NURS 306 | NURS306 Exam 4: Expanding Family
and Community - WCU Updated and Latest
Questions and Correct Answers with Rationale
1. A community health nurse is explaining the START triage system to a group of new
graduates. Which of the following clients should receive a red tag?
A. A client who is unconscious and has a respiratory rate of 34 breaths per minute.
B. A client who has a compound fracture and a capillary refill of 1.5 seconds.
C. A client who has multiple abrasions and is walking around the scene.
D. A client who is not breathing after the airway has been opened twice.
Correct Answer: A
Rationale: The red tag is used for clients who require immediate medical attention to
survive. In the START triage system, a respiratory rate over 30 per minute indicates a high
priority. Clients who are unconscious also receive immediate priority due to potential
neurological or airway issues. Walking wounded individuals are categorized as green for
minor injuries. This systematic approach ensures that resources are allocated to those
most likely to benefit from rapid intervention.
2. When conducting an environmental health assessment, which component of the ‘I-
PREPARE’ mnemonic refers to checking the safety data sheets (SDS)?
A. Residence
B. Present work
C. Environmental concerns
D. Past work
Correct Answer: B
Rationale: The ‘Present work’ component of the mnemonic focuses on current
occupational exposures and safety protocols. Checking Safety Data Sheets provides critical
information about chemicals and hazards in the workplace. Nurses use this tool to
systematically identify potential toxins that might affect a client’s health. The ‘I-PREPARE’
tool is essential for uncovering environmental links to disease. Occupational health is a
primary concern when assessing adult patients in a community setting.
3. A nurse is working in a community that has a high level of air pollution. Which of the
following is an example of secondary prevention for this environmental issue?
A. Advocating for stricter emission laws for local factories.
B. Educating the community on how to use an air quality index map.
,C. Assisting a family in relocating to an area with cleaner air.
D. Screening children for lead and asthma-related symptoms.
Correct Answer: D
Rationale: Secondary prevention focuses on early detection and screening of existing
health problems. Screening children for asthma symptoms allows for early intervention in
polluted environments. Primary prevention would involve stopping the pollution before it
causes harm. Tertiary prevention involves managing symptoms for those already
diagnosed with chronic conditions. This distinction is vital for nurses to plan appropriate
community interventions.
4. During a disaster response, a nurse identifies a client who is in the ‘honeymoon’ phase.
Which behavior is characteristic of this phase?
A. Experiencing extreme exhaustion and physical illness.
B. Taking immediate risks to save the lives of others.
C. Feeling a sense of hopelessness and depression.
D. Sharing stories and bonding with other survivors.
Correct Answer: D
Rationale: The honeymoon phase occurs shortly after a disaster when survivors feel a
sense of relief and togetherness. During this time, community members often share their
experiences and support one another. It follows the heroic phase, where people perform
adrenaline-fueled acts of bravery. Eventually, this phase transitions into disillusionment as
the reality of the situation sets in. Nurses must recognize these stages to provide
appropriate psychological support to the community.
5. Which federal agency is primarily responsible for ensuring the health and safety of the
American public by providing leadership in disaster preparedness?
A. Occupational Safety and Health Administration (OSHA)
B. Environmental Protection Agency (EPA)
C. Federal Emergency Management Agency (FEMA)
D. World Health Organization (WHO)
Correct Answer: C
Rationale: FEMA is the lead federal agency for coordinating disaster response and
recovery efforts in the United States. It works closely with state and local governments to
provide resources during emergencies. While OSHA focuses on workplace safety, FEMA
handles large-scale disasters like hurricanes or floods. The EPA is more concerned with
environmental regulations and pollution control. Knowing which agency to contact is
crucial for effective community disaster management.
, 6. A community nurse is assessing a home for lead hazards. Which finding should the nurse
identify as the greatest risk for a toddler?
A. A home built in 1985 with copper piping.
B. A plastic garden hose used for playing in the yard.
C. The presence of a new vinyl floor in the kitchen.
D. Peeling paint on the windowsills of a home built in 1950.
Correct Answer: D
Rationale: Homes built before 1978 are highly likely to contain lead-based paint, which is
a significant neurotoxin. Peeling paint or dust from these surfaces can be ingested or
inhaled by curious toddlers. Lead poisoning can cause permanent developmental delays
and neurological damage in children. Nurses must prioritize screening children living in
older housing units. Remediation of lead hazards is a critical public health goal for pediatric
safety.
7. A nurse is participating in a legislative hearing regarding a new public health policy. What is
the primary role of the nurse in this setting?
A. To act as the primary legal counsel for the health department.
B. To manage the funding of the proposed health program.
C. To enforce the regulations once the law is passed.
D. To provide expert testimony based on clinical evidence.
Correct Answer: D
Rationale: Nurses serve as advocates and experts when participating in the legislative
process. By providing evidence-based testimony, they help lawmakers understand the
practical implications of health policy. This involvement ensures that clinical realities are
considered during the creation of laws. Nurses possess a unique perspective on patient
care that is invaluable to policy development. Advocacy at the policy level is a core
competency for community health nursing.
8. Which of the following is a primary goal of the National Incident Management System
(NIMS)?
