WGU C228 Task 2 Exam – Community Health and Population-Focused Nursing
Assessment Guide
Question 1
Which of the following activities is the best example of a community health nurse conducting a
"Windshield Survey" as part of a community assessment?
A) Reviewing the latest U.S. Census data for the specific zip code.
B) Conducting a formal focus group with local religious leaders.
C) Driving through a neighborhood to observe the condition of housing and the availability of
grocery stores.
D) Analyzing the mortality rates from a local hospital's annual report.
E) Interviewing the mayor regarding the city's budget for public parks.
Correct Answer: C) Driving through a neighborhood to observe the condition of housing
and the availability of grocery stores.
Rationale: A windshield survey is a subjective, primary data collection method where the
nurse literally observes the community from a vehicle or by walking. It provides "first-
hand" context regarding the social determinants of health, such as the quality of the built
environment, the presence of "food deserts," and visible signs of poverty or prosperity that
numbers alone cannot convey. Options A and D represent secondary data, while B and E
represent informant interviews.
Question 2
A community health nurse is organizing a free immunization clinic at a local elementary school.
This intervention represents which level of prevention?
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Quaternary Prevention
E) Primordial Prevention
Correct Answer: A) Primary Prevention
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are the hallmark of primary prevention because they protect
healthy individuals from contracting infectious diseases before exposure occurs. This level
of prevention aims to reduce the incidence of disease in a population.
Question 3
Performing a blood lead level screening for children living in a high-risk urban area is an
example of:
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
, 2
D) Rehabilitative Care
E) Health Promotion
Correct Answer: B) Secondary Prevention
Rationale: Secondary prevention involves early detection and prompt intervention to limit
the impact of a disease or condition. Screenings (like blood lead levels, mammograms, or
BP checks) are designed to identify individuals who already have the condition but may be
asymptomatic, allowing for early treatment before significant damage occurs.
Question 4
A nurse is providing physical therapy referrals and specialized footwear for a patient who has
already suffered a stroke and has residual gait instability. This is classified as:
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Symptomatic Prevention
E) Acute Intervention
Correct Answer: C) Tertiary Prevention
Rationale: Tertiary prevention occurs after a permanent disability or long-term health
condition is established. The goal is to maximize the patient’s remaining functional
capacity, prevent further complications, and provide rehabilitation. Since the stroke has
already occurred, the focus is on preventing falls and improving the quality of life.
Question 5
In epidemiology, the term "Prevalence" refers to:
A) The number of new cases of a disease in a specific timeframe.
B) The total number of all existing cases of a disease in a population at a specific point in time.
C) The number of deaths caused by a specific disease.
D) The rate at which a virus spreads from person to person.
E) The proportion of people who recovered from a disease.
Correct Answer: B) The total number of all existing cases of a disease in a population at a
specific point in time.
Rationale: Prevalence measures the total burden of a disease in a community, including
both old and new cases. It is often used to plan for healthcare resources and chronic disease
management. Incidence, conversely, measures only the new cases and is used to track the
speed of an outbreak.
Question 6
Which mnemonic is most appropriate for a nurse to use when assessing a patient's potential
exposure to environmental health hazards?
, 3
A) ABCDE
B) ADPIE
C) I-PREPARE
D) SBAR
E) PQRST
Correct Answer: C) I-PREPARE
Rationale: The I-PREPARE mnemonic (Investigate potential exposure, Present work,
Residence, Environmental concerns, Past work, Activities, Referrals/Resources, and
Educate) is a systematic tool designed for nurses to identify environmental triggers and
occupational hazards that may be impacting a patient's health.
Question 7
What is the primary goal of "Global Health" as defined by organizations like the World Health
Organization (WHO)?
A) To ensure only wealthy nations have access to vaccines.
B) To achieve health equity for all people worldwide by addressing cross-border health threats.
C) To increase the profit margins of international pharmaceutical companies.
D) To focus exclusively on the health of people living in the United States.
E) To eliminate the need for local health departments.
Correct Answer: B) To achieve health equity for all people worldwide by addressing cross-
border health threats.
Rationale: Global health focuses on health issues that transcend national boundaries. The
goal is to improve health outcomes and achieve equity by collaborating internationally to
fight pandemics, manage environmental crises, and improve sanitation in developing
regions.
Question 8
Which of the following is considered a "Social Determinant of Health" (SDOH)?
