NSG 3480 Exam 4 V1 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is utilizing the START triage system at the scene of a multi-
vehicle accident. Which finding would result in a patient being assigned a ‘Red’ tag?
A. The patient is walking around the scene with minor abrasions.
B. The patient has no pulse and is not breathing after airway opening.
C. The patient has a respiratory rate of 32 breaths per minute.
D. The patient follows simple commands and has a capillary refill of 2 seconds.
Correct Answer: C
Explanation: Under the START triage system, a respiratory rate greater than 30 breaths
per minute indicates immediate priority, warranting a red tag. Red tags are reserved for
patients with life-threatening injuries who can be saved with rapid intervention. This
categorization is essential for managing resources effectively during a mass casualty
incident.
2. When assessing a patient’s environmental health history, the nurse uses the ‘I-PREPARE’
mnemonic. What does the ‘E’ in ‘I-PREPARE’ stand for?
A. Environmental factors
B. Environmental justice
,C. Emergency contacts
D. Eating habits
Correct Answer: A
Explanation: The ‘E’ in the I-PREPARE mnemonic stands for Environmental Factors, which
prompts the nurse to ask about concerns regarding air, water, or soil quality. This tool is
designed to help health professionals systematically assess a patient’s exposure to
environmental hazards. By identifying these factors, the nurse can provide targeted
interventions and education to reduce health risks.
3. During which phase of disaster management does the community health nurse participate
in developing a community-wide disaster plan?
A. Recovery
B. Response
C. Preparedness
D. Mitigation
Correct Answer: C
Explanation: The preparedness phase involves activities such as planning, training, and
drills to ensure an effective response to a disaster. Developing a community-wide disaster
plan is a cornerstone of this phase to minimize confusion and maximize efficiency when an
event occurs. This proactive approach helps the community build resilience and readiness
for various emergencies.
, 4. A nurse is providing primary prevention strategies to a group of migrant farmworkers.
Which activity should the nurse prioritize?
A. Teaching about the proper use of personal protective equipment for pesticide
application.
B. Screening for lead poisoning in children.
C. Administering insulin to a worker with newly diagnosed diabetes.
D. Providing physical therapy for a chronic back injury.
Correct Answer: A
Explanation: Primary prevention focuses on preventing the occurrence of a disease or
injury before it happens. Teaching migrant workers about protective equipment for
pesticides directly prevents exposure and subsequent toxicity. This strategy is vital for this
population due to their high occupational risk factors and limited access to healthcare.
5. Which global health organization is primarily responsible for setting international health
standards and providing technical support to countries?
A. United Nations International Children’s Emergency Fund (UNICEF)
B. World Bank
C. Centers for Disease Control and Prevention (CDC)
D. World Health Organization (WHO)
Correct Answer: D
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is utilizing the START triage system at the scene of a multi-
vehicle accident. Which finding would result in a patient being assigned a ‘Red’ tag?
A. The patient is walking around the scene with minor abrasions.
B. The patient has no pulse and is not breathing after airway opening.
C. The patient has a respiratory rate of 32 breaths per minute.
D. The patient follows simple commands and has a capillary refill of 2 seconds.
Correct Answer: C
Explanation: Under the START triage system, a respiratory rate greater than 30 breaths
per minute indicates immediate priority, warranting a red tag. Red tags are reserved for
patients with life-threatening injuries who can be saved with rapid intervention. This
categorization is essential for managing resources effectively during a mass casualty
incident.
2. When assessing a patient’s environmental health history, the nurse uses the ‘I-PREPARE’
mnemonic. What does the ‘E’ in ‘I-PREPARE’ stand for?
A. Environmental factors
B. Environmental justice
,C. Emergency contacts
D. Eating habits
Correct Answer: A
Explanation: The ‘E’ in the I-PREPARE mnemonic stands for Environmental Factors, which
prompts the nurse to ask about concerns regarding air, water, or soil quality. This tool is
designed to help health professionals systematically assess a patient’s exposure to
environmental hazards. By identifying these factors, the nurse can provide targeted
interventions and education to reduce health risks.
3. During which phase of disaster management does the community health nurse participate
in developing a community-wide disaster plan?
A. Recovery
B. Response
C. Preparedness
D. Mitigation
Correct Answer: C
Explanation: The preparedness phase involves activities such as planning, training, and
drills to ensure an effective response to a disaster. Developing a community-wide disaster
plan is a cornerstone of this phase to minimize confusion and maximize efficiency when an
event occurs. This proactive approach helps the community build resilience and readiness
for various emergencies.
, 4. A nurse is providing primary prevention strategies to a group of migrant farmworkers.
Which activity should the nurse prioritize?
A. Teaching about the proper use of personal protective equipment for pesticide
application.
B. Screening for lead poisoning in children.
C. Administering insulin to a worker with newly diagnosed diabetes.
D. Providing physical therapy for a chronic back injury.
Correct Answer: A
Explanation: Primary prevention focuses on preventing the occurrence of a disease or
injury before it happens. Teaching migrant workers about protective equipment for
pesticides directly prevents exposure and subsequent toxicity. This strategy is vital for this
population due to their high occupational risk factors and limited access to healthcare.
5. Which global health organization is primarily responsible for setting international health
standards and providing technical support to countries?
A. United Nations International Children’s Emergency Fund (UNICEF)
B. World Bank
C. Centers for Disease Control and Prevention (CDC)
D. World Health Organization (WHO)
Correct Answer: D
