This is Part 1 of the Occupational Health
Nursing 6th Edition Comprehensive Test
Bank by the American Association of
Occupational Health Nurses (AAOHN).
## PART 1 of 5: Foundations of Occupational
Health Nursing
### TABLE OF CONTENTS — PART 1
| Chapter/Topic | Questions |
|---|---|
| Chapter 1: Occupational Health Nursing: Overview and Scope | 1–18 |
| Chapter 2: Historical Foundations and Professional Development | 19–34 |
| Chapter 3: Legal and Ethical Issues | 35–52 |
| Chapter 4: Workers' Compensation and Regulatory Compliance | 53–70 |
| Chapter 5: Epidemiology and Health Surveillance | 71–86 |
| Chapter 6: Workers and Worker Populations | 87–100 |
---
### Chapter 1: Occupational Health Nursing: Overview and Scope — Questions 1–18
---
**Q1.** A nurse is interviewing for a position as an occupational health nurse in a manufacturing
facility. Which core function best distinguishes occupational health nursing from other nursing
specialties?
,A. Provision of direct clinical care to injured workers
B. Focus on the health of workers within the context of their work environment
C. Coordination of employee benefit programs
D. Management of workplace safety inspections
**Correct Answer: B**
**Rationale:** Occupational health nursing uniquely focuses on the health of workers in relation to
their work environment, including hazard identification, prevention, and health promotion. Direct
care is one component but not the defining function. Benefit coordination and safety inspections are
not nursing roles.
---
**Q2.** Which of the following best describes the primary goal of occupational health nursing
practice?
A. Treatment of occupational injuries and illnesses
B. Prevention of work-related injury and illness and promotion of worker health
C. Compliance with OSHA recordkeeping requirements
D. Reduction of employer health care costs
**Correct Answer: B**
**Rationale:** The primary goal is prevention of work-related injury and illness and promotion of
worker health, consistent with the AAOHN core curriculum. Treatment is one component,
compliance is a regulatory requirement, and cost reduction is an employer goal, not the nursing goal.
---
**Q3.** An occupational health nurse is developing a program to address rising rates of
hypertension among workers. Which level of prevention does this represent?
,A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
**Correct Answer: B**
**Rationale:** Screening for and early detection of hypertension is secondary prevention. Primary
prevention would focus on preventing hypertension through lifestyle education. Tertiary prevention
would address complications. Quaternary prevention is not a recognized category.
---
**Q4.** Which of the following is a primary prevention activity for an occupational health nurse?
A. Conducting hearing tests for noise-exposed workers
B. Providing ergonomic training to prevent musculoskeletal injuries
C. Case management for workers with chronic low back pain
D. Monitoring blood lead levels in exposed workers
**Correct Answer: B**
**Rationale:** Ergonomic training prevents injuries before they occur (primary prevention). Hearing
tests and blood lead monitoring are secondary prevention. Case management is tertiary prevention.
---
**Q5.** An occupational health nurse is reviewing the scope of practice. Which activity is within the
occupational health nurse's scope when appropriately trained and certified?
A. Diagnosing occupational illnesses
, B. Prescribing medication for work-related injuries
C. Conducting fitness-for-duty evaluations
D. Performing surgical procedures on injured workers
**Correct Answer: C**
**Rationale:** Fitness-for-duty evaluations are within the scope of appropriately trained
occupational health nurses, particularly those with COHN-S certification. Diagnosis and prescribing
are typically medical acts unless the nurse has independent prescriptive authority. Surgery is outside
nursing scope.
---
**Q6.** Which certification is available specifically for occupational health nurses?
A. CEN (Certified Emergency Nurse)
B. COHN (Certified Occupational Health Nurse)
C. CCRN (Critical Care Registered Nurse)
D. CNOR (Certified Nurse Operating Room)
**Correct Answer: B**
**Rationale:** COHN and COHN-S are the certifications specifically for occupational health nursing,
administered by the American Board for Occupational Health Nurses (ABOHN). CEN, CCRN, and
CNOR are for other specialties.
---
**Q7.** An occupational health nurse is asked to serve on a workplace safety committee. Which
contribution is most appropriate for the nurse to make?
