ATI Community Health Practice Assessment A | Latest 2026 Comprehensive
Review Guide | Complete Practice Questions with Verified Answers &
Rationales | RN Community Health Exam Preparation | Health Promotion,
Disease Prevention, Epidemiology, Disaster Preparedness, Vulnerable
Populations, Cultural Competence, Home Health Nursing, Environmental Health,
Public Health Concepts | ATI Community Nursing Success Study Manual |
Updated Practice Assessmen
1. A nurse is teaching a client who has a new diagnosis of hepatitis A about how
to prevent the spread of the virus. Which of the following instructions should
the nurse include?
A. "Double-bag tissues for coughing or blowing the nose."
B. "Clean your bathroom fixtures with a chlorine-bleach solution."
C. "Use shared hand towels to dry your hands after washing."
D. "Use barrier contraceptives during sexual contact for 2 weeks after beginning
treatment."
Rationale: Hepatitis A is transmitted via the fecal-oral route. The virus can survive
on environmental surfaces; cleaning with a bleach solution is effective for
disinfection .
2. A nurse in a clinic is planning teaching for a client who was newly diagnosed
with hepatitis C. Which of the following instructions should the nurse include?
A. Consume a low-carbohydrate diet until symptoms resolve.
B. Schedule an appointment for an immunoglobulin injection.
C. Abstain from sexual intercourse until antibody tests are negative.
D. Wear a mask in public places while receiving treatment.
Rationale: Hepatitis C is transmitted through blood and bodily fluids. Clients
should abstain from sexual intercourse until antibody tests are negative to
prevent transmission to partners .
3. A public health nurse is planning an educational program for a group of
nurses at a community health department about pertussis infection. Which of
the following information should the nurse include?
A. Individuals should receive an annual influenza vaccine to minimize the risk for
infection with pertussis.
B. Newborns should receive the first dose of DTaP prior to discharge from the
,hospital.
C. Individuals who have had pertussis do not require immunization.
D. Individuals transmit the pertussis bacteria through airborne droplets.
Rationale: Pertussis (whooping cough) is a highly contagious respiratory infection
transmitted via airborne droplets when an infected person coughs or sneezes .
4. A nurse is caring for a client who has hepatitis A. Which of the following
reservoirs should the nurse identify for this infection?
A. Blood
B. Feces
C. Genitourinary tract
D. Skin
Rationale: The reservoir for hepatitis A is the feces of an infected person.
Transmission occurs via the fecal-oral route .
5. A community health nurse is teaching a client who was newly diagnosed with
active pulmonary tuberculosis about disease transmission. Which of the
following information should the nurse include?
A. Household members should take isoniazid for at least 6 months.
B. The client is no longer contagious after 24 hours of taking medication.
C. The client should wear a mask at all times while at home.
D. The Mantoux test will be negative after treatment is completed.
Rationale: Isoniazid is a prophylactic medication for close contacts. Household
members should take it for at least 6 months to prevent infection .
6. A nurse in a pediatric clinic is providing care to several clients. The nurse
should recognize that which of the following conditions is included on the
National Notifiable Infectious Conditions list?
A. Rotavirus
B. Erythema Infectiosum
C. Scarlet Fever
D. Varicella
Rationale: Varicella (chickenpox) is a nationally notifiable infectious condition
that must be reported to public health authorities .
,7. A nurse working in an infectious disease clinic is caring for a client who has a
new diagnosis of Lyme disease. Which of the following agencies is responsible
for voluntarily reporting cases of this disease to the CDC?
A. State health department
B. Local Red Cross chapter
C. The client's primary care provider
D. The Centers for Disease Control and Prevention directly
Rationale: State health departments collect and voluntarily report cases of
notifiable diseases like Lyme disease to the CDC .
8. A public health nurse is conducting an educational session about Lyme
disease for a group of older adult clients at a senior center. Which statement
should the nurse identify as an indication that the clients understand the
teaching?
A. "I can take penicillin for 10 to 14 days to manage Lyme disease."
B. "Lyme disease is transmitted through mosquito bites."
C. "I will need to be hospitalized for IV antibiotics."
D. "Lyme disease is not common in the United States."
Rationale: Early localized Lyme disease is typically treated with oral antibiotics
such as doxycycline or amoxicillin for 10-14 days. Penicillin may be used as an
alternative .
