ATI Community Health Final Exam Version 2 Practice 2026 |Questions
|Answers |Rationales
1. A community health nurse is planning a primary prevention strategy to
reduce the incidence of obesity. Which of the following actions should the nurse
include?
A. Screening school-age children for high Body Mass Index (BMI)
B. Providing a healthy cooking class for parents of preschoolers
C. Measuring blood glucose levels for adults who are overweight
D. Leading a support group for individuals who have undergone gastric bypass surgery
Answer: B
Rationale: Primary prevention aims to prevent the onset of disease through education and
healthy lifestyle promotion before a problem occurs. Screening is secondary, and support
groups for existing conditions are tertiary.
2. Which of the following is an example of secondary prevention in a school
setting?
A. Administering a flu vaccine to students and staff
B. Teaching handwashing techniques to kindergarten students
C. Developing an individualized education plan (IEP) for a student with cystic fibrosis
D. Performing scoliosis screenings for middle school students
Answer: D
Rationale: Secondary prevention focuses on early detection and screening to identify
conditions in their earliest stages. Scoliosis screening is a classic example.
,3. A nurse is caring for a client who has a new diagnosis of HIV. The nurse
provides information about local support groups. This is an example of which
level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: B
Rationale: Tertiary prevention focuses on rehabilitation and management of a diagnosed
condition to prevent further complications or improve quality of life.
4. A community health nurse is studying the epidemiological triangle. Which of
the following should the nurse identify as an environmental factor?
A. Access to clean drinking water
B. The genetic predisposition of a population
C. The virulence of a bacterial strain
D. The age of the affected individuals
Answer: A
Rationale: In the epidemiological triangle (Agent, Host, Environment), environmental
factors include the physical surroundings, such as water quality, geography, and social
conditions.
5. A nurse is calculating the prevalence of a disease in a community. Which of
the following data points should the nurse use?
A. The number of new cases diagnosed in the last month
B. The number of deaths caused by the disease in one year
C. The total number of existing cases at a specific point in time
D. The rate at which the disease is spreading among high-risk groups
Answer: C
, Rationale: Prevalence refers to the total number of existing cases (new and old) in a
population at a given time. Incidence refers to new cases only.
6. A community health nurse is conducting a windshield survey. Which of the
following should the nurse observe as part of this assessment?
A. The medical records of residents in a local clinic
B. Interviews with local government officials
C. The availability of grocery stores and fresh produce
D. Results of a community-wide health survey
Answer: C
Rationale: A windshield survey is an informal assessment where the nurse observes the
community’s physical environment, including housing, stores, and public spaces, while
driving or walking.
7. A nurse is preparing to provide an educational program about lifestyle
changes to a group of clients. Which of the following actions should the nurse
take first?
A. Select the teaching materials for the presentation
B. Establish measurable learning objectives
C. Determine the learning needs of the target audience
D. Evaluate the effectiveness of previous programs
Answer: C
Rationale: The first step in any educational program or nursing process is assessment. The
nurse must determine what the audience already knows and what they need to learn.
|Answers |Rationales
1. A community health nurse is planning a primary prevention strategy to
reduce the incidence of obesity. Which of the following actions should the nurse
include?
A. Screening school-age children for high Body Mass Index (BMI)
B. Providing a healthy cooking class for parents of preschoolers
C. Measuring blood glucose levels for adults who are overweight
D. Leading a support group for individuals who have undergone gastric bypass surgery
Answer: B
Rationale: Primary prevention aims to prevent the onset of disease through education and
healthy lifestyle promotion before a problem occurs. Screening is secondary, and support
groups for existing conditions are tertiary.
2. Which of the following is an example of secondary prevention in a school
setting?
A. Administering a flu vaccine to students and staff
B. Teaching handwashing techniques to kindergarten students
C. Developing an individualized education plan (IEP) for a student with cystic fibrosis
D. Performing scoliosis screenings for middle school students
Answer: D
Rationale: Secondary prevention focuses on early detection and screening to identify
conditions in their earliest stages. Scoliosis screening is a classic example.
,3. A nurse is caring for a client who has a new diagnosis of HIV. The nurse
provides information about local support groups. This is an example of which
level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: B
Rationale: Tertiary prevention focuses on rehabilitation and management of a diagnosed
condition to prevent further complications or improve quality of life.
4. A community health nurse is studying the epidemiological triangle. Which of
the following should the nurse identify as an environmental factor?
A. Access to clean drinking water
B. The genetic predisposition of a population
C. The virulence of a bacterial strain
D. The age of the affected individuals
Answer: A
Rationale: In the epidemiological triangle (Agent, Host, Environment), environmental
factors include the physical surroundings, such as water quality, geography, and social
conditions.
5. A nurse is calculating the prevalence of a disease in a community. Which of
the following data points should the nurse use?
A. The number of new cases diagnosed in the last month
B. The number of deaths caused by the disease in one year
C. The total number of existing cases at a specific point in time
D. The rate at which the disease is spreading among high-risk groups
Answer: C
, Rationale: Prevalence refers to the total number of existing cases (new and old) in a
population at a given time. Incidence refers to new cases only.
6. A community health nurse is conducting a windshield survey. Which of the
following should the nurse observe as part of this assessment?
A. The medical records of residents in a local clinic
B. Interviews with local government officials
C. The availability of grocery stores and fresh produce
D. Results of a community-wide health survey
Answer: C
Rationale: A windshield survey is an informal assessment where the nurse observes the
community’s physical environment, including housing, stores, and public spaces, while
driving or walking.
7. A nurse is preparing to provide an educational program about lifestyle
changes to a group of clients. Which of the following actions should the nurse
take first?
A. Select the teaching materials for the presentation
B. Establish measurable learning objectives
C. Determine the learning needs of the target audience
D. Evaluate the effectiveness of previous programs
Answer: C
Rationale: The first step in any educational program or nursing process is assessment. The
nurse must determine what the audience already knows and what they need to learn.