A. To provide financial compensation to disaster victims.
B. To eliminate the need for local volunteer organizations during a crisis.
C. To standardize the approach to incident management across all levels of government.
D. To focus exclusively on the medical aspects of disaster recovery.
Correct Answer: C
and Community - WCU Updated and Latest
Questions and Correct Answers with Rationale
1. A community health nurse is explaining the START triage system to a group of new
graduates. Which of the following clients should receive a red tag?
A. A client who is unconscious and has a respiratory rate of 34 breaths per minute.
B. A client who has a compound fracture and a capillary refill of 1.5 seconds.
C. A client who has multiple abrasions and is walking around the scene.
D. A client who is not breathing after the airway has been opened twice.
Correct Answer: A
Rationale: The red tag is used for clients who require immediate medical attention to
survive. In the START triage system, a respiratory rate over 30 per minute indicates a high
priority. Clients who are unconscious also receive immediate priority due to potential
neurological or airway issues. Walking wounded individuals are categorized as green for
minor injuries. This systematic approach ensures that resources are allocated to those
most likely to benefit from rapid intervention.
2. When conducting an environmental health assessment, which component of the ‘I-
PREPARE’ mnemonic refers to checking the safety data sheets (SDS)?
A. Residence
B. Present work
C. Environmental concerns
D. Past work
Correct Answer: B
Rationale: The ‘Present work’ component of the mnemonic focuses on current
occupational exposures and safety protocols. Checking Safety Data Sheets provides critical
information about chemicals and hazards in the workplace. Nurses use this tool to
systematically identify potential toxins that might affect a client’s health. The ‘I-PREPARE’
tool is essential for uncovering environmental links to disease. Occupational health is a
primary concern when assessing adult patients in a community setting.
3. A nurse is working in a community that has a high level of air pollution. Which of the
following is an example of secondary prevention for this environmental issue?
A. Advocating for stricter emission laws for local factories.
B. Educating the community on how to use an air quality index map.
,C. Assisting a family in relocating to an area with cleaner air.
D. Screening children for lead and asthma-related symptoms.
Correct Answer: D
Rationale: Secondary prevention focuses on early detection and screening of existing
health problems. Screening children for asthma symptoms allows for early intervention in
polluted environments. Primary prevention would involve stopping the pollution before it
causes harm. Tertiary prevention involves managing symptoms for those already
diagnosed with chronic conditions. This distinction is vital for nurses to plan appropriate
community interventions.
4. During a disaster response, a nurse identifies a client who is in the ‘honeymoon’ phase.
Which behavior is characteristic of this phase?
A. Experiencing extreme exhaustion and physical illness.
B. Taking immediate risks to save the lives of others.
C. Feeling a sense of hopelessness and depression.
D. Sharing stories and bonding with other survivors.
Correct Answer: D
Rationale: The honeymoon phase occurs shortly after a disaster when survivors feel a
sense of relief and togetherness. During this time, community members often share their
experiences and support one another. It follows the heroic phase, where people perform
adrenaline-fueled acts of bravery. Eventually, this phase transitions into disillusionment as
the reality of the situation sets in. Nurses must recognize these stages to provide
appropriate psychological support to the community.
5. Which federal agency is primarily responsible for ensuring the health and safety of the
American public by providing leadership in disaster preparedness?
A. Occupational Safety and Health Administration (OSHA)
B. Environmental Protection Agency (EPA)
C. Federal Emergency Management Agency (FEMA)
D. World Health Organization (WHO)
Correct Answer: C
Rationale: FEMA is the lead federal agency for coordinating disaster response and
recovery efforts in the United States. It works closely with state and local governments to
provide resources during emergencies. While OSHA focuses on workplace safety, FEMA
handles large-scale disasters like hurricanes or floods. The EPA is more concerned with
environmental regulations and pollution control. Knowing which agency to contact is
crucial for effective community disaster management.
, 6. A community nurse is assessing a home for lead hazards. Which finding should the nurse
identify as the greatest risk for a toddler?
A. A home built in 1985 with copper piping.
B. A plastic garden hose used for playing in the yard.
C. The presence of a new vinyl floor in the kitchen.
D. Peeling paint on the windowsills of a home built in 1950.
Correct Answer: D
Rationale: Homes built before 1978 are highly likely to contain lead-based paint, which is
a significant neurotoxin. Peeling paint or dust from these surfaces can be ingested or
inhaled by curious toddlers. Lead poisoning can cause permanent developmental delays
and neurological damage in children. Nurses must prioritize screening children living in
older housing units. Remediation of lead hazards is a critical public health goal for pediatric
safety.
7. A nurse is participating in a legislative hearing regarding a new public health policy. What is
the primary role of the nurse in this setting?
A. To act as the primary legal counsel for the health department.
B. To manage the funding of the proposed health program.
C. To enforce the regulations once the law is passed.
D. To provide expert testimony based on clinical evidence.
Correct Answer: D
Rationale: Nurses serve as advocates and experts when participating in the legislative
process. By providing evidence-based testimony, they help lawmakers understand the
practical implications of health policy. This involvement ensures that clinical realities are
considered during the creation of laws. Nurses possess a unique perspective on patient
care that is invaluable to policy development. Advocacy at the policy level is a core
competency for community health nursing.
8. Which of the following is a primary goal of the National Incident Management System
(NIMS)?
A. To provide financial compensation to disaster victims.
B. To eliminate the need for local volunteer organizations during a crisis.
C. To standardize the approach to incident management across all levels of government.
D. To focus exclusively on the medical aspects of disaster recovery.
Correct Answer: C