A) The specific genetic mutation that causes cystic fibrosis.
B) A person's blood type.
C) The availability of reliable public transportation to medical appointments.
D) The internal physiological response to a bacterial infection.
E) The age at which a person experiences puberty.
Correct Answer: C) The availability of reliable public transportation to medical
appointments.
Rationale: Social Determinants of Health are the conditions in which people are born, grow,
live, work, and age. Access to transportation is a critical SDOH because it directly impacts
a person’s ability to access healthcare and healthy food, regardless of their individual
biological health.
, 4
Question 9
During a disaster, which phase of the "Disaster Management Cycle" involves assessing the
community’s risk and developing evacuation plans before a disaster occurs?
A) Response
B) Recovery
C) Preparedness
D) Mitigation
E) Evaluation
Correct Answer: C) Preparedness
Rationale: The preparedness phase occurs before an event. It involves creating action plans,
conducting drills, training responders, and educating the public. Mitigation/Prevention
(Option D) focuses on long-term measures to reduce the impact, but active planning for an
imminent or potential event is "Preparedness."
Question 10
A nurse is using the START (Simple Triage and Rapid Treatment) system at the scene of a multi-
car accident. A patient is not breathing even after the airway is opened. What color tag should the
nurse assign?
A) Red (Immediate)
B) Yellow (Delayed)
C) Green (Minor)
D) Black (Deceased/Expectant)
E) Blue (Critical)
Correct Answer: D) Black (Deceased/Expectant)
Rationale: In the START triage system, if a patient is not breathing and does not start
breathing after a simple airway maneuver, they are tagged Black. This indicates they are
deceased or their injuries are so severe they are not expected to survive given the available
resources.
Question 11
Which population is generally considered the most "vulnerable" to poor health outcomes due to a
lack of resources and high exposure to risks?
A) Professional athletes with high incomes.
B) Homeless individuals with chronic mental illness.
C) College students living in modern dormitories.
D) Middle-aged office workers with health insurance.
E) Retirees living in a high-end gated community.
Correct Answer: B) Homeless individuals with chronic mental illness.
Rationale: Vulnerability in community health is defined by the intersection of multiple
Assessment Guide
Question 1
Which of the following activities is the best example of a community health nurse conducting a
"Windshield Survey" as part of a community assessment?
A) Reviewing the latest U.S. Census data for the specific zip code.
B) Conducting a formal focus group with local religious leaders.
C) Driving through a neighborhood to observe the condition of housing and the availability of
grocery stores.
D) Analyzing the mortality rates from a local hospital's annual report.
E) Interviewing the mayor regarding the city's budget for public parks.
Correct Answer: C) Driving through a neighborhood to observe the condition of housing
and the availability of grocery stores.
Rationale: A windshield survey is a subjective, primary data collection method where the
nurse literally observes the community from a vehicle or by walking. It provides "first-
hand" context regarding the social determinants of health, such as the quality of the built
environment, the presence of "food deserts," and visible signs of poverty or prosperity that
numbers alone cannot convey. Options A and D represent secondary data, while B and E
represent informant interviews.
Question 2
A community health nurse is organizing a free immunization clinic at a local elementary school.
This intervention represents which level of prevention?
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Quaternary Prevention
E) Primordial Prevention
Correct Answer: A) Primary Prevention
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are the hallmark of primary prevention because they protect
healthy individuals from contracting infectious diseases before exposure occurs. This level
of prevention aims to reduce the incidence of disease in a population.
Question 3
Performing a blood lead level screening for children living in a high-risk urban area is an
example of:
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
, 2
D) Rehabilitative Care
E) Health Promotion
Correct Answer: B) Secondary Prevention
Rationale: Secondary prevention involves early detection and prompt intervention to limit
the impact of a disease or condition. Screenings (like blood lead levels, mammograms, or
BP checks) are designed to identify individuals who already have the condition but may be
asymptomatic, allowing for early treatment before significant damage occurs.
Question 4
A nurse is providing physical therapy referrals and specialized footwear for a patient who has
already suffered a stroke and has residual gait instability. This is classified as:
A) Primary Prevention
B) Secondary Prevention
C) Tertiary Prevention
D) Symptomatic Prevention
E) Acute Intervention
Correct Answer: C) Tertiary Prevention
Rationale: Tertiary prevention occurs after a permanent disability or long-term health
condition is established. The goal is to maximize the patient’s remaining functional
capacity, prevent further complications, and provide rehabilitation. Since the stroke has
already occurred, the focus is on preventing falls and improving the quality of life.
