NSG 3480 Exam 3 V2 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 3) | Galen College of Nursing
1. A nurse is using the START triage system at the scene of a mass casualty event. A victim is
found with a respiratory rate of 32, a capillary refill of 4 seconds, and follows simple
commands. Which color tag should the nurse apply?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: According to the START triage algorithm, any patient with a respiratory rate
over 30 per minute is tagged as immediate (Red). Additionally, a capillary refill time
greater than 2 seconds also dictates a Red tag categorization. This patient requires life-
saving intervention immediately to address potential shock or respiratory distress.
2. Which assessment mnemonic is most appropriate for a community health nurse to use
when evaluating a patient’s exposure to toxins in their living environment?
A. ADPIE
B. I-PREPARE
,C. START
D. SBAR
Correct Answer: B
Explanation: The I-PREPARE mnemonic is a specific tool designed to help health
professionals systematically assess environmental health history. It stands for Investigate
potential exposure, Present work, Residence, Environmental concerns, Past work,
Activities, Referrals/Resources, and Educate. Using this mnemonic ensures that the nurse
does not overlook critical environmental factors that could impact the patient’s health.
3. An occupational health nurse is conducting an ergonomic assessment for employees in a
manufacturing plant. This action represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Explanation: Ergonomic assessments are a form of primary prevention because they aim
to prevent injuries before they occur by optimizing the workspace. By identifying risks for
repetitive strain or physical stress, the nurse can suggest modifications to the environment.
This proactive approach reduces the incidence of work-related musculoskeletal disorders.
, 4. A school nurse is developing an Individualized Health Plan (IHP) for a student with severe
peanut allergies. Which of the following is a primary prevention strategy for this student?
A. Administering epinephrine after an accidental exposure
B. Educating teachers and classmates about the importance of a nut-free classroom
C. Screening all students for unknown food allergies
D. Providing a support group for students with chronic allergies
Correct Answer: B
Explanation: Education and the creation of a nut-free environment are primary prevention
strategies intended to prevent the occurrence of an allergic reaction. These measures
address the environment and host awareness to eliminate the risk factor entirely. In
contrast, administering epinephrine is a tertiary response to an acute event that has
already occurred.
5. A community health nurse is working with a group of migrant farmworkers. What is the
most common health risk associated with this specific population due to their occupation?
A. Silicosis from coal dust
B. Pesticide exposure and toxicity
C. Hearing loss from heavy machinery
D. Radiation sickness from soil minerals
Correct Answer: B
Health | Actual Q&A with Rationale (NSG3480
Exam 3) | Galen College of Nursing
1. A nurse is using the START triage system at the scene of a mass casualty event. A victim is
found with a respiratory rate of 32, a capillary refill of 4 seconds, and follows simple
commands. Which color tag should the nurse apply?
A. Green
B. Yellow
C. Red
D. Black
Correct Answer: C
Explanation: According to the START triage algorithm, any patient with a respiratory rate
over 30 per minute is tagged as immediate (Red). Additionally, a capillary refill time
greater than 2 seconds also dictates a Red tag categorization. This patient requires life-
saving intervention immediately to address potential shock or respiratory distress.
2. Which assessment mnemonic is most appropriate for a community health nurse to use
when evaluating a patient’s exposure to toxins in their living environment?
A. ADPIE
B. I-PREPARE
,C. START
D. SBAR
Correct Answer: B
Explanation: The I-PREPARE mnemonic is a specific tool designed to help health
professionals systematically assess environmental health history. It stands for Investigate
potential exposure, Present work, Residence, Environmental concerns, Past work,
Activities, Referrals/Resources, and Educate. Using this mnemonic ensures that the nurse
does not overlook critical environmental factors that could impact the patient’s health.
3. An occupational health nurse is conducting an ergonomic assessment for employees in a
manufacturing plant. This action represents which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Explanation: Ergonomic assessments are a form of primary prevention because they aim
to prevent injuries before they occur by optimizing the workspace. By identifying risks for
repetitive strain or physical stress, the nurse can suggest modifications to the environment.
This proactive approach reduces the incidence of work-related musculoskeletal disorders.
, 4. A school nurse is developing an Individualized Health Plan (IHP) for a student with severe
peanut allergies. Which of the following is a primary prevention strategy for this student?
A. Administering epinephrine after an accidental exposure
B. Educating teachers and classmates about the importance of a nut-free classroom
C. Screening all students for unknown food allergies
D. Providing a support group for students with chronic allergies
Correct Answer: B
Explanation: Education and the creation of a nut-free environment are primary prevention
strategies intended to prevent the occurrence of an allergic reaction. These measures
address the environment and host awareness to eliminate the risk factor entirely. In
contrast, administering epinephrine is a tertiary response to an acute event that has
already occurred.
5. A community health nurse is working with a group of migrant farmworkers. What is the
most common health risk associated with this specific population due to their occupation?
A. Silicosis from coal dust
B. Pesticide exposure and toxicity
C. Hearing loss from heavy machinery
D. Radiation sickness from soil minerals
Correct Answer: B
