PNR 208/PNR208 Exam 2 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing physical therapy for a client post-stroke
B. Administering influenza vaccines to older adults
C. Performing glucose screenings at a local health fair
D. Leading a support group for individuals with chronic heart failure
Answer: B
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury
through health promotion and protection. Administering vaccines is a classic example of
protecting individuals before a condition occurs. This level of care aims to reduce the
incidence of disease in a specific population.
2. When performing a windshield survey, which of the following data should the nurse collect
to assess the community’s environmental health?
A. The prevalence of diabetes among residents
B. Individual medical records from the local clinic
C. The results of recent tuberculosis skin tests
,D. The availability of public transportation and green spaces
Answer: D
Rationale: A windshield survey is an observational method used to assess the physical
environment and community resources while driving or walking through an area.
Observing public transportation and green spaces provides insight into the accessibility
and living conditions of the community. This method helps identify strengths and
weaknesses within the physical infrastructure of the neighborhood.
3. A nurse is working with a vulnerable population in a rural setting. Which factor is the most
significant barrier to healthcare access for this group?
A. Lack of transportation and geographic isolation
B. Excessive number of healthcare providers
C. High availability of specialized medical equipment
D. Over-utilization of preventive services
Answer: A
Rationale: Rural populations often face significant challenges due to the long distances
they must travel to reach medical facilities. A lack of reliable transportation further
complicates the ability to attend regular appointments or receive emergency care. These
geographic barriers contribute to disparities in health outcomes compared to urban
populations.
, 4. An occupational health nurse is identifying agents in the workplace that could cause harm.
Which of the following is considered a biological agent?
A. Asbestos fibers
B. Repetitive motion strain
C. Lead paint
D. Bloodborne pathogens
Answer: D
Rationale: Biological agents include living organisms or products of organisms that can
cause disease in humans, such as bacteria or viruses. Bloodborne pathogens like HIV or
Hepatitis B are major concerns in healthcare and laboratory settings. Identifying these
risks allows the nurse to implement appropriate safety protocols and vaccinations for
employees.
5. Which level of prevention is represented by a nurse teaching a client how to use an insulin
pump after a new diagnosis of Type 1 Diabetes?
A. Primary prevention
B. Secondary prevention
C. Quaternary prevention
D. Tertiary prevention
Answer: D
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing physical therapy for a client post-stroke
B. Administering influenza vaccines to older adults
C. Performing glucose screenings at a local health fair
D. Leading a support group for individuals with chronic heart failure
Answer: B
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury
through health promotion and protection. Administering vaccines is a classic example of
protecting individuals before a condition occurs. This level of care aims to reduce the
incidence of disease in a specific population.
2. When performing a windshield survey, which of the following data should the nurse collect
to assess the community’s environmental health?
A. The prevalence of diabetes among residents
B. Individual medical records from the local clinic
C. The results of recent tuberculosis skin tests
,D. The availability of public transportation and green spaces
Answer: D
Rationale: A windshield survey is an observational method used to assess the physical
environment and community resources while driving or walking through an area.
Observing public transportation and green spaces provides insight into the accessibility
and living conditions of the community. This method helps identify strengths and
weaknesses within the physical infrastructure of the neighborhood.
3. A nurse is working with a vulnerable population in a rural setting. Which factor is the most
significant barrier to healthcare access for this group?
A. Lack of transportation and geographic isolation
B. Excessive number of healthcare providers
C. High availability of specialized medical equipment
D. Over-utilization of preventive services
Answer: A
Rationale: Rural populations often face significant challenges due to the long distances
they must travel to reach medical facilities. A lack of reliable transportation further
complicates the ability to attend regular appointments or receive emergency care. These
geographic barriers contribute to disparities in health outcomes compared to urban
populations.
, 4. An occupational health nurse is identifying agents in the workplace that could cause harm.
Which of the following is considered a biological agent?
A. Asbestos fibers
B. Repetitive motion strain
C. Lead paint
D. Bloodborne pathogens
Answer: D
Rationale: Biological agents include living organisms or products of organisms that can
cause disease in humans, such as bacteria or viruses. Bloodborne pathogens like HIV or
Hepatitis B are major concerns in healthcare and laboratory settings. Identifying these
risks allows the nurse to implement appropriate safety protocols and vaccinations for
employees.
5. Which level of prevention is represented by a nurse teaching a client how to use an insulin
pump after a new diagnosis of Type 1 Diabetes?
A. Primary prevention
B. Secondary prevention
C. Quaternary prevention
D. Tertiary prevention
Answer: D
