NUR 426 Final Exam: Community Health Nursing Theory &
Application V2 - Arizona College Updated and Latest
Questions and Correct Answers with Rationale
1. A community health nurse is planning an immunization clinic for local elementary school children. Which
level of prevention does this activity represent?
A. Quaternary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Primary Prevention
Ans: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease or injury.
Immunizations are a classic example of this level because they provide immunity before exposure occurs.
This strategy aims to decrease the incidence of infectious diseases within the school population. By
educating parents and administering vaccines, the nurse promotes wellness and protects the community.
Other examples include nutrition counseling and seatbelt safety programs.
2. When conducting a windshield survey, which of the following should the nurse focus on to assess the
community’s physical environment?
A. Reviewing local census data and demographics
B. Interviewing the local mayor and city council members
C. Observing the condition of housing and public spaces
D. Evaluating the quality of inpatient hospital services
Ans: C
,Explanation: A windshield survey is an informal observation of a community while driving or walking
through it. It provides an objective view of the physical environment, such as housing quality and green
spaces. This method allows the nurse to identify potential health hazards like trash or pollution quickly. It
is considered a subjective yet essential tool for initial community assessment. By observing the layout
and resources, the nurse gains insight into the community’s socioeconomic status.
3. A nurse is teaching a group of older adults about tertiary prevention for heart disease. Which activity
should the nurse include?
A. Participating in a cardiac rehabilitation program
B. Getting a baseline cholesterol screening
C. Attending a healthy cooking class to prevent hypertension
D. Receiving a yearly influenza vaccination
Ans: A
Explanation: Tertiary prevention aims to prevent further complications or disability in individuals who
already have a chronic disease. Cardiac rehabilitation helps patients recover after a heart event and
prevents future issues. This level of care focuses on restoration and maintenance of the highest possible
function. It differs from secondary prevention, which involves early screening and detection. By
supporting rehabilitation, the nurse helps improve the quality of life for the patient.
4. Which component of the epidemiological triad is being addressed when a nurse encourages a patient to
use insect repellent to avoid West Nile Virus?
A. Host
B. Environment
C. Agent
, D. Vector
Ans: B
Explanation: The epidemiological triad consists of the host, agent, and environment. Encouraging insect
repellent usage modifies the environment or the interaction between host and agent. In this scenario, the
mosquito acts as the vector carrying the viral agent. By reducing contact with the vector, the nurse breaks
the chain of transmission. This environmental intervention is crucial for controlling communicable
diseases in the community.
5. A community health nurse is using the ‘I PREPARE’ mnemonic to assess a patient’s environmental health
history. What does the ‘E’ stand for?
A. Endocrine system review
B. Education on safety
C. Emergency preparedness
D. Environmental concerns
Ans: D
Explanation: The ‘I PREPARE’ tool is designed to assist nurses in identifying potential environmental
exposures. The ‘E’ specifically refers to Environmental concerns related to the patient’s home and
neighborhood. Other components of the tool include Investigate, Present work, and Past work. This
systematic approach ensures that the nurse does not overlook toxic exposures. Using this framework
helps in creating a comprehensive health profile for the client.
6. What is the primary goal of the ‘Response’ phase of disaster management?
A. Saving lives and meeting basic human needs
B. Reducing the long-term effects of the disaster
Application V2 - Arizona College Updated and Latest
Questions and Correct Answers with Rationale
1. A community health nurse is planning an immunization clinic for local elementary school children. Which
level of prevention does this activity represent?
A. Quaternary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Primary Prevention
Ans: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease or injury.
Immunizations are a classic example of this level because they provide immunity before exposure occurs.
This strategy aims to decrease the incidence of infectious diseases within the school population. By
educating parents and administering vaccines, the nurse promotes wellness and protects the community.
Other examples include nutrition counseling and seatbelt safety programs.
2. When conducting a windshield survey, which of the following should the nurse focus on to assess the
community’s physical environment?
A. Reviewing local census data and demographics
B. Interviewing the local mayor and city council members
C. Observing the condition of housing and public spaces
D. Evaluating the quality of inpatient hospital services
Ans: C
,Explanation: A windshield survey is an informal observation of a community while driving or walking
through it. It provides an objective view of the physical environment, such as housing quality and green
spaces. This method allows the nurse to identify potential health hazards like trash or pollution quickly. It
is considered a subjective yet essential tool for initial community assessment. By observing the layout
and resources, the nurse gains insight into the community’s socioeconomic status.
3. A nurse is teaching a group of older adults about tertiary prevention for heart disease. Which activity
should the nurse include?
A. Participating in a cardiac rehabilitation program
B. Getting a baseline cholesterol screening
C. Attending a healthy cooking class to prevent hypertension
D. Receiving a yearly influenza vaccination
Ans: A
Explanation: Tertiary prevention aims to prevent further complications or disability in individuals who
already have a chronic disease. Cardiac rehabilitation helps patients recover after a heart event and
prevents future issues. This level of care focuses on restoration and maintenance of the highest possible
function. It differs from secondary prevention, which involves early screening and detection. By
supporting rehabilitation, the nurse helps improve the quality of life for the patient.
4. Which component of the epidemiological triad is being addressed when a nurse encourages a patient to
use insect repellent to avoid West Nile Virus?
A. Host
B. Environment
C. Agent
, D. Vector
Ans: B
Explanation: The epidemiological triad consists of the host, agent, and environment. Encouraging insect
repellent usage modifies the environment or the interaction between host and agent. In this scenario, the
mosquito acts as the vector carrying the viral agent. By reducing contact with the vector, the nurse breaks
the chain of transmission. This environmental intervention is crucial for controlling communicable
diseases in the community.
5. A community health nurse is using the ‘I PREPARE’ mnemonic to assess a patient’s environmental health
history. What does the ‘E’ stand for?
A. Endocrine system review
B. Education on safety
C. Emergency preparedness
D. Environmental concerns
Ans: D
Explanation: The ‘I PREPARE’ tool is designed to assist nurses in identifying potential environmental
exposures. The ‘E’ specifically refers to Environmental concerns related to the patient’s home and
neighborhood. Other components of the tool include Investigate, Present work, and Past work. This
systematic approach ensures that the nurse does not overlook toxic exposures. Using this framework
helps in creating a comprehensive health profile for the client.
6. What is the primary goal of the ‘Response’ phase of disaster management?
A. Saving lives and meeting basic human needs
B. Reducing the long-term effects of the disaster
