NSG 440 Final Exam V2 | NSG 440
Population Health | Actual Q&A with
Rationale (NSG440 Final Exam) | Grand
Canyon University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include?
A. Assisting a client with physical therapy after a hip replacement.
B. Screening residents for early signs of hypertension.
C. Leading a support group for individuals with chronic arthritis.
D. Providing influenza immunizations at a local senior center.
Correct Answer: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury through health promotion and specific protection. Providing immunizations is a
classic example of primary prevention as it builds immunity before exposure to a pathogen.
This level of care aims to reduce the incidence of illness in a healthy population.
2. The nurse is assessing the social determinants of health (SDOH) within a specific zip code.
Which of the following factors are classified as social determinants of health? Select all that
apply.
A. Economic stability
,B. Genetic predisposition to diabetes
C. Education access and quality
D. Neighborhood and built environment
E. Social and community context
F. Health care access and quality
Correct Answer: A, C, D, E, F
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, play, worship, and age that affect a wide range of health,
functioning, and quality-of-life outcomes and risks. Genetic predisposition is a biological
factor rather than a social determinant. Addressing these five categories is essential for
achieving health equity according to Healthy People 2030.
3. During a windshield survey, which of the following observations would provide the nurse
with information regarding the community’s ‘human-made’ environment?
A. The presence of public parks and green spaces.
B. The availability of public transportation and sidewalks.
C. The ethnic and racial diversity of people on the street.
D. The local climate and seasonal weather patterns.
Correct Answer: B
,Explanation: A windshield survey involves an informal assessment of a community by
observing its physical characteristics from a vehicle. Public transportation systems and
sidewalks are part of the built environment, which refers to the human-made surroundings
that provide the setting for human activity. These features significantly impact physical
activity levels and access to essential services within the population.
4. An occupational health nurse is conducting a secondary prevention activity. Which of the
following tasks should the nurse perform?
A. Teaching employees about ergonomics to prevent back injuries.
B. Developing a policy for mandatory use of personal protective equipment.
C. Case management for an employee returning from disability leave.
D. Screening employees for high blood pressure during a health fair.
Correct Answer: D
Explanation: Secondary prevention emphasizes early detection and intervention to halt
the progression of a disease. Screening activities, such as blood pressure checks, are
designed to identify individuals in the early stages of a condition. This allows for timely
treatment and reduces the risk of long-term complications or disability.
5. A public health nurse is using the ‘I PREPARE’ mnemonic to assess environmental exposure.
What does the ‘E’ in the mnemonic stand for?
A. Emergency preparedness
B. Environmental factors
, C. Environmental justice
D. Education and employment
Correct Answer: B
Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to gather an
environmental health history. The first ‘E’ specifically stands for Environmental Factors,
which prompts the nurse to ask about concerns related to air, water, or soil quality in the
home or community. Understanding these factors is crucial for identifying potential health
risks linked to the surrounding environment.
6. In the epidemiological triangle, which of the following represents the ‘host’?
A. A virus causing a respiratory infection.
B. A person with an underlying chronic illness.
C. A healthcare facility with poor ventilation.
D. Contaminated water in a local well.
Correct Answer: B
Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. The host is the living being (human or animal) that is influenced by the agent
and the environment. Factors such as age, genetics, and immune status determine the
host’s susceptibility to a particular disease.
Population Health | Actual Q&A with
Rationale (NSG440 Final Exam) | Grand
Canyon University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include?
A. Assisting a client with physical therapy after a hip replacement.
B. Screening residents for early signs of hypertension.
C. Leading a support group for individuals with chronic arthritis.
D. Providing influenza immunizations at a local senior center.
Correct Answer: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury through health promotion and specific protection. Providing immunizations is a
classic example of primary prevention as it builds immunity before exposure to a pathogen.
This level of care aims to reduce the incidence of illness in a healthy population.
2. The nurse is assessing the social determinants of health (SDOH) within a specific zip code.
Which of the following factors are classified as social determinants of health? Select all that
apply.
A. Economic stability
,B. Genetic predisposition to diabetes
C. Education access and quality
D. Neighborhood and built environment
E. Social and community context
F. Health care access and quality
Correct Answer: A, C, D, E, F
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, play, worship, and age that affect a wide range of health,
functioning, and quality-of-life outcomes and risks. Genetic predisposition is a biological
factor rather than a social determinant. Addressing these five categories is essential for
achieving health equity according to Healthy People 2030.
3. During a windshield survey, which of the following observations would provide the nurse
with information regarding the community’s ‘human-made’ environment?
A. The presence of public parks and green spaces.
B. The availability of public transportation and sidewalks.
C. The ethnic and racial diversity of people on the street.
D. The local climate and seasonal weather patterns.
Correct Answer: B
,Explanation: A windshield survey involves an informal assessment of a community by
observing its physical characteristics from a vehicle. Public transportation systems and
sidewalks are part of the built environment, which refers to the human-made surroundings
that provide the setting for human activity. These features significantly impact physical
activity levels and access to essential services within the population.
4. An occupational health nurse is conducting a secondary prevention activity. Which of the
following tasks should the nurse perform?
A. Teaching employees about ergonomics to prevent back injuries.
B. Developing a policy for mandatory use of personal protective equipment.
C. Case management for an employee returning from disability leave.
D. Screening employees for high blood pressure during a health fair.
Correct Answer: D
Explanation: Secondary prevention emphasizes early detection and intervention to halt
the progression of a disease. Screening activities, such as blood pressure checks, are
designed to identify individuals in the early stages of a condition. This allows for timely
treatment and reduces the risk of long-term complications or disability.
5. A public health nurse is using the ‘I PREPARE’ mnemonic to assess environmental exposure.
What does the ‘E’ in the mnemonic stand for?
A. Emergency preparedness
B. Environmental factors
, C. Environmental justice
D. Education and employment
Correct Answer: B
Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to gather an
environmental health history. The first ‘E’ specifically stands for Environmental Factors,
which prompts the nurse to ask about concerns related to air, water, or soil quality in the
home or community. Understanding these factors is crucial for identifying potential health
risks linked to the surrounding environment.
6. In the epidemiological triangle, which of the following represents the ‘host’?
A. A virus causing a respiratory infection.
B. A person with an underlying chronic illness.
C. A healthcare facility with poor ventilation.
D. Contaminated water in a local well.
Correct Answer: B
Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. The host is the living being (human or animal) that is influenced by the agent
and the environment. Factors such as age, genetics, and immune status determine the
host’s susceptibility to a particular disease.
