ATI Community Health Nursing Exam
Questions with Correct Answers and
Explanations
This document contains a complete collection of ATI Community Health Nursing exam
questions with accurate answers and detailed explanations. It covers essential public health and
nursing concepts including epidemiology, primary and secondary prevention, disaster
management, communicable diseases, infection control, and health promotion strategies.
Designed for nursing students preparing for ATI or NCLEX exams, the material provides
realistic, scenario-based questions with rationales that strengthen critical thinking and exam
readiness.
Question 1
A school nurse is planning safety education for a group of adolescents. The nurse should give
priority to which of the following topics as the leading cause of death for this age group?
A) Sports injury prevention
B) Substance abuse prevention
C) Gun safety
D) Motor vehicle safety
Correct answer: D) Motor vehicle safety
Explanation: Motor vehicle accidents are the leading cause of death among adolescents, so
prioritizing education on safe driving practices, seatbelt use, and avoiding distractions is essential
for injury prevention.
Question 2
The nurse is working with a case manager for a client who participates in a health maintenance
organization. The nurse should identify which of the following payment structures?
A) The client is participating in a fee-for-service health care insurance program
B) The provider is paid a fixed sum for the client on a monthly or yearly basis
,C) The client pays the insurer a percentage of the total costs for each service rendered by the
provider
D) The provider bills the client directly for a predetermined percentage of the cost of services
Correct answer: B) The provider is paid a fixed sum for the client on a monthly or yearly basis
Explanation: Health maintenance organizations (HMOs) use capitation, where providers receive
a fixed payment per patient per period, regardless of services provided, to encourage cost-
effective care.
Question 3
A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa.
Which of the following actions should the nurse take?
A) Review the immunization records of the child's classmates
B) Check the child's classmates for parotid gland enlargement
C) Instruct the caregivers to increase the child's Vitamin B intake
D) Ask the caregivers if the child recently used alcohol-based mouthwash
Correct answer: A) Review the immunization records of the child's classmates
Explanation: Koplik spots are a hallmark of measles (rubeola), a highly contagious disease.
Reviewing immunization records of classmates helps identify potential outbreaks and ensure
MMR vaccination status.
Question 4
A nurse is developing a health-screening program for clients who are at risk for hypertension.
Which of the following actions should the nurse take first?
A) Determine the number of clients referred for treatment of hypertension
B) Research best practices for treatment of hypertension
C) Apply for funding to conduct hypertension screening
D) Conduct a survey to identify the community's need for hypertension screening
Correct answer: D) Conduct a survey to identify the community's need for hypertension
screening
Explanation: The first step in program development is assessing community needs through a
survey to ensure the program addresses actual risks and is targeted effectively.
,Question 5
A home health nurse is assessing a client with AIDS. Which of the following responses by the
client indicates a risk for suicide?
A) "I don't want to lose control of my ability to make decisions."
B) "I know that everything will be better soon."
C) "I am relying more and more on my partner for support."
D) "I am afraid of experiencing pain near the end."
Correct answer: A) "I don't want to lose control of my ability to make decisions."
Explanation: Loss of control over decisions can indicate hopelessness and risk for suicide in
clients with chronic illnesses like AIDS. This requires immediate assessment for suicidal
ideation.
Question 6
A nurse at a community mental health center is caring for a client with antisocial personality
disorder. Which of the following actions should the nurse include in the plan of care?
A) Bargain with the client about behavioral consequences
B) Have the client participate in assertiveness training
C) Assist the client to identify acceptable outlets of anger
D) Teach the client how to minimize feelings of guilt
Correct answer: C) Assist the client to identify acceptable outlets of anger
Explanation: Clients with antisocial personality disorder often have poor impulse control and
anger issues. Identifying acceptable outlets helps manage behavior and prevent harm, per
psychiatric nursing guidelines.
Question 7
Several nurses are developing a parish nurse group to help address the primary and secondary
healthcare needs of the congregation. Which of the following services should the nurses plan to
provide to the congregation?
A) Facilitate discharge from the facility to the home
B) Perform wound care in the home of members
, C) Organize an influenza immunization clinic with the American Red Cross
D) Provide end-of-life care for members who are terminal
Correct answer: C) Organize an influenza immunization clinic with the American Red Cross
Explanation: Parish nurses focus on health promotion and education within the faith
community. Organizing immunization clinics addresses primary prevention needs like disease
prevention.
Question 8
A nurse case manager is providing discharge planning for a client. The nurse is functioning in
which of the following roles when arranging for the delivery of medical equipment to the client's
home?
A) Advocate
B) Coordinator
C) Systems allocator
D) Consultant
Correct answer: B) Coordinator
Explanation: Coordinating resources like medical equipment delivery is a key role of the case
manager to ensure seamless transition and continuity of care.
Question 9
A community health nurse is planning strategies to address childhood obesity in the area. Which
of the following actions should the nurse take first?
A) Provide nutritional education to children and their families
B) Establish goals for the community to decrease childhood obesity
C) Examine the prevalence of childhood obesity in the community
D) Promote the placement of healthy food choices in the community
Correct answer: C) Examine the prevalence of childhood obesity in the community
Explanation: The first step in planning interventions is assessing the problem's scope and
prevalence to tailor strategies effectively, per public health planning models.
