ATI Community Health Proctored Exam Retake
Level 1 with Questions and Verified Answers,
Passing Score Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) is conducting a windshield
survey in a rural neighborhood where 40% of families live below the federal poverty
level. She observes substandard housing, overflowing trash bins, and children playing
near a busy road with no sidewalks. The nearest grocery store with fresh produce is 15
miles away, and public transportation is limited to one morning bus route.
Question: Which two findings from the survey should the nurse prioritize for a primary
prevention intervention?
Options:
A. Substandard housing materials
B. Children playing near a busy road without sidewalks
C. Overflowing trash bins attracting vectors
D. Distance to fresh produce sources
(Correct Choices: B, D)
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: B, D
● Community Health Principle Justification: Primary prevention aims to prevent
injury and disease before they occur. Lack of safe play areas (B) is an injury risk,
and limited access to nutritious foods (D) is a chronic-disease risk factor; both
are modifiable through policy and environmental change (Healthy People 2023:
Social Determinants of Health).
● Distractor Analysis: A (housing) and C (trash) are important but represent more
immediate safety/tertiary issues; sidewalks and food access are classic primary
prevention targets.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: A CHN is reviewing the 2024 CDC National Notifiable Diseases
list.
Question: Which condition must be reported within 24 hours by telephone in all states to
facilitate rapid public health response?
Options:
A. Lyme disease
B. Pertussis
C. Salmonellosis
D. Hepatitis B
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: B. Pertussis
● Community Health Principle Justification: Pertussis is classified as an urgent
disease requiring immediate notification to initiate prophylaxis and outbreak
control (CDC 2024 NNDSS).
● Distractor Analysis: Lyme and Salmonella are reportable but not urgent 24-h
phone mandates; Hepatitis B is within 1–5 days depending on state.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: The local health department identifies a 15% increase in hepatitis
A cases among people experiencing homelessness. The CHN is planning an
intervention.
Question: Select the two actions that reflect a primary prevention approach for this
population.
Options:
A. Provide on-site hepatitis A vaccination clinics
B. Conduct serologic testing for past exposure
C. Distribute educational flyers on hand hygiene
D. Arrange treatment for already infected individuals
(Correct Choices: A, C)
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: A, C
● Community Health Principle Justification: Vaccination (A) and hygiene education
(C) prevent infection before exposure (primary prevention).
● Distractor Analysis: B is secondary (screening), D is tertiary (treatment).
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: A CHN is teaching a parenting class in a low-income urban center.
Question: Which topic best exemplifies the concept of health promotion within Healthy
People 2023?
Options:
A. Administering childhood vaccinations
B. Teaching proper use of car seats
C. Promoting exclusive breastfeeding for six months
D. Screening toddlers for lead exposure
Rationale (Verified | Passing Score | 2024):
● Correct Answer: C. Promoting exclusive breastfeeding for six months
● Community Health Principle Justification: Health promotion enables people to
increase control over health; breastfeeding improves maternal and child
outcomes and is a leading HP2023 indicator.
● Distractor Analysis: A is primary prevention but passive; B is injury prevention; D
is secondary screening.
Level 1 with Questions and Verified Answers,
Passing Score Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) is conducting a windshield
survey in a rural neighborhood where 40% of families live below the federal poverty
level. She observes substandard housing, overflowing trash bins, and children playing
near a busy road with no sidewalks. The nearest grocery store with fresh produce is 15
miles away, and public transportation is limited to one morning bus route.
Question: Which two findings from the survey should the nurse prioritize for a primary
prevention intervention?
Options:
A. Substandard housing materials
B. Children playing near a busy road without sidewalks
C. Overflowing trash bins attracting vectors
D. Distance to fresh produce sources
(Correct Choices: B, D)
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: B, D
● Community Health Principle Justification: Primary prevention aims to prevent
injury and disease before they occur. Lack of safe play areas (B) is an injury risk,
and limited access to nutritious foods (D) is a chronic-disease risk factor; both
are modifiable through policy and environmental change (Healthy People 2023:
Social Determinants of Health).
● Distractor Analysis: A (housing) and C (trash) are important but represent more
immediate safety/tertiary issues; sidewalks and food access are classic primary
prevention targets.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: A CHN is reviewing the 2024 CDC National Notifiable Diseases
list.
Question: Which condition must be reported within 24 hours by telephone in all states to
facilitate rapid public health response?
Options:
A. Lyme disease
B. Pertussis
C. Salmonellosis
D. Hepatitis B
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: B. Pertussis
● Community Health Principle Justification: Pertussis is classified as an urgent
disease requiring immediate notification to initiate prophylaxis and outbreak
control (CDC 2024 NNDSS).
● Distractor Analysis: Lyme and Salmonella are reportable but not urgent 24-h
phone mandates; Hepatitis B is within 1–5 days depending on state.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: The local health department identifies a 15% increase in hepatitis
A cases among people experiencing homelessness. The CHN is planning an
intervention.
Question: Select the two actions that reflect a primary prevention approach for this
population.
Options:
A. Provide on-site hepatitis A vaccination clinics
B. Conduct serologic testing for past exposure
C. Distribute educational flyers on hand hygiene
D. Arrange treatment for already infected individuals
(Correct Choices: A, C)
Rationale (Verified | Passing Score | 2024):
, ● Correct Answer: A, C
● Community Health Principle Justification: Vaccination (A) and hygiene education
(C) prevent infection before exposure (primary prevention).
● Distractor Analysis: B is secondary (screening), D is tertiary (treatment).
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: A CHN is teaching a parenting class in a low-income urban center.
Question: Which topic best exemplifies the concept of health promotion within Healthy
People 2023?
Options:
A. Administering childhood vaccinations
B. Teaching proper use of car seats
C. Promoting exclusive breastfeeding for six months
D. Screening toddlers for lead exposure
Rationale (Verified | Passing Score | 2024):
● Correct Answer: C. Promoting exclusive breastfeeding for six months
● Community Health Principle Justification: Health promotion enables people to
increase control over health; breastfeeding improves maternal and child
outcomes and is a leading HP2023 indicator.
● Distractor Analysis: A is primary prevention but passive; B is injury prevention; D
is secondary screening.
