ATI RN Community Health Proctored 2026 Exam
Retake | Complete Practice Exam Questions with
Verified Answers and Detailed Rationales | Latest
Update – 2026/2027 Edition
Question 1
A nurse who is facilitating a support group in a community center notices that one
member of the group expresses anger repeatedly. Which of the following strategies
should the nurse use to facilitate the group process with this member?
A. Remind the group that everyone should have a chance to participate
B. Divide the group into pairs and give each pair a topic for discussion
C. Give the member extra time to compose her thoughts before expressing them
D. Focus more on the group members who have a positive outlook
Answer: A
Rationale: The nurse should remind the group that everyone should have a chance
to participate, which addresses the monopolizing behavior while maintaining group
cohesion. Focusing only on positive members (D) ignores the issue. Dividing into
pairs (B) may not address the underlying behavior. Giving extra time (C) may
encourage the behavior.
Question 2
A community health nurse is providing education to a group of children who have
asthma. Which of the following statements indicates an understanding of the
teaching?
A. I shouldn't play sports because it will make me too tired
B. I will stay indoors during cold weather
C. I will use my rescue medication every day
D. I shouldn't get the flu shot because it might make me sick
Answer: B
Rationale: Cold weather can trigger asthma exacerbations, so staying indoors
during cold weather is an appropriate strategy. Children with asthma should remain
active (A). Rescue medications should be used as needed, not daily (C). Influenza
immunization is recommended for children with asthma (D).
pg. 1
,Question 3
A community health nurse is planning an in-service about STIs to a group of
adolescents. Which of the following clinical findings should the nurse include as a
manifestation of primary syphilis?
A. Malaise
B. Maculopapular rash on palms
C. Chancre
D. Lymphadenopathy
Answer: C
Rationale: Primary syphilis is characterized by a chancre (painless ulcer) at the
site of infection. Malaise (A) and maculopapular rash on palms (B) are
manifestations of secondary syphilis. Lymphadenopathy (D) can occur in both
primary and secondary stages.
Question 4
A public health nurse is working in a community that has a population of 24,096.
There are 2,096 existing cases of heart disease within the population. The nurse
can determine which of the following from this information?
A. Mortality rate
B. Attack rate
C. Prevalence proportion
D. Incidence proportion
Answer: C
Rationale: Prevalence proportion is the number of existing cases in a population at
a specific time. With 2,096 existing cases out of 24,096, this is a prevalence
proportion. Mortality rate (A) measures deaths. Attack rate (B) measures new cases
in a specific outbreak. Incidence proportion (D) measures new cases over time.
Question 5
A nurse is preparing a community education program about health care needs
during pregnancy. The nurse should include that which of the following vaccines is
safe to administer to a client who is pregnant?
A. Herpes zoster
B. Tetanus, diphtheria, pertussis
pg. 2
,C. Varicella
D. Measles, mumps, rubella
Answer: B
Rationale: Tdap (tetanus, diphtheria, pertussis) is safe and recommended during
pregnancy. Herpes zoster (A), varicella (C), and MMR (D) are live vaccines and
are contraindicated during pregnancy.
Question 6
A school nurse is notified that an elementary school child is newly diagnosed with
pertussis. Which of the following actions should the school nurse take? (Select all
that apply)
A. Instruct the parent to keep the child home until the coughing stage has passed
B. Encourage family members to obtain prophylactic treatment
C. Quarantine the children in the child's class
D. Recommend the child receive a pneumococcal vaccine in 28 days
E. Check the immunizations of the child's classmates
Answer: A, B, E
Rationale: The child should stay home until the coughing stage has passed (A).
Family members should receive prophylactic treatment (B). Immunizations of
classmates should be checked (E). Quarantine (C) is not typically required for
pertussis. Pneumococcal vaccine (D) is not indicated for pertussis exposure.
Question 7
A nurse is caring for a 50-year-old client who has diabetes mellitus, recently lost
his job, and has no health insurance. The nurse should advise the client to do which
of the following?
