ATI Community Health NEWEST
EVALUATED ACTUAL EXAM
PRACTICE 170 QUESTIONS 2026
2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF*
1. A community health nurse is conducting an assessment of a neighborhood with a high
incidence of type 2 diabetes mellitus. Which finding should the nurse identify as a
modifiable risk factor at the population level?
A. Age distribution of residents
B. Genetic predisposition
C. Limited access to recreational facilities
D. Family history of diabetes
Answer: C. Limited access to recreational facilities
Limited access to opportunities for physical activity is an environmental and modifiable
risk factor. Age and genetic and family history are nonmodifiable factors.
2. A nurse is planning a community health program to reduce deaths from colorectal cancer.
Which intervention represents secondary prevention?
A. Teaching adolescents about healthy eating
B. Providing fecal occult blood testing to adults at recommended ages
C. Providing rehabilitation to clients after bowel resection
D. Advocating for legislation reducing carcinogen exposure
Answer: B. Providing fecal occult blood testing to adults at recommended ages
Screening detects disease at an early stage before symptoms develop and is therefore
secondary prevention.
, 3. A community health nurse calculates the number of newly diagnosed tuberculosis cases
occurring during a specific year among residents who were disease-free at the beginning
of that year. Which epidemiological measure is being calculated?
A. Prevalence
B. Incidence
C. Mortality
D. Case-fatality rate
Answer: B. Incidence
Incidence measures new cases occurring in a defined population during a specified period.
4. A nurse is investigating an outbreak of foodborne illness at a community event. Which
action should the nurse take first?
A. Identify the food item responsible
B. Establish a case definition
C. Notify every attendee immediately
D. Begin antibiotic prophylaxis
Answer: B. Establish a case definition
A standardized case definition establishes consistent criteria for identifying affected
individuals and is an important early step in outbreak investigation.
5. A community has experienced an increase in influenza cases. Which intervention most
directly interrupts the chain of infection at the mode-of-transmission link?
A. Immunizing susceptible residents
B. Teaching clients to cover coughs
C. Isolating clients with confirmed influenza
D. Providing antiviral medication to high-risk clients
Answer: B. Teaching clients to cover coughs
Respiratory droplets are a mode of transmission. Covering coughs reduces the spread of
infectious respiratory secretions.
6. A nurse is evaluating a community smoking-cessation program. Which outcome provides
the strongest evidence that the program achieved its intended population-level effect?
A. Number of brochures distributed
B. Number of classes conducted
C. Percentage of participants who stopped smoking after 12 months
D. Number of residents attending the first class
,Answer: C. Percentage of participants who stopped smoking after 12 months
Smoking cessation is a behavioral outcome directly related to the program's long-term
objective. Attendance and materials distributed measure activity rather than effectiveness.
7. A community health nurse wants to determine whether residents perceive unsafe drinking
water as a major concern. Which assessment method is most appropriate?
A. Review hospital admission statistics only
B. Conduct windshield surveys only
C. Obtain information directly from community members
D. Use national mortality statistics
Answer: C. Obtain information directly from community members
Community members provide valuable subjective information about perceived needs,
priorities, barriers, and concerns.
8. A nurse is performing a windshield survey. Which observation is most appropriate to
document?
A. Number of residents with hypertension
B. Frequency of prescribed medication use
C. Condition of sidewalks and availability of public transportation
D. Individual residents' blood glucose levels
Answer: C. Condition of sidewalks and availability of public transportation
A windshield survey involves systematic observation of the physical and social environment
of a community.
9. A nurse is developing a health education program for a culturally diverse population.
Which action is most appropriate?
A. Use the same educational strategy for every cultural group
B. Assume cultural practices based on ethnic background
C. Ask participants about beliefs that could influence health behaviors
D. Avoid discussing cultural practices to prevent discomfort
Answer: C. Ask participants about beliefs that could influence health behaviors
Culturally responsive care requires assessment of individual beliefs and practices rather
than relying on assumptions.
10. A community health nurse is prioritizing four problems. Which problem should receive
the highest priority?
, A. A chronic condition affecting 30% of residents
B. A minor environmental concern affecting 80% of residents
C. A preventable infectious disease causing several deaths in vulnerable residents
D. A cosmetic concern reported by community members
Answer: C. A preventable infectious disease causing several deaths in vulnerable residents
Priority setting considers magnitude, seriousness, preventability, and potential impact on
population health.
11. A nurse is planning a program for older adults who live alone. Which intervention best
addresses a social determinant of health?
A. Teaching medication administration
B. Providing blood pressure screenings
C. Connecting residents with transportation and social-support resources
D. Measuring body mass index
Answer: C. Connecting residents with transportation and social-support resources
Transportation and social support can influence access to health care, nutrition, social
connection, and overall well-being.
12. A community health nurse is caring for a client with active pulmonary tuberculosis.
Which action is the priority?
A. Encourage participation in community activities
B. Ensure adherence to the prescribed treatment and infection-control plan
C. Recommend increased outdoor exercise
D. Encourage the client to return to work immediately
Answer: B. Ensure adherence to the prescribed treatment and infection-control plan
Active tuberculosis requires appropriate infection-control measures and effective
treatment to reduce transmission and complications.
13. A nurse is teaching a community about primary prevention of sexually transmitted
infections. Which intervention should the nurse include?
