NSG 440 Exam 3 V3 | NSG 440 Population
Health | Actual Q&A with Rationale
(NSG440 Exam 3) | Grand Canyon
University
1. A community health nurse is planning a primary prevention program for a local senior
center. Which intervention should the nurse include?
A. Providing influenza immunizations for all members.
B. Performing blood glucose screenings for diabetes.
C. Teaching a stroke survivor how to use a walker.
D. Conducting monthly support groups for residents with chronic heart failure.
Correct Answer: A
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Immunizations are a classic example of primary prevention as they aim to stop a
disease before it begins. Screenings are secondary prevention, and rehabilitation or
support groups are tertiary prevention.
2. A nurse is conducting a windshield survey of a new community. Which of the following
observations are relevant to the assessment? (Select All That Apply)
A. Availability of public transportation and walkways.
B. Presence of garbage, litter, or abandoned vehicles.
,C. The age and condition of housing structures.
D. Types of retail stores and grocery markets available.
E. The incidence rate of influenza in the local clinic.
F. Religious and faith-based community centers.
Correct Answer: A, B, C, D, F
Explanation: A windshield survey involves an objective observation of the community’s
physical environment while driving or walking through it. Observations such as
transportation, housing, and social services are key components of this direct assessment.
Incidence rates are obtained from secondary data sources like health department records
and cannot be observed during a windshield survey.
3. Which factor is considered a social determinant of health (SDOH) within a community?
A. Access to quality affordable housing.
B. Individual genetic predisposition to hypertension.
C. Cellular mutation caused by radiation exposure.
D. A family history of sickle cell anemia.
Correct Answer: A
Explanation: Social determinants of health are the conditions in which people are born,
grow, live, work, and age. Housing quality and affordability significantly impact a
,population’s health outcomes by providing safety and stability. Genetics and biological
mutations are internal or environmental factors, but not social determinants.
4. An occupational health nurse is identifying risks in a manufacturing plant. This represents
which step of the nursing process at the population level?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Correct Answer: C
Explanation: Identifying risks and gathering data about potential hazards is part of the
assessment phase. This step is crucial for determining the health needs of the specific
workforce population. Once the assessment is complete, the nurse can move on to planning
interventions to mitigate those risks.
5. A community health nurse is investigating a foodborne illness outbreak. Which
epidemiological measure describes the number of new cases within a specific timeframe?
A. Incidence
B. Prevalence
C. Mortality
D. Morbidity
, Correct Answer: A
Explanation: Incidence refers to the number of new cases of a disease in a population over
a defined period. This differs from prevalence, which accounts for both new and existing
cases at a single point in time. Understanding incidence is essential for tracking the spread
of acute conditions like food poisoning.
6. A nurse is working with a rural community that lacks access to specialized healthcare. What
strategy should the nurse recommend to improve health equity in this area?
A. Encouraging residents to move closer to urban medical centers.
B. Implementing telehealth services for specialty consultations.
C. Relying solely on local volunteer emergency responders.
D. Decreasing the number of primary care visits to save costs.
Correct Answer: B
Explanation: Telehealth is a vital tool for rural health as it bridges the geographic gap
between patients and specialized providers. It improves health equity by ensuring that
remote populations receive the same standard of care as urban populations. Moving
residents or reducing visits does not address the systemic barrier of healthcare access.
7. A nurse is teaching a group of migrant farmworkers about pesticide safety. This is an
example of which level of prevention?
A. Secondary Prevention
B. Primary Prevention
Health | Actual Q&A with Rationale
(NSG440 Exam 3) | Grand Canyon
University
1. A community health nurse is planning a primary prevention program for a local senior
center. Which intervention should the nurse include?
A. Providing influenza immunizations for all members.
B. Performing blood glucose screenings for diabetes.
C. Teaching a stroke survivor how to use a walker.
D. Conducting monthly support groups for residents with chronic heart failure.
Correct Answer: A
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Immunizations are a classic example of primary prevention as they aim to stop a
disease before it begins. Screenings are secondary prevention, and rehabilitation or
support groups are tertiary prevention.
2. A nurse is conducting a windshield survey of a new community. Which of the following
observations are relevant to the assessment? (Select All That Apply)
A. Availability of public transportation and walkways.
B. Presence of garbage, litter, or abandoned vehicles.
,C. The age and condition of housing structures.
D. Types of retail stores and grocery markets available.
E. The incidence rate of influenza in the local clinic.
F. Religious and faith-based community centers.
Correct Answer: A, B, C, D, F
Explanation: A windshield survey involves an objective observation of the community’s
physical environment while driving or walking through it. Observations such as
transportation, housing, and social services are key components of this direct assessment.
Incidence rates are obtained from secondary data sources like health department records
and cannot be observed during a windshield survey.
3. Which factor is considered a social determinant of health (SDOH) within a community?
A. Access to quality affordable housing.
B. Individual genetic predisposition to hypertension.
C. Cellular mutation caused by radiation exposure.
D. A family history of sickle cell anemia.
Correct Answer: A
Explanation: Social determinants of health are the conditions in which people are born,
grow, live, work, and age. Housing quality and affordability significantly impact a
,population’s health outcomes by providing safety and stability. Genetics and biological
mutations are internal or environmental factors, but not social determinants.
4. An occupational health nurse is identifying risks in a manufacturing plant. This represents
which step of the nursing process at the population level?
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Correct Answer: C
Explanation: Identifying risks and gathering data about potential hazards is part of the
assessment phase. This step is crucial for determining the health needs of the specific
workforce population. Once the assessment is complete, the nurse can move on to planning
interventions to mitigate those risks.
5. A community health nurse is investigating a foodborne illness outbreak. Which
epidemiological measure describes the number of new cases within a specific timeframe?
A. Incidence
B. Prevalence
C. Mortality
D. Morbidity
, Correct Answer: A
Explanation: Incidence refers to the number of new cases of a disease in a population over
a defined period. This differs from prevalence, which accounts for both new and existing
cases at a single point in time. Understanding incidence is essential for tracking the spread
of acute conditions like food poisoning.
6. A nurse is working with a rural community that lacks access to specialized healthcare. What
strategy should the nurse recommend to improve health equity in this area?
A. Encouraging residents to move closer to urban medical centers.
B. Implementing telehealth services for specialty consultations.
C. Relying solely on local volunteer emergency responders.
D. Decreasing the number of primary care visits to save costs.
Correct Answer: B
Explanation: Telehealth is a vital tool for rural health as it bridges the geographic gap
between patients and specialized providers. It improves health equity by ensuring that
remote populations receive the same standard of care as urban populations. Moving
residents or reducing visits does not address the systemic barrier of healthcare access.
7. A nurse is teaching a group of migrant farmworkers about pesticide safety. This is an
example of which level of prevention?
A. Secondary Prevention
B. Primary Prevention
