NUR 206/NUR206 Final Exam V3 | Community
Nursing Concepts Q&A with Rationale | Fortis
College
1. A community health nurse is planning a primary prevention program for childhood obesity.
Which of the following interventions should the nurse include?
A. Measuring the Body Mass Index (BMI) of all elementary school students.
B. Educating parents about healthy snack choices and physical activity.
C. Creating a support group for children who are overweight.
D. Referring obese children to a pediatric nutritionist for specialized care.
Correct Answer: B
Explanation: Primary prevention focuses on preventing the initial occurrence of disease or
injury. Educating parents about healthy nutrition and exercise aims to prevent obesity
before it develops in the population. Screening via BMI measurements is considered
secondary prevention, while support groups and referrals for existing obesity are tertiary
interventions.
2. When performing a windshield survey, which of the following observations should the
community health nurse categorize as part of the environment?
A. The prevalence of chronic respiratory conditions among residents.
B. The availability of public transportation and bus schedules.
,C. The types of religious organizations available in the neighborhood.
D. The presence of lead-based paint in older residential buildings.
Correct Answer: D
Explanation: Environmental health assessments look for physical hazards in the
surroundings, such as lead-based paint which can cause toxicity. This observation is crucial
for identifying risks to the health of the population living in that area. Other options like
religious organizations or transportation belong to the social and economic subsystems of
the community.
3. An occupational health nurse is conducting an initial assessment of a worker who reported
a chemical splash to the eyes. Which action should the nurse take first?
A. Review the Material Safety Data Sheet (MSDS) for the specific chemical.
B. Flush the employee’s eyes with large amounts of water or saline.
C. Call emergency medical services for immediate transport to the hospital.
D. Document the incident and report it to the Occupational Safety and Health
Administration (OSHA).
Correct Answer: B
Explanation: Immediate irrigation is the priority intervention to minimize tissue damage
after a chemical exposure to the eyes. The nurse must act quickly to neutralize or dilute the
substance before performing secondary actions like reviewing the MSDS. Documentation
, and reporting should only occur once the patient is stabilized and immediate care is
provided.
4. A nurse is teaching a community group about the epidemiological triad. Which of the
following should the nurse identify as an ‘agent’ factor?
A. A person’s genetic predisposition to a specific disease.
B. The humidity and temperature of a specific geographic region.
C. The infectious bacteria or virus causing a disease.
D. The socioeconomic status and poverty levels within the community.
Correct Answer: C
Explanation: The epidemiological triad consists of the host, the agent, and the
environment. The agent is the animate or inanimate factor that must be present or absent
for a disease or condition to develop, such as a virus or bacteria. Genetic predisposition
refers to the host, while humidity and poverty are environmental factors.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following steps should the nurse perform first in the epidemiological process?
A. Implement a plan to prevent further spread of the illness.
B. Identify the specific organism causing the outbreak.
C. Analyze the data to determine the source of the contamination.
D. Define the nature and extent of the problem by collecting data.
Nursing Concepts Q&A with Rationale | Fortis
College
1. A community health nurse is planning a primary prevention program for childhood obesity.
Which of the following interventions should the nurse include?
A. Measuring the Body Mass Index (BMI) of all elementary school students.
B. Educating parents about healthy snack choices and physical activity.
C. Creating a support group for children who are overweight.
D. Referring obese children to a pediatric nutritionist for specialized care.
Correct Answer: B
Explanation: Primary prevention focuses on preventing the initial occurrence of disease or
injury. Educating parents about healthy nutrition and exercise aims to prevent obesity
before it develops in the population. Screening via BMI measurements is considered
secondary prevention, while support groups and referrals for existing obesity are tertiary
interventions.
2. When performing a windshield survey, which of the following observations should the
community health nurse categorize as part of the environment?
A. The prevalence of chronic respiratory conditions among residents.
B. The availability of public transportation and bus schedules.
,C. The types of religious organizations available in the neighborhood.
D. The presence of lead-based paint in older residential buildings.
Correct Answer: D
Explanation: Environmental health assessments look for physical hazards in the
surroundings, such as lead-based paint which can cause toxicity. This observation is crucial
for identifying risks to the health of the population living in that area. Other options like
religious organizations or transportation belong to the social and economic subsystems of
the community.
3. An occupational health nurse is conducting an initial assessment of a worker who reported
a chemical splash to the eyes. Which action should the nurse take first?
A. Review the Material Safety Data Sheet (MSDS) for the specific chemical.
B. Flush the employee’s eyes with large amounts of water or saline.
C. Call emergency medical services for immediate transport to the hospital.
D. Document the incident and report it to the Occupational Safety and Health
Administration (OSHA).
Correct Answer: B
Explanation: Immediate irrigation is the priority intervention to minimize tissue damage
after a chemical exposure to the eyes. The nurse must act quickly to neutralize or dilute the
substance before performing secondary actions like reviewing the MSDS. Documentation
, and reporting should only occur once the patient is stabilized and immediate care is
provided.
4. A nurse is teaching a community group about the epidemiological triad. Which of the
following should the nurse identify as an ‘agent’ factor?
A. A person’s genetic predisposition to a specific disease.
B. The humidity and temperature of a specific geographic region.
C. The infectious bacteria or virus causing a disease.
D. The socioeconomic status and poverty levels within the community.
Correct Answer: C
Explanation: The epidemiological triad consists of the host, the agent, and the
environment. The agent is the animate or inanimate factor that must be present or absent
for a disease or condition to develop, such as a virus or bacteria. Genetic predisposition
refers to the host, while humidity and poverty are environmental factors.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following steps should the nurse perform first in the epidemiological process?
A. Implement a plan to prevent further spread of the illness.
B. Identify the specific organism causing the outbreak.
C. Analyze the data to determine the source of the contamination.
D. Define the nature and extent of the problem by collecting data.
