NURS 340 | NURS340 Exam 3: RN Community
Health - WCU Updated and Latest Questions and
Correct Answers with Rationale
1. A community health nurse is conducting a windshield survey of a local neighborhood.
Which of the following observations should the nurse prioritize as a potential health risk?
A. The presence of several community gardens in residential areas
B. Families walking on paved sidewalks in a local park
C. A newly constructed public library with wheelchair ramps
D. Numerous abandoned buildings with broken windows and graffiti
Correct Answer: D
Rationale: Abandoned buildings often indicate urban decay and can lead to safety hazards
or pest infestations. This observation helps the nurse identify environmental stressors that
impact the health of the population. Assessing physical surroundings is a critical
component of a windshield survey for identifying community needs. These structures may
also serve as sites for illicit activities that threaten public safety. Understanding these risks
allows for more effective planning of community-based interventions.
2. A nurse is preparing an educational program about primary prevention for a group of
migrant farmworkers. Which of the following topics should the nurse include?
A. Screening for tuberculosis and high blood pressure
B. Providing rehabilitation for workers with chronic back injuries
C. Teaching about the importance of wearing long sleeves to prevent pesticide exposure
D. Administering insulin to workers diagnosed with diabetes
Correct Answer: C
Rationale: Primary prevention focuses on preventing the occurrence of a disease or injury
before it happens. Educating workers on protective clothing is a proactive measure to
reduce environmental chemical exposure. This intervention addresses the root cause of
potential health issues in the farmworker population. By preventing exposure, the nurse
helps maintain the long-term health and productivity of the community. Primary
prevention is a cost-effective strategy in community health nursing practice.
3. Which action by the community health nurse demonstrates the principle of cultural
competence?
A. Assuming all clients from the same country share identical religious beliefs
B. Using medical jargon to explain complex procedures to all clients
,C. Conducting a cultural self-assessment to identify personal biases
D. Insisting that clients use only Western medicine for treating illnesses
Correct Answer: C
Rationale: Cultural competence begins with the nurse’s awareness of their own cultural
values and prejudices. Self-assessment prevents the nurse from imposing their own beliefs
on clients from diverse backgrounds. This practice is essential for providing individualized
and respectful care to vulnerable populations. By recognizing personal biases, the nurse
can actively work to minimize their impact on patient care. This approach fosters a more
inclusive and effective therapeutic relationship with the community.
4. A nurse is working with a vulnerable population of homeless individuals. What is the most
common health condition this population faces that requires community intervention?
A. Upper respiratory infections and skin infestations
B. Cataracts and hearing loss from aging
C. Elective cosmetic surgical complications
D. High-altitude sickness from geographic location
Correct Answer: A
Rationale: Homeless individuals are at high risk for communicable diseases due to
crowded living conditions in shelters. Frequent exposure to the elements and lack of
hygiene facilities contribute to skin conditions and infections. Community health nurses
must focus on these common ailments to improve the overall health of this group. Early
intervention and access to basic care are vital for preventing serious complications.
Addressing these needs helps bridge the gap in healthcare disparities for the homeless.
5. In the event of a large-scale disaster, which triage tag should a nurse assign to a client who
has a minor laceration and is able to walk?
A. Green (Minor)
B. Yellow (Delayed)
C. Red (Immediate)
D. Black (Deceased/Expectant)
Correct Answer: A
Rationale: The green tag is reserved for the ‘walking wounded’ who have non-life-
threatening injuries during a disaster. These individuals can wait for treatment while more
critical patients are attended to first. Efficient triage ensures that limited resources are
directed toward those with the most urgent needs. This categorization helps maintain
order and optimizes survival rates in emergency situations. The nurse must constantly re-
evaluate these patients to ensure their condition does not worsen.
, 6. A community health nurse is collaborating with a local school to implement a secondary
prevention strategy. Which of the following activities is an example of secondary prevention?
A. Teaching a health class about the dangers of vaping
B. Conducting scoliosis screenings for middle school students
C. Providing physical therapy for a student with cerebral palsy
D. Administering the annual flu vaccine to school faculty
Correct Answer: B
Rationale: Secondary prevention aims at early detection and intervention of a disease or
condition. Scoliosis screening identifies spinal issues in children before they become severe
or symptomatic. This allows for timely referral and treatment to prevent long-term
physical complications. Unlike primary prevention, which stops disease before it starts,
secondary prevention identifies it early. Effective screening programs are a cornerstone of
community-based health promotion.
7. A nurse is assessing a client from a culture that emphasizes non-verbal communication and
silence. How should the nurse interpret a long period of silence during the interview?
A. The client is being uncooperative and does not want to answer
B. The client is confused and does not understand English
C. The client might be showing respect or reflecting on the question
D. The client is experiencing a psychiatric emergency
Correct Answer: C
Rationale: In many cultures, silence is used to demonstrate respect or to allow time for
thoughtful consideration. The nurse must recognize that communication styles vary
significantly across different ethnic groups. Rushing the client or assuming negative intent
can damage the nurse-client relationship. Adapting to the client’s pace shows cultural
sensitivity and promotes trust. Understanding these nuances is key to performing an
accurate and respectful cultural assessment.
8. Which of the following best describes the ‘Agent’ in the epidemiological triangle?
A. The living building where the person resides
B. The factor, such as a bacteria or chemical, that causes disease
C. The person who is susceptible to the illness
D. The external environment that allows transmission
B. The factor, such as a bacteria or chemical, that causes disease
Correct Answer: B
Health - WCU Updated and Latest Questions and
Correct Answers with Rationale
1. A community health nurse is conducting a windshield survey of a local neighborhood.
Which of the following observations should the nurse prioritize as a potential health risk?
