NUR 206 Exam 3 Community Nursing
Concepts Exam Fortis College of Nursing
Study Guide and Comprehensive Practice
Questions for 2026/2027 Exam Success
Question 1
A nurse is implementing tertiary prevention strategies as part of a quality management
process. Which of the following best describes a strategy the nurse would have used?
A. Mock fire drills are carried out twice a year to assess response and readiness in the
event of a real fire
B. All new employees complete a fire safety training program upon orientation
C. After a fire incident, updated response protocols are distributed to staff
D. Employees participate in competitive fire-safety games during an annual picnic
Correct Answer: A. Mock fire drills are carried out twice a year to assess response
and readiness in the event of a real fire
Rationale:
Tertiary prevention focuses on reducing complications and improving response after a
health event or emergency has occurred, often through evaluation and preparedness
activities. Mock fire drills simulate real-life emergencies to assess readiness and
improve response systems, making option A the best example. Option B represents
primary prevention because it focuses on education before an event occurs. Option C
reflects system improvement after evaluation but is more aligned with secondary
corrective action rather than prevention. Option D is an informal educational activity
and does not reflect structured prevention planning.
Question 2
A community health nurse prepares an education conference about natural disasters
occurring in the community. Which type of disaster should the nurse include?
A. Pollution
B. Water supply contamination
C. Communicable disease epidemics
D. Fires
Correct Answer: D. Fires
Rationale:
Natural disasters are sudden events such as fires, floods, earthquakes, and storms.
Fires are commonly classified as natural or environmental disasters depending on
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their origin and impact. Pollution, water contamination, and epidemics are typically
categorized as environmental or public health hazards rather than natural disasters.
Therefore, fires best fit the classification requested.
Question 3
A nurse cares for an older adult living in a rural area. Which intervention best meets
the patient’s needs?
A. Suggest relocation closer to healthcare providers
B. Assess for diseases unique to rural populations
C. Provide 4–6 months of medications in advance
D. Ensure transportation to healthcare appointments
Correct Answer: D. Ensure transportation to healthcare appointments
Rationale:
Access to healthcare is a major barrier for rural populations, making transportation a
priority intervention to ensure continuity of care. Suggesting relocation is unrealistic
and may not respect patient autonomy. While disease assessment is important, it does
not address the immediate barrier to care access. Providing excessive medication
supplies may not be safe or appropriate without ongoing monitoring.
Question 4
A community health nurse develops programs promoting social equity. Which ethical
principle is being demonstrated?
A. Nonmaleficence
B. Virtue
C. Feminist
D. Caring
Correct Answer: D. Caring
Rationale:
The caring ethic emphasizes compassion, advocacy, and promoting fairness and social
justice, which aligns with social equity programs. Nonmaleficence focuses on
avoiding harm, while virtue ethics emphasizes moral character. Feminist ethics
focuses on power structures and gender equity but is broader than the question’s focus
on general social equity in community health.
Question 5
A nurse uses a case management plan to maximize patient outcomes. Which
statement is correct?
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A. Case management focuses only on disease progression
B. Case management increases financial burden for clients
C. Case management is used exclusively by nurses
D. Case management must be individualized for each client
Correct Answer: D. Case management must be individualized for each client
Rationale:
Case management is a coordinated approach to care that tailors interventions to each
client’s needs to improve outcomes. It is not limited to disease progression, nor does it
inherently increase costs. It is also interdisciplinary, involving nurses, physicians, and
social workers, not nurses alone.
Question 6
A home health nurse visits a client after a cerebrovascular accident who lives alone
and has significant mobility and cognitive deficits. What is the priority intervention?
A. Teach medication organization using a weekly planner
B. Contact family for full-time supervision arrangements
C. Assess blood pressure for potential medication adjustment needs
D. Obtain assistive devices such as a walker and bedside commode
Correct Answer: C. Assess blood pressure for potential medication adjustment needs
Rationale:
Physiological stability takes priority in post-stroke care, especially when
complications such as hypertension may worsen outcomes. Although mobility and
support needs are important, assessing blood pressure is essential for immediate safety
and prevention of further neurological damage. Other options address long-term care
needs but are not the first priority.
Question 7
Before conducting a windshield survey, which information is most important for the
nurse to understand?
A. Boundaries of the community
B. Socioeconomic status
C. Government structure
D. Population size
Correct Answer: A. Boundaries of the community
Rationale:
A windshield survey requires a clear understanding of geographical boundaries to
ensure accurate observation of the defined community. Socioeconomic data and
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population size are important but are collected during the survey. Government
structure is not essential for conducting the physical survey.
Question 8
Which data sources should be included in a community health assessment? (Select all
that apply)
A. Time dimension
B. Function dimension
C. People/person dimension
D. Place dimension
E. Global information
Correct Answer: A, B, C, D, and E (ALL)
Rationale:
Community health assessments use multiple dimensions including time, function,
people, place, and global influences to provide a comprehensive understanding of
health needs. Each dimension contributes to identifying trends, risks, and resources
within the community.
Question 9
During data generation in a community assessment, which type of data is evaluated?
A. Age distribution
B. Social norms
C. Racial composition
D. Healthcare facilities
Correct Answer: B. Social norms
Rationale:
Data generation focuses on qualitative and contextual factors such as beliefs,
behaviors, and social norms within a community. Age, race, and healthcare facilities
are structural or demographic data, not interpretive social patterns.
Question 10
Which approach is most effective in managing drug addiction according to research?
A. Substance abuse education
B. Harm reduction
C. Criminal justice approach
D. Punitive enforcement