ATI Community Health Foundations Exam 1 Practice 2026 |Questions
|Answers |Rationales
1. A nurse is teaching a group of older adults about the importance of influenza
vaccinations. Which level of prevention is the nurse implementing?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of disease or
injury through measures such as immunizations and education.
2. A community health nurse is conducting a vision screening for kindergarten
students. This is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health promotion
Answer: A
Rationale: Secondary prevention involves early detection and treatment of disease with
the goal of limiting severity and adverse effects, such as screenings.
,3. Which of the following activities is an example of tertiary prevention for a
client with diabetes?
A. Checking blood glucose levels at a health fair
B. Teaching foot care to a client who has diabetic neuropathy
C. Providing education on healthy eating to prevent diabetes
D. Administering a flu vaccine to a diabetic patient
Answer: B
Rationale: Tertiary prevention aims to maximize recovery and reduce limitations after an
injury or illness has occurred, such as rehabilitation or management of chronic conditions.
4. A nurse is performing a windshield survey. Which of the following
components should the nurse observe?
A. Medical records of patients in the local clinic
B. The age and condition of the local housing
C. Results of community focus groups
D. Vital statistics from the local health department
Answer: B
Rationale: A windshield survey is an informal tool that involves observing the
community’s physical environment, including housing, green spaces, and traffic patterns
while driving or walking.
5. Which ethical principle is applied when a nurse ensures that health resources
are distributed fairly across a community?
A. Distributive Justice
B. Autonomy
C. Beneficence
D. Fidelity
Answer: A
, Rationale: Distributive justice refers to the fair distribution of the benefits and burden in
society based on the needs and contributions of its members.
6. A nurse is working to identify the number of new cases of syphilis in the
county over the last year. This data represents which of the following?
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Answer: B
Rationale: Incidence rate measures the number of new cases of a disease in a population
over a specific period of time.
7. In the epidemiological triangle, a bacteria or virus is categorized as which of
the following?
A. The Host
B. The Agent
C. The Environment
D. The Vector
Answer: B
Rationale: The Agent is the physical, infectious, or chemical factor that causes the disease.
8. Which of the following is a key characteristic of community-oriented nursing?
A. Focus is on providing nursing care to individuals in the clinic setting
B. Care is provided exclusively to patients in their homes
C. Emphasis is on the health of the community as a whole (aggregates)
D. The primary goal is acute illness management
Answer: C
|Answers |Rationales
1. A nurse is teaching a group of older adults about the importance of influenza
vaccinations. Which level of prevention is the nurse implementing?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of disease or
injury through measures such as immunizations and education.
2. A community health nurse is conducting a vision screening for kindergarten
students. This is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Health promotion
Answer: A
Rationale: Secondary prevention involves early detection and treatment of disease with
the goal of limiting severity and adverse effects, such as screenings.
,3. Which of the following activities is an example of tertiary prevention for a
client with diabetes?
A. Checking blood glucose levels at a health fair
B. Teaching foot care to a client who has diabetic neuropathy
C. Providing education on healthy eating to prevent diabetes
D. Administering a flu vaccine to a diabetic patient
Answer: B
Rationale: Tertiary prevention aims to maximize recovery and reduce limitations after an
injury or illness has occurred, such as rehabilitation or management of chronic conditions.
4. A nurse is performing a windshield survey. Which of the following
components should the nurse observe?
A. Medical records of patients in the local clinic
B. The age and condition of the local housing
C. Results of community focus groups
D. Vital statistics from the local health department
Answer: B
Rationale: A windshield survey is an informal tool that involves observing the
community’s physical environment, including housing, green spaces, and traffic patterns
while driving or walking.
5. Which ethical principle is applied when a nurse ensures that health resources
are distributed fairly across a community?
A. Distributive Justice
B. Autonomy
C. Beneficence
D. Fidelity
Answer: A
, Rationale: Distributive justice refers to the fair distribution of the benefits and burden in
society based on the needs and contributions of its members.
6. A nurse is working to identify the number of new cases of syphilis in the
county over the last year. This data represents which of the following?
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Answer: B
Rationale: Incidence rate measures the number of new cases of a disease in a population
over a specific period of time.
7. In the epidemiological triangle, a bacteria or virus is categorized as which of
the following?
A. The Host
B. The Agent
C. The Environment
D. The Vector
Answer: B
Rationale: The Agent is the physical, infectious, or chemical factor that causes the disease.
8. Which of the following is a key characteristic of community-oriented nursing?
A. Focus is on providing nursing care to individuals in the clinic setting
B. Care is provided exclusively to patients in their homes
C. Emphasis is on the health of the community as a whole (aggregates)
D. The primary goal is acute illness management
Answer: C
