ACTUAL-Style Practice Questions & Answers, ATI
RN Community Health Exam Prep, Application-
Based Public Health Nursing Test Bank,
Epidemiology, Community Assessment,
Communicable Disease Prevention, Immunization,
Disaster Management, Health Promotion, and
Detailed Rationales
Question 1: A community health nurse is investigating an outbreak of
foodborne illness at a local restaurant. Which term describes the
number of NEW cases of the illness occurring in the population during
a specific time period?
A. Prevalence
B. Incidence
C. Morbidity
D. Mortality
CORRECT ANSWER: B. Incidence
Rationale: Incidence refers to the number of new cases of a disease
occurring in a population during a specified time period. Prevalence
includes all existing cases (new and old). Morbidity refers to illness rates,
while mortality refers to death rates .
Question 2: A nurse is conducting a community assessment. Which
level of prevention is being implemented when the nurse provides
influenza vaccinations at a senior center?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
CORRECT ANSWER: A. Primary prevention
Rationale: Primary prevention aims to prevent disease before it occurs.
Vaccinations are a classic primary prevention strategy. Secondary
prevention focuses on early detection through screening. Tertiary
prevention focuses on rehabilitation and reducing complications .
,Question 3: A community health nurse is planning a program to reduce
the incidence of obesity. Which intervention affects the environment
according to the epidemiological triangle?
A. Determine whether clients have a family history of obesity
B. Measure client body mass index
C. Provide low-fat meal options at public schools
D. Ask affected adults to keep a diary of food intake
CORRECT ANSWER: C. Provide low-fat meal options at public schools
Rationale: The epidemiological triangle consists of agent, host, and
environment. Providing low-fat meal options at public schools modifies the
environment by making healthier food choices more accessible to the
population .
Question 4: A nurse is teaching about the chain of infection. Which
component is interrupted when a client with tuberculosis is placed in
airborne isolation?
A. Reservoir
B. Portal of exit
C. Mode of transmission
D. Susceptible host
CORRECT ANSWER: C. Mode of transmission
Rationale: Airborne isolation interrupts the mode of transmission by
preventing infectious particles from traveling through the air from one
person to another. The reservoir is the source where the pathogen lives, the
portal of exit is how it leaves the host, and the susceptible host is the
person at risk .
Question 5: A nurse is preparing a community health program on
communicable diseases. When discussing modes of transmission, the
nurse should include which of the following illnesses as airborne?
A. Cholera
B. Malaria
C. Tuberculosis
D. Salmonellosis
CORRECT ANSWER: C. Tuberculosis
,Rationale: Tuberculosis is transmitted through airborne particles (droplet
nuclei) that remain suspended in the air. Cholera and salmonellosis are
transmitted through contaminated food and water. Malaria is transmitted
by mosquito vectors .
Question 6: A community health nurse observes the accumulation of
garbage at a neighborhood playground. Which of the following actions
should the nurse take FIRST?
A. Meet with community members to discuss methods of playground
maintenance
B. Partner city officials with community members to improve playground
conditions
C. Work with local businesses to sponsor more trash receptacles
D. Engage neighborhood families to monitor the playground for further
trash buildup
CORRECT ANSWER: A. Meet with community members to discuss
methods of playground maintenance
Rationale: The first step is to meet with community members to discuss the
issue collaboratively. This engages the community, assesses their
perspectives, and builds partnership before implementing any intervention
.
Question 7: A nurse is conducting a community assessment. Which
data collection method is the nurse using when having direct
conversations with individual members of the community?
A. Surveys
B. Interviews
C. Windshield survey
D. Secondary data analysis
CORRECT ANSWER: B. Interviews
Rationale: Interviews involve direct conversations with individual
community members to gather information about their perspectives,
experiences, and needs. Surveys typically use written questionnaires,
windshield surveys involve observation from a vehicle, and secondary data
analysis uses existing data sources .
, Question 8: A nurse is preparing to conduct a windshield survey. Which
of the following data should the nurse collect as a component of this
assessment? (Select all that apply.)
A. Ethnicity of community members
B. Individuals who hold power within the community
C. Natural community boundaries
D. Prevalence of disease
E. Presence of public protection
CORRECT ANSWER: A, C, E
Rationale: A windshield survey involves direct observation of the
community and includes data such as the ethnicity of community
members, natural community boundaries, and the presence of public
protection (e.g., fire stations, police). Prevalence of disease and power
structures are not typically observed through a windshield survey .
Question 9: A nurse is completing a needs assessment and beginning
analysis of data. Which of the following actions should the nurse take
FIRST?
A. Determine health patterns within collected data
B. Compile collected data into a database
C. Ensure data collection is complete
D. Identify health needs of the local community
CORRECT ANSWER: B. Compile collected data into a database
Rationale: Before analyzing data for patterns or identifying needs, the nurse
must first organize and compile the collected data into a usable format,
such as a database. This creates the foundation for subsequent analysis .
Question 10: A nurse is planning a community health program. Which
of the following actions should the nurse include as part of the
evaluation plan?
A. Determine availability of resources to initiate the plan
B. Gain approval for the program from local leaders
C. Establish a timeline for implementation of interventions
D. Compare program impact to similar programs
CORRECT ANSWER: D. Compare program impact to similar programs