PNR 208/PNR208 Exam 3 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which activity represents primary prevention by a community health nurse?
A. Administering a flu vaccine at a local senior center
B. Performing blood pressure screenings at a health fair
C. Teaching a client how to manage their insulin pump
D. Conducting physical therapy for a post-stroke patient
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury. Administering vaccines helps build immunity before exposure to a
pathogen occurs. This level of care includes health promotion and specific protection
strategies.
2. A nurse is performing a windshield survey. Which of the following is a component of this
assessment?
A. Interviewing local government officials
B. Observing the condition of housing and public spaces
C. Reviewing census data at the public library
D. Analyzing mortality rates from the health department
,Correct Answer: B
Expert Explanation: A windshield survey is a subjective assessment where the nurse
observes the community from a vehicle or on foot. It provides a visual overview of the
neighborhood’s environment, boundaries, and resources. This method helps identify
physical signs of community health and safety.
3. Which level of prevention is represented by performing a mammogram?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening of
diseases to allow for early intervention. Mammograms are used to find breast cancer in its
early stages before symptoms appear. This level of prevention aims to reduce the impact of
a disease that has already occurred.
4. In the epidemiological triangle, what does the ‘agent’ represent?
A. The person or animal at risk of disease
B. The pathogen or chemical causing the disease
C. The physical environment surrounding the host
, D. The socioeconomic status of the population
Correct Answer: B
Expert Explanation: The epidemiological triangle consists of the agent, host, and
environment. The agent is the factor that must be present for a disease or condition to
occur, such as a virus, bacteria, or toxin. Understanding the agent is critical for identifying
the source of an outbreak.
5. A home health nurse is assessing a client’s home for safety. Which finding requires
immediate intervention?
A. The presence of grab bars in the bathtub
B. Adequate lighting in the hallways
C. A throw rug placed at the bottom of the stairs
D. A smoke detector with a functioning battery
Correct Answer: C
Expert Explanation: Throw rugs are a significant trip hazard for elderly clients and can
lead to falls. The nurse should recommend removing them or securing them with non-slip
backing. Ensuring home safety is a primary responsibility of the home health nurse to
prevent injury.
6. During a disaster, which triage tag color is assigned to a client who requires immediate,
life-saving care?
A. Green
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which activity represents primary prevention by a community health nurse?
A. Administering a flu vaccine at a local senior center
B. Performing blood pressure screenings at a health fair
C. Teaching a client how to manage their insulin pump
D. Conducting physical therapy for a post-stroke patient
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury. Administering vaccines helps build immunity before exposure to a
pathogen occurs. This level of care includes health promotion and specific protection
strategies.
2. A nurse is performing a windshield survey. Which of the following is a component of this
assessment?
A. Interviewing local government officials
B. Observing the condition of housing and public spaces
C. Reviewing census data at the public library
D. Analyzing mortality rates from the health department
,Correct Answer: B
Expert Explanation: A windshield survey is a subjective assessment where the nurse
observes the community from a vehicle or on foot. It provides a visual overview of the
neighborhood’s environment, boundaries, and resources. This method helps identify
physical signs of community health and safety.
3. Which level of prevention is represented by performing a mammogram?
A. Secondary Prevention
B. Primary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening of
diseases to allow for early intervention. Mammograms are used to find breast cancer in its
early stages before symptoms appear. This level of prevention aims to reduce the impact of
a disease that has already occurred.
4. In the epidemiological triangle, what does the ‘agent’ represent?
A. The person or animal at risk of disease
B. The pathogen or chemical causing the disease
C. The physical environment surrounding the host
, D. The socioeconomic status of the population
Correct Answer: B
Expert Explanation: The epidemiological triangle consists of the agent, host, and
environment. The agent is the factor that must be present for a disease or condition to
occur, such as a virus, bacteria, or toxin. Understanding the agent is critical for identifying
the source of an outbreak.
5. A home health nurse is assessing a client’s home for safety. Which finding requires
immediate intervention?
A. The presence of grab bars in the bathtub
B. Adequate lighting in the hallways
C. A throw rug placed at the bottom of the stairs
D. A smoke detector with a functioning battery
Correct Answer: C
Expert Explanation: Throw rugs are a significant trip hazard for elderly clients and can
lead to falls. The nurse should recommend removing them or securing them with non-slip
backing. Ensuring home safety is a primary responsibility of the home health nurse to
prevent injury.
6. During a disaster, which triage tag color is assigned to a client who requires immediate,
life-saving care?
A. Green