9. A nurse is assessing an outbreak of mumps among school-aged children.
Using the epidemiological triangle, the nurse should recognize that which of the
following is the host?
A. The vaccine
B. The school
C. The virus
D. The children
Rationale: In the epidemiological triangle (agent-host-environment), the host is
the organism that harbors the disease. In this case, the children are the hosts .
10. A nurse is planning to participate in a public education program about
prevention of West Nile Virus. Which of the following instructions should the
nurse include in her presentation?
, A. "Eliminate sources of standing water."
B. "Make sure your immunizations are up to date."
C. "Keep all of your pets indoors."
D. "Spray insect nests with a repellent that contains DEET."
Rationale: West Nile Virus is transmitted by mosquitoes, which breed in standing
water. Eliminating standing water is the most effective prevention method .
Levels of Prevention & Health Promotion
11. A public health nurse is planning care for four clients. Which of the following
interventions should the nurse recognize as tertiary prevention?
A. Administering antibiotics to a client who has AIDS and was diagnosed with
pneumocystis jirovecii.
B. Providing a community education program on safe sex practices.
C. Performing a tuberculosis screening for a high-risk population.
D. Encouraging parents to have their children immunized.
Rationale: Tertiary prevention involves managing and treating existing diseases to
prevent complications. Treating an opportunistic infection in a client with AIDS is
a tertiary prevention measure .
12. A community health nurse identifies an increase in the occurrence of
osteoporosis-related fractures in female clients who are experiencing
menopause. Which of the following primary prevention strategies should the
nurse implement?
A. Schedule dual-energy x-ray absorptiometry (DXA) scans.
B. Encourage the clients to participate in weight-bearing activities.
C. Teach the clients about the importance of calcium supplementation.
D. Refer clients to a physical therapist for fall prevention.
Rationale: Primary prevention aims to prevent the disease from occurring.
Encouraging weight-bearing exercise helps build and maintain bone density,
preventing osteoporosis .
13. A public health nurse is developing protocols to use in emergency shelters
following a disaster. Which of the following should the nurse include as a
secondary prevention strategy for clients who survive a disaster?
A. Providing age-appropriate activities for shelter residents
Review Guide | Complete Practice Questions with Verified Answers &
Rationales | RN Community Health Exam Preparation | Health Promotion,
Disease Prevention, Epidemiology, Disaster Preparedness, Vulnerable
Populations, Cultural Competence, Home Health Nursing, Environmental Health,
Public Health Concepts | ATI Community Nursing Success Study Manual |
Updated Practice Assessmen
1. A nurse is teaching a client who has a new diagnosis of hepatitis A about how
to prevent the spread of the virus. Which of the following instructions should
the nurse include?
A. "Double-bag tissues for coughing or blowing the nose."
B. "Clean your bathroom fixtures with a chlorine-bleach solution."
C. "Use shared hand towels to dry your hands after washing."
D. "Use barrier contraceptives during sexual contact for 2 weeks after beginning
treatment."
Rationale: Hepatitis A is transmitted via the fecal-oral route. The virus can survive
on environmental surfaces; cleaning with a bleach solution is effective for
disinfection .
2. A nurse in a clinic is planning teaching for a client who was newly diagnosed
with hepatitis C. Which of the following instructions should the nurse include?
A. Consume a low-carbohydrate diet until symptoms resolve.
B. Schedule an appointment for an immunoglobulin injection.
C. Abstain from sexual intercourse until antibody tests are negative.
D. Wear a mask in public places while receiving treatment.
Rationale: Hepatitis C is transmitted through blood and bodily fluids. Clients
should abstain from sexual intercourse until antibody tests are negative to
prevent transmission to partners .
3. A public health nurse is planning an educational program for a group of
nurses at a community health department about pertussis infection. Which of
the following information should the nurse include?
A. Individuals should receive an annual influenza vaccine to minimize the risk for
infection with pertussis.
B. Newborns should receive the first dose of DTaP prior to discharge from the
,hospital.
C. Individuals who have had pertussis do not require immunization.
D. Individuals transmit the pertussis bacteria through airborne droplets.
Rationale: Pertussis (whooping cough) is a highly contagious respiratory infection
transmitted via airborne droplets when an infected person coughs or sneezes .
