NUR 206/NUR206 Exam 4 V2 | Community Nursing
Concepts Q&A with Rationale | Fortis College
1. During a mass casualty incident, a nurse identifies a victim with a respiratory rate of 35
breaths per minute. Using the START triage system, which color tag should be assigned?
A. Red
B. Yellow
C. Green
D. Black
Correct Answer: A
Explanation: According to the START triage system, a respiratory rate greater than 30
breaths per minute indicates a Red tag or immediate status. This individual requires urgent
medical attention to address life-threatening physiological instability. Prompt
identification and tagging are essential to prioritize care for those most likely to benefit
from immediate intervention.
2. A community health nurse is conducting a secondary prevention activity regarding
environmental health. Which action fits this description?
A. Screening children for high blood lead levels.
B. Educating parents about the dangers of lead-based paint.
C. Advocating for stricter air quality regulations.
,D. Referring a child with lead poisoning for chelation therapy.
Correct Answer: A
Explanation: Secondary prevention involves early detection and screening of diseases
before clinical symptoms become severe. Screening children for blood lead levels identifies
exposure early, allowing for timely intervention to prevent further damage. This differs
from primary prevention, which focuses on education and hazard removal, and tertiary
prevention, which focuses on treatment and rehabilitation.
3. Which of the following is considered a primary objective of the World Health Organization
(WHO) regarding global health?
A. Providing direct clinical care to all citizens in developing nations.
B. Attaining the highest possible level of health for all people.
C. Standardizing nursing licensure requirements across all continents.
D. Managing the internal healthcare budgets of individual member states.
Correct Answer: B
Explanation: The WHO’s constitutional mandate is to lead international health efforts to
ensure all people can attain the highest possible level of health. This involves setting global
standards, monitoring health trends, and providing technical support to countries. It
focuses on health equity and the universal right to health rather than direct clinical
management of individual patients.
, 4. A nurse is assessing a migrant farmworker who presents with muscle weakness, abdominal
cramping, and excessive salivation. The nurse should suspect exposure to which of the
following?
A. Carbon monoxide
B. Lead paint
C. Pesticides
D. Asbestos
Correct Answer: C
Explanation: Migrant farmworkers are at high risk for pesticide exposure, which can cause
cholinergic symptoms like salivation, cramping, and weakness. These symptoms indicate
organophosphate poisoning, a common hazard in agricultural labor environments. The
nurse must prioritize assessment of respiratory status and decontamination procedures in
such cases.
5. What is the primary focus of a parish nurse (faith community nurse)?
A. Performing invasive surgical procedures in the church hall.
B. Strictly managing the financial assets of the religious institution.
C. Replacing the need for primary care physicians for congregation members.
D. Providing spiritual care while integrating health and healing.
Correct Answer: D
Concepts Q&A with Rationale | Fortis College
1. During a mass casualty incident, a nurse identifies a victim with a respiratory rate of 35
breaths per minute. Using the START triage system, which color tag should be assigned?
A. Red
B. Yellow
C. Green
D. Black
Correct Answer: A
Explanation: According to the START triage system, a respiratory rate greater than 30
breaths per minute indicates a Red tag or immediate status. This individual requires urgent
medical attention to address life-threatening physiological instability. Prompt
identification and tagging are essential to prioritize care for those most likely to benefit
from immediate intervention.
2. A community health nurse is conducting a secondary prevention activity regarding
environmental health. Which action fits this description?
A. Screening children for high blood lead levels.
B. Educating parents about the dangers of lead-based paint.
C. Advocating for stricter air quality regulations.
,D. Referring a child with lead poisoning for chelation therapy.
Correct Answer: A
Explanation: Secondary prevention involves early detection and screening of diseases
before clinical symptoms become severe. Screening children for blood lead levels identifies
exposure early, allowing for timely intervention to prevent further damage. This differs
from primary prevention, which focuses on education and hazard removal, and tertiary
prevention, which focuses on treatment and rehabilitation.
3. Which of the following is considered a primary objective of the World Health Organization
(WHO) regarding global health?
A. Providing direct clinical care to all citizens in developing nations.
B. Attaining the highest possible level of health for all people.
C. Standardizing nursing licensure requirements across all continents.
D. Managing the internal healthcare budgets of individual member states.
Correct Answer: B
Explanation: The WHO’s constitutional mandate is to lead international health efforts to
ensure all people can attain the highest possible level of health. This involves setting global
standards, monitoring health trends, and providing technical support to countries. It
focuses on health equity and the universal right to health rather than direct clinical
management of individual patients.
, 4. A nurse is assessing a migrant farmworker who presents with muscle weakness, abdominal
cramping, and excessive salivation. The nurse should suspect exposure to which of the
following?
A. Carbon monoxide
B. Lead paint
C. Pesticides
D. Asbestos
Correct Answer: C
Explanation: Migrant farmworkers are at high risk for pesticide exposure, which can cause
cholinergic symptoms like salivation, cramping, and weakness. These symptoms indicate
organophosphate poisoning, a common hazard in agricultural labor environments. The
nurse must prioritize assessment of respiratory status and decontamination procedures in
such cases.
5. What is the primary focus of a parish nurse (faith community nurse)?
A. Performing invasive surgical procedures in the church hall.
B. Strictly managing the financial assets of the religious institution.
C. Replacing the need for primary care physicians for congregation members.
D. Providing spiritual care while integrating health and healing.
Correct Answer: D
