ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
ATI RN Community Health Fundamental
Proctored Exam 2026 With NGN
70 Questions With Answers and Rationales
1. Acommunity health nurse is reviewing morbidity and mortality rates.
Which epidemiological measure describes the number of new cases of a disease
in a population at risk during a specific time period?
A. Prevalence
B. Incidence
C. Case fatality rate
D. Attack rate
Correct Answer: B
Correct Answer: B. Incidence measures new cases in a population at risk during a
specified time, ideal for tracking disease emergence.
A. Prevalence is total existing cases at a point in time. C. Case fatality rate measures
proportion who die from the disease. D. Attack rate is a special incidence measure for
outbreaks.
MULTIPLE CHOICE
2. Which nursing intervention is an example of primary prevention?
A. Conducting a blood pressure screening at a health fair
B. Administering an influenza vaccine to older adults
C. Teaching a client with diabetes about foot inspections
D. Referring a client with new hypertension to a cardiologist
Correct Answer: B
Correct Answer: B. Vaccination prevents disease before it occurs = primary
prevention. A. Screening = secondary prevention. C. Teaching foot care for existing
diabetes = tertiary prevention. D. Referral for diagnosed condition = tertiary
prevention.
MULTIPLE CHOICE
3. A nurse is conducting a windshield survey. Which observation is most indicative
Page 1
,ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
of a community at risk for poor health outcomes?
A. Well-maintained parks with playground equipment
B. Multiple grocery stores offering fresh produce
C. Abandoned buildings and broken sidewalks
D. Public transportation stops on every major street
Correct Answer: C
Correct Answer: C. Abandoned buildings and broken sidewalks indicate
neighborhood deterioration, associated with increased injury risk, reduced physical
activity, and mental health stress. A, B, and D are protective community features.
MULTIPLE CHOICE
4. A
community health nurse is assigned to a disaster shelter after a hurricane.
Which action should the nurse take first?
A. Distribute food and water to shelter residents
B. Perform a rapid needs assessment of the shelter population
C. Set up a triage area for injured individuals
D. Coordinate with local hospitals for client transfers
Correct Answer: B
Page 2
,ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
Correct Answer: B. Rapid needs assessment comes first because the nursing process
requires assessment before intervention. It provides data that guides all other actions.
A, C, and D depend on assessment findings.
MULTIPLE CHOICE
5. Anurse is planning a health promotion program for adolescents using Pender's
Health Promotion Model. Which factor most significantly influences engagement
in health-promoting behaviors?
A. Perceived benefits of action
B. Perceived severity of disease
C. Demographic characteristics
D. Biological factors
Correct Answer: A
Correct Answer: A. Perceived benefits of action is central to Pender's model and
directly influences commitment to action. B. Perceived severity is from the Health
Belief Model. C and D are modifying factors in Pender's model but less directly
influential.
MULTIPLE CHOICE
6. A nurse notes the infant mortality rate is 8.2 per 1,000 live births. How should this be
interpreted?
A. The community has better than average infant health outcomes
B. The community has worse than average infant health outcomes
C. This rate is within the expected range for a developed nation
D. This rate indicates a data collection error
Correct Answer: B
Correct Answer: B. A rate of 8.2 per 1,000 is above the U.S. national average (~5.4-
5.6 per 1,000), indicating a health concern. A is wrong because higher IMR = worse
outcomes. C is wrong because developed nations typically have IMRs below 6. D is
wrong because the rate is plausible.
MULTIPLE CHOICE
7. A nurse is investigating lead exposure in a low-income neighborhood. Which
population is at highest risk?
Page 3
, ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
A. Adults who work in construction
B. Children under the age of 6 years
C. Adolescents who participate in sports
D. Older adults with chronic kidney disease
Correct Answer: B
Correct Answer: B. Children under 6 are at highest risk due to hand-to-mouth
behavior, developing nervous systems susceptible to lead neurotoxicity, and higher
absorption rates. A, C, and D may also be affected, but young children's
developmental vulnerability makes them the priority.
MULTIPLE CHOICE
8. A
nurse is developing a program for individuals experiencing homelessness.
Which barrier to healthcare access should be prioritized?
A. Difficulty navigating health insurance enrollment
B. Lack of transportation to healthcare facilities
C. Limited access to refrigeration for medications
D. Inability to afford prescription co-payments
Correct Answer: C
Correct Answer: C. Limited refrigeration directly impacts adherence for medications
requiring cold storage (insulin, some antibiotics). It is a structural barrier that
prevents medication management regardless of other factors. A and B can be
addressed by
Page 4
ATI RN Community Health Fundamental
Proctored Exam 2026 With NGN
70 Questions With Answers and Rationales
1. Acommunity health nurse is reviewing morbidity and mortality rates.
Which epidemiological measure describes the number of new cases of a disease
in a population at risk during a specific time period?
