NSG 3480 Final Exam V1 | NSG 3480
Community Health | Actual Q&A with
Rationale (NSG3480 Final Exam) | Galen
College of Nursing
1. A community health nurse is planning a program to reduce the incidence of obesity in
school-aged children. Which of the following activities should the nurse include as a primary
prevention strategy?
A. Developing exercise programs for children diagnosed with Type 2 diabetes
B. Conducting Body Mass Index (BMI) screenings during physical exams
C. Providing nutrition education classes for parents and students
D. Referring children with a high BMI to a pediatric nutritionist
Answer: C
Rationale: Primary prevention focuses on health promotion and the prevention of disease
before it occurs. Providing nutrition education is a proactive measure that aims to establish
healthy habits in the general population. This contrasts with secondary prevention, which
involves screening, and tertiary prevention, which involves managing existing conditions.
Focusing on education helps reduce future risks for all participants.
2. During a windshield survey of a local neighborhood, which of the following observations
provides the most objective data regarding the community’s access to healthy food?
A. A high number of fast-food advertisements on public transit
,B. Interviews with local residents about their eating habits
C. The nurse’s personal feeling that the area is a food desert
D. The presence of two large supermarkets and a community garden
Answer: D
Rationale: A windshield survey is a systematic, objective observation of a community
while driving or walking through it. Identifying physical locations such as supermarkets
and gardens provides tangible evidence of food availability. Interviews and advertisements
provide different types of data, but physical infrastructure is a core component of the
windshield method. This objective assessment helps the nurse understand environmental
influences on health.
3. A nurse is utilizing the epidemiological triangle to investigate an outbreak of influenza at a
local factory. Which of the following factors should the nurse identify as the ‘host’?
A. The influenza virus strain (H1N1)
B. The cold weather during the winter season
C. The poorly ventilated breakroom where employees gather
D. The employees working at the factory
Answer: D
Rationale: The host in the epidemiological triangle is the human or animal that is
susceptible to the disease. Factors such as age, immune status, and behavior influence the
,host’s vulnerability to the agent. In this scenario, the employees are the hosts who may
contract the virus from the environment. Understanding host factors is essential for
targeted intervention.
4. Following a mass casualty incident, a community health nurse is performing triage. Which
of the following clients should the nurse assign a ‘red’ tag?
A. A client with a minor laceration on the forearm
B. A client with an open airway obstruction and gasping breaths
C. A client who is pulseless and not breathing despite airway attempts
D. A client with a closed fracture of the lower leg
Answer: B
Rationale: The red tag indicates an immediate priority for clients who have life-
threatening injuries but high chances of survival if treated quickly. Airway obstructions and
respiratory distress are critical issues that require immediate intervention. This
classification ensures that limited resources are directed toward those who need them
most urgently. Correct triage is vital for optimizing outcomes in disaster scenarios.
5. A nurse is conducting a health assessment for a migrant farmworker. Which of the
following environmental health risks should the nurse prioritize during the assessment?
A. Exposure to lead-based paint in urban housing
B. Exposure to radon gas in basement dwellings
C. Exposure to pesticides while working in the fields
, D. Exposure to secondhand smoke in public spaces
Answer: C
Rationale: Migrant farmworkers are at significant risk for pesticide exposure due to their
direct contact with treated crops. Symptoms of toxicity can range from skin irritation to
severe neurological or respiratory issues. The nurse must assess for proper use of personal
protective equipment and hygiene practices after work. Addressing occupational hazards is
a primary concern for this specific vulnerable population.
6. A nurse is applying the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure.
What does the ‘E’ in the mnemonic represent?
A. Epidemiological data
B. Environmental justice
C. Environmental concerns
D. Emergency response
Answer: C
Rationale: The ‘I PREPARE’ mnemonic is a tool used by nurses to systematically evaluate a
client’s environmental health history. The second ‘E’ stands for Environmental concerns,
prompting the nurse to ask about the client’s residence and potential surrounding hazards.
This includes questions about the age of the home, water source, and nearby industries.
Thorough environmental assessments help identify hidden triggers for illness.
