NURS 420 community health practice test
2 (Ch. 7-14)
Which of the following describes the significance of the passage of The Public Health Threats
and Emergencies Act? (Select all that apply.)
a. It funded ongoing activities of the public health system.
b. It led to improved water quality and food safety guidelines.
c. It included funding for public health activities.
d. It validated that the public health system was prepared for terrorism. - ANS b. It led to
improved water quality and food safety guidelines.
c. It included funding for public health activities.
Which of the following best describes the importance of the World Health Organization (WHO)
to the United States? (Select all that apply.)
a. Provides daily information on disease occurrences
b. Establishes international standards for antibiotics and vaccines
c. Creates international legislation regarding international cooperation
d. Supports national programs to fight disease - ANS a. Provides daily information on disease
occurrences
b. Establishes international standards for antibiotics and vaccines
Which of the following activities are the responsibility of the Centers for Disease Control and
Prevention? (Select all that apply.)
a. Conduct research to enhance disease prevention
b. Detect and investigate infectious disease problems
c. Develop and advocate public health policies
d. Publish national goals for promoting health and preventing disease - ANS a. Conduct
research to enhance disease prevention
b. Detect and investigate infectious disease problems
c. Develop and advocate public health policies
A nurse identifies higher-than-normal levels of lead when screening a 3-year-old child. The
nurse works with the local health department to put together a team to address the
environmental issues responsible for the child's abnormal lead level. Team members should
include the following specialists:
a. epidemiologist, pediatric specialist, and sanitarian.
b. laboratory specialist, contractor whose bid for lead reduction work is the lowest, and public
health lead reduction specialist.
c. public health sanitarian, pediatric generalist, and plumbing inspector.
,d. specially trained housing inspector, pediatric specialist, lead-based paint intervention team,
and laboratory specialists to test the child's home and the surrounding neighborhood. - ANS d.
specially trained housing inspector, pediatric specialist, lead-based paint intervention team, and
laboratory specialists to test the child's home and the surrounding neighborhood.
An occupational health nurse practitioner's physical assessment of a factory worker identifies an
acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's
priorities should be to:
a. contact factory senior management, educate workers about their exposure, and clean the
area.
b. contact the Occupational Safety and Health Administration immediately and remove the
offending chemical in the work environment.
c. immediately evacuate the worker's nearby workspace and treat the worker and other exposed
workers.
d. treat the client and obtain a comprehensive exposure history; if an on-site environmental
exposure is suspected as the cause, screen other at-risk workers and ensure that the
environmental risk is identified and eliminated. - ANS d. treat the client and obtain a
comprehensive exposure history; if an on-site environmental exposure is suspected as the
cause, screen other at-risk workers and ensure that the environmental risk is identified and
eliminated.
A college health nurse is working with students, faculty, and staff to improve environmental air
quality. To address the primary cause of air pollution on campus, the nurse plans a
precautionary intervention. Which of the following interventions best demonstrates an
appropriate approach?
a. Encourage the use of electric cars and scooters on campus
b. Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the primary
mode of transportation on campus
c. Make the entire campus a no-smoking zone
d. Establish a policy to reduce electricity consumption in university buildings by raising the
thermostat to 78° in the summer and lowering the thermostat to 70°in the winter - ANS b.
Increase the use of bicycles, foot-powered scooters, rollerblades, and walking as the primary
mode of transportation on campus
Campaigns to decrease the inequitable burden of environmental risks on the poor and people of
color in the United States strive to apply the ethical principle of:
a. societal justice.
b. nonmaleficence.
c. compliance and enforcement of the Environmental Protection Agency Regulatory Act.
d. environmental justice. - ANS d. environmental justice.
, A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the relationship
between:
a. community strengths and weaknesses.
b. environment and human health/disease.
c. toxicology studies conducted by the Environmental Protection Agency and the environment.
d. federal and state environmental regulations. - ANS b. environment and human
health/disease.
The Superfund Amendments and Reauthorization Act (SARA) increased the involvement of the
states and their citizens in the cleanup of toxic waste sites and stressed the importance of
permanent remedies and innovative treatment technologies. Another important aspect of this
federal legislation was that it:
a. provided for the appointment of state emergency response commissions.
b. increased focus on the human health problems related to hazardous waste sites.
c. established a new safety standard of reasonable certainty of no harm that is to be applied to
all pesticides used on food.
d. reduced the amount of pollution by mandating cost-effective changes in production,
operation, and raw materials use. - ANS b. increased focus on the human health problems
related to hazardous waste sites.
The monitoring and public reporting of air quality in a local community to assist individuals with
asthma or other respiratory conditions best illustrates the application of:
a. compliance and enforcement.
b. environmental epidemiology.
c. secondary prevention.
d. toxicology. - ANS b. environmental epidemiology.
When applying the nursing process to environmental health, the nurse would:
a. conduct an assessment focused on the client's presenting problem.
b. coordinate interventions with the primary care provider of record.
c. examine criteria that are limited to the client's immediate responses.
d. include outcome measures that involve mitigation and elimination of the contributing factors. -
ANS d. include outcome measures that involve mitigation and elimination of the contributing
factors.
When a nurse evaluates the completeness and accuracy of information made available to
community residents regarding the impact of rezoning of land parcels for industrial use, the
nurse can best be described as:
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