NSG 3480 Exam 4 V3 | NSG 3480 Community
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is conducting an assessment of a local family using a genogram.
Which information does this tool primarily provide?
A. A visual representation of family relationships and health history across generations.
B. The family’s connection to community resources and external social systems.
C. The socioeconomic status and insurance coverage of the nuclear family.
D. A daily log of the family’s nutritional intake and physical activity levels.
Correct Answer: A
Explanation: A genogram is a multidisciplinary tool used to map out at least three
generations of a family. It helps identify hereditary patterns, medical conditions, and
significant life events that may impact current health. Unlike an ecomap, it focuses on
internal family dynamics rather than external social relationships.
2. During a disaster response, a nurse identifies a victim with a respiratory rate of 35 breaths
per minute. According to the START triage system, which tag color should be assigned?
A. Green
B. Yellow
C. Red
,D. Black
Correct Answer: C
Explanation: The START (Simple Triage and Rapid Treatment) system uses respirations,
perfusion, and mental status to categorize victims. A respiratory rate greater than 30
breaths per minute indicates immediate life-threatening distress, requiring a red tag.
Immediate care is prioritized for these individuals to ensure survival during the crisis.
3. An occupational health nurse is investigating a recurring ergonomic injury among assembly
line workers. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and intervention to limit
the severity of a condition. By investigating an existing trend of injuries, the nurse is
identifying problems early to prevent further disability. Primary prevention would have
involved ergonomic training before injuries occurred.
4. A school nurse is developing an Individualized Education Program (IEP) for a student with
type 1 diabetes. What is the primary focus of the nurse’s role in this process?
A. Providing clinical diagnosis of new metabolic disorders.
, B. Ensuring the student’s health needs are met to support educational success.
C. Determining the student’s grade point average requirements.
D. Managing the school’s total budget for medical supplies.
Correct Answer: B
Explanation: The school nurse collaborates with the educational team to ensure that
health-related barriers do not impede a student’s learning. An IEP provides specific
accommodations, such as scheduled blood glucose monitoring and insulin administration.
This ensures a safe environment that complies with federal disability laws in education.
5. A nurse is using the ‘I PREPARE’ mnemonic to assess environmental health risks. What does
the ‘P’ in the mnemonic represent?
A. Psychological status
B. Personal hygiene
C. Present work
D. Pollution levels
Correct Answer: C
Explanation: The ‘I PREPARE’ tool is designed to assist nurses in gathering a systematic
environmental exposure history. The ‘P’ stands for Present Work, which involves asking
about current workplace exposures to chemicals or hazards. Understanding current
occupational risks is vital for identifying the root cause of environmental illnesses.
Health | Actual Q&A with Rationale (NSG3480
Exam 4) | Galen College of Nursing
1. A community health nurse is conducting an assessment of a local family using a genogram.
Which information does this tool primarily provide?
A. A visual representation of family relationships and health history across generations.
B. The family’s connection to community resources and external social systems.
C. The socioeconomic status and insurance coverage of the nuclear family.
D. A daily log of the family’s nutritional intake and physical activity levels.
Correct Answer: A
Explanation: A genogram is a multidisciplinary tool used to map out at least three
generations of a family. It helps identify hereditary patterns, medical conditions, and
significant life events that may impact current health. Unlike an ecomap, it focuses on
internal family dynamics rather than external social relationships.
2. During a disaster response, a nurse identifies a victim with a respiratory rate of 35 breaths
per minute. According to the START triage system, which tag color should be assigned?
A. Green
B. Yellow
C. Red
,D. Black
Correct Answer: C
Explanation: The START (Simple Triage and Rapid Treatment) system uses respirations,
perfusion, and mental status to categorize victims. A respiratory rate greater than 30
breaths per minute indicates immediate life-threatening distress, requiring a red tag.
Immediate care is prioritized for these individuals to ensure survival during the crisis.
3. An occupational health nurse is investigating a recurring ergonomic injury among assembly
line workers. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and intervention to limit
the severity of a condition. By investigating an existing trend of injuries, the nurse is
identifying problems early to prevent further disability. Primary prevention would have
involved ergonomic training before injuries occurred.
4. A school nurse is developing an Individualized Education Program (IEP) for a student with
type 1 diabetes. What is the primary focus of the nurse’s role in this process?
A. Providing clinical diagnosis of new metabolic disorders.
, B. Ensuring the student’s health needs are met to support educational success.
C. Determining the student’s grade point average requirements.
D. Managing the school’s total budget for medical supplies.
Correct Answer: B
Explanation: The school nurse collaborates with the educational team to ensure that
health-related barriers do not impede a student’s learning. An IEP provides specific
accommodations, such as scheduled blood glucose monitoring and insulin administration.
This ensures a safe environment that complies with federal disability laws in education.
5. A nurse is using the ‘I PREPARE’ mnemonic to assess environmental health risks. What does
the ‘P’ in the mnemonic represent?
A. Psychological status
B. Personal hygiene
C. Present work
D. Pollution levels
Correct Answer: C
Explanation: The ‘I PREPARE’ tool is designed to assist nurses in gathering a systematic
environmental exposure history. The ‘P’ stands for Present Work, which involves asking
about current workplace exposures to chemicals or hazards. Understanding current
occupational risks is vital for identifying the root cause of environmental illnesses.
