NUR 206 COMMUNITY NURSING
CONCEPTS COMPREHENSIVE EXAM
REVIEW
1. A community health nurse is planning a primary prevention strategy to reduce the
incidence of obesity in a local school district. Which of the following actions should the nurse
take?
A. Implementing a daily physical education requirement for all students.
B. Providing nutritional counseling for students who are identified as overweight.
C. Measuring the Body Mass Index (BMI) of all students in the district.
D. Establishing a support group for children diagnosed with Type 2 diabetes.
Answer: A
Conceptual Explanation: Primary prevention focuses on preventing the initial occurrence
of a disease or injury. Daily physical education promotes health for all students before
obesity occurs. BMI screening is secondary prevention, while counseling for overweight
students and diabetes support are tertiary prevention.
,2. An occupational health nurse is assessing a factory for potential physical hazards. Which of
the following findings should the nurse identify as a physical hazard?
A. Excessive noise levels from heavy machinery.
B. Lack of handwashing stations in the breakroom.
C. Exposure to lead-based solder in the assembly line.
D. High levels of stress due to repetitive task quotas.
Answer: A
Conceptual Explanation: Physical hazards include noise, vibration, temperature extremes,
and radiation. Lack of handwashing is a biological/sanitation issue, lead is a chemical
hazard, and stress is a psychosocial hazard.
3. A nurse is using the epidemiological triad to investigate an outbreak of foodborne illness.
Which of the following factors should the nurse identify as the ‘agent’?
A. The Salmonella bacteria found in the stool samples.
B. The warm temperature of the outdoor environment.
C. The contaminated potato salad served at the picnic.
D. The elderly individuals who attended the picnic.
Answer: A
Conceptual Explanation: In the epidemiological triad, the agent is the animate or
inanimate factor that must be present or lacking for a disease or condition to develop (in
, this case, the bacteria). The salad is the vehicle, the environment is the temperature, and
the elderly are the hosts.
4. Which of the following activities is an example of secondary prevention for a nurse working
in a rural health clinic?
A. Advocating for the installation of new streetlights in a high-crime area.
B. Teaching a patient how to administer insulin for new-onset diabetes.
C. Conducting a skin cancer screening event at a local fair.
D. Distributing educational brochures on the benefits of annual flu shots.
Answer: C
Conceptual Explanation: Secondary prevention involves early detection and intervention
to limit the severity of a disease. Screenings are classic examples of secondary prevention.
5. A community health nurse is performing a windshield survey. Which of the following data
collection methods is the nurse utilizing?
A. Interviewing key informants within the neighborhood.
B. Direct observation of the community’s physical environment.
C. Reviewing census data and morbidity statistics.
D. Conducting a formal focus group with community leaders.
Answer: B
CONCEPTS COMPREHENSIVE EXAM
REVIEW
1. A community health nurse is planning a primary prevention strategy to reduce the
incidence of obesity in a local school district. Which of the following actions should the nurse
take?
A. Implementing a daily physical education requirement for all students.
B. Providing nutritional counseling for students who are identified as overweight.
C. Measuring the Body Mass Index (BMI) of all students in the district.
D. Establishing a support group for children diagnosed with Type 2 diabetes.
Answer: A
Conceptual Explanation: Primary prevention focuses on preventing the initial occurrence
of a disease or injury. Daily physical education promotes health for all students before
obesity occurs. BMI screening is secondary prevention, while counseling for overweight
students and diabetes support are tertiary prevention.
,2. An occupational health nurse is assessing a factory for potential physical hazards. Which of
the following findings should the nurse identify as a physical hazard?
A. Excessive noise levels from heavy machinery.
B. Lack of handwashing stations in the breakroom.
C. Exposure to lead-based solder in the assembly line.
D. High levels of stress due to repetitive task quotas.
Answer: A
Conceptual Explanation: Physical hazards include noise, vibration, temperature extremes,
and radiation. Lack of handwashing is a biological/sanitation issue, lead is a chemical
hazard, and stress is a psychosocial hazard.
3. A nurse is using the epidemiological triad to investigate an outbreak of foodborne illness.
Which of the following factors should the nurse identify as the ‘agent’?
A. The Salmonella bacteria found in the stool samples.
B. The warm temperature of the outdoor environment.
C. The contaminated potato salad served at the picnic.
D. The elderly individuals who attended the picnic.
Answer: A
Conceptual Explanation: In the epidemiological triad, the agent is the animate or
inanimate factor that must be present or lacking for a disease or condition to develop (in
, this case, the bacteria). The salad is the vehicle, the environment is the temperature, and
the elderly are the hosts.
4. Which of the following activities is an example of secondary prevention for a nurse working
in a rural health clinic?
A. Advocating for the installation of new streetlights in a high-crime area.
B. Teaching a patient how to administer insulin for new-onset diabetes.
C. Conducting a skin cancer screening event at a local fair.
D. Distributing educational brochures on the benefits of annual flu shots.
Answer: C
Conceptual Explanation: Secondary prevention involves early detection and intervention
to limit the severity of a disease. Screenings are classic examples of secondary prevention.
5. A community health nurse is performing a windshield survey. Which of the following data
collection methods is the nurse utilizing?
A. Interviewing key informants within the neighborhood.
B. Direct observation of the community’s physical environment.
C. Reviewing census data and morbidity statistics.
D. Conducting a formal focus group with community leaders.
Answer: B
