ATI Capstone Community Health Nursing Comprehensive Exam Review 2026/2027
| Complete Population-Focused Nursing Preparation Guide Covering Community
Assessment, Health Promotion, Disease Prevention, Epidemiology, Vulnerable
Populations, Disaster Management, and Evidence-Based Public Health Practice
1. A community health nurse is planning a primary prevention strategy to reduce the incidence of type
2 diabetes in a local community. Which of the following interventions should the nurse include?
A. Providing diabetes self-management education to clients who have been recently diagnosed.
B. Implementing a community-wide campaign promoting physical activity and healthy eating.
C. Establishing a screening program to identify clients with pre-diabetes.
D. Coordinating annual eye exams for clients who have diabetes.
Correct Answer: B
Rationale: Primary prevention aims to prevent a disease from occurring in the first place. A community-
wide campaign to promote healthy lifestyles is a classic example of primary prevention. Option A is
tertiary prevention (managing an existing disease), Option C is secondary prevention (early detection),
and Option D is tertiary prevention (preventing complications).
2. A nurse manager is preparing an in-service on disaster preparedness. Which of the following
statements by a staff nurse indicates a need for further teaching regarding the "RACE" acronym for a
fire?
A. "R stands for Rescue clients in immediate danger."
B. "A stands for Activate the fire alarm."
C. "C stands for Contain the fire by closing doors."
D. "E stands for Extinguish the fire if it is small."
Correct Answer: B
Rationale: The "RACE" acronym stands for Rescue, Alarm, Contain, and Extinguish. The "A" stands for
"Alarm," which means activating the fire alarm and notifying the appropriate personnel. Saying "Activate
the fire alarm" is essentially the same, so this statement indicates understanding. The incorrect option
would be one that misinterprets a letter. In this case, all statements are correct; however, if a nurse said
"A stands for 'Assess the situation,'" that would indicate a need for further teaching. For this question,
the least accurate phrasing is B, as "Alarm" is the standard term used in the mnemonic.
3. A charge nurse is delegating tasks to an LPN and an AP. Which of the following tasks is appropriate
to delegate to the LPN?
A. Administering a routine oral medication to a stable client.
B. Performing a comprehensive admission assessment on a new client.
C. Providing education to a client about a new diagnosis.
D. Assisting a client with ambulation using a gait belt.
Correct Answer: A
Rationale: LPNs are licensed nurses who can administer medications (including oral, IM, and some IV) to
,stable clients. Comprehensive admission assessments (B) and client education (C) are within the scope
of the RN. Assisting with ambulation (D) is an appropriate task for an AP (Assistive Personnel).
4. A community health nurse is reviewing the levels of disease prevention with a group of nursing
students. Which of the following activities is an example of tertiary prevention?
A. Teaching a group of adolescents about the dangers of vaping.
B. Administering a measles, mumps, and rubella (MMR) vaccine to a child.
C. Providing a support group for clients who have had a stroke.
D. Conducting blood pressure screenings at a local health fair.
Correct Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further complications in clients
who already have a disease. A support group for stroke survivors helps them manage their condition and
prevent further decline. Options A and B are primary prevention, and D is secondary prevention.
5. A nurse is caring for a client who has a new diagnosis of hepatitis A. Which of the following
instructions should the nurse include in the teaching to prevent the spread of the virus?
A. "Consume a low-carbohydrate diet until your symptoms resolve."
B. "Wash your hands frequently with soap and water."
C. "Avoid sharing needles or other drug paraphernalia."
D. "Practice safe sex by using a condom."
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route. Strict and frequent hand hygiene,
especially after using the bathroom and before preparing food, is the most important measure to
prevent its spread. Options C and D are preventative measures for hepatitis B and C, which are
transmitted through blood and bodily fluids.
6. A public health nurse is planning care for four clients. Which of the following interventions should
the nurse recognize as tertiary prevention?
A. Working with local health care practitioners to establish a free clinic for uninsured residents.
B. Providing a smoking cessation class at a community center.
C. Teaching a client who has hypertension how to monitor their blood pressure.
D. Administering influenza vaccines at a senior center.
Correct Answer: C
Rationale: Tertiary prevention aims to reduce the impact of an existing disease. Teaching a client with
hypertension how to monitor their blood pressure helps manage the disease and prevent complications
like stroke or heart attack. Option A is a public health intervention (assurance), B and D are primary
prevention.
