ATI Community Health Final Exam Version 3 Practice 2026 |Questions
|Answers |Rationales
1. A community health nurse is planning a primary prevention program for a
local community. Which of the following activities should the nurse include?
A. Performing scoliosis screenings for middle school students
B. Teaching a client how to manage their blood pressure after a stroke
C. Providing immunizations to older adults at a community center
D. Leading a support group for individuals living with HIV
Answer: C
Rationale: Primary prevention focuses on preventing the initial occurrence of disease or
injury. Immunizations are a classic example of primary prevention.
2. A nurse is conducting a windshield survey. Which of the following
components of the community is the nurse assessing when they observe the
condition of the local housing?
A. Physical environment
B. Demographics
C. Social systems
D. Health systems
Answer: A
Rationale: A windshield survey is a physical assessment of the community. Observing the
condition and type of housing provides data about the physical environment.
,3. A community health nurse is investigating a sudden increase in cases of
influenza in a local town. Which of the following epidemiological terms
describes the number of NEW cases over a specific period?
A. Prevalence rate
B. Mortality rate
C. Incidence rate
D. Attack rate
Answer: C
Rationale: Incidence refers to the number of new cases of a disease in a population at risk
during a specific period of time.
4. A nurse is using the epidemiological triangle to investigate an outbreak of
foodborne illness. Which of the following should the nurse identify as the
agent?
A. Salmonella bacteria
B. The temperature of the outdoor picnic
C. The contaminated potato salad
D. The individuals who ate the food
Answer: A
Rationale: In the epidemiological triangle, the agent is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop; in this case, the bacteria.
5. A community health nurse is preparing a presentation on tertiary prevention.
Which of the following examples should the nurse include?
A. Conducting lead screenings for children in older housing
B. Educating adolescents about the dangers of smoking
C. Providing physical therapy to a client following a hip replacement
D. Administering a flu vaccine at a workplace health fair
Answer: C
, Rationale: Tertiary prevention focuses on rehabilitation and preventing further
complications or disability after a disease or injury has occurred.
6. A nurse in a rural community is assessing a migrant farm worker. Which of
the following factors should the nurse identify as a primary barrier to healthcare
for this population?
A. Lack of interest in preventative care
B. Preference for traditional medicine over Western practices
C. Excessive income for government assistance programs
D. Frequent movement and lack of transportation
Answer: D
Rationale: Migrant workers often face barriers such as mobility (frequent moves), lack of
transportation, and lack of knowledge about available resources.
7. A nurse is caring for a client who speaks a different language. Which of the
following actions should the nurse take to ensure effective communication?
A. Ask a family member to translate health information
B. Use hand gestures to convey medical instructions
C. Speak slowly and loudly to the client
D. Use a certified medical interpreter
Answer: D
Rationale: To ensure accuracy and patient confidentiality, the nurse should use a certified
medical interpreter rather than family members or friends.
|Answers |Rationales
1. A community health nurse is planning a primary prevention program for a
local community. Which of the following activities should the nurse include?
A. Performing scoliosis screenings for middle school students
B. Teaching a client how to manage their blood pressure after a stroke
C. Providing immunizations to older adults at a community center
D. Leading a support group for individuals living with HIV
Answer: C
Rationale: Primary prevention focuses on preventing the initial occurrence of disease or
injury. Immunizations are a classic example of primary prevention.
2. A nurse is conducting a windshield survey. Which of the following
components of the community is the nurse assessing when they observe the
condition of the local housing?
A. Physical environment
B. Demographics
C. Social systems
D. Health systems
Answer: A
Rationale: A windshield survey is a physical assessment of the community. Observing the
condition and type of housing provides data about the physical environment.
,3. A community health nurse is investigating a sudden increase in cases of
influenza in a local town. Which of the following epidemiological terms
describes the number of NEW cases over a specific period?
A. Prevalence rate
B. Mortality rate
C. Incidence rate
D. Attack rate
Answer: C
Rationale: Incidence refers to the number of new cases of a disease in a population at risk
during a specific period of time.
4. A nurse is using the epidemiological triangle to investigate an outbreak of
foodborne illness. Which of the following should the nurse identify as the
agent?
A. Salmonella bacteria
B. The temperature of the outdoor picnic
C. The contaminated potato salad
D. The individuals who ate the food
Answer: A
Rationale: In the epidemiological triangle, the agent is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop; in this case, the bacteria.
5. A community health nurse is preparing a presentation on tertiary prevention.
Which of the following examples should the nurse include?
A. Conducting lead screenings for children in older housing
B. Educating adolescents about the dangers of smoking
C. Providing physical therapy to a client following a hip replacement
D. Administering a flu vaccine at a workplace health fair
Answer: C
, Rationale: Tertiary prevention focuses on rehabilitation and preventing further
complications or disability after a disease or injury has occurred.
6. A nurse in a rural community is assessing a migrant farm worker. Which of
the following factors should the nurse identify as a primary barrier to healthcare
for this population?
A. Lack of interest in preventative care
B. Preference for traditional medicine over Western practices
C. Excessive income for government assistance programs
D. Frequent movement and lack of transportation
Answer: D
Rationale: Migrant workers often face barriers such as mobility (frequent moves), lack of
transportation, and lack of knowledge about available resources.
7. A nurse is caring for a client who speaks a different language. Which of the
following actions should the nurse take to ensure effective communication?
A. Ask a family member to translate health information
B. Use hand gestures to convey medical instructions
C. Speak slowly and loudly to the client
D. Use a certified medical interpreter
Answer: D
Rationale: To ensure accuracy and patient confidentiality, the nurse should use a certified
medical interpreter rather than family members or friends.
