ATI RN Community Health Proctored Exam
2026–2027 with NGN | Comprehensive Practice
Questions with Detailed Answer Rationales |
Complete Nursing Study Guide
When a health-care provider offers nutritional health teaching on portions,
patterns, and choices, he or she is using which type of approach? a)
Ecological
b) Downstream
c) Upstream
d) Health promotion - Correct Answer - b) Downstream
A school cafeteria is planning menus for the school year. They used the 2012
national law that calls for school lunch programs to have larger portions of fruits
and vegetables, less sodium, and no trans fats as their guide. This is an example
of:
a) An upstream approach
b) An examination of the social aspects of obesity
c) A downstream approach
d) A and C - Correct Answer - a) An upstream approach
The nursing student is taught correctly that local health departments do not
oversee which of the following? a) The surveillance of disease
b) Investigation of disease outbreaks
c) Licensing of local hospitals
d) Public sanitation and water supply - Correct Answer - c) Licensing of local hospitals The
obesity rate in a local neighborhood is partially the product of a limited access
pg. 1
, to full service grocery stores and a lack of dedicated safe venues for exercise.
This is an example of issues related to the "upstream" determinants of public
health that contribute to the ecology of a community's health
"downstream." The PHN understands that upstream determinants include social
relations, neighborhoods and communities, institutions, and ____.
a) Social and economic policies
b) Availability of medicine to treat disease
c) Tertiary nursing interventions
d) Increasing the number of primary care providers - Correct Answer - a) Social and economic
policies
The PHN recognizes that environmental science, epidemiology, biostatistics,
biomedical sciences, and ______ form the foundational subjects of public health.
a) Economics
b) The humanities
c) Social and behavioral sciences
d) Anthropology - Correct Answer - c) Social and behavioral sciences
The public health nurse (PHN) knows that he must approach a public health
problem with an understanding of the related underlying risk factors in order to
develop effective nursing interventions. He must also consider that these risk
factors can be either ______ based or ______ based.
a) Disease; individual
b) Intervention; government
c) Epidemic; population
d) Individual; population - Correct Answer - d) Individual; population
A nurse is presenting a lecture about global health and life expectancy and states
that in America, the biggest reason for the increase in life expectancy is:
pg. 2
,a) Better public health practices
b) Increased education
c) Decreased crime
d) Improved housing - Correct Answer - a) Better public health practices
A public health nurse (PHN) notices the rising incidence of H1N1 (swine flu) in a
geographic area. The nurse considers possible interventions, knowing that the
preclinical phase of H1N1 lasts:
a) One to two days
b) Two to four days
c) Three to four days
d) Five to seven days - Correct Answer - a) One to two days
In the traditional public health prevention framework, the level of prevention that
includes early detection and initiation of treatment for disease, or screening, is
referred to as the: a) Clinical level
b) Primary level
c) Tertiary level
d) Secondary level - Correct Answer - d) Secondary level
Attributable risk is the proportion of cases or injuries that would be eliminated if a
risk factor did not occur, but preventable fraction is:
a) The number of cases that actually occur in a given population at a specific point in time.
b) What could be achieved with a program implemented in a community setting within the
at-risk population when community members actually participate in the program. c) The
number of cases that require intervention.
d) An estimation of the number of cases with the high-risk factor(s). - Correct Answer -
b) What could be achieved with a program implemented in a community setting within the at-
risk population when community members actually participate in the program.
pg. 3
, Population attributable risk (PAR) is based on the assumption that the risk factor
is removed from the entire population being targeted. It also can be used to
calculate the cost benefit and the ____ of a prevention program.
