ATI RN COMMUNITY HEALTH CMS
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026/2027 | INSTANT
DOWNLOAD PDF.
Core Domains
1. Epidemiology and Disease Prevention
2. Community Assessment and Program Planning
3. Health Promotion and Education
4. Environmental Health and Disaster Management
5. Vulnerable Populations and Special Issues
6. Legal and Ethical Issues in Community Health
7. Communicable Disease Control
8. Community Health Nursing Roles and Settings
Introduction
This comprehensive examination assesses the knowledge and clinical
judgment required for successful performance on the ATI RN
Community Health CMS Proctored Exam. It evaluates competency in
epidemiology, disease prevention, community assessment, health
promotion, environmental health, disaster management, care of
vulnerable populations, and legal/ethical issues. The examination
employs multiple-choice and Next Generation NCLEX (NGN)-style
questions that mirror the actual ATI CMS format and difficulty.
Emphasis is placed on population-focused care, critical thinking, and
,application of community health nursing principles. Success on this
examination demonstrates readiness for professional community health
nursing practice and confirms mastery of essential population health
competencies.
SECTION ONE: QUESTIONS 1–100
1. A community health nurse is conducting a needs assessment.
Which of the following best describes the purpose of a windshield
survey?
A. To conduct formal interviews with community leaders
B. To visually assess the community's physical environment, housing,
and resources
C. To review statistical data from the health department
D. To administer surveys to individual residents
Correct answer B. To visually assess the community's physical
environment, housing, and resources
RATIONALE: A windshield survey is a visual assessment tool
where the nurse drives or walks through a community to observe
housing conditions, schools, parks, transportation, grocery stores, and
safety. It provides informal, first-hand data about the community's
physical and social environment .
2. Which of the following is an example of primary prevention?
A. Blood pressure screening at a health fair
B. Immunization clinic for children
,C. Cardiac rehabilitation program
D. Tuberculosis screening for high-risk populations
Correct answer B. Immunization clinic for children
RATIONALE: Primary prevention aims to prevent disease before it
occurs. Immunizations prevent the development of infectious diseases.
Blood pressure and TB screenings are secondary prevention (early
detection), and cardiac rehab is tertiary prevention (reducing
complications of existing disease) .
3. A nurse is investigating a cluster of leukemia cases in a
community. Residents ask for information, but the nurse withholds
findings. Which ethical principle is being violated?
A. Beneficence
B. Respect for persons (autonomy)
C. Nonmaleficence
D. Distributive justice
Correct answer B. Respect for persons (autonomy)
RATIONALE: Respect for persons (autonomy) requires that
individuals be treated as autonomous agents and have the right to make
informed decisions. Withholding information about a leukemia cluster
violates the residents' right to be informed about health risks in their
community .
4. A community health nurse is planning an immunization clinic.
What is the first step in the nursing process?
A. Administering vaccines
, B. Conducting a community needs assessment
C. Developing educational materials
D. Evaluating the program's effectiveness
Correct answer B. Conducting a community needs assessment
RATIONALE: The nursing process always begins with assessment.
Before planning an immunization clinic, the nurse must assess the
community's needs, including immunization rates, barriers to access, and
available resources .
5. Which of the following best describes incidence?
A. The total number of existing cases of a disease at a specific point in
time
B. The number of new cases of a disease during a specified time period
C. The number of deaths from a disease
D. The severity of a disease
Correct answer B. The number of new cases of a disease during a
specified time period
RATIONALE: Incidence measures the number of new cases of a
disease that develop during a specified time period. Prevalence, in
contrast, measures all existing cases (new and pre-existing) at a specific
point in time .
6. A nurse is teaching a community group about lead poisoning
prevention. Which of the following is an example of secondary
prevention?
A. Public awareness campaign about lead paint hazards
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026/2027 | INSTANT
DOWNLOAD PDF.
Core Domains
1. Epidemiology and Disease Prevention
2. Community Assessment and Program Planning
3. Health Promotion and Education
4. Environmental Health and Disaster Management
5. Vulnerable Populations and Special Issues
6. Legal and Ethical Issues in Community Health
7. Communicable Disease Control
8. Community Health Nursing Roles and Settings
Introduction
This comprehensive examination assesses the knowledge and clinical
judgment required for successful performance on the ATI RN
Community Health CMS Proctored Exam. It evaluates competency in
epidemiology, disease prevention, community assessment, health
promotion, environmental health, disaster management, care of
vulnerable populations, and legal/ethical issues. The examination
employs multiple-choice and Next Generation NCLEX (NGN)-style
questions that mirror the actual ATI CMS format and difficulty.
Emphasis is placed on population-focused care, critical thinking, and
,application of community health nursing principles. Success on this
examination demonstrates readiness for professional community health
nursing practice and confirms mastery of essential population health
competencies.
SECTION ONE: QUESTIONS 1–100
1. A community health nurse is conducting a needs assessment.
Which of the following best describes the purpose of a windshield
survey?
A. To conduct formal interviews with community leaders
B. To visually assess the community's physical environment, housing,
and resources
C. To review statistical data from the health department
D. To administer surveys to individual residents
Correct answer B. To visually assess the community's physical
environment, housing, and resources
RATIONALE: A windshield survey is a visual assessment tool
where the nurse drives or walks through a community to observe
housing conditions, schools, parks, transportation, grocery stores, and
safety. It provides informal, first-hand data about the community's
physical and social environment .
2. Which of the following is an example of primary prevention?
A. Blood pressure screening at a health fair
B. Immunization clinic for children
,C. Cardiac rehabilitation program
D. Tuberculosis screening for high-risk populations
Correct answer B. Immunization clinic for children
RATIONALE: Primary prevention aims to prevent disease before it
occurs. Immunizations prevent the development of infectious diseases.
Blood pressure and TB screenings are secondary prevention (early
detection), and cardiac rehab is tertiary prevention (reducing
complications of existing disease) .
3. A nurse is investigating a cluster of leukemia cases in a
community. Residents ask for information, but the nurse withholds
findings. Which ethical principle is being violated?
A. Beneficence
B. Respect for persons (autonomy)
C. Nonmaleficence
D. Distributive justice
Correct answer B. Respect for persons (autonomy)
RATIONALE: Respect for persons (autonomy) requires that
individuals be treated as autonomous agents and have the right to make
informed decisions. Withholding information about a leukemia cluster
violates the residents' right to be informed about health risks in their
community .
4. A community health nurse is planning an immunization clinic.
What is the first step in the nursing process?
A. Administering vaccines
, B. Conducting a community needs assessment
C. Developing educational materials
D. Evaluating the program's effectiveness
Correct answer B. Conducting a community needs assessment
RATIONALE: The nursing process always begins with assessment.
Before planning an immunization clinic, the nurse must assess the
community's needs, including immunization rates, barriers to access, and
available resources .
5. Which of the following best describes incidence?
A. The total number of existing cases of a disease at a specific point in
time
B. The number of new cases of a disease during a specified time period
C. The number of deaths from a disease
D. The severity of a disease
Correct answer B. The number of new cases of a disease during a
specified time period
RATIONALE: Incidence measures the number of new cases of a
disease that develop during a specified time period. Prevalence, in
contrast, measures all existing cases (new and pre-existing) at a specific
point in time .
6. A nurse is teaching a community group about lead poisoning
prevention. Which of the following is an example of secondary
prevention?
A. Public awareness campaign about lead paint hazards