A. Contact Medicare to determine eligibility
B. Contact Medicaid to determine eligibility
C. Go to the ER when services are needed
D. Go to the public health department when services are needed
Answer: B
Rationale: Medicaid eligibility is based on income and household size. The client
should contact Medicaid to determine eligibility. Medicare (A) is for those 65+ or
with certain disabilities. ER visits (C) are for emergencies. Public health
departments (D) provide some services but may not cover comprehensive care.
pg. 3
, Question 8
A home health nurse is orienting a newly licensed nurse who is drawing blood
from a client for laboratory testing and gets stuck by a used needle. Which of the
following statements by the newly licensed nurse indicates a need for further
teaching?
A. The client will be tested for HIV
B. The client will be tested for hepatitis B virus
C. The client will be tested for hepatitis C virus
D. The client will be tested for hepatitis A virus
Answer: D
Rationale: Hepatitis A is transmitted through fecal-oral route, not bloodborne.
HIV (A), hepatitis B (B), and hepatitis C (C) are bloodborne pathogens and should
be tested after a needle stick. Hepatitis A testing is not indicated for needle stick
exposure.
Question 9
A clinic nurse manager is developing an education program on TB skin testing.
The nurse should include that which of the following can cause a false-negative
result? (Select all that apply)
A. Advanced HIV or AIDS
B. Bacille Calmette-Guérin (BCG) vaccination
C. Time between exposure and screening
D. Age of the client
E. Recent abuse of IV substances
Answer: A, C, D
Rationale: Advanced HIV/AIDS (A) causes anergy (false-negative). Time
between exposure and screening (C) can cause false-negative if testing is done too
early. Age of the client (D) can affect immune response. BCG vaccination (B)
causes false-positive results, not false-negative. IV substance abuse (E) is not a
direct cause of false-negatives.
Question 10
A hospice nurse is assessing a family's ability to care for a relative who has
terminal cancer. Which of the following findings indicates a potential barrier to the
pg. 4
Retake | Complete Practice Exam Questions with
Verified Answers and Detailed Rationales | Latest
Update – 2026/2027 Edition
Question 1
A nurse who is facilitating a support group in a community center notices that one
member of the group expresses anger repeatedly. Which of the following strategies
should the nurse use to facilitate the group process with this member?
A. Remind the group that everyone should have a chance to participate
B. Divide the group into pairs and give each pair a topic for discussion
C. Give the member extra time to compose her thoughts before expressing them
D. Focus more on the group members who have a positive outlook
Answer: A
Rationale: The nurse should remind the group that everyone should have a chance
to participate, which addresses the monopolizing behavior while maintaining group
cohesion. Focusing only on positive members (D) ignores the issue. Dividing into
pairs (B) may not address the underlying behavior. Giving extra time (C) may
encourage the behavior.
Question 2
A community health nurse is providing education to a group of children who have
asthma. Which of the following statements indicates an understanding of the
teaching?
A. I shouldn't play sports because it will make me too tired
B. I will stay indoors during cold weather
C. I will use my rescue medication every day
D. I shouldn't get the flu shot because it might make me sick
Answer: B
Rationale: Cold weather can trigger asthma exacerbations, so staying indoors
during cold weather is an appropriate strategy. Children with asthma should remain
active (A). Rescue medications should be used as needed, not daily (C). Influenza
immunization is recommended for children with asthma (D).
pg. 1
,Question 3
A community health nurse is planning an in-service about STIs to a group of
adolescents. Which of the following clinical findings should the nurse include as a
manifestation of primary syphilis?
A. Malaise
B. Maculopapular rash on palms
C. Chancre
D. Lymphadenopathy
Answer: C
Rationale: Primary syphilis is characterized by a chancre (painless ulcer) at the
site of infection. Malaise (A) and maculopapular rash on palms (B) are
manifestations of secondary syphilis. Lymphadenopathy (D) can occur in both
primary and secondary stages.
