NUR 206/NUR206 Exam 4 V1 | Community Nursing
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is conducting a program for a group of residents about primary
prevention. Which of the following activities should the nurse include as an example?
A. Conducting vision screenings for school-aged children.
B. Screening older adults for osteoporosis.
C. Managing a support group for clients with diabetes.
D. Providing influenza immunizations to local residents.
Correct Answer: D
Explanation: Primary prevention focuses on the prevention of the initial occurrence of
disease or injury. Providing immunizations is a classic example of primary prevention
because it builds immunity before exposure happens. Screens, such as those for
osteoporosis or vision, are classified as secondary prevention efforts.
2. A nurse is working in a disaster area following a tornado. According to the START triage
system, which client should be tagged with a red tag?
A. A client who has a minor laceration and is walking around the site.
B. A client who has a compound fracture and a radial pulse of 90/min.
C. A client who is unconscious and has a respiratory rate of 34/min.
D. A client who is not breathing even after opening their airway.
,Correct Answer: C
Explanation: The red tag indicates an immediate priority for clients who have life-
threatening injuries but a high possibility of survival. A respiratory rate over 30/min or
unconsciousness are criteria for immediate (red) classification. Clients who are not
breathing after airway maneuvers are tagged black, while the ‘walking wounded’ receive a
green tag.
3. A community health nurse is planning to perform a windshield survey. Which of the
following components should the nurse include in the assessment?
A. The prevalence of chronic diseases among the residents.
B. Informant interviews with local government officials.
C. The condition and availability of public transportation.
D. Reviewing vital statistics from the local health department.
Correct Answer: C
Explanation: A windshield survey involves an objective observation of the community’s
physical environment while driving or walking through the area. Assessing the condition of
public transportation, housing, and green spaces is appropriate for this type of survey.
Informant interviews and vital statistics review are separate methods of community
assessment that involve subjective data or secondary analysis.
, 4. A nurse is caring for a client who is homebound and requires skilled nursing care. Which of
the following criteria must be met for Medicare to cover home health services?
A. The client must require assistance with all activities of daily living.
B. The client must have a chronic illness that is expected to last over a year.
C. The client must be under the care of a physician who provides a plan of care.
D. The client must be unable to afford private duty nursing services.
Correct Answer: C
Explanation: To qualify for Medicare home health services, the client must be under the
care of a physician and have a certified plan of care. Additionally, the client must be
homebound and require intermittent skilled nursing care or therapy. Financial status is not
a qualifying factor for Medicare home health benefits, unlike Medicaid.
5. An occupational health nurse is evaluating the workplace for potential hazards. Using the ‘I
PREPARE’ mnemonic, which of the following questions aligns with the ‘P’ (Present work)?
A. ‘Are you exposed to chemicals or loud noises at your current job?’
B. ‘What year was your home built?’
C. ‘Do you have any hobbies that involve the use of lead?’
D. ‘Have you ever worked in a mine or a refinery in the past?’
Correct Answer: A
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is conducting a program for a group of residents about primary
prevention. Which of the following activities should the nurse include as an example?
A. Conducting vision screenings for school-aged children.
B. Screening older adults for osteoporosis.
C. Managing a support group for clients with diabetes.
D. Providing influenza immunizations to local residents.
Correct Answer: D
Explanation: Primary prevention focuses on the prevention of the initial occurrence of
disease or injury. Providing immunizations is a classic example of primary prevention
because it builds immunity before exposure happens. Screens, such as those for
osteoporosis or vision, are classified as secondary prevention efforts.
2. A nurse is working in a disaster area following a tornado. According to the START triage
system, which client should be tagged with a red tag?
A. A client who has a minor laceration and is walking around the site.
B. A client who has a compound fracture and a radial pulse of 90/min.
C. A client who is unconscious and has a respiratory rate of 34/min.
D. A client who is not breathing even after opening their airway.
,Correct Answer: C
Explanation: The red tag indicates an immediate priority for clients who have life-
threatening injuries but a high possibility of survival. A respiratory rate over 30/min or
unconsciousness are criteria for immediate (red) classification. Clients who are not
breathing after airway maneuvers are tagged black, while the ‘walking wounded’ receive a
green tag.
3. A community health nurse is planning to perform a windshield survey. Which of the
following components should the nurse include in the assessment?
A. The prevalence of chronic diseases among the residents.
B. Informant interviews with local government officials.
C. The condition and availability of public transportation.
D. Reviewing vital statistics from the local health department.
Correct Answer: C
Explanation: A windshield survey involves an objective observation of the community’s
physical environment while driving or walking through the area. Assessing the condition of
public transportation, housing, and green spaces is appropriate for this type of survey.
Informant interviews and vital statistics review are separate methods of community
assessment that involve subjective data or secondary analysis.
, 4. A nurse is caring for a client who is homebound and requires skilled nursing care. Which of
the following criteria must be met for Medicare to cover home health services?
A. The client must require assistance with all activities of daily living.
B. The client must have a chronic illness that is expected to last over a year.
C. The client must be under the care of a physician who provides a plan of care.
D. The client must be unable to afford private duty nursing services.
Correct Answer: C
Explanation: To qualify for Medicare home health services, the client must be under the
care of a physician and have a certified plan of care. Additionally, the client must be
homebound and require intermittent skilled nursing care or therapy. Financial status is not
a qualifying factor for Medicare home health benefits, unlike Medicaid.
5. An occupational health nurse is evaluating the workplace for potential hazards. Using the ‘I
PREPARE’ mnemonic, which of the following questions aligns with the ‘P’ (Present work)?
A. ‘Are you exposed to chemicals or loud noises at your current job?’
B. ‘What year was your home built?’
C. ‘Do you have any hobbies that involve the use of lead?’
D. ‘Have you ever worked in a mine or a refinery in the past?’
Correct Answer: A