A. Prevalence
B. Incidence
C. Case fatality rate
D. Attack rate
Correct Answer: B
Correct Answer: B. Incidence measures new cases in a population at risk during a
specified time, ideal for tracking disease emergence.
A. Prevalence is total existing cases at a point in time. C. Case fatality rate measures
proportion who die from the disease. D. Attack rate is a special incidence measure for
outbreaks.
MULTIPLE CHOICE
2. Which nursing intervention is an example of primary prevention?
A. Conducting a blood pressure screening at a health fair
B. Administering an influenza vaccine to older adults
C. Teaching a client with diabetes about foot inspections
D. Referring a client with new hypertension to a cardiologist
Correct Answer: B
Correct Answer: B. Vaccination prevents disease before it occurs = primary
prevention. A. Screening = secondary prevention. C. Teaching foot care for existing
diabetes = tertiary prevention. D. Referral for diagnosed condition = tertiary
prevention.
MULTIPLE CHOICE
3. A nurse is conducting a windshield survey. Which observation is most indicative
Page 1
,ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
of a community at risk for poor health outcomes?
A. Well-maintained parks with playground equipment
B. Multiple grocery stores offering fresh produce
C. Abandoned buildings and broken sidewalks
D. Public transportation stops on every major street
Correct Answer: C
Correct Answer: C. Abandoned buildings and broken sidewalks indicate
neighborhood deterioration, associated with increased injury risk, reduced physical
activity, and mental health stress. A, B, and D are protective community features.
MULTIPLE CHOICE
4. A
community health nurse is assigned to a disaster shelter after a hurricane.
Which action should the nurse take first?
A. Distribute food and water to shelter residents
B. Perform a rapid needs assessment of the shelter population
C. Set up a triage area for injured individuals
D. Coordinate with local hospitals for client transfers
Correct Answer: B
Page 2
,ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
Correct Answer: B. Rapid needs assessment comes first because the nursing process
requires assessment before intervention. It provides data that guides all other actions.
A, C, and D depend on assessment findings.
MULTIPLE CHOICE
5. Anurse is planning a health promotion program for adolescents using Pender's
Health Promotion Model. Which factor most significantly influences engagement
in health-promoting behaviors?
A. Perceived benefits of action
B. Perceived severity of disease
C. Demographic characteristics
D. Biological factors
Correct Answer: A
Correct Answer: A. Perceived benefits of action is central to Pender's model and
directly influences commitment to action. B. Perceived severity is from the Health
Belief Model. C and D are modifying factors in Pender's model but less directly
influential.
MULTIPLE CHOICE
6. A nurse notes the infant mortality rate is 8.2 per 1,000 live births. How should this be
interpreted?
A. The community has better than average infant health outcomes
B. The community has worse than average infant health outcomes
C. This rate is within the expected range for a developed nation
D. This rate indicates a data collection error
Correct Answer: B
Correct Answer: B. A rate of 8.2 per 1,000 is above the U.S. national average (~5.4-
5.6 per 1,000), indicating a health concern. A is wrong because higher IMR = worse
outcomes. C is wrong because developed nations typically have IMRs below 6. D is
wrong because the rate is plausible.
MULTIPLE CHOICE
7. A nurse is investigating lead exposure in a low-income neighborhood. Which
population is at highest risk?
Page 3
, ATI RN Community Health Fundamental Proctored Exam 2026 With NGN 70 Questions | Practice Review
A. Adults who work in construction
B. Children under the age of 6 years
C. Adolescents who participate in sports
D. Older adults with chronic kidney disease
Correct Answer: B
Correct Answer: B. Children under 6 are at highest risk due to hand-to-mouth
behavior, developing nervous systems susceptible to lead neurotoxicity, and higher
absorption rates. A, C, and D may also be affected, but young children's
developmental vulnerability makes them the priority.
MULTIPLE CHOICE
8. A
nurse is developing a program for individuals experiencing homelessness.
Which barrier to healthcare access should be prioritized?
A. Difficulty navigating health insurance enrollment
B. Lack of transportation to healthcare facilities
C. Limited access to refrigeration for medications
D. Inability to afford prescription co-payments
Correct Answer: C
Correct Answer: C. Limited refrigeration directly impacts adherence for medications
requiring cold storage (insulin, some antibiotics). It is a structural barrier that
prevents medication management regardless of other factors. A and B can be
addressed by
Page 4