Question 5
In epidemiology, the term "Prevalence" refers to:
A) The number of new cases of a disease in a specific timeframe.
B) The total number of all existing cases of a disease in a population at a specific point in time.
C) The number of deaths caused by a specific disease.
D) The rate at which a virus spreads from person to person.
E) The proportion of people who recovered from a disease.
Correct Answer: B) The total number of all existing cases of a disease in a population at a
specific point in time.
Rationale: Prevalence measures the total burden of a disease in a community, including
both old and new cases. It is often used to plan for healthcare resources and chronic disease
management. Incidence, conversely, measures only the new cases and is used to track the
speed of an outbreak.
Question 6
Which mnemonic is most appropriate for a nurse to use when assessing a patient's potential
exposure to environmental health hazards?
, 3
A) ABCDE
B) ADPIE
C) I-PREPARE
D) SBAR
E) PQRST
Correct Answer: C) I-PREPARE
Rationale: The I-PREPARE mnemonic (Investigate potential exposure, Present work,
Residence, Environmental concerns, Past work, Activities, Referrals/Resources, and
Educate) is a systematic tool designed for nurses to identify environmental triggers and
occupational hazards that may be impacting a patient's health.
Question 7
What is the primary goal of "Global Health" as defined by organizations like the World Health
Organization (WHO)?
A) To ensure only wealthy nations have access to vaccines.
B) To achieve health equity for all people worldwide by addressing cross-border health threats.
C) To increase the profit margins of international pharmaceutical companies.
D) To focus exclusively on the health of people living in the United States.
E) To eliminate the need for local health departments.
Correct Answer: B) To achieve health equity for all people worldwide by addressing cross-
border health threats.
Rationale: Global health focuses on health issues that transcend national boundaries. The
goal is to improve health outcomes and achieve equity by collaborating internationally to
fight pandemics, manage environmental crises, and improve sanitation in developing
regions.
Question 8
Which of the following is considered a "Social Determinant of Health" (SDOH)?
A) The specific genetic mutation that causes cystic fibrosis.
B) A person's blood type.
C) The availability of reliable public transportation to medical appointments.
D) The internal physiological response to a bacterial infection.
E) The age at which a person experiences puberty.
Correct Answer: C) The availability of reliable public transportation to medical
appointments.
Rationale: Social Determinants of Health are the conditions in which people are born, grow,
live, work, and age. Access to transportation is a critical SDOH because it directly impacts
a person’s ability to access healthcare and healthy food, regardless of their individual
biological health.
, 4
Question 9
During a disaster, which phase of the "Disaster Management Cycle" involves assessing the
community’s risk and developing evacuation plans before a disaster occurs?
A) Response
B) Recovery
C) Preparedness
D) Mitigation
E) Evaluation
Correct Answer: C) Preparedness
Rationale: The preparedness phase occurs before an event. It involves creating action plans,
conducting drills, training responders, and educating the public. Mitigation/Prevention
(Option D) focuses on long-term measures to reduce the impact, but active planning for an
imminent or potential event is "Preparedness."
Question 10
A nurse is using the START (Simple Triage and Rapid Treatment) system at the scene of a multi-
car accident. A patient is not breathing even after the airway is opened. What color tag should the
nurse assign?
A) Red (Immediate)
B) Yellow (Delayed)
C) Green (Minor)
D) Black (Deceased/Expectant)
E) Blue (Critical)
Correct Answer: D) Black (Deceased/Expectant)
Rationale: In the START triage system, if a patient is not breathing and does not start
breathing after a simple airway maneuver, they are tagged Black. This indicates they are
deceased or their injuries are so severe they are not expected to survive given the available
resources.
Question 11
Which population is generally considered the most "vulnerable" to poor health outcomes due to a
lack of resources and high exposure to risks?
A) Professional athletes with high incomes.
B) Homeless individuals with chronic mental illness.
C) College students living in modern dormitories.
D) Middle-aged office workers with health insurance.
E) Retirees living in a high-end gated community.
Correct Answer: B) Homeless individuals with chronic mental illness.
Rationale: Vulnerability in community health is defined by the intersection of multiple
