ATI Community Health Nursing: Foundations
and Week 1 Study Guide 2026 |Questions
|Answers |Rationales
1. Which activity is an example of primary prevention in community health
nursing?
A. Educating high school students about the dangers of vaping
B. Screening children for lead exposure in an old housing district
C. Providing physical therapy for a client after a stroke
D. Leading a support group for individuals with chronic heart failure
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Education on vaping is aimed at prevention before any condition develops.
2. A nurse is monitoring the rate of new cases of syphilis in a community. This is
an example of which epidemiological measure?
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Answer: B
Rationale: Incidence rate refers to the number of new cases of a disease in a specific
population over a specific period of time.
,3. Which core function of public health involves making sure that essential
community-oriented health services are available?
A. Assurance
B. Assessment
C. Policy Development
D. Evaluation
Answer: A
Rationale: Assurance is the core function that focuses on ensuring that services are
available to the public and that the public health workforce is competent.
4. What is the primary difference between community-oriented nursing and
community-based nursing?
A. Community-based nursing focuses on aggregates, while oriented focuses on individuals.
B. Community-oriented nursing focuses on health promotion and the community as a whole, while
community-based nursing focuses on illness care for individuals and families.
C. Community-based nursing only occurs in hospitals.
D. Community-oriented nursing focuses solely on the environmental factors of disease.
Answer: B
Rationale: Community-oriented nursing focuses on the health of the community or
population (aggregates), whereas community-based nursing focuses on managing acute
and chronic conditions of individuals/families within the community.
5. A nurse is using the epidemiological triangle to study the spread of influenza.
Which of the following is considered the ‘agent’?
A. The elderly population
B. The influenza virus
C. An overcrowded homeless shelter
D. A person with a weakened immune system
Answer: B
, Rationale: The agent is the animate or inanimate object that causes the disease (e.g.,
bacteria, virus, chemical, or physical factor).
6. In the epidemiological triangle, the ‘environment’ refers to:
A. The susceptibility of the human host
B. The genetic makeup of the population
C. The infectiousness of the pathogen
D. External factors that affect the agent and the host
Answer: D
Rationale: Environment refers to the physical, social, or economic factors that influence
the interaction between the host and the agent.
7. Which ethical principle is applied when a community health nurse ensures
that resources are distributed fairly across a population?
A. Autonomy
B. Distributive Justice
C. Beneficence
D. Fidelity
Answer: B
Rationale: Distributive justice involves the fair allocation of resources and burdens among
members of a community.
8. A nurse performing a ‘windshield survey’ is fulfilling which part of the nursing
process?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis
Answer: B
and Week 1 Study Guide 2026 |Questions
|Answers |Rationales
1. Which activity is an example of primary prevention in community health
nursing?
A. Educating high school students about the dangers of vaping
B. Screening children for lead exposure in an old housing district
C. Providing physical therapy for a client after a stroke
D. Leading a support group for individuals with chronic heart failure
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Education on vaping is aimed at prevention before any condition develops.
2. A nurse is monitoring the rate of new cases of syphilis in a community. This is
an example of which epidemiological measure?
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Answer: B
Rationale: Incidence rate refers to the number of new cases of a disease in a specific
population over a specific period of time.
,3. Which core function of public health involves making sure that essential
community-oriented health services are available?
A. Assurance
B. Assessment
C. Policy Development
D. Evaluation
Answer: A
Rationale: Assurance is the core function that focuses on ensuring that services are
available to the public and that the public health workforce is competent.
4. What is the primary difference between community-oriented nursing and
community-based nursing?
A. Community-based nursing focuses on aggregates, while oriented focuses on individuals.
B. Community-oriented nursing focuses on health promotion and the community as a whole, while
community-based nursing focuses on illness care for individuals and families.
C. Community-based nursing only occurs in hospitals.
D. Community-oriented nursing focuses solely on the environmental factors of disease.
Answer: B
Rationale: Community-oriented nursing focuses on the health of the community or
population (aggregates), whereas community-based nursing focuses on managing acute
and chronic conditions of individuals/families within the community.
5. A nurse is using the epidemiological triangle to study the spread of influenza.
Which of the following is considered the ‘agent’?
A. The elderly population
B. The influenza virus
C. An overcrowded homeless shelter
D. A person with a weakened immune system
Answer: B
, Rationale: The agent is the animate or inanimate object that causes the disease (e.g.,
bacteria, virus, chemical, or physical factor).
6. In the epidemiological triangle, the ‘environment’ refers to:
A. The susceptibility of the human host
B. The genetic makeup of the population
C. The infectiousness of the pathogen
D. External factors that affect the agent and the host
Answer: D
Rationale: Environment refers to the physical, social, or economic factors that influence
the interaction between the host and the agent.
7. Which ethical principle is applied when a community health nurse ensures
that resources are distributed fairly across a population?
A. Autonomy
B. Distributive Justice
C. Beneficence
D. Fidelity
Answer: B
Rationale: Distributive justice involves the fair allocation of resources and burdens among
members of a community.
8. A nurse performing a ‘windshield survey’ is fulfilling which part of the nursing
process?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis
Answer: B
