NSG 3480 Exam 3 V1 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 3) | Galen College of Nursing
1. A community health nurse is performing disaster triage following a mass casualty incident.
A victim has a sucking chest wound and is in respiratory distress. Which triage tag should the
nurse apply?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Deceased)
D. Red (Immediate)
Correct Answer: D
Explanation: The red tag is assigned to patients who have life-threatening injuries but high
chances of survival if treated immediately. A sucking chest wound causes severe
respiratory impairment and constitutes an immediate threat to life. In a mass casualty
situation, prioritizing these patients is essential for maximizing the number of lives saved.
2. Which component of the ‘I PREPARE’ environmental exposure assessment mnemonic
focuses on the patient’s current work environment?
A. P - Past work
B. P - Present work
,C. R - Residence
D. E - Environmental concerns
Correct Answer: B
Explanation: The ‘P’ in I PREPARE stands for Present work, which involves asking about
potential exposures to chemicals, dust, or physical hazards at the current job site. This
assessment is vital for identifying occupational hazards that may be contributing to a
patient’s health issues. Nurses use this tool to systematically gather information regarding
environmental health risks.
3. A nurse is advocating for a new policy to increase funding for rural health clinics. Which
action best illustrates the nurse acting as a lobbyist?
A. Educating a group of community members about health lifestyle choices.
B. Reporting a case of a communicable disease to the state health department.
C. Attempting to influence a legislator’s vote on specific health-related legislation.
D. Participating in a local blood drive as a volunteer.
Correct Answer: C
Explanation: Lobbying is the act of attempting to influence the decisions of government
officials, particularly legislators, regarding specific bills or policies. This requires the nurse
to build relationships and communicate effectively with political leaders to represent the
interests of the community. Advocacy at this level is crucial for shaping the structural
environment of public health.
,4. In the event of a chemical spill in a local community, which phase of disaster management
involves the creation of a notification system for residents?
A. Preparedness
B. Mitigation
C. Response
D. Recovery
Correct Answer: A
Explanation: The preparedness phase focuses on planning and readiness activities before
a disaster occurs, such as establishing communication systems and conducting drills. By
having a notification system in place, the community can respond more effectively when a
hazard is identified. This proactive approach is distinct from mitigation, which focuses on
reducing the long-term risk of the hazard itself.
5. A community health nurse is assessing a migrant farmworker for health risks. Which factor
is considered a significant barrier to care for this population?
A. Lack of interest in preventative healthcare.
B. Access to high-quality employer-sponsored insurance.
C. Frequent mobility and lack of stable housing.
D. Preference for traditional folk medicine over modern medicine.
Correct Answer: C
, Explanation: Migrant farmworkers often face barriers such as mobility, which makes
maintaining a consistent medical record and follow-up care difficult. They also frequently
deal with language barriers, lack of transportation, and fear regarding their legal status in
the country. These social determinants of health significantly increase their vulnerability to
poor health outcomes.
6. During a disaster response, a patient is found with no respirations. After the nurse
performs a head-tilt chin-lift, the patient still does not breathe. What is the correct triage
category?
A. Red
B. Yellow
C. Black
D. Green
Correct Answer: C
Explanation: According to the START triage algorithm, if an adult patient is not breathing
and does not begin breathing after a simple airway maneuver, they are classified as
deceased or expectant (Black tag). In a resource-limited disaster scenario, resources are
not used for those who cannot be saved by simple interventions. This allows providers to
focus on those who have a viable chance of survival.
Health | Actual Q&A with Rationale (NSG3480
Exam 3) | Galen College of Nursing
1. A community health nurse is performing disaster triage following a mass casualty incident.
A victim has a sucking chest wound and is in respiratory distress. Which triage tag should the
nurse apply?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Deceased)
D. Red (Immediate)
Correct Answer: D
Explanation: The red tag is assigned to patients who have life-threatening injuries but high
chances of survival if treated immediately. A sucking chest wound causes severe
respiratory impairment and constitutes an immediate threat to life. In a mass casualty
situation, prioritizing these patients is essential for maximizing the number of lives saved.
2. Which component of the ‘I PREPARE’ environmental exposure assessment mnemonic
focuses on the patient’s current work environment?
A. P - Past work
B. P - Present work
,C. R - Residence
D. E - Environmental concerns
Correct Answer: B
Explanation: The ‘P’ in I PREPARE stands for Present work, which involves asking about
potential exposures to chemicals, dust, or physical hazards at the current job site. This
assessment is vital for identifying occupational hazards that may be contributing to a
patient’s health issues. Nurses use this tool to systematically gather information regarding
environmental health risks.
3. A nurse is advocating for a new policy to increase funding for rural health clinics. Which
action best illustrates the nurse acting as a lobbyist?
A. Educating a group of community members about health lifestyle choices.
B. Reporting a case of a communicable disease to the state health department.
C. Attempting to influence a legislator’s vote on specific health-related legislation.
D. Participating in a local blood drive as a volunteer.
Correct Answer: C
Explanation: Lobbying is the act of attempting to influence the decisions of government
officials, particularly legislators, regarding specific bills or policies. This requires the nurse
to build relationships and communicate effectively with political leaders to represent the
interests of the community. Advocacy at this level is crucial for shaping the structural
environment of public health.
,4. In the event of a chemical spill in a local community, which phase of disaster management
involves the creation of a notification system for residents?
A. Preparedness
B. Mitigation
C. Response
D. Recovery
Correct Answer: A
Explanation: The preparedness phase focuses on planning and readiness activities before
a disaster occurs, such as establishing communication systems and conducting drills. By
having a notification system in place, the community can respond more effectively when a
hazard is identified. This proactive approach is distinct from mitigation, which focuses on
reducing the long-term risk of the hazard itself.
5. A community health nurse is assessing a migrant farmworker for health risks. Which factor
is considered a significant barrier to care for this population?
A. Lack of interest in preventative healthcare.
B. Access to high-quality employer-sponsored insurance.
C. Frequent mobility and lack of stable housing.
D. Preference for traditional folk medicine over modern medicine.
Correct Answer: C
, Explanation: Migrant farmworkers often face barriers such as mobility, which makes
maintaining a consistent medical record and follow-up care difficult. They also frequently
deal with language barriers, lack of transportation, and fear regarding their legal status in
the country. These social determinants of health significantly increase their vulnerability to
poor health outcomes.
6. During a disaster response, a patient is found with no respirations. After the nurse
performs a head-tilt chin-lift, the patient still does not breathe. What is the correct triage
category?
A. Red
B. Yellow
C. Black
D. Green
Correct Answer: C
Explanation: According to the START triage algorithm, if an adult patient is not breathing
and does not begin breathing after a simple airway maneuver, they are classified as
deceased or expectant (Black tag). In a resource-limited disaster scenario, resources are
not used for those who cannot be saved by simple interventions. This allows providers to
focus on those who have a viable chance of survival.
