ATI Community Health Proctored Exam Retake
Level 1 with Questions and Verified Answers 2026,
Passing Score Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) conducts a windshield survey in
a low-income urban neighborhood with a high Hispanic population. Observations
include: lack of grocery stores with fresh produce, multiple fast-food outlets, a crowded
elementary school with no nurse on-site, and residents reporting limited English
proficiency when accessing healthcare. The nurse identifies food insecurity and
childhood obesity as priority concerns.
Question:
Which two actions represent PRIMARY prevention strategies to address the identified
health concerns in this community? (Select all that apply.)
Options:
A. Establishing a mobile farmers' market with bilingual nutrition education sessions at
the elementary school
B. Implementing a school-based BMI screening program with referral for overweight
children to pediatric endocrinology
,C. Coordinating with local clinics to provide free lipid panels and HbA1c testing for
adults
D. Organizing weekly community walks with promotoras (community health workers)
leading Spanish-language groups
E. Developing a diabetes self-management education program for diagnosed residents
(For NGN items: Correct Choices: "A, D")
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A and D
● Community Health Principle Justification: PRIMARY prevention aims to prevent
disease before it occurs by promoting health and protecting against health
threats. Option A directly increases access to nutritious foods while providing
culturally tailored education, addressing social determinants of food insecurity
(Healthy People 2023: Nutrition and Healthy Eating). Option D promotes physical
activity through culturally congruent community engagement, preventing obesity
onset (CDC 2024 Physical Activity Guidelines). Both focus on population-level
health promotion.
● Distractor Analysis: Option B is SECONDARY prevention (screening for early
detection) and is individual-focused rather than population-based. Option C is
also SECONDARY prevention (diagnostic testing). Option E is TERTIARY
prevention (managing existing disease), not appropriate for primary prevention
goals.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
,Community Scenario: A CHN is analyzing surveillance data for a rural county
experiencing a 40% increase in reported tick-borne diseases over the past year. The
population includes many outdoor agricultural workers and a growing number of senior
citizens living in assisted living facilities.
Question:
Which epidemiological measure should the CHN prioritize calculating to determine the
need for targeted education campaigns?
Options:
A. Prevalence rate among agricultural workers compared to seniors
B. Incidence rate per 100,000 population by occupational group
C. Case-fatality rate for the county
D. Standardized mortality ratio for tick-borne illness
(Correct Choice: B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: Incidence rate per 100,000 population by occupational group
● Community Health Principle Justification: Incidence rate measures new cases
over a defined period, which is essential for identifying emerging health threats
(CDC Epidemiology Principles, 2024). Calculating by occupational group allows
the CHN to identify high-risk populations (agricultural workers) for targeted
PRIMARY prevention education, aligning with population-based assessment and
evidence-based practice.
, ● Distractor Analysis: Prevalence (A) measures existing cases and is less useful
for acute outbreak response. Case-fatality rate (C) assesses disease severity, not
prevention need. Standardized mortality ratio (D) is useful for mortality, but
tick-borne diseases have low death rates; incidence better captures burden.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN works in a coastal community recovering from a Category
4 hurricane that caused flooding, power outages lasting three weeks, and displacement
of 30% of residents. Vulnerable populations include elderly in high-rise apartments,
homeless individuals, and undocumented immigrant families. The health department
reports increased cases of gastrointestinal illness and carbon monoxide poisoning from
generator use.
Question:
The CHN is preparing for disaster response phase activities. Which two interventions
are priority actions during the immediate post-impact period? (Select all that apply.)
Options:
A. Distributing multilingual flyers about proper generator ventilation and carbon
monoxide risks
B. Conducting long-term mental health counseling for PTSD at community centers
C. Establishing mobile vaccination clinics for routine childhood immunizations
Level 1 with Questions and Verified Answers 2026,
Passing Score Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) conducts a windshield survey in
a low-income urban neighborhood with a high Hispanic population. Observations
include: lack of grocery stores with fresh produce, multiple fast-food outlets, a crowded
elementary school with no nurse on-site, and residents reporting limited English
proficiency when accessing healthcare. The nurse identifies food insecurity and
childhood obesity as priority concerns.
Question:
Which two actions represent PRIMARY prevention strategies to address the identified
health concerns in this community? (Select all that apply.)
Options:
A. Establishing a mobile farmers' market with bilingual nutrition education sessions at
the elementary school
B. Implementing a school-based BMI screening program with referral for overweight
children to pediatric endocrinology
,C. Coordinating with local clinics to provide free lipid panels and HbA1c testing for
adults
D. Organizing weekly community walks with promotoras (community health workers)
leading Spanish-language groups
E. Developing a diabetes self-management education program for diagnosed residents
(For NGN items: Correct Choices: "A, D")
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A and D
● Community Health Principle Justification: PRIMARY prevention aims to prevent
disease before it occurs by promoting health and protecting against health
threats. Option A directly increases access to nutritious foods while providing
culturally tailored education, addressing social determinants of food insecurity
(Healthy People 2023: Nutrition and Healthy Eating). Option D promotes physical
activity through culturally congruent community engagement, preventing obesity
onset (CDC 2024 Physical Activity Guidelines). Both focus on population-level
health promotion.
● Distractor Analysis: Option B is SECONDARY prevention (screening for early
detection) and is individual-focused rather than population-based. Option C is
also SECONDARY prevention (diagnostic testing). Option E is TERTIARY
prevention (managing existing disease), not appropriate for primary prevention
goals.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
,Community Scenario: A CHN is analyzing surveillance data for a rural county
experiencing a 40% increase in reported tick-borne diseases over the past year. The
population includes many outdoor agricultural workers and a growing number of senior
citizens living in assisted living facilities.
Question:
Which epidemiological measure should the CHN prioritize calculating to determine the
need for targeted education campaigns?
Options:
A. Prevalence rate among agricultural workers compared to seniors
B. Incidence rate per 100,000 population by occupational group
C. Case-fatality rate for the county
D. Standardized mortality ratio for tick-borne illness
(Correct Choice: B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: Incidence rate per 100,000 population by occupational group
● Community Health Principle Justification: Incidence rate measures new cases
over a defined period, which is essential for identifying emerging health threats
(CDC Epidemiology Principles, 2024). Calculating by occupational group allows
the CHN to identify high-risk populations (agricultural workers) for targeted
PRIMARY prevention education, aligning with population-based assessment and
evidence-based practice.
, ● Distractor Analysis: Prevalence (A) measures existing cases and is less useful
for acute outbreak response. Case-fatality rate (C) assesses disease severity, not
prevention need. Standardized mortality ratio (D) is useful for mortality, but
tick-borne diseases have low death rates; incidence better captures burden.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN works in a coastal community recovering from a Category
4 hurricane that caused flooding, power outages lasting three weeks, and displacement
of 30% of residents. Vulnerable populations include elderly in high-rise apartments,
homeless individuals, and undocumented immigrant families. The health department
reports increased cases of gastrointestinal illness and carbon monoxide poisoning from
generator use.
Question:
The CHN is preparing for disaster response phase activities. Which two interventions
are priority actions during the immediate post-impact period? (Select all that apply.)
Options:
A. Distributing multilingual flyers about proper generator ventilation and carbon
monoxide risks
B. Conducting long-term mental health counseling for PTSD at community centers
C. Establishing mobile vaccination clinics for routine childhood immunizations