Question 4
A public health nurse is working in a community that has a population of 24,096.
There are 2,096 existing cases of heart disease within the population. The nurse
can determine which of the following from this information?
A. Mortality rate
B. Attack rate
C. Prevalence proportion
D. Incidence proportion
Answer: C
Rationale: Prevalence proportion is the number of existing cases in a population at
a specific time. With 2,096 existing cases out of 24,096, this is a prevalence
proportion. Mortality rate (A) measures deaths. Attack rate (B) measures new cases
in a specific outbreak. Incidence proportion (D) measures new cases over time.
Question 5
A nurse is preparing a community education program about health care needs
during pregnancy. The nurse should include that which of the following vaccines is
safe to administer to a client who is pregnant?
A. Herpes zoster
B. Tetanus, diphtheria, pertussis
pg. 2
,C. Varicella
D. Measles, mumps, rubella
Answer: B
Rationale: Tdap (tetanus, diphtheria, pertussis) is safe and recommended during
pregnancy. Herpes zoster (A), varicella (C), and MMR (D) are live vaccines and
are contraindicated during pregnancy.
Question 6
A school nurse is notified that an elementary school child is newly diagnosed with
pertussis. Which of the following actions should the school nurse take? (Select all
that apply)
A. Instruct the parent to keep the child home until the coughing stage has passed
B. Encourage family members to obtain prophylactic treatment
C. Quarantine the children in the child's class
D. Recommend the child receive a pneumococcal vaccine in 28 days
E. Check the immunizations of the child's classmates
Answer: A, B, E
Rationale: The child should stay home until the coughing stage has passed (A).
Family members should receive prophylactic treatment (B). Immunizations of
classmates should be checked (E). Quarantine (C) is not typically required for
pertussis. Pneumococcal vaccine (D) is not indicated for pertussis exposure.
Question 7
A nurse is caring for a 50-year-old client who has diabetes mellitus, recently lost
his job, and has no health insurance. The nurse should advise the client to do which
of the following?
A. Contact Medicare to determine eligibility
B. Contact Medicaid to determine eligibility
C. Go to the ER when services are needed
D. Go to the public health department when services are needed
Answer: B
Rationale: Medicaid eligibility is based on income and household size. The client
should contact Medicaid to determine eligibility. Medicare (A) is for those 65+ or
with certain disabilities. ER visits (C) are for emergencies. Public health
departments (D) provide some services but may not cover comprehensive care.
pg. 3
, Question 8
A home health nurse is orienting a newly licensed nurse who is drawing blood
from a client for laboratory testing and gets stuck by a used needle. Which of the
following statements by the newly licensed nurse indicates a need for further
teaching?
A. The client will be tested for HIV
B. The client will be tested for hepatitis B virus
C. The client will be tested for hepatitis C virus
D. The client will be tested for hepatitis A virus
Answer: D
Rationale: Hepatitis A is transmitted through fecal-oral route, not bloodborne.
HIV (A), hepatitis B (B), and hepatitis C (C) are bloodborne pathogens and should
be tested after a needle stick. Hepatitis A testing is not indicated for needle stick
exposure.
Question 9
A clinic nurse manager is developing an education program on TB skin testing.
The nurse should include that which of the following can cause a false-negative
result? (Select all that apply)
A. Advanced HIV or AIDS
B. Bacille Calmette-Guérin (BCG) vaccination
C. Time between exposure and screening
D. Age of the client
E. Recent abuse of IV substances
Answer: A, C, D
Rationale: Advanced HIV/AIDS (A) causes anergy (false-negative). Time
between exposure and screening (C) can cause false-negative if testing is done too
early. Age of the client (D) can affect immune response. BCG vaccination (B)
causes false-positive results, not false-negative. IV substance abuse (E) is not a
direct cause of false-negatives.
Question 10
A hospice nurse is assessing a family's ability to care for a relative who has
terminal cancer. Which of the following findings indicates a potential barrier to the
pg. 4