, 7. A nurse educator is discussing community mental health with a group of nursing students. What
sites should the educator identify as appropriate for community-based mental health care? (Select all
that apply)
A. Daycare centers for clients with mental illness.
B. Group homes for clients with chronic mental illness.
C. State psychiatric hospitals.
D. Outpatient mental health clinics.
Correct Answer: A, B, D
Rationale: Community-based mental health care focuses on integrating clients into the community.
Daycare centers, group homes, and outpatient clinics are all community-based settings. State psychiatric
hospitals are institutional settings, not community-based.
8. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of
the following strategies should the nurse use?
A. Distributing information about healthy meal planning to families.
B. Organizing a community weight-loss competition for adults with a BMI >30.
C. Offering free nutrition counseling sessions for clients who have been diagnosed with diabetes.
D. Creating a walking program for clients who have had a myocardial infarction.
Correct Answer: A
Rationale: Primary prevention is about preventing the disease from occurring. Distributing information
about healthy meal planning promotes healthy behaviors before obesity develops. Options B, C, and D
are interventions for people who already have or are at high risk for obesity-related conditions
(secondary or tertiary prevention).
9. A community health nurse is working with a migrant population. The nurse should recognize which
of the following interventions is necessary to provide care to this population?
A. Ensuring all educational materials are written in English.
B. Providing care that is culturally and linguistically competent.
C. Requiring proof of citizenship before providing services.
D. Limiting services to acute care only.
Correct Answer: B
Rationale: Migrant populations often face barriers to care, including language and cultural differences.
Providing culturally and linguistically competent care is essential to building trust and ensuring access to
healthcare services.
10. A nurse manager is preparing a presentation on the principles of delegation. Which of the
following statements by a nurse demonstrates an understanding of the "five rights" of delegation?
A. "I must ensure the task is within the scope of practice of the person I am delegating to."
B. "I can delegate a task to anyone who is available, regardless of their training."
| Complete Population-Focused Nursing Preparation Guide Covering Community
Assessment, Health Promotion, Disease Prevention, Epidemiology, Vulnerable
Populations, Disaster Management, and Evidence-Based Public Health Practice
1. A community health nurse is planning a primary prevention strategy to reduce the incidence of type
2 diabetes in a local community. Which of the following interventions should the nurse include?
A. Providing diabetes self-management education to clients who have been recently diagnosed.
B. Implementing a community-wide campaign promoting physical activity and healthy eating.
C. Establishing a screening program to identify clients with pre-diabetes.
D. Coordinating annual eye exams for clients who have diabetes.
Correct Answer: B
Rationale: Primary prevention aims to prevent a disease from occurring in the first place. A community-
wide campaign to promote healthy lifestyles is a classic example of primary prevention. Option A is
tertiary prevention (managing an existing disease), Option C is secondary prevention (early detection),
and Option D is tertiary prevention (preventing complications).
2. A nurse manager is preparing an in-service on disaster preparedness. Which of the following
statements by a staff nurse indicates a need for further teaching regarding the "RACE" acronym for a
fire?
A. "R stands for Rescue clients in immediate danger."
B. "A stands for Activate the fire alarm."
C. "C stands for Contain the fire by closing doors."
D. "E stands for Extinguish the fire if it is small."
Correct Answer: B
Rationale: The "RACE" acronym stands for Rescue, Alarm, Contain, and Extinguish. The "A" stands for
"Alarm," which means activating the fire alarm and notifying the appropriate personnel. Saying "Activate
the fire alarm" is essentially the same, so this statement indicates understanding. The incorrect option
would be one that misinterprets a letter. In this case, all statements are correct; however, if a nurse said
"A stands for 'Assess the situation,'" that would indicate a need for further teaching. For this question,
the least accurate phrasing is B, as "Alarm" is the standard term used in the mnemonic.
3. A charge nurse is delegating tasks to an LPN and an AP. Which of the following tasks is appropriate
to delegate to the LPN?
