ATI Community Health: Health Promotion Strategies
(Week 3) 2026 UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. A community health nurse is planning a health fair to provide influenza
immunizations to local residents. Which level of prevention does this represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a hallmark of primary prevention.
2. A nurse is performing a skin assessment on a client at a community screening
event for melanoma. This action is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Active prevention
Answer: A
Rationale: Secondary prevention involves early detection and treatment of disease with
the goal of limiting severity and adverse effects, such as screenings.
,3. A nurse is teaching a group of clients who have a history of heart failure
about managing their diet and medications. Which level of prevention is the
nurse practicing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Educational prevention
Answer: B
Rationale: Tertiary prevention aims to maximize recovery after an injury or illness and
prevent complications in those already diagnosed.
4. According to the Health Belief Model, which of the following factors is the
strongest predictor of an individual taking action to prevent a disease?
A. Socioeconomic status
B. The cost of the medication
C. The perceived threat of the disease
D. The availability of transport
Answer: C
Rationale: The Health Belief Model suggests that perceived susceptibility and perceived
severity (perceived threat) are key drivers for behavioral change.
5. In the Transtheoretical Model, a client who states, ‘I have been thinking
about quitting smoking next month,’ is in which stage of change?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
, Rationale: Contemplation is the stage where the individual is considering a change in the
next 6 months but has not yet committed to taking action.
6. A nurse is evaluating the reliability of a new screening tool for hypertension.
Reliability refers to which of the following?
A. The ability of the tool to measure what it is intended to measure
B. The cost-effectiveness of the screening tool
C. The sensitivity of the test to detect disease
D. The consistency of the results over time and with different observers
Answer: D
Rationale: Reliability refers to the repeatability or consistency of a measure. Validity refers
to whether it measures what it claims to measure.
7. A nurse is calculating the incidence of a disease in a specific population.
Which data is required?
A. The total number of existing cases at a specific time
B. The number of people who have recovered
C. The number of deaths from the disease
D. The number of new cases during a specific period
Answer: D
Rationale: Incidence rate tracks new cases occurring in a population during a specific
period. Prevalence tracks all existing cases.
8. Which of the following describes the ‘Agent’ in the epidemiological triangle?
A. The living being that is affected by the disease
B. The physical environment where the disease occurs
C. The social system that influences health
D. The factor that causes the disease, such as a bacteria or chemical
Answer: D
(Week 3) 2026 UPDATED ACTUAL Exam Questions and
CORRECT Answers
1. A community health nurse is planning a health fair to provide influenza
immunizations to local residents. Which level of prevention does this represent?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Answer: A
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a hallmark of primary prevention.
2. A nurse is performing a skin assessment on a client at a community screening
event for melanoma. This action is an example of which level of prevention?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Active prevention
Answer: A
Rationale: Secondary prevention involves early detection and treatment of disease with
the goal of limiting severity and adverse effects, such as screenings.
,3. A nurse is teaching a group of clients who have a history of heart failure
about managing their diet and medications. Which level of prevention is the
nurse practicing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Educational prevention
Answer: B
Rationale: Tertiary prevention aims to maximize recovery after an injury or illness and
prevent complications in those already diagnosed.
4. According to the Health Belief Model, which of the following factors is the
strongest predictor of an individual taking action to prevent a disease?
A. Socioeconomic status
B. The cost of the medication
C. The perceived threat of the disease
D. The availability of transport
Answer: C
Rationale: The Health Belief Model suggests that perceived susceptibility and perceived
severity (perceived threat) are key drivers for behavioral change.
5. In the Transtheoretical Model, a client who states, ‘I have been thinking
about quitting smoking next month,’ is in which stage of change?
A. Contemplation
B. Precontemplation
C. Preparation
D. Action
Answer: A
, Rationale: Contemplation is the stage where the individual is considering a change in the
next 6 months but has not yet committed to taking action.
6. A nurse is evaluating the reliability of a new screening tool for hypertension.
Reliability refers to which of the following?
A. The ability of the tool to measure what it is intended to measure
B. The cost-effectiveness of the screening tool
C. The sensitivity of the test to detect disease
D. The consistency of the results over time and with different observers
Answer: D
Rationale: Reliability refers to the repeatability or consistency of a measure. Validity refers
to whether it measures what it claims to measure.
7. A nurse is calculating the incidence of a disease in a specific population.
Which data is required?
A. The total number of existing cases at a specific time
B. The number of people who have recovered
C. The number of deaths from the disease
D. The number of new cases during a specific period
Answer: D
Rationale: Incidence rate tracks new cases occurring in a population during a specific
period. Prevalence tracks all existing cases.
8. Which of the following describes the ‘Agent’ in the epidemiological triangle?
A. The living being that is affected by the disease
B. The physical environment where the disease occurs
C. The social system that influences health
D. The factor that causes the disease, such as a bacteria or chemical
Answer: D
