aims to minimize the effects of a long-term disease or
disability through rehabilitation and management. Providing wound care for an existing
chronic ulcer helps prevent further complications like infection or necrosis. The goal is to
restore the patient to their highest possible level of functioning despite their condition.
4. In the epidemiological triangle, which of the following is considered an agent factor?
A. The age of the patient
, B. The local climate
C. A specific virus or bacteria
D. The availability of clean water
Answer: C
Rationale: The epidemiological triangle consists of the agent, the host, and the
environment. The agent is the physical, infectious, or chemical factor that causes the
disease, such as a virus or bacteria. Identifying the agent is essential for determining the
appropriate treatment and prevention strategies for a community.
5. A home health nurse is conducting a safety assessment and notices loose rugs in the
patient’s hallway. What is the priority intervention?
A. Advise the patient to walk slowly
B. Remove the rugs or secure them to the floor
C. Suggest the patient wear high-heeled shoes
D. Document the finding and check back in a month
Answer: B
Rationale: Loose rugs are a significant trip hazard that increases the risk of falls in the
home environment. The priority intervention is to eliminate the hazard immediately by
removing the rugs or securing them properly. Fall prevention is a critical component of
home health nursing to ensure patient safety and independence.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning an immunization clinic for children in a local
neighborhood. This is an example of which level of prevention?
A. Quaternary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primary prevention
Answer: D
Rationale: Primary prevention focuses on health promotion and the prevention of the
initial occurrence of disease or injury. Immunizations are a classic example of this level
because they build immunity before exposure. By providing vaccines, the nurse helps
maintain the health of the community and reduces the incidence of infectious diseases.
2. Which intervention should the nurse include as part of secondary prevention for a group of
older adults?
A. Conducting blood pressure screenings
B. Providing rehabilitation after a stroke
C. Teaching about healthy diet choices
,D. Administering the annual flu vaccine
Answer: A
Rationale: Secondary prevention involves early detection and intervention to stop the
progression of a disease. Blood pressure screenings help identify hypertension in its early
stages before complications arise. This allows for prompt treatment and management to
prevent long-term damage to the body.
3. A nurse is working with a patient who has a chronic leg ulcer and is providing wound care
instructions. This action is categorized as:
A. Primary prevention
B. Secondary prevention
C. Health promotion
D. Tertiary prevention
Answer: D
Rationale: Tertiary prevention aims to minimize the effects of a long-term disease or
disability through rehabilitation and management. Providing wound care for an existing
chronic ulcer helps prevent further complications like infection or necrosis. The goal is to
restore the patient to their highest possible level of functioning despite their condition.
4. In the epidemiological triangle, which of the following is considered an agent factor?
A. The age of the patient
, B. The local climate
C. A specific virus or bacteria
D. The availability of clean water
Answer: C
Rationale: The epidemiological triangle consists of the agent, the host, and the
environment. The agent is the physical, infectious, or chemical factor that causes the
disease, such as a virus or bacteria. Identifying the agent is essential for determining the
appropriate treatment and prevention strategies for a community.
5. A home health nurse is conducting a safety assessment and notices loose rugs in the
patient’s hallway. What is the priority intervention?
A. Advise the patient to walk slowly
B. Remove the rugs or secure them to the floor
C. Suggest the patient wear high-heeled shoes
D. Document the finding and check back in a month
Answer: B
Rationale: Loose rugs are a significant trip hazard that increases the risk of falls in the
home environment. The priority intervention is to eliminate the hazard immediately by
removing the rugs or securing them properly. Fall prevention is a critical component of
home health nursing to ensure patient safety and independence.