A. Screening for cervical cancer
B. Treatment of confirmed gonorrhea
C. Consistent condom use and risk-reduction education
D. Rehabilitation for infertility
Answer: C. Consistent condom use and risk-reduction education
EVALUATED ACTUAL EXAM
PRACTICE 170 QUESTIONS 2026
2027|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP GRADED
A+*INSTANT DOWNLOAD PDF*
1. A community health nurse is conducting an assessment of a neighborhood with a high
incidence of type 2 diabetes mellitus. Which finding should the nurse identify as a
modifiable risk factor at the population level?
A. Age distribution of residents
B. Genetic predisposition
C. Limited access to recreational facilities
D. Family history of diabetes
Answer: C. Limited access to recreational facilities
Limited access to opportunities for physical activity is an environmental and modifiable
risk factor. Age and genetic and family history are nonmodifiable factors.
2. A nurse is planning a community health program to reduce deaths from colorectal cancer.
Which intervention represents secondary prevention?
A. Teaching adolescents about healthy eating
B. Providing fecal occult blood testing to adults at recommended ages
C. Providing rehabilitation to clients after bowel resection
D. Advocating for legislation reducing carcinogen exposure
Answer: B. Providing fecal occult blood testing to adults at recommended ages
Screening detects disease at an early stage before symptoms develop and is therefore
secondary prevention.
, 3. A community health nurse calculates the number of newly diagnosed tuberculosis cases
occurring during a specific year among residents who were disease-free at the beginning
of that year. Which epidemiological measure is being calculated?
A. Prevalence
B. Incidence
C. Mortality
D. Case-fatality rate
Answer: B. Incidence
Incidence measures new cases occurring in a defined population during a specified period.
4. A nurse is investigating an outbreak of foodborne illness at a community event. Which
action should the nurse take first?
A. Identify the food item responsible
B. Establish a case definition
C. Notify every attendee immediately
D. Begin antibiotic prophylaxis
Answer: B. Establish a case definition
A standardized case definition establishes consistent criteria for identifying affected
individuals and is an important early step in outbreak investigation.
5. A community has experienced an increase in influenza cases. Which intervention most
directly interrupts the chain of infection at the mode-of-transmission link?
A. Immunizing susceptible residents
B. Teaching clients to cover coughs
C. Isolating clients with confirmed influenza
D. Providing antiviral medication to high-risk clients
Answer: B. Teaching clients to cover coughs
Respiratory droplets are a mode of transmission. Covering coughs reduces the spread of
infectious respiratory secretions.
6. A nurse is evaluating a community smoking-cessation program. Which outcome provides
the strongest evidence that the program achieved its intended population-level effect?
A. Number of brochures distributed
B. Number of classes conducted
C. Percentage of participants who stopped smoking after 12 months
D. Number of residents attending the first class
,Answer: C. Percentage of participants who stopped smoking after 12 months
Smoking cessation is a behavioral outcome directly related to the program's long-term
objective. Attendance and materials distributed measure activity rather than effectiveness.
7. A community health nurse wants to determine whether residents perceive unsafe drinking
water as a major concern. Which assessment method is most appropriate?
A. Review hospital admission statistics only
B. Conduct windshield surveys only
C. Obtain information directly from community members
D. Use national mortality statistics
Answer: C. Obtain information directly from community members
Community members provide valuable subjective information about perceived needs,
priorities, barriers, and concerns.
8. A nurse is performing a windshield survey. Which observation is most appropriate to
document?
A. Number of residents with hypertension
B. Frequency of prescribed medication use
C. Condition of sidewalks and availability of public transportation
D. Individual residents' blood glucose levels
Answer: C. Condition of sidewalks and availability of public transportation
A windshield survey involves systematic observation of the physical and social environment
of a community.
9. A nurse is developing a health education program for a culturally diverse population.
Which action is most appropriate?
A. Use the same educational strategy for every cultural group
B. Assume cultural practices based on ethnic background
C. Ask participants about beliefs that could influence health behaviors
D. Avoid discussing cultural practices to prevent discomfort
Answer: C. Ask participants about beliefs that could influence health behaviors
Culturally responsive care requires assessment of individual beliefs and practices rather
than relying on assumptions.
10. A community health nurse is prioritizing four problems. Which problem should receive
the highest priority?
, A. A chronic condition affecting 30% of residents
B. A minor environmental concern affecting 80% of residents
C. A preventable infectious disease causing several deaths in vulnerable residents
D. A cosmetic concern reported by community members
Answer: C. A preventable infectious disease causing several deaths in vulnerable residents
Priority setting considers magnitude, seriousness, preventability, and potential impact on
population health.
11. A nurse is planning a program for older adults who live alone. Which intervention best
addresses a social determinant of health?
A. Teaching medication administration
B. Providing blood pressure screenings
C. Connecting residents with transportation and social-support resources
D. Measuring body mass index
Answer: C. Connecting residents with transportation and social-support resources
Transportation and social support can influence access to health care, nutrition, social
connection, and overall well-being.
12. A community health nurse is caring for a client with active pulmonary tuberculosis.
Which action is the priority?
A. Encourage participation in community activities
B. Ensure adherence to the prescribed treatment and infection-control plan
C. Recommend increased outdoor exercise
D. Encourage the client to return to work immediately
Answer: B. Ensure adherence to the prescribed treatment and infection-control plan
Active tuberculosis requires appropriate infection-control measures and effective
treatment to reduce transmission and complications.
13. A nurse is teaching a community about primary prevention of sexually transmitted
infections. Which intervention should the nurse include?
A. Screening for cervical cancer
B. Treatment of confirmed gonorrhea
C. Consistent condom use and risk-reduction education
D. Rehabilitation for infertility
Answer: C. Consistent condom use and risk-reduction education
