ATI RN Community Health Fundamentals Proctored Exam 2026
ATI RN Community Health Fundamentals Proctored Exam
2026 with NGN
70 Questions | Practice Examination
Instructions: Read each question carefully. Select the best answer(s) for each
question. For standard multiple-choice questions, choose one best answer. For Select
All That Apply questions, select all correct answers. For Ordered Response questions,
place the items in the correct sequence.
Answer key at the end
Question 1
A nurse is conducting a community health assessment and needs to understand the
leading causes of death in the population. Which type of data source would provide
the most reliable information?
A. Hospitaldischarge records
B. Death certificates
C. Morbidity reports
D. Behavioral risk factor surveys
Question 2
A public health nurse is analyzing data from a population of 10,000 people. At the
beginning of the year, 50 individuals had a chronic condition. During the year, 30 new
cases were diagnosed. What is the incidence rate of this condition per 1,000
population?
A. 3.0 per 1,000
B. 5.0 per 1,000
C. 8.0 per 1,000
D. 0.3 per 1,000
NGN Practice Exam Page 1
,ATI RN Community Health Fundamentals Proctored Exam 2026
Question 3
A community health nurse is interpreting a study that reports a relative risk of 2.5 for
the association between smoking and lung cancer. Which of the following is the correct
interpretation?
A. Smokers are 2.5 times more likely to develop lung cancer compared to non-
smokers
B. 2.5% of smokers will develop lung cancer
C. Lung cancer is 2.5 times more common than other cancers among smokers
D. Non-smokers have a 2.5% risk of developing lung cancer
Question 4
Which epidemiological study design is most appropriate for identifying risk factors
associated with a rare disease in a community?
A. Randomized controlled trial
B. Cohort study
C. Case-control study
D. Cross-sectional survey
Question 5
A nurse is reviewing a scatter plot that shows a positive correlation between air
pollution levels and asthma hospitalizations in a city. Which statistical measure would
best quantify the strength of this relationship?
A. Mean
B. Standard deviation
C. Correlation coefficient
D. Chi-square test
NGN Practice Exam Page 2
,ATI RN Community Health Fundamentals Proctored Exam 2026
Question 6
A community health nurse is presenting an in-service on epidemiological study designs.
Which of the following are characteristics of a cohort study? (Select all that apply)
[Select All That Apply]
A. Participants are grouped based on exposure status
B. The study follows participants forward in time to observe outcomes
C. It is the most efficient design for studying rare diseases
D. It can establish temporal relationships between exposure and outcome
E. It always involves random assignment to treatment groups
Question 7
A community health nurse is investigating a suspected outbreak of hepatitis A in a
suburban neighborhood. Place the following steps of the outbreak investigation in the
correct order:
[Place in Correct Order]
Place the following steps in the correct order:
1. Implement control measures such as immunization of close contacts
2. Confirm the diagnosis and verify that an outbreak exists by comparing current case
counts to baseline
3. Develop a hypothesis about the source of the outbreak
4. Analyze data by person, place, and time to characterize the outbreak
5. Conduct a case definition and identify additional cases through active surveillance
Question 8
A community health nurse is applying the concept of herd immunity. Which of the
following best describes the principle of herd immunity in the context of community
health?
A. Individual immunity that develops after repeated exposure to a pathogen
B. Protection of unvaccinated individuals when a sufficient proportion of the
community is immune
C. Immunity that is passed from mother to infant through breastfeeding
D. Resistance of a community to all infectious diseases due to genetic factors
Question 9
A nurse is using the Health Belief Model to develop a smoking cessation program.
Which construct addresses an individual's belief about the seriousness of a health
NGN Practice Exam Page 3
, ATI RN Community Health Fundamentals Proctored Exam 2026
condition?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Self-efficacy
Question 10
A community health nurse is implementing a secondary prevention program for
diabetes. Which intervention is an example of secondary prevention?
A. Providing nutrition education to reduce obesity risk
B. Screening for elevated blood glucose levels at a community clinic
C. Developing an exercise program for individuals diagnosed with diabetes
D. Lobbying for policies to reduce sugar content in processed foods
Question 11
A nurse is planning a community health education session using Pender's Health
Promotion Model. Which factor is most directly influenced by the nurse's teaching
about the benefits of regular physical activity?
