NSG 3480 Exam 4 V2 | NSG 3480
Community Health | Actual Q&A with
Rationale (NSG3480 Exam 4) | Galen
College of Nursing
1. A community health nurse is conducting an assessment of a local neighborhood for
environmental hazards. Which of the following assessments falls under the ‘I’ in the I-
PREPARE mnemonic?
A. Information about current work exposure.
B. Interests in community health.
C. Investigate potential exposures.
D. Immediate environmental concerns.
Answer: C
Rationale: The ‘I’ in the I-PREPARE mnemonic stands for Investigate potential exposures,
which involves asking questions about when symptoms occur. This assessment tool is vital
for nurses to identify environmental health risks in the community setting. By
systematically evaluating potential toxins, the nurse can better advocate for patient safety
and environmental justice.
,2. In the event of a mass casualty incident, a nurse is using the START triage system. A patient
is found to be breathing at a rate of 32 breaths per minute. Which color tag should the nurse
assign?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: According to the START triage algorithm, any patient with a respiratory rate
over 30 breaths per minute is categorized as Immediate and receives a Red tag. This
classification indicates that the individual requires life-saving interventions within a very
short timeframe. Rapid assessment of respiration, perfusion, and mental status (RPM) is
essential for efficient triage during disasters.
3. A nurse is working with a migrant farmworker who presents with muscle weakness,
abdominal cramps, and blurred vision. The nurse suspects pesticide exposure. Which action
should the nurse take first?
A. Assess the patient’s airway and breathing.
B. Notify the Department of Labor.
C. Educate the worker on wearing long sleeves.
D. Decontaminate the patient by removing clothing.
,Answer: A
Rationale: Assessment of the airway and breathing is always the priority when systemic
toxicity is suspected, particularly with organophosphate poisoning from pesticides. While
decontamination is critical to prevent further absorption, the nurse must ensure the
patient’s immediate physiological stability first. Following stabilization, the nurse should
facilitate decontamination and provide further medical treatment.
4. A community health nurse is planning a primary prevention activity for a rural population.
Which of the following activities should the nurse include?
A. Providing a support group for residents with diabetes.
B. Distributing educational materials on the importance of childhood immunizations.
C. Conducting blood pressure screenings at a local fair.
D. Assisting a patient with physical therapy after a stroke.
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Educational campaigns for immunizations are a classic example of primary
prevention as they aim to build immunity before exposure. In contrast, screenings are
secondary prevention, and rehabilitation is tertiary prevention.
, 5. During a disaster response, a nurse helps victims find temporary housing and begins to
coordinate long-term mental health services. Which phase of the disaster management cycle
is this?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
Answer: D
Rationale: The recovery phase focuses on returning the community to a new normal and
includes activities like rebuilding infrastructure and providing long-term counseling. This
phase begins when the immediate danger has passed and can last for months or even years.
Nurses play a crucial role in the recovery phase by identifying lingering health needs and
connecting victims with social services.
6. A school nurse is managing a student with a severe peanut allergy. Which of the following
is an example of secondary prevention?
A. Screening students for unknown allergies via health history forms.
B. Administering epinephrine to the student during an anaphylactic reaction.
C. Teaching the student’s classmates about the signs of an allergic reaction.
D. Developing an Individualized Healthcare Plan (IHP) for the student.
Community Health | Actual Q&A with
Rationale (NSG3480 Exam 4) | Galen
College of Nursing
1. A community health nurse is conducting an assessment of a local neighborhood for
environmental hazards. Which of the following assessments falls under the ‘I’ in the I-
PREPARE mnemonic?
A. Information about current work exposure.
B. Interests in community health.
C. Investigate potential exposures.
D. Immediate environmental concerns.
Answer: C
Rationale: The ‘I’ in the I-PREPARE mnemonic stands for Investigate potential exposures,
which involves asking questions about when symptoms occur. This assessment tool is vital
for nurses to identify environmental health risks in the community setting. By
systematically evaluating potential toxins, the nurse can better advocate for patient safety
and environmental justice.
,2. In the event of a mass casualty incident, a nurse is using the START triage system. A patient
is found to be breathing at a rate of 32 breaths per minute. Which color tag should the nurse
assign?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
Rationale: According to the START triage algorithm, any patient with a respiratory rate
over 30 breaths per minute is categorized as Immediate and receives a Red tag. This
classification indicates that the individual requires life-saving interventions within a very
short timeframe. Rapid assessment of respiration, perfusion, and mental status (RPM) is
essential for efficient triage during disasters.
3. A nurse is working with a migrant farmworker who presents with muscle weakness,
abdominal cramps, and blurred vision. The nurse suspects pesticide exposure. Which action
should the nurse take first?
A. Assess the patient’s airway and breathing.
B. Notify the Department of Labor.
C. Educate the worker on wearing long sleeves.
D. Decontaminate the patient by removing clothing.
,Answer: A
Rationale: Assessment of the airway and breathing is always the priority when systemic
toxicity is suspected, particularly with organophosphate poisoning from pesticides. While
decontamination is critical to prevent further absorption, the nurse must ensure the
patient’s immediate physiological stability first. Following stabilization, the nurse should
facilitate decontamination and provide further medical treatment.
4. A community health nurse is planning a primary prevention activity for a rural population.
Which of the following activities should the nurse include?
A. Providing a support group for residents with diabetes.
B. Distributing educational materials on the importance of childhood immunizations.
C. Conducting blood pressure screenings at a local fair.
D. Assisting a patient with physical therapy after a stroke.
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Educational campaigns for immunizations are a classic example of primary
prevention as they aim to build immunity before exposure. In contrast, screenings are
secondary prevention, and rehabilitation is tertiary prevention.
, 5. During a disaster response, a nurse helps victims find temporary housing and begins to
coordinate long-term mental health services. Which phase of the disaster management cycle
is this?
A. Mitigation
B. Preparedness
C. Response
D. Recovery
Answer: D
Rationale: The recovery phase focuses on returning the community to a new normal and
includes activities like rebuilding infrastructure and providing long-term counseling. This
phase begins when the immediate danger has passed and can last for months or even years.
Nurses play a crucial role in the recovery phase by identifying lingering health needs and
connecting victims with social services.
6. A school nurse is managing a student with a severe peanut allergy. Which of the following
is an example of secondary prevention?
A. Screening students for unknown allergies via health history forms.
B. Administering epinephrine to the student during an anaphylactic reaction.
C. Teaching the student’s classmates about the signs of an allergic reaction.
D. Developing an Individualized Healthcare Plan (IHP) for the student.