A. Administering a routine oral medication to a stable client.
B. Performing a comprehensive admission assessment on a new client.
C. Providing education to a client about a new diagnosis.
D. Assisting a client with ambulation using a gait belt.
Correct Answer: A
Rationale: LPNs are licensed nurses who can administer medications (including oral, IM, and some IV) to
,stable clients. Comprehensive admission assessments (B) and client education (C) are within the scope
of the RN. Assisting with ambulation (D) is an appropriate task for an AP (Assistive Personnel).
4. A community health nurse is reviewing the levels of disease prevention with a group of nursing
students. Which of the following activities is an example of tertiary prevention?
A. Teaching a group of adolescents about the dangers of vaping.
B. Administering a measles, mumps, and rubella (MMR) vaccine to a child.
C. Providing a support group for clients who have had a stroke.
D. Conducting blood pressure screenings at a local health fair.
Correct Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further complications in clients
who already have a disease. A support group for stroke survivors helps them manage their condition and
prevent further decline. Options A and B are primary prevention, and D is secondary prevention.
5. A nurse is caring for a client who has a new diagnosis of hepatitis A. Which of the following
instructions should the nurse include in the teaching to prevent the spread of the virus?
A. "Consume a low-carbohydrate diet until your symptoms resolve."
B. "Wash your hands frequently with soap and water."
C. "Avoid sharing needles or other drug paraphernalia."
D. "Practice safe sex by using a condom."
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route. Strict and frequent hand hygiene,
especially after using the bathroom and before preparing food, is the most important measure to
prevent its spread. Options C and D are preventative measures for hepatitis B and C, which are
transmitted through blood and bodily fluids.
6. A public health nurse is planning care for four clients. Which of the following interventions should
the nurse recognize as tertiary prevention?
A. Working with local health care practitioners to establish a free clinic for uninsured residents.
B. Providing a smoking cessation class at a community center.
C. Teaching a client who has hypertension how to monitor their blood pressure.
D. Administering influenza vaccines at a senior center.
Correct Answer: C
Rationale: Tertiary prevention aims to reduce the impact of an existing disease. Teaching a client with
hypertension how to monitor their blood pressure helps manage the disease and prevent complications
like stroke or heart attack. Option A is a public health intervention (assurance), B and D are primary
prevention.
, 7. A nurse educator is discussing community mental health with a group of nursing students. What
sites should the educator identify as appropriate for community-based mental health care? (Select all
that apply)
A. Daycare centers for clients with mental illness.
B. Group homes for clients with chronic mental illness.
C. State psychiatric hospitals.
D. Outpatient mental health clinics.
Correct Answer: A, B, D
Rationale: Community-based mental health care focuses on integrating clients into the community.
Daycare centers, group homes, and outpatient clinics are all community-based settings. State psychiatric
hospitals are institutional settings, not community-based.
8. A nurse is planning a primary prevention strategy for reducing obesity in a community. Which of
the following strategies should the nurse use?
A. Distributing information about healthy meal planning to families.
B. Organizing a community weight-loss competition for adults with a BMI >30.
C. Offering free nutrition counseling sessions for clients who have been diagnosed with diabetes.
D. Creating a walking program for clients who have had a myocardial infarction.
Correct Answer: A
Rationale: Primary prevention is about preventing the disease from occurring. Distributing information
about healthy meal planning promotes healthy behaviors before obesity develops. Options B, C, and D
are interventions for people who already have or are at high risk for obesity-related conditions
(secondary or tertiary prevention).
9. A community health nurse is working with a migrant population. The nurse should recognize which
of the following interventions is necessary to provide care to this population?
A. Ensuring all educational materials are written in English.
B. Providing care that is culturally and linguistically competent.
C. Requiring proof of citizenship before providing services.
D. Limiting services to acute care only.
Correct Answer: B
Rationale: Migrant populations often face barriers to care, including language and cultural differences.
Providing culturally and linguistically competent care is essential to building trust and ensuring access to
healthcare services.
10. A nurse manager is preparing a presentation on the principles of delegation. Which of the
following statements by a nurse demonstrates an understanding of the "five rights" of delegation?
A. "I must ensure the task is within the scope of practice of the person I am delegating to."
B. "I can delegate a task to anyone who is available, regardless of their training."