A. Perceived barriers to action
B. Perceived self-efficacy
NGN Practice Exam Page 4
ATI RN Community Health Fundamentals Proctored Exam
2026 with NGN
70 Questions | Practice Examination
Instructions: Read each question carefully. Select the best answer(s) for each
question. For standard multiple-choice questions, choose one best answer. For Select
All That Apply questions, select all correct answers. For Ordered Response questions,
place the items in the correct sequence.
Answer key at the end
Question 1
A nurse is conducting a community health assessment and needs to understand the
leading causes of death in the population. Which type of data source would provide
the most reliable information?
A. Hospitaldischarge records
B. Death certificates
C. Morbidity reports
D. Behavioral risk factor surveys
Question 2
A public health nurse is analyzing data from a population of 10,000 people. At the
beginning of the year, 50 individuals had a chronic condition. During the year, 30 new
cases were diagnosed. What is the incidence rate of this condition per 1,000
population?
A. 3.0 per 1,000
B. 5.0 per 1,000
C. 8.0 per 1,000
D. 0.3 per 1,000
NGN Practice Exam Page 1
,ATI RN Community Health Fundamentals Proctored Exam 2026
Question 3
A community health nurse is interpreting a study that reports a relative risk of 2.5 for
the association between smoking and lung cancer. Which of the following is the correct
interpretation?
A. Smokers are 2.5 times more likely to develop lung cancer compared to non-
smokers
B. 2.5% of smokers will develop lung cancer
C. Lung cancer is 2.5 times more common than other cancers among smokers
D. Non-smokers have a 2.5% risk of developing lung cancer
Question 4
Which epidemiological study design is most appropriate for identifying risk factors
associated with a rare disease in a community?
A. Randomized controlled trial
B. Cohort study
C. Case-control study
D. Cross-sectional survey
Question 5
A nurse is reviewing a scatter plot that shows a positive correlation between air
pollution levels and asthma hospitalizations in a city. Which statistical measure would
best quantify the strength of this relationship?
A. Mean
B. Standard deviation
C. Correlation coefficient
D. Chi-square test
NGN Practice Exam Page 2
,ATI RN Community Health Fundamentals Proctored Exam 2026
Question 6
A community health nurse is presenting an in-service on epidemiological study designs.
Which of the following are characteristics of a cohort study? (Select all that apply)
[Select All That Apply]
A. Participants are grouped based on exposure status
B. The study follows participants forward in time to observe outcomes
C. It is the most efficient design for studying rare diseases
D. It can establish temporal relationships between exposure and outcome
E. It always involves random assignment to treatment groups
Question 7
A community health nurse is investigating a suspected outbreak of hepatitis A in a
suburban neighborhood. Place the following steps of the outbreak investigation in the
correct order:
[Place in Correct Order]
Place the following steps in the correct order:
1. Implement control measures such as immunization of close contacts
2. Confirm the diagnosis and verify that an outbreak exists by comparing current case
counts to baseline
3. Develop a hypothesis about the source of the outbreak
4. Analyze data by person, place, and time to characterize the outbreak
5. Conduct a case definition and identify additional cases through active surveillance
Question 8
A community health nurse is applying the concept of herd immunity. Which of the
following best describes the principle of herd immunity in the context of community
health?
A. Individual immunity that develops after repeated exposure to a pathogen
B. Protection of unvaccinated individuals when a sufficient proportion of the
community is immune
C. Immunity that is passed from mother to infant through breastfeeding
D. Resistance of a community to all infectious diseases due to genetic factors
Question 9
A nurse is using the Health Belief Model to develop a smoking cessation program.
Which construct addresses an individual's belief about the seriousness of a health
NGN Practice Exam Page 3
, ATI RN Community Health Fundamentals Proctored Exam 2026
condition?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
D. Self-efficacy
Question 10
A community health nurse is implementing a secondary prevention program for
diabetes. Which intervention is an example of secondary prevention?
A. Providing nutrition education to reduce obesity risk
B. Screening for elevated blood glucose levels at a community clinic
C. Developing an exercise program for individuals diagnosed with diabetes
D. Lobbying for policies to reduce sugar content in processed foods
Question 11
A nurse is planning a community health education session using Pender's Health
Promotion Model. Which factor is most directly influenced by the nurse's teaching
about the benefits of regular physical activity?
A. Perceived barriers to action
B. Perceived self-efficacy
NGN Practice Exam Page 4
