ATI Community Health Proctored Exam 2026 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 Riverdale, a rural town where 28 % of families live below the poverty line. The
nurse observes no sidewalks, one grocery store with limited fresh produce, a gas station
selling alcohol, and a closed health clinic.
Question: Which two assessment findings most strongly indicate an environmental
barrier to achieving Healthy People 2023 objectives for nutrition and weight status?
Correct Choices: A, C
Options:
A. Absence of sidewalks
B. One grocery store
C. Limited fresh produce in the store
D. Gas station selling alcohol
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, C
, ● Community Health Principle Justification: Limited produce (food desert
indicator) and lack of safe pedestrian infrastructure are environmental
determinants directly linked to obesity; both are modifiable community-level
targets for primary prevention interventions per Healthy People 2023.
● Distractor Analysis: B—one store is insufficient alone; C specifies quality.
D—alcohol availability relates more to substance-use objectives than
nutrition/weight.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: A CHN reviews the communicable-disease report for Jefferson
County and notes 12 new cases of pertussis among children aged 7–10 years during
the past 3 weeks.
Question: What is the nurse’s first epidemiological action?
Options:
A. Implement a community-wide pertussis booster clinic
B. Calculate the attack rate in elementary schools
C. Offer azithromycin prophylaxis to all households
D. Post a media release advising mask wearing
Rationale (Verified | Passing Score | 2024):
● Correct Answer: B. Calculate the attack rate in elementary schools
, ● Community Health Principle Justification: Step 1 in field epidemiology is to
quantify magnitude (time, place, person) before planning interventions; attack
rate clarifies risk to the aggregate.
● Distractor Analysis: A, C, D are interventions that require prior epidemiologic
assessment.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN works with a homeless shelter that houses 120 adults
each night. Influenza immunization coverage last season was 18 %. Shelter staff state
clients “don’t trust vaccines” and fear adverse reactions.
Question: Which two actions best exemplify culturally responsive primary prevention the
nurse should implement first?
Correct Choices: B, D
Options:
A. Offer vaccine only to staff to create herd immunity
B. Invite former clients who received vaccine to share experiences
C. Require vaccine for shelter admission
D. Provide CDC “Vaccine Information Statement” in English and Spanish at 4th-grade
reading level
E. Schedule a mobile clinic during dinner when lines are longest
, Rationale (Verified | Passing Score | 2024):
● Correct Answer: B, D
● Community Health Principle Justification: Peer educators (B) build trust;
providing easy-to-read VIS (D) respects literacy and language needs—both are
evidence-based primary prevention strategies for vulnerable populations.
● Distractor Analysis: A—misses clients. C—coercion violates autonomy. E—long
lines may deter.
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: A school nurse overhears two 8th-grade girls discussing how
“everyone is juuling” in the restroom.
Question: Which level of prevention does the nurse apply by implementing a vape-free
education session for all 8th graders?
Options:
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A. Primary
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 Riverdale, a rural town where 28 % of families live below the poverty line. The
nurse observes no sidewalks, one grocery store with limited fresh produce, a gas station
selling alcohol, and a closed health clinic.
Question: Which two assessment findings most strongly indicate an environmental
barrier to achieving Healthy People 2023 objectives for nutrition and weight status?
Correct Choices: A, C
Options:
A. Absence of sidewalks
B. One grocery store
C. Limited fresh produce in the store
D. Gas station selling alcohol
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, C
, ● Community Health Principle Justification: Limited produce (food desert
indicator) and lack of safe pedestrian infrastructure are environmental
determinants directly linked to obesity; both are modifiable community-level
targets for primary prevention interventions per Healthy People 2023.
● Distractor Analysis: B—one store is insufficient alone; C specifies quality.
D—alcohol availability relates more to substance-use objectives than
nutrition/weight.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: A CHN reviews the communicable-disease report for Jefferson
County and notes 12 new cases of pertussis among children aged 7–10 years during
the past 3 weeks.
Question: What is the nurse’s first epidemiological action?
Options:
A. Implement a community-wide pertussis booster clinic
B. Calculate the attack rate in elementary schools
C. Offer azithromycin prophylaxis to all households
D. Post a media release advising mask wearing
Rationale (Verified | Passing Score | 2024):
● Correct Answer: B. Calculate the attack rate in elementary schools
, ● Community Health Principle Justification: Step 1 in field epidemiology is to
quantify magnitude (time, place, person) before planning interventions; attack
rate clarifies risk to the aggregate.
● Distractor Analysis: A, C, D are interventions that require prior epidemiologic
assessment.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN works with a homeless shelter that houses 120 adults
each night. Influenza immunization coverage last season was 18 %. Shelter staff state
clients “don’t trust vaccines” and fear adverse reactions.
Question: Which two actions best exemplify culturally responsive primary prevention the
nurse should implement first?
Correct Choices: B, D
Options:
A. Offer vaccine only to staff to create herd immunity
B. Invite former clients who received vaccine to share experiences
C. Require vaccine for shelter admission
D. Provide CDC “Vaccine Information Statement” in English and Spanish at 4th-grade
reading level
E. Schedule a mobile clinic during dinner when lines are longest
, Rationale (Verified | Passing Score | 2024):
● Correct Answer: B, D
● Community Health Principle Justification: Peer educators (B) build trust;
providing easy-to-read VIS (D) respects literacy and language needs—both are
evidence-based primary prevention strategies for vulnerable populations.
● Distractor Analysis: A—misses clients. C—coercion violates autonomy. E—long
lines may deter.
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: A school nurse overhears two 8th-grade girls discussing how
“everyone is juuling” in the restroom.
Question: Which level of prevention does the nurse apply by implementing a vape-free
education session for all 8th graders?
Options:
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A. Primary
