ATI RN COMMUNITY HEALTH
COMPREHENSIVE PRACTICE EXAM
1. A community health nurse is conducting a program on primary prevention for
cardiovascular disease. Which of the following activities should the nurse include?
A. Providing blood pressure screenings at a local health fair.
B. Referring a client with hypertension to a cardiac rehabilitation program.
C. Teaching healthy cooking classes to a group of young adults.
D. Monitoring cholesterol levels of clients who have a history of myocardial infarction.
Answer: C
Conceptual Explanation: Primary prevention focuses on health promotion and disease
prevention before the condition occurs. Teaching healthy cooking helps prevent the onset
of cardiovascular disease. Screenings (A) are secondary, and rehabilitation (C) or
monitoring existing disease (D) are tertiary.
2. A nurse is investigating an outbreak of foodborne illness in a community. Which of the
following steps should the nurse take first during the epidemiological investigation?
A. Establish the existence of an outbreak.
B. Analyze the data to identify the source of the outbreak.
,C. Implement a plan to prevent further spread of the illness.
D. Communicate findings to the local media.
Answer: A
Conceptual Explanation: The first step in an epidemiological investigation is to confirm
that an outbreak is actually occurring by comparing current cases to the baseline rate in the
community.
3. A community health nurse is performing a windshield survey. Which of the following
components should the nurse include in the assessment?
A. Interviewing community leaders about local politics.
B. Reviewing public health records for morbidity rates.
C. Observing the condition of housing and presence of open spaces.
D. Conducting a formal focus group with residents.
Answer: C
Conceptual Explanation: A windshield survey is an observational assessment of a
community while driving or walking through it. It involves observing the physical
environment, such as housing, parks, and infrastructure.
4. A nurse is working with a family who has a child with a chronic illness. Which of the
following actions demonstrates the nurse’s role as a case manager?
A. Performing a physical assessment on the child during a home visit.
, B. Teaching the parents how to administer the child’s medication.
C. Advocating for the child’s needs during an Individualized Education Program (IEP)
meeting.
D. Coordinating physical therapy and nutrition services for the child.
Answer: D
Conceptual Explanation: Case management involves coordinating care and services to
ensure continuity and meet the client’s needs efficiently.
5. A home health nurse is visiting an older adult client. Which of the following findings is the
highest priority for the nurse to address?
A. The client has several throw rugs on the floor in the hallway.
B. The client has a bathtub without grab bars.
C. The client has expired medications in their medicine cabinet.
D. The client reports a weight loss of 2.3 kg (5 lb) over the last month.
Answer: D
Conceptual Explanation: Using Maslow’s Hierarchy of Needs or the ABCs, physical
changes like rapid weight loss require immediate clinical investigation to rule out serious
illness or malnutrition, which takes priority over environmental safety hazards.
COMPREHENSIVE PRACTICE EXAM
1. A community health nurse is conducting a program on primary prevention for
cardiovascular disease. Which of the following activities should the nurse include?
A. Providing blood pressure screenings at a local health fair.
B. Referring a client with hypertension to a cardiac rehabilitation program.
C. Teaching healthy cooking classes to a group of young adults.
D. Monitoring cholesterol levels of clients who have a history of myocardial infarction.
Answer: C
Conceptual Explanation: Primary prevention focuses on health promotion and disease
prevention before the condition occurs. Teaching healthy cooking helps prevent the onset
of cardiovascular disease. Screenings (A) are secondary, and rehabilitation (C) or
monitoring existing disease (D) are tertiary.
2. A nurse is investigating an outbreak of foodborne illness in a community. Which of the
following steps should the nurse take first during the epidemiological investigation?
A. Establish the existence of an outbreak.
B. Analyze the data to identify the source of the outbreak.
,C. Implement a plan to prevent further spread of the illness.
D. Communicate findings to the local media.
Answer: A
Conceptual Explanation: The first step in an epidemiological investigation is to confirm
that an outbreak is actually occurring by comparing current cases to the baseline rate in the
community.
3. A community health nurse is performing a windshield survey. Which of the following
components should the nurse include in the assessment?
A. Interviewing community leaders about local politics.
B. Reviewing public health records for morbidity rates.
C. Observing the condition of housing and presence of open spaces.
D. Conducting a formal focus group with residents.
Answer: C
Conceptual Explanation: A windshield survey is an observational assessment of a
community while driving or walking through it. It involves observing the physical
environment, such as housing, parks, and infrastructure.
4. A nurse is working with a family who has a child with a chronic illness. Which of the
following actions demonstrates the nurse’s role as a case manager?
A. Performing a physical assessment on the child during a home visit.
, B. Teaching the parents how to administer the child’s medication.
C. Advocating for the child’s needs during an Individualized Education Program (IEP)
meeting.
D. Coordinating physical therapy and nutrition services for the child.
Answer: D
Conceptual Explanation: Case management involves coordinating care and services to
ensure continuity and meet the client’s needs efficiently.
5. A home health nurse is visiting an older adult client. Which of the following findings is the
highest priority for the nurse to address?
A. The client has several throw rugs on the floor in the hallway.
B. The client has a bathtub without grab bars.
C. The client has expired medications in their medicine cabinet.
D. The client reports a weight loss of 2.3 kg (5 lb) over the last month.
Answer: D
Conceptual Explanation: Using Maslow’s Hierarchy of Needs or the ABCs, physical
changes like rapid weight loss require immediate clinical investigation to rule out serious
illness or malnutrition, which takes priority over environmental safety hazards.