A. The presence of several community gardens in residential areas
B. Families walking on paved sidewalks in a local park
C. A newly constructed public library with wheelchair ramps
D. Numerous abandoned buildings with broken windows and graffiti
Correct Answer: D
Rationale: Abandoned buildings often indicate urban decay and can lead to safety hazards
or pest infestations. This observation helps the nurse identify environmental stressors that
impact the health of the population. Assessing physical surroundings is a critical
component of a windshield survey for identifying community needs. These structures may
also serve as sites for illicit activities that threaten public safety. Understanding these risks
allows for more effective planning of community-based interventions.
2. A nurse is preparing an educational program about primary prevention for a group of
migrant farmworkers. Which of the following topics should the nurse include?
A. Screening for tuberculosis and high blood pressure
B. Providing rehabilitation for workers with chronic back injuries
C. Teaching about the importance of wearing long sleeves to prevent pesticide exposure
D. Administering insulin to workers diagnosed with diabetes
Correct Answer: C
Rationale: Primary prevention focuses on preventing the occurrence of a disease or injury
before it happens. Educating workers on protective clothing is a proactive measure to
reduce environmental chemical exposure. This intervention addresses the root cause of
potential health issues in the farmworker population. By preventing exposure, the nurse
helps maintain the long-term health and productivity of the community. Primary
prevention is a cost-effective strategy in community health nursing practice.
3. Which action by the community health nurse demonstrates the principle of cultural
competence?
A. Assuming all clients from the same country share identical religious beliefs
B. Using medical jargon to explain complex procedures to all clients
,C. Conducting a cultural self-assessment to identify personal biases
D. Insisting that clients use only Western medicine for treating illnesses
Correct Answer: C
Rationale: Cultural competence begins with the nurse’s awareness of their own cultural
values and prejudices. Self-assessment prevents the nurse from imposing their own beliefs
on clients from diverse backgrounds. This practice is essential for providing individualized
and respectful care to vulnerable populations. By recognizing personal biases, the nurse
can actively work to minimize their impact on patient care. This approach fosters a more
inclusive and effective therapeutic relationship with the community.
4. A nurse is working with a vulnerable population of homeless individuals. What is the most
common health condition this population faces that requires community intervention?
A. Upper respiratory infections and skin infestations
B. Cataracts and hearing loss from aging
C. Elective cosmetic surgical complications
D. High-altitude sickness from geographic location
Correct Answer: A
Rationale: Homeless individuals are at high risk for communicable diseases due to
crowded living conditions in shelters. Frequent exposure to the elements and lack of
hygiene facilities contribute to skin conditions and infections. Community health nurses
must focus on these common ailments to improve the overall health of this group. Early
intervention and access to basic care are vital for preventing serious complications.
Addressing these needs helps bridge the gap in healthcare disparities for the homeless.
5. In the event of a large-scale disaster, which triage tag should a nurse assign to a client who
has a minor laceration and is able to walk?
A. Green (Minor)
B. Yellow (Delayed)
C. Red (Immediate)
D. Black (Deceased/Expectant)
Correct Answer: A
Rationale: The green tag is reserved for the ‘walking wounded’ who have non-life-
threatening injuries during a disaster. These individuals can wait for treatment while more
critical patients are attended to first. Efficient triage ensures that limited resources are
directed toward those with the most urgent needs. This categorization helps maintain
order and optimizes survival rates in emergency situations. The nurse must constantly re-
evaluate these patients to ensure their condition does not worsen.
, 6. A community health nurse is collaborating with a local school to implement a secondary
prevention strategy. Which of the following activities is an example of secondary prevention?
A. Teaching a health class about the dangers of vaping
B. Conducting scoliosis screenings for middle school students
C. Providing physical therapy for a student with cerebral palsy
D. Administering the annual flu vaccine to school faculty
Correct Answer: B
Rationale: Secondary prevention aims at early detection and intervention of a disease or
condition. Scoliosis screening identifies spinal issues in children before they become severe
or symptomatic. This allows for timely referral and treatment to prevent long-term
physical complications. Unlike primary prevention, which stops disease before it starts,
secondary prevention identifies it early. Effective screening programs are a cornerstone of
community-based health promotion.
7. A nurse is assessing a client from a culture that emphasizes non-verbal communication and
silence. How should the nurse interpret a long period of silence during the interview?
A. The client is being uncooperative and does not want to answer
B. The client is confused and does not understand English
C. The client might be showing respect or reflecting on the question
D. The client is experiencing a psychiatric emergency
Correct Answer: C
Rationale: In many cultures, silence is used to demonstrate respect or to allow time for
thoughtful consideration. The nurse must recognize that communication styles vary
significantly across different ethnic groups. Rushing the client or assuming negative intent
can damage the nurse-client relationship. Adapting to the client’s pace shows cultural
sensitivity and promotes trust. Understanding these nuances is key to performing an
accurate and respectful cultural assessment.
8. Which of the following best describes the ‘Agent’ in the epidemiological triangle?
A. The living building where the person resides
B. The factor, such as a bacteria or chemical, that causes disease
C. The person who is susceptible to the illness
D. The external environment that allows transmission
B. The factor, such as a bacteria or chemical, that causes disease
Correct Answer: B
