ATI Community Health: Environmental and Occupational
Health Study Guide 2026/2027 UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. Which mnemonic is used by nurses to assess current and past environmental
exposures?
A. ADPIE
B. IPREPARE
C. PHASE
D. SBAR
Answer: B
Rationale: The IPREPARE mnemonic (Investigate, Present work, Residence,
Environmental concerns, Past work, Activities, Resources/Referrals, Educate) is specifically
designed for environmental exposure history.
2. A nurse teaching a family about lead poisoning prevention should include
which instruction?
A. Wet-mop floors rather than vacuuming them.
B. Use hot tap water for cooking and making baby formula.
C. Sand old paint to remove it from walls.
D. Decrease intake of calcium and iron.
Answer: A
Rationale: Wet-mopping helps prevent lead dust from becoming airborne; vacuuming can
spread lead dust unless a HEPA filter is used.
,3. Which agency is responsible for researching and recommending standards for
workplace safety?
A. NIOSH
B. EPA
C. OSHA
D. FDA
Answer: A
Rationale: NIOSH (National Institute for Occupational Safety and Health) focuses on
research and recommendations, while OSHA focuses on enforcement.
4. In the ‘IPREPARE’ mnemonic, what does the first ‘P’ stand for?
A. Potential risks
B. Past work
C. Present work
D. Personal habits
Answer: C
Rationale: The first ‘P’ stands for ‘Present work’, which includes questions about current
exposures, PPE use, and MSDS availability.
5. Which of the following is an example of secondary prevention in occupational
health?
A. Teaching ergonomics to office workers
B. Providing immunizations for hepatitis B
C. Screening for hearing loss due to noise exposure
D. Case management for a worker with a back injury
Answer: C
Rationale: Screening and early detection of diseases or conditions (like hearing loss)
constitute secondary prevention.
, 6. What is the primary goal of the Occupational Safety and Health
Administration (OSHA)?
A. To conduct research on new workplace chemicals
B. To provide health insurance to injured workers
C. To ensure safe and healthful working conditions by enforcing standards
D. To track the incidence of occupational illnesses globally
Answer: C
Rationale: OSHA is a regulatory agency responsible for setting and enforcing standards to
protect workers.
7. Which environmental health hazard is a colorless, odorless gas that can cause
asphyxiation?
A. Radon
B. Carbon monoxide
C. Sulfur dioxide
D. Particulate matter
Answer: B
Rationale: Carbon monoxide is a silent killer because it is odorless and colorless, binding
to hemoglobin and preventing oxygen transport.
8. Which of the following populations is at the highest risk for adverse health
effects from environmental toxins?
A. Healthy young adults
B. Professional athletes
C. Middle-aged office workers
D. Children
Answer: D
Rationale: Children are at higher risk due to their rapid rate of development, higher
respiratory rates, and behaviors like hand-to-mouth activity.
Health Study Guide 2026/2027 UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. Which mnemonic is used by nurses to assess current and past environmental
exposures?
A. ADPIE
B. IPREPARE
C. PHASE
D. SBAR
Answer: B
Rationale: The IPREPARE mnemonic (Investigate, Present work, Residence,
Environmental concerns, Past work, Activities, Resources/Referrals, Educate) is specifically
designed for environmental exposure history.
2. A nurse teaching a family about lead poisoning prevention should include
which instruction?
A. Wet-mop floors rather than vacuuming them.
B. Use hot tap water for cooking and making baby formula.
C. Sand old paint to remove it from walls.
D. Decrease intake of calcium and iron.
Answer: A
Rationale: Wet-mopping helps prevent lead dust from becoming airborne; vacuuming can
spread lead dust unless a HEPA filter is used.
,3. Which agency is responsible for researching and recommending standards for
workplace safety?
A. NIOSH
B. EPA
C. OSHA
D. FDA
Answer: A
Rationale: NIOSH (National Institute for Occupational Safety and Health) focuses on
research and recommendations, while OSHA focuses on enforcement.
4. In the ‘IPREPARE’ mnemonic, what does the first ‘P’ stand for?
A. Potential risks
B. Past work
C. Present work
D. Personal habits
Answer: C
Rationale: The first ‘P’ stands for ‘Present work’, which includes questions about current
exposures, PPE use, and MSDS availability.
5. Which of the following is an example of secondary prevention in occupational
health?
A. Teaching ergonomics to office workers
B. Providing immunizations for hepatitis B
C. Screening for hearing loss due to noise exposure
D. Case management for a worker with a back injury
Answer: C
Rationale: Screening and early detection of diseases or conditions (like hearing loss)
constitute secondary prevention.
, 6. What is the primary goal of the Occupational Safety and Health
Administration (OSHA)?
A. To conduct research on new workplace chemicals
B. To provide health insurance to injured workers
C. To ensure safe and healthful working conditions by enforcing standards
D. To track the incidence of occupational illnesses globally
Answer: C
Rationale: OSHA is a regulatory agency responsible for setting and enforcing standards to
protect workers.
7. Which environmental health hazard is a colorless, odorless gas that can cause
asphyxiation?
A. Radon
B. Carbon monoxide
C. Sulfur dioxide
D. Particulate matter
Answer: B
Rationale: Carbon monoxide is a silent killer because it is odorless and colorless, binding
to hemoglobin and preventing oxygen transport.
8. Which of the following populations is at the highest risk for adverse health
effects from environmental toxins?
A. Healthy young adults
B. Professional athletes
C. Middle-aged office workers
D. Children
Answer: D
Rationale: Children are at higher risk due to their rapid rate of development, higher
respiratory rates, and behaviors like hand-to-mouth activity.
