NSG 3480 Exam 4 V3 | NSG 3480
Community Health | Actual Q&A with
Rationale (NSG3480 Exam 4) | Galen
College of Nursing
1. A community health nurse is conducting a lead screening for children at a local health fair.
This activity represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Screening for lead levels is a form of secondary prevention because it focuses
on early detection of a potential health issue before symptoms become severe. Primary
prevention would involve educating parents on how to avoid lead exposure in the first
place. Tertiary prevention would involve treatment or rehabilitation for a child who
already has lead poisoning.
2. Which phase of the disaster management cycle involves the implementation of a disaster
plan during an actual emergency?
A. Preparedness
,B. Mitigation
C. Response
D. Recovery
Answer: C
Rationale: The response phase occurs during and immediately after the disaster event to
provide emergency assistance and reduce further damage. Mitigation involves long-term
measures taken before a disaster to reduce its impact. Recovery focuses on returning the
community to its pre-disaster state over a longer period.
3. A nurse is using the I-PREPARE mnemonic to assess environmental health risks. What does
the ‘E’ in ‘PREPARE’ stand for?
A. Employment
B. Environmental hazards
C. Emergency protocols
D. Epidemiology
Answer: A
Rationale: The ‘E’ in the I-PREPARE mnemonic stands for employment, which assesses
potential work-related exposures. The mnemonic is a tool designed to help nurses
systematically gather a patient’s environmental history. Understanding a patient’s
, occupational environment is crucial for identifying risks such as chemical or radiological
exposure.
4. In the START triage system, a patient who is unable to follow simple commands and has a
respiratory rate greater than 30 breaths per minute should be tagged with which color?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: A red tag indicates an ‘immediate’ priority for patients who have life-
threatening injuries but high potential for survival with treatment. Criteria for a red tag
include a respiratory rate over 30, absent radial pulse, or inability to follow commands.
Green tags are for the ‘walking wounded,’ while yellow tags are for delayed treatment
cases.
5. Which of the following is a hallmark characteristic of rural nursing practice?
A. Strict specialization within a single department
B. Abundant access to advanced diagnostic technology
C. Generalist approach with a high degree of autonomy
D. Limited patient-provider confidentiality due to low population
Community Health | Actual Q&A with
Rationale (NSG3480 Exam 4) | Galen
College of Nursing
1. A community health nurse is conducting a lead screening for children at a local health fair.
This activity represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Screening for lead levels is a form of secondary prevention because it focuses
on early detection of a potential health issue before symptoms become severe. Primary
prevention would involve educating parents on how to avoid lead exposure in the first
place. Tertiary prevention would involve treatment or rehabilitation for a child who
already has lead poisoning.
2. Which phase of the disaster management cycle involves the implementation of a disaster
plan during an actual emergency?
A. Preparedness
,B. Mitigation
C. Response
D. Recovery
Answer: C
Rationale: The response phase occurs during and immediately after the disaster event to
provide emergency assistance and reduce further damage. Mitigation involves long-term
measures taken before a disaster to reduce its impact. Recovery focuses on returning the
community to its pre-disaster state over a longer period.
3. A nurse is using the I-PREPARE mnemonic to assess environmental health risks. What does
the ‘E’ in ‘PREPARE’ stand for?
A. Employment
B. Environmental hazards
C. Emergency protocols
D. Epidemiology
Answer: A
Rationale: The ‘E’ in the I-PREPARE mnemonic stands for employment, which assesses
potential work-related exposures. The mnemonic is a tool designed to help nurses
systematically gather a patient’s environmental history. Understanding a patient’s
, occupational environment is crucial for identifying risks such as chemical or radiological
exposure.
4. In the START triage system, a patient who is unable to follow simple commands and has a
respiratory rate greater than 30 breaths per minute should be tagged with which color?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: A red tag indicates an ‘immediate’ priority for patients who have life-
threatening injuries but high potential for survival with treatment. Criteria for a red tag
include a respiratory rate over 30, absent radial pulse, or inability to follow commands.
Green tags are for the ‘walking wounded,’ while yellow tags are for delayed treatment
cases.
5. Which of the following is a hallmark characteristic of rural nursing practice?
A. Strict specialization within a single department
B. Abundant access to advanced diagnostic technology
C. Generalist approach with a high degree of autonomy
D. Limited patient-provider confidentiality due to low population
