**Community Compass: Public Health &
NGN Prevention**
1. Community health nurse planning intervention for lead poisoning in children. Highest priority
population?
💫RATIONALE✔️✔️: Children age 1-5 in pre-1978 housing with chipping paint. Universal screening at 12 &
24 months.
💫ANSWER✔️✔️: B. Children living in homes built before 1978.
2. Nurse investigating an outbreak of hepatitis A in a daycare. Most effective prevention?
💫RATIONALE✔️✔️: HAV vaccine and immune globulin for exposed children/staff within 14 days. Hand
hygiene.
💫ANSWER✔️✔️: C. Administer HAV vaccine to all unvaccinated children.
3. Pt w/ active TB, sputum smear positive. Which isolation required at home?
💫RATIONALE✔️✔️: Airborne precautions: negative pressure room if inpatient. Home: separate room,
open windows, N95 for caregiver.
💫ANSWER✔️✔️: A. Separate well-ventilated room.
4. Community nurse assessing a migrant farmworker clinic. Which condition highest risk?
💫RATIONALE✔️✔️: Pesticide exposure, heat illness, musculoskeletal injury, and infectious diseases (TB,
parasitic).
💫ANSWER✔️✔️: D. Pesticide poisoning.
5. School nurse teaching about HPV vaccine. Which age recommended for routine administration?
💫RATIONALE✔️✔️: Routine at age 11-12 years (can start at 9). Catch-up through age 26.
, 💫ANSWER✔️✔️: C. 11 to 12 years.
6. Nurse planning a smoking cessation program. Which intervention most cost-effective?
💫RATIONALE✔️✔️: Telephone quitline (1-800-QUIT-NOW) plus nicotine replacement. Population reach
high.
💫ANSWER✔️✔️: B. Tobacco quitline with free nicotine patches.
7. Community health nurse conducting windshield survey notes abandoned buildings, liquor stores, no
grocery. This describes?
💫RATIONALE✔️✔️: Food desert + alcohol outlet density = social determinants of health. Increases
chronic disease risk.
💫ANSWER✔️✔️: A. Built environment.
8. Pt w/ newly diagnosed HIV. Which partner notification method preferred?
💫RATIONALE✔️✔️: Provider referral (Disease Intervention Specialist) notifies partners anonymously.
Patient referral also option.
💫ANSWER✔️✔️: C. Provider referral.
9. Nurse evaluating a needle exchange program. Which outcome indicates success?
💫RATIONALE✔️✔️: Decreased HIV and HCV transmission, increased safe disposal, no increase in drug
use.
💫ANSWER✔️✔️: A. Reduction in new HIV diagnoses among PWID.
10. Community disaster drill: chemical spill with nerve agent. Which decontamination priority?
💫RATIONALE✔️✔️: Remove clothing immediately, wash with soap and water. Antidote
(atropine/pralidoxime) after decon.
💫ANSWER✔️✔️: B. Gross decontamination before transport.
11. School nurse assessing a child with new onset type 1 diabetes. Which 504 plan accommodation
needed?
NGN Prevention**
1. Community health nurse planning intervention for lead poisoning in children. Highest priority
population?
💫RATIONALE✔️✔️: Children age 1-5 in pre-1978 housing with chipping paint. Universal screening at 12 &
24 months.
💫ANSWER✔️✔️: B. Children living in homes built before 1978.
2. Nurse investigating an outbreak of hepatitis A in a daycare. Most effective prevention?
💫RATIONALE✔️✔️: HAV vaccine and immune globulin for exposed children/staff within 14 days. Hand
hygiene.
💫ANSWER✔️✔️: C. Administer HAV vaccine to all unvaccinated children.
3. Pt w/ active TB, sputum smear positive. Which isolation required at home?
💫RATIONALE✔️✔️: Airborne precautions: negative pressure room if inpatient. Home: separate room,
open windows, N95 for caregiver.
💫ANSWER✔️✔️: A. Separate well-ventilated room.
4. Community nurse assessing a migrant farmworker clinic. Which condition highest risk?
💫RATIONALE✔️✔️: Pesticide exposure, heat illness, musculoskeletal injury, and infectious diseases (TB,
parasitic).
💫ANSWER✔️✔️: D. Pesticide poisoning.
5. School nurse teaching about HPV vaccine. Which age recommended for routine administration?
💫RATIONALE✔️✔️: Routine at age 11-12 years (can start at 9). Catch-up through age 26.
, 💫ANSWER✔️✔️: C. 11 to 12 years.
6. Nurse planning a smoking cessation program. Which intervention most cost-effective?
💫RATIONALE✔️✔️: Telephone quitline (1-800-QUIT-NOW) plus nicotine replacement. Population reach
high.
💫ANSWER✔️✔️: B. Tobacco quitline with free nicotine patches.
7. Community health nurse conducting windshield survey notes abandoned buildings, liquor stores, no
grocery. This describes?
💫RATIONALE✔️✔️: Food desert + alcohol outlet density = social determinants of health. Increases
chronic disease risk.
💫ANSWER✔️✔️: A. Built environment.
8. Pt w/ newly diagnosed HIV. Which partner notification method preferred?
💫RATIONALE✔️✔️: Provider referral (Disease Intervention Specialist) notifies partners anonymously.
Patient referral also option.
💫ANSWER✔️✔️: C. Provider referral.
9. Nurse evaluating a needle exchange program. Which outcome indicates success?
💫RATIONALE✔️✔️: Decreased HIV and HCV transmission, increased safe disposal, no increase in drug
use.
💫ANSWER✔️✔️: A. Reduction in new HIV diagnoses among PWID.
10. Community disaster drill: chemical spill with nerve agent. Which decontamination priority?
💫RATIONALE✔️✔️: Remove clothing immediately, wash with soap and water. Antidote
(atropine/pralidoxime) after decon.
💫ANSWER✔️✔️: B. Gross decontamination before transport.
11. School nurse assessing a child with new onset type 1 diabetes. Which 504 plan accommodation
needed?
