ATI Community Health Nursing Comprehensive Review
2026 UPDATED ACTUAL Exam Questions and CORRECT
Answers
1. A community health nurse is conducting an educational session on primary
prevention. Which of the following activities should the nurse include?
A. Teaching healthy nutrition classes to a group of middle school students
B. Providing skin cancer screenings for local construction workers
C. Collaborating with a physical therapist for post-stroke rehabilitation
D. Administering insulin to a client who has type 2 diabetes mellitus
Answer: A
Rationale: Primary prevention focuses on health promotion and disease prevention before
an illness or injury occurs. Nutrition education is a form of health promotion.
2. A nurse is performing a windshield survey of a local neighborhood. Which of
the following components should the nurse assess?
A. The prevalence of diabetes among residents
B. The availability of public transportation and sidewalks
C. The individual medical records of community members
D. Informant interviews with local religious leaders
Answer: B
Rationale: A windshield survey involves an observational assessment of a community’s
physical environment, including infrastructure like transportation and sidewalks.
,3. A nurse is working with a client who has a communicable disease that must
be reported to the CDC. Which of the following diseases should the nurse
report?
A. Clostridium difficile (C. diff)
B. Herpes simplex virus (HSV)
C. Common seasonal influenza
D. Lyme disease
Answer: D
Rationale: Lyme disease is a nationally notifiable condition that providers must report to
local and state health departments, which then report to the CDC.
4. Which of the following describes the ‘host’ in the epidemiological triangle?
A. A virus that causes the seasonal flu
B. High levels of pollution in an urban area
C. Contaminated water supply in a rural village
D. An older adult with a compromised immune system
Answer: D
Rationale: In the epidemiological triangle, the host is the living being (human or animal)
affected by the agent. Age and immune status are host factors.
5. A nurse is caring for a client who is being screened for tuberculosis (TB).
Which type of prevention is a TB skin test?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Secondary prevention involves early detection and screening of diseases to
limit the severity or spread.
, 6. A school nurse is managing a student with a severe peanut allergy. Which of
the following is an example of tertiary prevention?
A. Creating an individualized healthcare plan for students with chronic allergies
B. Implementing a ‘no-peanut’ policy in the cafeteria
C. Administering epinephrine to a student during an allergic reaction
D. Educating teachers about the signs of anaphylaxis
Answer: A
Rationale: Tertiary prevention focuses on managing long-term health problems and
preventing complications for those with existing conditions.
7. An occupational health nurse is evaluating workplace hazards. Which of the
following is considered a ‘physical’ hazard?
A. Extreme noise levels from heavy machinery
B. Workplace stress and high job demand
C. Exposure to industrial cleaning chemicals
D. The presence of mold in the ventilation system
Answer: A
Rationale: Physical hazards include environmental factors such as noise, temperature
extremes, vibration, and radiation.
8. A community health nurse is planning a health fair for migrant farmworkers.
What is the nurse’s first step in planning the program?
A. Secure a location and funding
B. Develop educational materials in the primary language
C. Evaluate the success of previous health fairs
D. Perform a needs assessment of the population
Answer: D
Rationale: The first step in any nursing process or program planning is assessment to
identify the specific needs and barriers of the target population.
2026 UPDATED ACTUAL Exam Questions and CORRECT
Answers
1. A community health nurse is conducting an educational session on primary
prevention. Which of the following activities should the nurse include?
A. Teaching healthy nutrition classes to a group of middle school students
B. Providing skin cancer screenings for local construction workers
C. Collaborating with a physical therapist for post-stroke rehabilitation
D. Administering insulin to a client who has type 2 diabetes mellitus
Answer: A
Rationale: Primary prevention focuses on health promotion and disease prevention before
an illness or injury occurs. Nutrition education is a form of health promotion.
2. A nurse is performing a windshield survey of a local neighborhood. Which of
the following components should the nurse assess?
A. The prevalence of diabetes among residents
B. The availability of public transportation and sidewalks
C. The individual medical records of community members
D. Informant interviews with local religious leaders
Answer: B
Rationale: A windshield survey involves an observational assessment of a community’s
physical environment, including infrastructure like transportation and sidewalks.
,3. A nurse is working with a client who has a communicable disease that must
be reported to the CDC. Which of the following diseases should the nurse
report?
A. Clostridium difficile (C. diff)
B. Herpes simplex virus (HSV)
C. Common seasonal influenza
D. Lyme disease
Answer: D
Rationale: Lyme disease is a nationally notifiable condition that providers must report to
local and state health departments, which then report to the CDC.
4. Which of the following describes the ‘host’ in the epidemiological triangle?
A. A virus that causes the seasonal flu
B. High levels of pollution in an urban area
C. Contaminated water supply in a rural village
D. An older adult with a compromised immune system
Answer: D
Rationale: In the epidemiological triangle, the host is the living being (human or animal)
affected by the agent. Age and immune status are host factors.
5. A nurse is caring for a client who is being screened for tuberculosis (TB).
Which type of prevention is a TB skin test?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Secondary prevention involves early detection and screening of diseases to
limit the severity or spread.
, 6. A school nurse is managing a student with a severe peanut allergy. Which of
the following is an example of tertiary prevention?
A. Creating an individualized healthcare plan for students with chronic allergies
B. Implementing a ‘no-peanut’ policy in the cafeteria
C. Administering epinephrine to a student during an allergic reaction
D. Educating teachers about the signs of anaphylaxis
Answer: A
Rationale: Tertiary prevention focuses on managing long-term health problems and
preventing complications for those with existing conditions.
7. An occupational health nurse is evaluating workplace hazards. Which of the
following is considered a ‘physical’ hazard?
A. Extreme noise levels from heavy machinery
B. Workplace stress and high job demand
C. Exposure to industrial cleaning chemicals
D. The presence of mold in the ventilation system
Answer: A
Rationale: Physical hazards include environmental factors such as noise, temperature
extremes, vibration, and radiation.
8. A community health nurse is planning a health fair for migrant farmworkers.
What is the nurse’s first step in planning the program?
A. Secure a location and funding
B. Develop educational materials in the primary language
C. Evaluate the success of previous health fairs
D. Perform a needs assessment of the population
Answer: D
Rationale: The first step in any nursing process or program planning is assessment to
identify the specific needs and barriers of the target population.