Community Health | Actual Q&A with
Rationale (NSG3480 Final Exam) | Galen
College of Nursing
1. A community health nurse is planning a program to reduce the incidence of obesity in
school-aged children. Which of the following activities should the nurse include as a primary
prevention strategy?
A. Developing exercise programs for children diagnosed with Type 2 diabetes
B. Conducting Body Mass Index (BMI) screenings during physical exams
C. Providing nutrition education classes for parents and students
D. Referring children with a high BMI to a pediatric nutritionist
Answer: C
Rationale: Primary prevention focuses on health promotion and the prevention of disease
before it occurs. Providing nutrition education is a proactive measure that aims to establish
healthy habits in the general population. This contrasts with secondary prevention, which
involves screening, and tertiary prevention, which involves managing existing conditions.
Focusing on education helps reduce future risks for all participants.
2. During a windshield survey of a local neighborhood, which of the following observations
provides the most objective data regarding the community’s access to healthy food?
A. A high number of fast-food advertisements on public transit
,B. Interviews with local residents about their eating habits
C. The nurse’s personal feeling that the area is a food desert
D. The presence of two large supermarkets and a community garden
Answer: D
Rationale: A windshield survey is a systematic, objective observation of a community
while driving or walking through it. Identifying physical locations such as supermarkets
and gardens provides tangible evidence of food availability. Interviews and advertisements
provide different types of data, but physical infrastructure is a core component of the
windshield method. This objective assessment helps the nurse understand environmental
influences on health.
3. A nurse is utilizing the epidemiological triangle to investigate an outbreak of influenza at a
local factory. Which of the following factors should the nurse identify as the ‘host’?
A. The influenza virus strain (H1N1)
B. The cold weather during the winter season
C. The poorly ventilated breakroom where employees gather
D. The employees working at the factory
Answer: D
Rationale: The host in the epidemiological triangle is the human or animal that is
susceptible to the disease. Factors such as age, immune status, and behavior influence the
,host’s vulnerability to the agent. In this scenario, the employees are the hosts who may
contract the virus from the environment. Understanding host factors is essential for
targeted intervention.
4. Following a mass casualty incident, a community health nurse is performing triage. Which
of the following clients should the nurse assign a ‘red’ tag?
A. A client with a minor laceration on the forearm
B. A client with an open airway obstruction and gasping breaths
C. A client who is pulseless and not breathing despite airway attempts
D. A client with a closed fracture of the lower leg
Answer: B
Rationale: The red tag indicates an immediate priority for clients who have life-
threatening injuries but high chances of survival if treated quickly. Airway obstructions and
respiratory distress are critical issues that require immediate intervention. This
classification ensures that limited resources are directed toward those who need them
most urgently. Correct triage is vital for optimizing outcomes in disaster scenarios.
5. A nurse is conducting a health assessment for a migrant farmworker. Which of the
following environmental health risks should the nurse prioritize during the assessment?
A. Exposure to lead-based paint in urban housing
B. Exposure to radon gas in basement dwellings
C. Exposure to pesticides while working in the fields
, D. Exposure to secondhand smoke in public spaces
Answer: C
Rationale: Migrant farmworkers are at significant risk for pesticide exposure due to their
direct contact with treated crops. Symptoms of toxicity can range from skin irritation to
severe neurological or respiratory issues. The nurse must assess for proper use of personal
protective equipment and hygiene practices after work. Addressing occupational hazards is
a primary concern for this specific vulnerable population.
6. A nurse is applying the ‘I PREPARE’ mnemonic to assess a client’s environmental exposure.
What does the ‘E’ in the mnemonic represent?
A. Epidemiological data
B. Environmental justice
C. Environmental concerns
D. Emergency response
Answer: C
Rationale: The ‘I PREPARE’ mnemonic is a tool used by nurses to systematically evaluate a
client’s environmental health history. The second ‘E’ stands for Environmental concerns,
prompting the nurse to ask about the client’s residence and potential surrounding hazards.
This includes questions about the age of the home, water source, and nearby industries.
Thorough environmental assessments help identify hidden triggers for illness.