a) Cost effectiveness
b) Necessity
c) Population ecology
d) Percent of repeat participant - Correct Answer - a) Cost effectiveness
The nursing student is studying learning theories. He learns that television
commercials are an example of which learning theory? a) Constructivism
b) Cognitivist
c) Bandura's theory of social learning
d) Behaviorism - Correct Answer - c) Bandura's theory of social learning
A patient diagnosed with diabetes buys books, reads articles, talks with
knowledgeable people, informs himself about what he can do to improve his
health, and takes action. The nurse recognizes this method of adult learning as: a)
Pedagogy
b) Andragogy
c) Constructivism
d) Humanism - Correct Answer - d) Humanism
A nursing student is listening to a lecture on poor health outcomes. Based on
research by the Institute of Medicine (IOM), the instructor says that for an
individual with a non-communicable disease less knowledge of chronic disease
management and performance of fewer health promotion activities at home, most
likely reflects:
a) Low health literacy
b) Lack of adequate health insurance
c) Limited access to medical services
pg. 4
2026–2027 with NGN | Comprehensive Practice
Questions with Detailed Answer Rationales |
Complete Nursing Study Guide
When a health-care provider offers nutritional health teaching on portions,
patterns, and choices, he or she is using which type of approach? a)
Ecological
b) Downstream
c) Upstream
d) Health promotion - Correct Answer - b) Downstream
A school cafeteria is planning menus for the school year. They used the 2012
national law that calls for school lunch programs to have larger portions of fruits
and vegetables, less sodium, and no trans fats as their guide. This is an example
of:
a) An upstream approach
b) An examination of the social aspects of obesity
c) A downstream approach
d) A and C - Correct Answer - a) An upstream approach
The nursing student is taught correctly that local health departments do not
oversee which of the following? a) The surveillance of disease
b) Investigation of disease outbreaks
c) Licensing of local hospitals
d) Public sanitation and water supply - Correct Answer - c) Licensing of local hospitals The
obesity rate in a local neighborhood is partially the product of a limited access
pg. 1
, to full service grocery stores and a lack of dedicated safe venues for exercise.
This is an example of issues related to the "upstream" determinants of public
health that contribute to the ecology of a community's health
"downstream." The PHN understands that upstream determinants include social
relations, neighborhoods and communities, institutions, and ____.
a) Social and economic policies
b) Availability of medicine to treat disease
c) Tertiary nursing interventions
d) Increasing the number of primary care providers - Correct Answer - a) Social and economic
policies
The PHN recognizes that environmental science, epidemiology, biostatistics,
biomedical sciences, and ______ form the foundational subjects of public health.
a) Economics
b) The humanities
c) Social and behavioral sciences
d) Anthropology - Correct Answer - c) Social and behavioral sciences
The public health nurse (PHN) knows that he must approach a public health
problem with an understanding of the related underlying risk factors in order to
develop effective nursing interventions. He must also consider that these risk
factors can be either ______ based or ______ based.
a) Disease; individual
b) Intervention; government
c) Epidemic; population
d) Individual; population - Correct Answer - d) Individual; population
A nurse is presenting a lecture about global health and life expectancy and states
that in America, the biggest reason for the increase in life expectancy is:
pg. 2
,a) Better public health practices
b) Increased education
c) Decreased crime
d) Improved housing - Correct Answer - a) Better public health practices
A public health nurse (PHN) notices the rising incidence of H1N1 (swine flu) in a
geographic area. The nurse considers possible interventions, knowing that the
preclinical phase of H1N1 lasts:
a) One to two days
b) Two to four days
c) Three to four days
d) Five to seven days - Correct Answer - a) One to two days
In the traditional public health prevention framework, the level of prevention that
includes early detection and initiation of treatment for disease, or screening, is
referred to as the: a) Clinical level
b) Primary level
c) Tertiary level
d) Secondary level - Correct Answer - d) Secondary level
Attributable risk is the proportion of cases or injuries that would be eliminated if a
risk factor did not occur, but preventable fraction is:
a) The number of cases that actually occur in a given population at a specific point in time.
b) What could be achieved with a program implemented in a community setting within the
at-risk population when community members actually participate in the program. c) The
number of cases that require intervention.
d) An estimation of the number of cases with the high-risk factor(s). - Correct Answer -
b) What could be achieved with a program implemented in a community setting within the at-
risk population when community members actually participate in the program.
pg. 3
, Population attributable risk (PAR) is based on the assumption that the risk factor
is removed from the entire population being targeted. It also can be used to
calculate the cost benefit and the ____ of a prevention program.
a) Cost effectiveness
b) Necessity
c) Population ecology
d) Percent of repeat participant - Correct Answer - a) Cost effectiveness
The nursing student is studying learning theories. He learns that television
commercials are an example of which learning theory? a) Constructivism
b) Cognitivist
c) Bandura's theory of social learning
d) Behaviorism - Correct Answer - c) Bandura's theory of social learning
A patient diagnosed with diabetes buys books, reads articles, talks with
knowledgeable people, informs himself about what he can do to improve his
health, and takes action. The nurse recognizes this method of adult learning as: a)
Pedagogy
b) Andragogy
c) Constructivism
d) Humanism - Correct Answer - d) Humanism
A nursing student is listening to a lecture on poor health outcomes. Based on
research by the Institute of Medicine (IOM), the instructor says that for an
individual with a non-communicable disease less knowledge of chronic disease
management and performance of fewer health promotion activities at home, most
likely reflects:
a) Low health literacy
b) Lack of adequate health insurance
c) Limited access to medical services
pg. 4