Question 10
Questions with Correct Answers and
Explanations
This document contains a complete collection of ATI Community Health Nursing exam
questions with accurate answers and detailed explanations. It covers essential public health and
nursing concepts including epidemiology, primary and secondary prevention, disaster
management, communicable diseases, infection control, and health promotion strategies.
Designed for nursing students preparing for ATI or NCLEX exams, the material provides
realistic, scenario-based questions with rationales that strengthen critical thinking and exam
readiness.
Question 1
A school nurse is planning safety education for a group of adolescents. The nurse should give
priority to which of the following topics as the leading cause of death for this age group?
A) Sports injury prevention
B) Substance abuse prevention
C) Gun safety
D) Motor vehicle safety
Correct answer: D) Motor vehicle safety
Explanation: Motor vehicle accidents are the leading cause of death among adolescents, so
prioritizing education on safe driving practices, seatbelt use, and avoiding distractions is essential
for injury prevention.
Question 2
The nurse is working with a case manager for a client who participates in a health maintenance
organization. The nurse should identify which of the following payment structures?
A) The client is participating in a fee-for-service health care insurance program
B) The provider is paid a fixed sum for the client on a monthly or yearly basis
,C) The client pays the insurer a percentage of the total costs for each service rendered by the
provider
D) The provider bills the client directly for a predetermined percentage of the cost of services
Correct answer: B) The provider is paid a fixed sum for the client on a monthly or yearly basis
Explanation: Health maintenance organizations (HMOs) use capitation, where providers receive
a fixed payment per patient per period, regardless of services provided, to encourage cost-
effective care.
Question 3
A school nurse is assessing a child and discovers Koplik spots on the child's buccal mucosa.
Which of the following actions should the nurse take?
A) Review the immunization records of the child's classmates
B) Check the child's classmates for parotid gland enlargement
C) Instruct the caregivers to increase the child's Vitamin B intake
D) Ask the caregivers if the child recently used alcohol-based mouthwash
Correct answer: A) Review the immunization records of the child's classmates
Explanation: Koplik spots are a hallmark of measles (rubeola), a highly contagious disease.
Reviewing immunization records of classmates helps identify potential outbreaks and ensure
MMR vaccination status.
Question 4
A nurse is developing a health-screening program for clients who are at risk for hypertension.
Which of the following actions should the nurse take first?
A) Determine the number of clients referred for treatment of hypertension
B) Research best practices for treatment of hypertension
C) Apply for funding to conduct hypertension screening
D) Conduct a survey to identify the community's need for hypertension screening
Correct answer: D) Conduct a survey to identify the community's need for hypertension
screening
Explanation: The first step in program development is assessing community needs through a
survey to ensure the program addresses actual risks and is targeted effectively.
,Question 5
A home health nurse is assessing a client with AIDS. Which of the following responses by the
client indicates a risk for suicide?
A) "I don't want to lose control of my ability to make decisions."
B) "I know that everything will be better soon."
C) "I am relying more and more on my partner for support."
D) "I am afraid of experiencing pain near the end."
Correct answer: A) "I don't want to lose control of my ability to make decisions."
Explanation: Loss of control over decisions can indicate hopelessness and risk for suicide in
clients with chronic illnesses like AIDS. This requires immediate assessment for suicidal
ideation.
Question 6
A nurse at a community mental health center is caring for a client with antisocial personality
disorder. Which of the following actions should the nurse include in the plan of care?
A) Bargain with the client about behavioral consequences
B) Have the client participate in assertiveness training
C) Assist the client to identify acceptable outlets of anger
D) Teach the client how to minimize feelings of guilt
Correct answer: C) Assist the client to identify acceptable outlets of anger
Explanation: Clients with antisocial personality disorder often have poor impulse control and
anger issues. Identifying acceptable outlets helps manage behavior and prevent harm, per
psychiatric nursing guidelines.
Question 7
Several nurses are developing a parish nurse group to help address the primary and secondary
healthcare needs of the congregation. Which of the following services should the nurses plan to
provide to the congregation?
A) Facilitate discharge from the facility to the home
B) Perform wound care in the home of members
, C) Organize an influenza immunization clinic with the American Red Cross
D) Provide end-of-life care for members who are terminal
Correct answer: C) Organize an influenza immunization clinic with the American Red Cross
Explanation: Parish nurses focus on health promotion and education within the faith
community. Organizing immunization clinics addresses primary prevention needs like disease
prevention.
Question 8
A nurse case manager is providing discharge planning for a client. The nurse is functioning in
which of the following roles when arranging for the delivery of medical equipment to the client's
home?
A) Advocate
B) Coordinator
C) Systems allocator
D) Consultant
Correct answer: B) Coordinator
Explanation: Coordinating resources like medical equipment delivery is a key role of the case
manager to ensure seamless transition and continuity of care.
Question 9
A community health nurse is planning strategies to address childhood obesity in the area. Which
of the following actions should the nurse take first?
A) Provide nutritional education to children and their families
B) Establish goals for the community to decrease childhood obesity
C) Examine the prevalence of childhood obesity in the community
D) Promote the placement of healthy food choices in the community
Correct answer: C) Examine the prevalence of childhood obesity in the community
Explanation: The first step in planning interventions is assessing the problem's scope and
prevalence to tailor strategies effectively, per public health planning models.
Question 10
