ATI RN COMMUNITY HEALTH
PROCTORED PRACTICE EXAM
QUESTIONS AND ANSWERS
1. A community health nurse is investigating a sudden outbreak of a rare respiratory illness in
a specific neighborhood. Which of the following epidemiological measures should the nurse
calculate first to determine the intensity of the outbreak?
A. Attack rate
B. Prevalence rate
C. Crude death rate
D. Incidence rate
Answer: A
Conceptual Explanation: The attack rate is a specific type of incidence rate used during
outbreaks to determine the proportion of people who become ill after being exposed to the
infectious agent. It helps identify the speed and intensity of the spread.
2. A nurse is planning a primary prevention activity for a group of migrant farmworkers.
Which of the following interventions should the nurse include?
A. Screening for tuberculosis via skin tests
,B. Providing skin care education regarding pesticide exposure
C. Testing for blood lead levels in children of workers
D. Referral for physical therapy for chronic back pain
Answer: B
Conceptual Explanation: Primary prevention focuses on health promotion and disease
prevention. Education on avoiding pesticide exposure is primary prevention. Screening and
testing are secondary, while referrals for chronic conditions are tertiary.
3. A community health nurse is conducting a windshield survey. Which of the following
components should the nurse observe under the ‘Physical Environment’ category?
A. The prevalence of chronic diseases in the area
B. The ethnic and racial diversity of residents
C. The presence of recreational facilities and parks
D. The availability of public transportation routes
Answer: C
Conceptual Explanation: The physical environment component of a windshield survey
includes observations of the natural and built environment, such as open spaces, parks, and
general aesthetics. Ethnicity is part of the people/demographics category.
, 4. During a disaster response, a triage nurse identifies a client with a significant head injury,
fixed and dilated pupils, and agonal respirations. Which color tag should the nurse assign?
A. Black
B. Yellow
C. Green
D. Red
Answer: A
Conceptual Explanation: In mass casualty triage (START method), a black tag is used for
victims who are deceased or have injuries so severe they are not expected to survive even
with treatment, such as fixed pupils and agonal respirations.
5. A school nurse is managing a case of pediculosis capitis (head lice) in an elementary school.
Which of the following actions is a priority for the nurse to take?
A. Recommend the school be closed for deep cleaning
B. Instruct parents to seal non-washable items in plastic bags for 14 days
C. Perform a screening of all children who had close contact with the affected student
D. Mandate that all students in the classroom be sent home immediately
Answer: C
PROCTORED PRACTICE EXAM
QUESTIONS AND ANSWERS
1. A community health nurse is investigating a sudden outbreak of a rare respiratory illness in
a specific neighborhood. Which of the following epidemiological measures should the nurse
calculate first to determine the intensity of the outbreak?
A. Attack rate
B. Prevalence rate
C. Crude death rate
D. Incidence rate
Answer: A
Conceptual Explanation: The attack rate is a specific type of incidence rate used during
outbreaks to determine the proportion of people who become ill after being exposed to the
infectious agent. It helps identify the speed and intensity of the spread.
2. A nurse is planning a primary prevention activity for a group of migrant farmworkers.
Which of the following interventions should the nurse include?
A. Screening for tuberculosis via skin tests
,B. Providing skin care education regarding pesticide exposure
C. Testing for blood lead levels in children of workers
D. Referral for physical therapy for chronic back pain
Answer: B
Conceptual Explanation: Primary prevention focuses on health promotion and disease
prevention. Education on avoiding pesticide exposure is primary prevention. Screening and
testing are secondary, while referrals for chronic conditions are tertiary.
3. A community health nurse is conducting a windshield survey. Which of the following
components should the nurse observe under the ‘Physical Environment’ category?
A. The prevalence of chronic diseases in the area
B. The ethnic and racial diversity of residents
C. The presence of recreational facilities and parks
D. The availability of public transportation routes
Answer: C
Conceptual Explanation: The physical environment component of a windshield survey
includes observations of the natural and built environment, such as open spaces, parks, and
general aesthetics. Ethnicity is part of the people/demographics category.
, 4. During a disaster response, a triage nurse identifies a client with a significant head injury,
fixed and dilated pupils, and agonal respirations. Which color tag should the nurse assign?
A. Black
B. Yellow
C. Green
D. Red
Answer: A
Conceptual Explanation: In mass casualty triage (START method), a black tag is used for
victims who are deceased or have injuries so severe they are not expected to survive even
with treatment, such as fixed pupils and agonal respirations.
5. A school nurse is managing a case of pediculosis capitis (head lice) in an elementary school.
Which of the following actions is a priority for the nurse to take?
A. Recommend the school be closed for deep cleaning
B. Instruct parents to seal non-washable items in plastic bags for 14 days
C. Perform a screening of all children who had close contact with the affected student
D. Mandate that all students in the classroom be sent home immediately
Answer: C
