ATI Community Health Exam 1 Study Guide 2026 |Questions
|Answers |Rationales
1. A nurse is planning a primary prevention strategy for a local community.
Which of the following actions should the nurse include?
A. Providing skin cancer screenings for high-risk individuals
B. Teaching healthy nutrition to elementary school students
C. Leading a support group for clients with diabetes
D. Administering insulin to a client at a home health visit
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Teaching nutrition is health promotion, whereas screenings are secondary and
treatment/support groups are tertiary.
2. A community health nurse is calculating the rate of new cases of syphilis in a
city during the past month. Which of the following terms describes this statistic?
A. Prevalence rate
B. Attack rate
C. Mortality rate
D. Incidence rate
Answer: D
Rationale: Incidence refers to the number of new cases of a disease in a population at a
specific time. Prevalence refers to total existing cases (new and old).
,3. A nurse is using the epidemiological triangle to understand a recent outbreak
of influenza. Which of the following factors is considered the host?
A. The influenza virus
B. Cold weather temperatures
C. A contaminated surface
D. An elderly adult with a chronic illness
Answer: D
Rationale: In the epidemiological triangle, the host is the living being affected by the agent.
The virus is the agent, and weather or contaminated surfaces are part of the environment.
4. Which of the following is an example of tertiary prevention for a client with
heart failure?
A. Assisting the client with cardiac rehabilitation exercises
B. Educating the community on a low-sodium diet
C. Screening for hypertension at a health fair
D. Encouraging the use of a pedometer to increase steps
Answer: A
Rationale: Tertiary prevention aims to prevent further complications or disability in
clients who already have a diagnosis. Cardiac rehabilitation is a classic example.
5. A nurse is performing a windshield survey. Which of the following data
collection methods is the nurse using?
A. Direct observation
B. Secondary analysis
C. Informant interviews
D. Focus groups
Answer: A
Rationale: A windshield survey is an informal tool that involves direct observation of the
community’s physical environment while driving or walking through it.
, 6. A nurse is planning a community-based education program about
environmental health. Which of the following should the nurse identify as a
common indoor air pollutant?
A. Lead particles
B. Sulfur dioxide
C. Ozone
D. Carbon monoxide
Answer: D
Rationale: Carbon monoxide is a common indoor pollutant often resulting from faulty
furnaces or space heaters. Ozone and sulfur dioxide are primarily outdoor pollutants.
7. A nurse is conducting a home visit for a family with a toddler. The nurse notes
the house was built in 1950. Which of the following screenings is a priority?
A. Hearing screening
B. Blood lead level
C. Vision screening
D. Scoliosis screening
Answer: B
Rationale: Homes built before 1978 are at high risk for lead-based paint. Children under 6
are particularly vulnerable to lead poisoning, making blood lead levels a priority.
8. A nurse is caring for a client who is a migrant farmworker. Which of the
following is a potential barrier to healthcare for this population?
A. Excessive healthcare insurance coverage
B. Consistent healthcare provider follow-up
C. Fixed permanent housing
D. Lack of transportation
Answer: D
|Answers |Rationales
1. A nurse is planning a primary prevention strategy for a local community.
Which of the following actions should the nurse include?
A. Providing skin cancer screenings for high-risk individuals
B. Teaching healthy nutrition to elementary school students
C. Leading a support group for clients with diabetes
D. Administering insulin to a client at a home health visit
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Teaching nutrition is health promotion, whereas screenings are secondary and
treatment/support groups are tertiary.
2. A community health nurse is calculating the rate of new cases of syphilis in a
city during the past month. Which of the following terms describes this statistic?
A. Prevalence rate
B. Attack rate
C. Mortality rate
D. Incidence rate
Answer: D
Rationale: Incidence refers to the number of new cases of a disease in a population at a
specific time. Prevalence refers to total existing cases (new and old).
,3. A nurse is using the epidemiological triangle to understand a recent outbreak
of influenza. Which of the following factors is considered the host?
A. The influenza virus
B. Cold weather temperatures
C. A contaminated surface
D. An elderly adult with a chronic illness
Answer: D
Rationale: In the epidemiological triangle, the host is the living being affected by the agent.
The virus is the agent, and weather or contaminated surfaces are part of the environment.
4. Which of the following is an example of tertiary prevention for a client with
heart failure?
A. Assisting the client with cardiac rehabilitation exercises
B. Educating the community on a low-sodium diet
C. Screening for hypertension at a health fair
D. Encouraging the use of a pedometer to increase steps
Answer: A
Rationale: Tertiary prevention aims to prevent further complications or disability in
clients who already have a diagnosis. Cardiac rehabilitation is a classic example.
5. A nurse is performing a windshield survey. Which of the following data
collection methods is the nurse using?
A. Direct observation
B. Secondary analysis
C. Informant interviews
D. Focus groups
Answer: A
Rationale: A windshield survey is an informal tool that involves direct observation of the
community’s physical environment while driving or walking through it.
, 6. A nurse is planning a community-based education program about
environmental health. Which of the following should the nurse identify as a
common indoor air pollutant?
A. Lead particles
B. Sulfur dioxide
C. Ozone
D. Carbon monoxide
Answer: D
Rationale: Carbon monoxide is a common indoor pollutant often resulting from faulty
furnaces or space heaters. Ozone and sulfur dioxide are primarily outdoor pollutants.
7. A nurse is conducting a home visit for a family with a toddler. The nurse notes
the house was built in 1950. Which of the following screenings is a priority?
A. Hearing screening
B. Blood lead level
C. Vision screening
D. Scoliosis screening
Answer: B
Rationale: Homes built before 1978 are at high risk for lead-based paint. Children under 6
are particularly vulnerable to lead poisoning, making blood lead levels a priority.
8. A nurse is caring for a client who is a migrant farmworker. Which of the
following is a potential barrier to healthcare for this population?
A. Excessive healthcare insurance coverage
B. Consistent healthcare provider follow-up
C. Fixed permanent housing
D. Lack of transportation
Answer: D
