NUR 206/NUR206 Exam 3 V2 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is implementing an immunization clinic for seasonal influenza.
Which level of prevention is being addressed?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are classic examples of primary prevention because they
provide immunity before exposure occurs. This level of intervention aims to reduce the
incidence of disease within a population.
2. Which of the following actions should a nurse take during the assessment phase of the
nursing process when working with a community?
A. Monitor the effectiveness of a new prenatal program
B. Establish a formal partnership with local healthcare providers
C. Conduct a windshield survey to identify environmental risks
,D. Develop a teaching plan for diabetic management
Correct Answer: C
Expert Explanation: A windshield survey is a primary tool used during the assessment
phase of the community nursing process to gather data about a community’s environment.
It provides an objective overview of the community’s strengths and weaknesses through
direct observation. This step is essential before planning or implementing any
interventions.
3. A nurse is triaging victims at the scene of a mass casualty incident. A victim has a sucking
chest wound and is in respiratory distress. Which triage tag should the nurse assign?
A. Black (Deceased)
B. Green (Minor)
C. Yellow (Delayed)
D. Red (Immediate)
Correct Answer: D
Expert Explanation: The red tag is used for victims who have life-threatening injuries but
high chances of survival if treated immediately. A sucking chest wound indicates a
compromise to the respiratory system that requires urgent intervention to maintain life.
Proper triage ensures that resources are allocated to those with the most critical needs
first.
, 4. In the epidemiology triangle, which of the following is considered an environmental factor?
A. Genetic predisposition
B. A virus or bacteria
C. Age and gender of the population
D. Access to healthcare services
Correct Answer: D
Expert Explanation: The environment in the epidemiological triangle includes all external
factors that affect the agent and the host. Access to healthcare services is a social and
environmental factor that influences health outcomes. Host factors include age and
genetics, while agent factors include pathogens like viruses.
5. A nurse is planning a secondary prevention activity for a group of migrant farmworkers.
Which intervention should the nurse include?
A. Educating workers on the use of personal protective equipment
B. Providing rehabilitation for a worker with a back injury
C. Screening workers for pesticide-related skin conditions
D. Administering the Tdap vaccine to new workers
Correct Answer: C
Expert Explanation: Secondary prevention is focused on early detection and screening to
limit the severity of a condition. Screening for pesticide exposure or related skin issues
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is implementing an immunization clinic for seasonal influenza.
Which level of prevention is being addressed?
A. Secondary prevention
B. Tertiary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are classic examples of primary prevention because they
provide immunity before exposure occurs. This level of intervention aims to reduce the
incidence of disease within a population.
2. Which of the following actions should a nurse take during the assessment phase of the
nursing process when working with a community?
A. Monitor the effectiveness of a new prenatal program
B. Establish a formal partnership with local healthcare providers
C. Conduct a windshield survey to identify environmental risks
,D. Develop a teaching plan for diabetic management
Correct Answer: C
Expert Explanation: A windshield survey is a primary tool used during the assessment
phase of the community nursing process to gather data about a community’s environment.
It provides an objective overview of the community’s strengths and weaknesses through
direct observation. This step is essential before planning or implementing any
interventions.
3. A nurse is triaging victims at the scene of a mass casualty incident. A victim has a sucking
chest wound and is in respiratory distress. Which triage tag should the nurse assign?
A. Black (Deceased)
B. Green (Minor)
C. Yellow (Delayed)
D. Red (Immediate)
Correct Answer: D
Expert Explanation: The red tag is used for victims who have life-threatening injuries but
high chances of survival if treated immediately. A sucking chest wound indicates a
compromise to the respiratory system that requires urgent intervention to maintain life.
Proper triage ensures that resources are allocated to those with the most critical needs
first.
, 4. In the epidemiology triangle, which of the following is considered an environmental factor?
A. Genetic predisposition
B. A virus or bacteria
C. Age and gender of the population
D. Access to healthcare services
Correct Answer: D
Expert Explanation: The environment in the epidemiological triangle includes all external
factors that affect the agent and the host. Access to healthcare services is a social and
environmental factor that influences health outcomes. Host factors include age and
genetics, while agent factors include pathogens like viruses.
5. A nurse is planning a secondary prevention activity for a group of migrant farmworkers.
Which intervention should the nurse include?
A. Educating workers on the use of personal protective equipment
B. Providing rehabilitation for a worker with a back injury
C. Screening workers for pesticide-related skin conditions
D. Administering the Tdap vaccine to new workers
Correct Answer: C
Expert Explanation: Secondary prevention is focused on early detection and screening to
limit the severity of a condition. Screening for pesticide exposure or related skin issues
