ATI RN Community Health CMS Exam 2026 |
200 Practice Questions with Answers &
Detailed Explanations | Latest ATI Proctored |
Guaranteed Pass
📚 Section 1: Foundations of Community Health Nursing (Questions 1–35)
1. A community health nurse is conducting a windshield survey of a low-income
urban neighborhood and notes abandoned buildings with broken windows, few
grocery stores, limited public transportation, and no parks. Which social determinant
of health is most directly impacted by these observations?
A) Economic stability
B) Neighborhood and built environment
C) Social and community context
D) Healthcare access and quality
Answer: B
Explanation: The neighborhood and built environment domain includes housing quality,
access to healthy food (food deserts), transportation options, and recreational facilities.
These physical environment factors directly influence health behaviors and outcomes.
, Economic stability relates to employment and income, social and community context
involves social support networks, and healthcare access relates to availability of medical
services .
2. Which of the following statements best describes the role of the community health
nurse?
A) To provide direct care to individuals in acute care settings
B) To promote health and prevent disease at the population level
C) To manage healthcare facility operations
D) To provide primary care in clinics only
Answer: B
Explanation: The community health nurse's role is population-focused, emphasizing health
promotion and disease prevention for entire communities. Public health nursing =
community-oriented nursing. Community health nurses focus on aggregates and
populations rather than providing direct care to individuals in acute settings .
3. Which of the following is an example of a health indicator?
A) Number of hospital beds in a community
B) Infant mortality rate of a community
C) Number of physicians in a community
D) Average income of a community
, Answer: B
Explanation: Health indicators describe the health status of a community and serve as
targets for improvement of a community's health. Examples include mortality rates,
morbidity rates, and life expectancy. Hospital beds and physicians are healthcare
resources; income is a socioeconomic indicator .
4. A nurse is using the "systems thinking" approach in community health. Which
statement best describes this approach?
A) Focus on individual behavior change
B) Examine how individual or unit interacts with other organizations or systems
C) Address only immediate health concerns
D) Focus on treating existing disease
Answer: B
Explanation: Systems thinking studies how an individual or unit interacts with other
organizations or systems. It is useful in examining cause-and-effect relationships within
complex community systems and understanding how changes in one part of a system affect
other parts .
5. A nurse is planning a community health program. Which step should the nurse
take FIRST?
A) Implement the program
, B) Evaluate program outcomes
C) Assess the community's needs
D) Develop program objectives
Answer: C
Explanation: According to the nursing process, assessment precedes intervention. The
nurse must first assess the community's needs, strengths, and resources before planning,
implementing, or evaluating programs. Without a thorough community assessment,
interventions may not address the actual needs of the population .
6. A community health nurse is collecting demographic data as part of a community
assessment. Which of the following should be included?
A) Racial distribution
B) Family genograms
C) Number of open water sources
D) Presence of condemned buildings
Answer: A
Explanation: Demographic data includes characteristics such as age, gender, race,
ethnicity, income, and education levels of the population. Family genograms are
individual/family assessment tools. Open water sources and condemned buildings are
environmental assessment data .
200 Practice Questions with Answers &
Detailed Explanations | Latest ATI Proctored |
Guaranteed Pass
📚 Section 1: Foundations of Community Health Nursing (Questions 1–35)
1. A community health nurse is conducting a windshield survey of a low-income
urban neighborhood and notes abandoned buildings with broken windows, few
grocery stores, limited public transportation, and no parks. Which social determinant
of health is most directly impacted by these observations?
A) Economic stability
B) Neighborhood and built environment
C) Social and community context
D) Healthcare access and quality
Answer: B
Explanation: The neighborhood and built environment domain includes housing quality,
access to healthy food (food deserts), transportation options, and recreational facilities.
These physical environment factors directly influence health behaviors and outcomes.
, Economic stability relates to employment and income, social and community context
involves social support networks, and healthcare access relates to availability of medical
services .
2. Which of the following statements best describes the role of the community health
nurse?
A) To provide direct care to individuals in acute care settings
B) To promote health and prevent disease at the population level
C) To manage healthcare facility operations
D) To provide primary care in clinics only
Answer: B
Explanation: The community health nurse's role is population-focused, emphasizing health
promotion and disease prevention for entire communities. Public health nursing =
community-oriented nursing. Community health nurses focus on aggregates and
populations rather than providing direct care to individuals in acute settings .
3. Which of the following is an example of a health indicator?
A) Number of hospital beds in a community
B) Infant mortality rate of a community
C) Number of physicians in a community
D) Average income of a community
, Answer: B
Explanation: Health indicators describe the health status of a community and serve as
targets for improvement of a community's health. Examples include mortality rates,
morbidity rates, and life expectancy. Hospital beds and physicians are healthcare
resources; income is a socioeconomic indicator .
4. A nurse is using the "systems thinking" approach in community health. Which
statement best describes this approach?
A) Focus on individual behavior change
B) Examine how individual or unit interacts with other organizations or systems
C) Address only immediate health concerns
D) Focus on treating existing disease
Answer: B
Explanation: Systems thinking studies how an individual or unit interacts with other
organizations or systems. It is useful in examining cause-and-effect relationships within
complex community systems and understanding how changes in one part of a system affect
other parts .
5. A nurse is planning a community health program. Which step should the nurse
take FIRST?
A) Implement the program
, B) Evaluate program outcomes
C) Assess the community's needs
D) Develop program objectives
Answer: C
Explanation: According to the nursing process, assessment precedes intervention. The
nurse must first assess the community's needs, strengths, and resources before planning,
implementing, or evaluating programs. Without a thorough community assessment,
interventions may not address the actual needs of the population .
6. A community health nurse is collecting demographic data as part of a community
assessment. Which of the following should be included?
A) Racial distribution
B) Family genograms
C) Number of open water sources
D) Presence of condemned buildings
Answer: A
Explanation: Demographic data includes characteristics such as age, gender, race,
ethnicity, income, and education levels of the population. Family genograms are
individual/family assessment tools. Open water sources and condemned buildings are
environmental assessment data .