4. A nurse is caring for a client who has hepatitis A. Which of the following
reservoirs should the nurse identify for this infection?
A. Blood
B. Feces
C. Genitourinary tract
D. Skin
Rationale: The reservoir for hepatitis A is the feces of an infected person.
Transmission occurs via the fecal-oral route .
5. A community health nurse is teaching a client who was newly diagnosed with
active pulmonary tuberculosis about disease transmission. Which of the
following information should the nurse include?
A. Household members should take isoniazid for at least 6 months.
B. The client is no longer contagious after 24 hours of taking medication.
C. The client should wear a mask at all times while at home.
D. The Mantoux test will be negative after treatment is completed.
Rationale: Isoniazid is a prophylactic medication for close contacts. Household
members should take it for at least 6 months to prevent infection .
6. A nurse in a pediatric clinic is providing care to several clients. The nurse
should recognize that which of the following conditions is included on the
National Notifiable Infectious Conditions list?
A. Rotavirus
B. Erythema Infectiosum
C. Scarlet Fever
D. Varicella
Rationale: Varicella (chickenpox) is a nationally notifiable infectious condition
that must be reported to public health authorities .
,7. A nurse working in an infectious disease clinic is caring for a client who has a
new diagnosis of Lyme disease. Which of the following agencies is responsible
for voluntarily reporting cases of this disease to the CDC?
A. State health department
B. Local Red Cross chapter
C. The client's primary care provider
D. The Centers for Disease Control and Prevention directly
Rationale: State health departments collect and voluntarily report cases of
notifiable diseases like Lyme disease to the CDC .
8. A public health nurse is conducting an educational session about Lyme
disease for a group of older adult clients at a senior center. Which statement
should the nurse identify as an indication that the clients understand the
teaching?
A. "I can take penicillin for 10 to 14 days to manage Lyme disease."
B. "Lyme disease is transmitted through mosquito bites."
C. "I will need to be hospitalized for IV antibiotics."
D. "Lyme disease is not common in the United States."
Rationale: Early localized Lyme disease is typically treated with oral antibiotics
such as doxycycline or amoxicillin for 10-14 days. Penicillin may be used as an
alternative .
9. A nurse is assessing an outbreak of mumps among school-aged children.
Using the epidemiological triangle, the nurse should recognize that which of the
following is the host?
A. The vaccine
B. The school
C. The virus
D. The children
Rationale: In the epidemiological triangle (agent-host-environment), the host is
the organism that harbors the disease. In this case, the children are the hosts .
10. A nurse is planning to participate in a public education program about
prevention of West Nile Virus. Which of the following instructions should the
nurse include in her presentation?
, A. "Eliminate sources of standing water."
B. "Make sure your immunizations are up to date."
C. "Keep all of your pets indoors."
D. "Spray insect nests with a repellent that contains DEET."
Rationale: West Nile Virus is transmitted by mosquitoes, which breed in standing
water. Eliminating standing water is the most effective prevention method .
Levels of Prevention & Health Promotion
11. A public health nurse is planning care for four clients. Which of the following
interventions should the nurse recognize as tertiary prevention?
A. Administering antibiotics to a client who has AIDS and was diagnosed with
pneumocystis jirovecii.
B. Providing a community education program on safe sex practices.
C. Performing a tuberculosis screening for a high-risk population.
D. Encouraging parents to have their children immunized.
Rationale: Tertiary prevention involves managing and treating existing diseases to
prevent complications. Treating an opportunistic infection in a client with AIDS is
a tertiary prevention measure .
12. A community health nurse identifies an increase in the occurrence of
osteoporosis-related fractures in female clients who are experiencing
menopause. Which of the following primary prevention strategies should the
nurse implement?
A. Schedule dual-energy x-ray absorptiometry (DXA) scans.
B. Encourage the clients to participate in weight-bearing activities.
C. Teach the clients about the importance of calcium supplementation.
D. Refer clients to a physical therapist for fall prevention.
Rationale: Primary prevention aims to prevent the disease from occurring.
Encouraging weight-bearing exercise helps build and maintain bone density,
preventing osteoporosis .
13. A public health nurse is developing protocols to use in emergency shelters
following a disaster. Which of the following should the nurse include as a
secondary prevention strategy for clients who survive a disaster?
A. Providing age-appropriate activities for shelter residents