A. Conducting workplace inspections and hazard assessments
Nursing 6th Edition Comprehensive Test
Bank by the American Association of
Occupational Health Nurses (AAOHN).
## PART 1 of 5: Foundations of Occupational
Health Nursing
### TABLE OF CONTENTS — PART 1
| Chapter/Topic | Questions |
|---|---|
| Chapter 1: Occupational Health Nursing: Overview and Scope | 1–18 |
| Chapter 2: Historical Foundations and Professional Development | 19–34 |
| Chapter 3: Legal and Ethical Issues | 35–52 |
| Chapter 4: Workers' Compensation and Regulatory Compliance | 53–70 |
| Chapter 5: Epidemiology and Health Surveillance | 71–86 |
| Chapter 6: Workers and Worker Populations | 87–100 |
---
### Chapter 1: Occupational Health Nursing: Overview and Scope — Questions 1–18
---
**Q1.** A nurse is interviewing for a position as an occupational health nurse in a manufacturing
facility. Which core function best distinguishes occupational health nursing from other nursing
specialties?
,A. Provision of direct clinical care to injured workers
B. Focus on the health of workers within the context of their work environment
C. Coordination of employee benefit programs
D. Management of workplace safety inspections
**Correct Answer: B**
**Rationale:** Occupational health nursing uniquely focuses on the health of workers in relation to
their work environment, including hazard identification, prevention, and health promotion. Direct
care is one component but not the defining function. Benefit coordination and safety inspections are
not nursing roles.
---
**Q2.** Which of the following best describes the primary goal of occupational health nursing
practice?
A. Treatment of occupational injuries and illnesses
B. Prevention of work-related injury and illness and promotion of worker health
C. Compliance with OSHA recordkeeping requirements
D. Reduction of employer health care costs
**Correct Answer: B**
**Rationale:** The primary goal is prevention of work-related injury and illness and promotion of
worker health, consistent with the AAOHN core curriculum. Treatment is one component,
compliance is a regulatory requirement, and cost reduction is an employer goal, not the nursing goal.
---
**Q3.** An occupational health nurse is developing a program to address rising rates of
hypertension among workers. Which level of prevention does this represent?
,A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
**Correct Answer: B**
**Rationale:** Screening for and early detection of hypertension is secondary prevention. Primary
prevention would focus on preventing hypertension through lifestyle education. Tertiary prevention
would address complications. Quaternary prevention is not a recognized category.
---
**Q4.** Which of the following is a primary prevention activity for an occupational health nurse?
A. Conducting hearing tests for noise-exposed workers
B. Providing ergonomic training to prevent musculoskeletal injuries
C. Case management for workers with chronic low back pain
D. Monitoring blood lead levels in exposed workers
**Correct Answer: B**
**Rationale:** Ergonomic training prevents injuries before they occur (primary prevention). Hearing
tests and blood lead monitoring are secondary prevention. Case management is tertiary prevention.
---
**Q5.** An occupational health nurse is reviewing the scope of practice. Which activity is within the
occupational health nurse's scope when appropriately trained and certified?
A. Diagnosing occupational illnesses
, B. Prescribing medication for work-related injuries
C. Conducting fitness-for-duty evaluations
D. Performing surgical procedures on injured workers
**Correct Answer: C**
**Rationale:** Fitness-for-duty evaluations are within the scope of appropriately trained
occupational health nurses, particularly those with COHN-S certification. Diagnosis and prescribing
are typically medical acts unless the nurse has independent prescriptive authority. Surgery is outside
nursing scope.
---
**Q6.** Which certification is available specifically for occupational health nurses?
A. CEN (Certified Emergency Nurse)
B. COHN (Certified Occupational Health Nurse)
C. CCRN (Critical Care Registered Nurse)
D. CNOR (Certified Nurse Operating Room)
**Correct Answer: B**
**Rationale:** COHN and COHN-S are the certifications specifically for occupational health nursing,
administered by the American Board for Occupational Health Nurses (ABOHN). CEN, CCRN, and
CNOR are for other specialties.
---
**Q7.** An occupational health nurse is asked to serve on a workplace safety committee. Which
contribution is most appropriate for the nurse to make?
A. Conducting workplace inspections and hazard assessments
