NSG 3480 Exam 1 V1 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 1) | Galen College of Nursing
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: B
Explanation: Secondary prevention focuses on early detection and intervention to prevent
the progression of a disease. Screening programs, such as blood pressure checks or
mammograms, are classic examples of secondary prevention because they identify
asymptomatic individuals with early stage disease. Primary prevention aims to prevent the
onset of disease through education or immunization, while tertiary prevention focuses on
rehabilitation.
2. Which historical figure is credited with establishing the Henry Street Settlement and is
considered the founder of public health nursing in the United States?
A. Florence Nightingale
B. Clara Barton
,C. Mary Breckinridge
D. Lillian Wald
Correct Answer: D
Explanation: Lillian Wald is widely recognized as the pioneer of public health nursing for
her work in New York City’s tenements. She established the Henry Street Settlement to
provide health care and social services to the poor immigrant population. While Florence
Nightingale laid the foundation for modern nursing, Wald specifically focused on the
community as the client.
3. When applying the Epidemiological Triangle, a nurse identifies a virus as which
component?
A. Host
B. Agent
C. Vector
D. Environment
Correct Answer: B
Explanation: The Agent in the Epidemiological Triangle refers to the factor that must be
present for a disease to occur, such as bacteria, viruses, or chemical toxins. The Host is the
human or animal that harbors the agent, and the Environment includes external factors
that facilitate transmission. Identifying the virus as the agent allows the nurse to target
interventions specifically at breaking the chain of infection.
, 4. A nurse provides education to a patient about lifestyle modifications following a
myocardial infarction. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Tertiary prevention aims to minimize the effects of a long-term disease or
injury and prevent further complications. Education following a cardiac event helps the
patient manage their chronic condition and improve their quality of life. This differs from
primary prevention, which occurs before a disease is present, and secondary prevention,
which involves early screening.
5. Which factor is considered a Social Determinant of Health (SDOH) according to Healthy
People 2030?
A. Genetic predisposition to diabetes
B. Access to safe housing and clean water
C. A personal choice to smoke tobacco
D. The presence of a bacterial infection
Correct Answer: B
Health | Actual Q&A with Rationale (NSG3480
Exam 1) | Galen College of Nursing
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention
Correct Answer: B
Explanation: Secondary prevention focuses on early detection and intervention to prevent
the progression of a disease. Screening programs, such as blood pressure checks or
mammograms, are classic examples of secondary prevention because they identify
asymptomatic individuals with early stage disease. Primary prevention aims to prevent the
onset of disease through education or immunization, while tertiary prevention focuses on
rehabilitation.
2. Which historical figure is credited with establishing the Henry Street Settlement and is
considered the founder of public health nursing in the United States?
A. Florence Nightingale
B. Clara Barton
,C. Mary Breckinridge
D. Lillian Wald
Correct Answer: D
Explanation: Lillian Wald is widely recognized as the pioneer of public health nursing for
her work in New York City’s tenements. She established the Henry Street Settlement to
provide health care and social services to the poor immigrant population. While Florence
Nightingale laid the foundation for modern nursing, Wald specifically focused on the
community as the client.
3. When applying the Epidemiological Triangle, a nurse identifies a virus as which
component?
A. Host
B. Agent
C. Vector
D. Environment
Correct Answer: B
Explanation: The Agent in the Epidemiological Triangle refers to the factor that must be
present for a disease to occur, such as bacteria, viruses, or chemical toxins. The Host is the
human or animal that harbors the agent, and the Environment includes external factors
that facilitate transmission. Identifying the virus as the agent allows the nurse to target
interventions specifically at breaking the chain of infection.
, 4. A nurse provides education to a patient about lifestyle modifications following a
myocardial infarction. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Tertiary prevention aims to minimize the effects of a long-term disease or
injury and prevent further complications. Education following a cardiac event helps the
patient manage their chronic condition and improve their quality of life. This differs from
primary prevention, which occurs before a disease is present, and secondary prevention,
which involves early screening.
5. Which factor is considered a Social Determinant of Health (SDOH) according to Healthy
People 2030?
A. Genetic predisposition to diabetes
B. Access to safe housing and clean water
C. A personal choice to smoke tobacco
D. The presence of a bacterial infection
Correct Answer: B
