NSG 440 Exam 1 V2 | NSG 440 Population Health |
Actual Q&A with Rationale (NSG440 Exam 1) |
Grand Canyon University
1. A community health nurse is planning a primary prevention program for a local
neighborhood. Which of the following interventions should the nurse include? (Select All That
Apply)
A. Administering the annual influenza vaccination at a community center
B. Teaching middle school students about the dangers of vaping and tobacco use
C. Performing blood glucose screenings for residents at a local health fair
D. Providing education on proper helmet use for children riding bicycles
E. Conducting a support group for individuals recently diagnosed with Type 2 Diabetes
Correct Answer: A, B, D
Explanation: Primary prevention focuses on preventing the initial occurrence of disease or
injury by targeting healthy populations. Vaccinations, safety education, and anti-smoking
programs are all proactive measures that address risk factors before a condition develops.
Screenings represent secondary prevention, while support groups for diagnosed conditions
are considered tertiary prevention.
2. When applying the epidemiological triangle to a case of pertussis in a daycare center,
which of the following represents the ‘agent’?
A. Bordetella pertussis bacteria
,B. The daycare facility environment
C. An unvaccinated child attending the center
D. The healthcare provider reporting the case
Correct Answer: A
Explanation: The agent in the epidemiological triangle refers to the physical, chemical, or
biological factor that causes the disease. In this scenario, the Bordetella pertussis bacteria
is the specific biological pathogen responsible for the illness. Understanding the agent is
critical for determining appropriate treatment and containment strategies.
3. A public health nurse is reviewing the overarching goals of Healthy People 2030. Which
objective aligns with these national goals?
A. Decreasing the national debt by reducing healthcare expenditures
B. Eliminating health disparities and achieving health equity across all groups
C. Focusing exclusively on curative treatments for chronic diseases
D. Providing universal healthcare coverage to all citizens regardless of age
Correct Answer: B
Explanation: Healthy People 2030 aims to achieve health equity, eliminate disparities, and
improve the health of all groups within the United States. It emphasizes the creation of
social and physical environments that promote good health for everyone. This mission
guides public health priorities and resource allocation at the federal, state, and local levels.
,4. The nurse is conducting a windshield survey of a new community. Which observations are
essential components of this assessment? (Select All That Apply)
A. The condition and age of the housing structures
B. The presence of grocery stores with fresh produce
C. Availability of public transportation and sidewalks
D. Interviewing the mayor regarding local health policies
E. Common areas where people gather, such as parks or plazas
F. Reviewing official census data for demographic shifts
Correct Answer: A, B, C, E
Explanation: A windshield survey is a subjective, observational method used to assess a
community’s physical environment and social characteristics. Components include housing
conditions, access to food, transportation infrastructure, and public gathering spaces.
Interviews and census reviews are valuable but are considered separate components of a
comprehensive community assessment.
5. A nurse is performing a scoliosis screening on students in a middle school. Which level of
prevention is being implemented?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
, D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and intervention to limit
the severity of a disease or injury. Screenings are the hallmark of secondary prevention
because they identify asymptomatic individuals who may have a condition. By detecting
scoliosis early, the school nurse facilitates prompt referral and treatment.
6. Which of the following factors are considered Social Determinants of Health (SDOH)?
(Select All That Apply)
A. Access to safe and affordable housing
B. Genetic predisposition to hypertension
C. Quality of education and job training
D. Exposure to environmental toxins in the workplace
E. Personal choice to consume a high-sodium diet
Correct Answer: A, C, D
Explanation: Social Determinants of Health are the conditions in which people are born,
grow, live, work, and age. Housing stability, educational quality, and occupational safety are
external factors that significantly impact health outcomes. Genetic factors and personal
lifestyle choices are distinct from these broader social and environmental influences.
Actual Q&A with Rationale (NSG440 Exam 1) |
Grand Canyon University
1. A community health nurse is planning a primary prevention program for a local
neighborhood. Which of the following interventions should the nurse include? (Select All That
Apply)
A. Administering the annual influenza vaccination at a community center
B. Teaching middle school students about the dangers of vaping and tobacco use
C. Performing blood glucose screenings for residents at a local health fair
D. Providing education on proper helmet use for children riding bicycles
E. Conducting a support group for individuals recently diagnosed with Type 2 Diabetes
Correct Answer: A, B, D
Explanation: Primary prevention focuses on preventing the initial occurrence of disease or
injury by targeting healthy populations. Vaccinations, safety education, and anti-smoking
programs are all proactive measures that address risk factors before a condition develops.
Screenings represent secondary prevention, while support groups for diagnosed conditions
are considered tertiary prevention.
2. When applying the epidemiological triangle to a case of pertussis in a daycare center,
which of the following represents the ‘agent’?
A. Bordetella pertussis bacteria
,B. The daycare facility environment
C. An unvaccinated child attending the center
D. The healthcare provider reporting the case
Correct Answer: A
Explanation: The agent in the epidemiological triangle refers to the physical, chemical, or
biological factor that causes the disease. In this scenario, the Bordetella pertussis bacteria
is the specific biological pathogen responsible for the illness. Understanding the agent is
critical for determining appropriate treatment and containment strategies.
3. A public health nurse is reviewing the overarching goals of Healthy People 2030. Which
objective aligns with these national goals?
A. Decreasing the national debt by reducing healthcare expenditures
B. Eliminating health disparities and achieving health equity across all groups
C. Focusing exclusively on curative treatments for chronic diseases
D. Providing universal healthcare coverage to all citizens regardless of age
Correct Answer: B
Explanation: Healthy People 2030 aims to achieve health equity, eliminate disparities, and
improve the health of all groups within the United States. It emphasizes the creation of
social and physical environments that promote good health for everyone. This mission
guides public health priorities and resource allocation at the federal, state, and local levels.
,4. The nurse is conducting a windshield survey of a new community. Which observations are
essential components of this assessment? (Select All That Apply)
A. The condition and age of the housing structures
B. The presence of grocery stores with fresh produce
C. Availability of public transportation and sidewalks
D. Interviewing the mayor regarding local health policies
E. Common areas where people gather, such as parks or plazas
F. Reviewing official census data for demographic shifts
Correct Answer: A, B, C, E
Explanation: A windshield survey is a subjective, observational method used to assess a
community’s physical environment and social characteristics. Components include housing
conditions, access to food, transportation infrastructure, and public gathering spaces.
Interviews and census reviews are valuable but are considered separate components of a
comprehensive community assessment.
5. A nurse is performing a scoliosis screening on students in a middle school. Which level of
prevention is being implemented?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
, D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and intervention to limit
the severity of a disease or injury. Screenings are the hallmark of secondary prevention
because they identify asymptomatic individuals who may have a condition. By detecting
scoliosis early, the school nurse facilitates prompt referral and treatment.
6. Which of the following factors are considered Social Determinants of Health (SDOH)?
(Select All That Apply)
A. Access to safe and affordable housing
B. Genetic predisposition to hypertension
C. Quality of education and job training
D. Exposure to environmental toxins in the workplace
E. Personal choice to consume a high-sodium diet
Correct Answer: A, C, D
Explanation: Social Determinants of Health are the conditions in which people are born,
grow, live, work, and age. Housing stability, educational quality, and occupational safety are
external factors that significantly impact health outcomes. Genetic factors and personal
lifestyle choices are distinct from these broader social and environmental influences.
