NSG 3480 Exam 2 V1 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 2) | Galen College of Nursing
1. A community health nurse is performing a triage assessment at the scene of a multi-car
accident. Which patient should the nurse assign a red tag?
A. A patient with a minor abrasion and controlled bleeding.
B. A patient with an open chest wound and respirations of 32/min.
C. A patient with a compound fracture of the femur who is alert.
D. A patient who is unresponsive with a massive head injury and no respirations.
Correct Answer: B
Explanation: Red tags are assigned to patients with life-threatening injuries who have a
high probability of survival if treated immediately. In the START triage system, respirations
greater than 30 per minute indicate a high priority. The patient with the open chest wound
requires immediate intervention to maintain airway and ventilation.
2. When using the epidemiological triangle to investigate a foodborne illness outbreak, which
of the following is considered the ‘agent’?
A. Salmonella bacteria found in the stool samples.
B. The elderly population attending the event.
C. The contaminated potato salad served at a picnic.
,D. The high ambient temperature of the outdoor setting.
Correct Answer: A
Explanation: The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop. In this scenario, the Salmonella bacteria is the specific
biological agent causing the illness. The potato salad is the vehicle (environment), and the
elderly population is the host.
3. A nurse is conducting a blood pressure screening at a local senior center. This activity is an
example of which level of prevention?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Explanation: Secondary prevention involves early detection and screening to identify a
disease in its earliest stages. Blood pressure screening allows for the identification of
hypertension before complications arise. This level of care focuses on prompt treatment to
limit disability.
4. Which task should a community health nurse prioritize during the ‘recovery’ phase of a
disaster?
A. Conducting a community drill to test the emergency response plan.
, B. Providing long-term mental health counseling for survivors.
C. Performing rapid triage of victims at the disaster site.
D. Developing a map of potential hazardous waste sites in the area.
Correct Answer: B
Explanation: The recovery phase begins when the immediate danger has passed and
focuses on restoring the community to its prior state. Mental health support is a critical
component of long-term recovery for individuals affected by the trauma. Other tasks like
drills relate to preparedness, while triage relates to the response phase.
5. A nurse is assessing a migrant farmworker who presents with fatigue and dizziness. Which
environmental factor is the highest priority to assess in this population?
A. Exposure to radon in the farm barracks.
B. Occupational exposure to pesticides.
C. Lead levels in the local drinking water.
D. Availability of air conditioning in the workplace.
Correct Answer: B
Explanation: Migrant farmworkers are at high risk for pesticide exposure, which can cause
symptoms such as dizziness, headache, and fatigue. Acute pesticide poisoning is a
significant occupational hazard in agricultural settings. Nurses must assess for proper use
of personal protective equipment and hygiene practices after field work.
Health | Actual Q&A with Rationale (NSG3480
Exam 2) | Galen College of Nursing
1. A community health nurse is performing a triage assessment at the scene of a multi-car
accident. Which patient should the nurse assign a red tag?
A. A patient with a minor abrasion and controlled bleeding.
B. A patient with an open chest wound and respirations of 32/min.
C. A patient with a compound fracture of the femur who is alert.
D. A patient who is unresponsive with a massive head injury and no respirations.
Correct Answer: B
Explanation: Red tags are assigned to patients with life-threatening injuries who have a
high probability of survival if treated immediately. In the START triage system, respirations
greater than 30 per minute indicate a high priority. The patient with the open chest wound
requires immediate intervention to maintain airway and ventilation.
2. When using the epidemiological triangle to investigate a foodborne illness outbreak, which
of the following is considered the ‘agent’?
A. Salmonella bacteria found in the stool samples.
B. The elderly population attending the event.
C. The contaminated potato salad served at a picnic.
,D. The high ambient temperature of the outdoor setting.
Correct Answer: A
Explanation: The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop. In this scenario, the Salmonella bacteria is the specific
biological agent causing the illness. The potato salad is the vehicle (environment), and the
elderly population is the host.
3. A nurse is conducting a blood pressure screening at a local senior center. This activity is an
example of which level of prevention?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Explanation: Secondary prevention involves early detection and screening to identify a
disease in its earliest stages. Blood pressure screening allows for the identification of
hypertension before complications arise. This level of care focuses on prompt treatment to
limit disability.
4. Which task should a community health nurse prioritize during the ‘recovery’ phase of a
disaster?
A. Conducting a community drill to test the emergency response plan.
, B. Providing long-term mental health counseling for survivors.
C. Performing rapid triage of victims at the disaster site.
D. Developing a map of potential hazardous waste sites in the area.
Correct Answer: B
Explanation: The recovery phase begins when the immediate danger has passed and
focuses on restoring the community to its prior state. Mental health support is a critical
component of long-term recovery for individuals affected by the trauma. Other tasks like
drills relate to preparedness, while triage relates to the response phase.
5. A nurse is assessing a migrant farmworker who presents with fatigue and dizziness. Which
environmental factor is the highest priority to assess in this population?
A. Exposure to radon in the farm barracks.
B. Occupational exposure to pesticides.
C. Lead levels in the local drinking water.
D. Availability of air conditioning in the workplace.
Correct Answer: B
Explanation: Migrant farmworkers are at high risk for pesticide exposure, which can cause
symptoms such as dizziness, headache, and fatigue. Acute pesticide poisoning is a
significant occupational hazard in agricultural settings. Nurses must assess for proper use
of personal protective equipment and hygiene practices after field work.
