PNR 208/PNR208 Exam 1 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is preparing to provide an immunization at a local health fair. Which level of
prevention does this activity represent?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: C
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs. Immunizations are a classic example because they protect individuals
from developing specific infections. This proactive approach focuses on health promotion
and protection from specific threats.
2. A community health nurse is conducting a vision screening for kindergarten students. This
is an example of:
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
,D. Health maintenance
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and intervention to
limit the severity of a condition. Screenings are designed to identify health problems in
their early stages when treatment is most effective. By identifying vision issues early, the
nurse helps prevent further developmental delays in children.
3. Which intervention is considered tertiary prevention for a client who has experienced a
stroke?
A. Educating the public about stroke symptoms
B. Checking blood pressure at a senior center
C. Providing physical therapy to improve mobility
D. Administering aspirin to prevent a first stroke
Correct Answer: C
Expert Explanation: Tertiary prevention focuses on rehabilitation and preventing further
disability in individuals with permanent or chronic conditions. Physical therapy helps the
client regain function and reach their highest possible level of wellness. This level of care
occurs after the pathology has already been established.
4. In the epidemiological triangle, which of the following is considered the ‘agent’?
A. A virus or bacteria
, B. A person with a weakened immune system
C. An overcrowded housing complex
D. Polluted water supply
Correct Answer: A
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. Examples include infectious organisms like
bacteria, viruses, or chemical toxins. Understanding the agent helps the community nurse
target specific treatments or sterilization methods.
5. A nurse is performing a windshield survey. Which of the following data collection methods
is being used?
A. Formal interviews
B. Direct observation
C. Analysis of census data
D. Focus groups
Correct Answer: B
Expert Explanation: A windshield survey is an observational method where the nurse
drives or walks through a community to collect data. It provides a visual overview of the
environment, housing conditions, and available resources. This method is often the first
step in a comprehensive community assessment.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is preparing to provide an immunization at a local health fair. Which level of
prevention does this activity represent?
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: C
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs. Immunizations are a classic example because they protect individuals
from developing specific infections. This proactive approach focuses on health promotion
and protection from specific threats.
2. A community health nurse is conducting a vision screening for kindergarten students. This
is an example of:
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
,D. Health maintenance
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and intervention to
limit the severity of a condition. Screenings are designed to identify health problems in
their early stages when treatment is most effective. By identifying vision issues early, the
nurse helps prevent further developmental delays in children.
3. Which intervention is considered tertiary prevention for a client who has experienced a
stroke?
A. Educating the public about stroke symptoms
B. Checking blood pressure at a senior center
C. Providing physical therapy to improve mobility
D. Administering aspirin to prevent a first stroke
Correct Answer: C
Expert Explanation: Tertiary prevention focuses on rehabilitation and preventing further
disability in individuals with permanent or chronic conditions. Physical therapy helps the
client regain function and reach their highest possible level of wellness. This level of care
occurs after the pathology has already been established.
4. In the epidemiological triangle, which of the following is considered the ‘agent’?
A. A virus or bacteria
, B. A person with a weakened immune system
C. An overcrowded housing complex
D. Polluted water supply
Correct Answer: A
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. Examples include infectious organisms like
bacteria, viruses, or chemical toxins. Understanding the agent helps the community nurse
target specific treatments or sterilization methods.
5. A nurse is performing a windshield survey. Which of the following data collection methods
is being used?
A. Formal interviews
B. Direct observation
C. Analysis of census data
D. Focus groups
Correct Answer: B
Expert Explanation: A windshield survey is an observational method where the nurse
drives or walks through a community to collect data. It provides a visual overview of the
environment, housing conditions, and available resources. This method is often the first
step in a comprehensive community assessment.
