Ati Rn Community Health Cms Exam -Practice Questions And
Answers 2026/2027 Exam | Complete Questions And Answers
(Verified Answers) | Exam Prep | Comprehensive Exam Guide
2026&2027
1. A community health nurse is assessing a neighborhood with a high rate of newly
diagnosed type 2 diabetes. Which finding should the nurse identify as a modifiable
community risk factor?
A. Average age of residents
B. Genetic predisposition
C. Limited access to affordable healthy foods
D. Family history of diabetes
Answer: C
Limited access to affordable healthy foods is a modifiable environmental factor that can
contribute to poor dietary patterns and increased diabetes risk. The other findings are largely
nonmodifiable characteristics.
2. A public health nurse is planning a primary prevention program for adolescents.
Which intervention should the nurse include?
A. Teaching students about HPV vaccination
B. Screening students for cervical cancer
C. Referring students with abnormal Pap results
D. Providing rehabilitation after cancer treatment
Answer: A
Primary prevention prevents disease before it occurs. Education and promotion of
recommended immunizations, including HPV vaccination, reduce the risk of future disease.
3. A nurse is conducting a windshield survey of a community. Which observation
provides information about the community's physical environment?
A. Percentage of residents with health insurance
B. Number of residents reporting depression
C. Rates of chronic disease
D. Availability of sidewalks and recreational areas
Answer: D
A windshield survey involves systematic observation of the physical and social characteristics
of a community. Sidewalks and recreational spaces are important environmental
observations.
, 4. A community health nurse wants to determine whether a proposed health program
addresses a priority community need. Which action should the nurse take first?
A. Purchase educational materials
B. Analyze community assessment data
C. Schedule individual counseling sessions
D. Begin advertising the program
Answer: B
Community assessment data identify population needs, risk factors, available resources, and
priorities. Program planning should be based on these findings.
5. A nurse is teaching a community group about levels of prevention. Which example
represents secondary prevention?
A. Administering an influenza vaccine
B. Teaching healthy eating habits
C. Screening adults for hypertension
D. Providing physical therapy after a stroke
Answer: C
Secondary prevention focuses on early detection and treatment of disease. Blood pressure
screening can identify hypertension before complications develop.
6. A nurse receives a report that several people who attended the same community
event developed vomiting and diarrhea within 24 hours. Which action is the
priority?
A. Begin collecting information about the affected individuals
B. Recommend that residents receive influenza vaccines
C. Provide long-term dietary counseling
D. Develop a chronic disease support group
Answer: A
A cluster of similar acute illnesses suggests a possible outbreak. The nurse should begin
gathering epidemiologic information to identify affected persons, exposures, and potential
sources.
7. A public health nurse is interviewing a client who may have been exposed to
tuberculosis. Which question is most important when assessing exposure risk?
A. "How often do you exercise?"
B. "What foods do you usually eat?"
C. "Do you have seasonal allergies?"
D. "Have you spent prolonged time in close contact with anyone diagnosed with
tuberculosis?"
,Answer: D
Tuberculosis is transmitted primarily through airborne particles. Prolonged close contact with
an infectious person is an important exposure risk.
8. A nurse is developing a community teaching program for adults with limited health
literacy. Which strategy is most appropriate?
A. Provide lengthy written explanations
B. Use plain language and demonstrate important skills
C. Use complex medical terminology
D. Ask participants to memorize disease definitions
Answer: B
Plain language, demonstrations, pictures, and teach-back techniques improve understanding
and support appropriate health decisions among people with limited health literacy.
9. A community nurse is evaluating a smoking cessation program. Which finding
provides the strongest evidence that the program achieved its intended outcome?
A. More residents attended health fairs
B. Participants reported liking the educational materials
C. The proportion of participants who stopped smoking increased
D. The program distributed more brochures than expected
Answer: C
An outcome measure evaluates whether the desired health change occurred. An increased
smoking-cessation rate directly measures the program's intended effect.
10. A nurse is assigned to conduct a home visit for an older adult who lives alone.
Which action should the nurse take before entering the home?
A. Assess the environment for potential safety hazards
B. Immediately rearrange the client's furniture
C. Ask the client to sign all teaching materials
D. Begin medication reconciliation without an introduction
Answer: A
Home visits require attention to the client's safety as well as the nurse's safety. The nurse
should assess environmental hazards before proceeding with the visit.
11. A community health nurse is reviewing an immunization program. Which activity is
an example of primary prevention?
A. Identifying children with developmental delays
B. Referring children with hearing loss
, C. Treating children with vaccine-preventable infections
D. Administering recommended childhood vaccines
Answer: D
Vaccination prevents infection from occurring and therefore represents primary prevention.
12. A nurse is caring for a client from a culture in which family members traditionally
participate in major health decisions. Which approach is appropriate?
A. Exclude the family to preserve confidentiality
B. Ask the client whom they want involved in decision-making
C. Assume the oldest family member should make decisions
D. Require the client to make decisions independently
Answer: B
Culturally responsive care begins by asking the client about preferences and desired family
involvement rather than making assumptions based on cultural background.
13. A community nurse identifies an increase in opioid-related deaths. Which
intervention represents tertiary prevention?
A. Providing rehabilitation services to individuals with substance use disorder
B. Teaching adolescents about substance-use risks
C. Distributing prevention information before substance exposure
D. Conducting community screening for risk factors
Answer: A
Tertiary prevention reduces complications and disability associated with an established
condition. Rehabilitation for substance use disorder is an example.
14. A nurse is assessing the effectiveness of a community walking program. Which
indicator is most useful?
A. Number of posters displayed
B. Number of volunteers recruited
C. Percentage of participants who demonstrate increased physical activity
D. Number of meetings conducted
Answer: C
The percentage of participants who increase physical activity directly evaluates whether the
intervention changed the targeted behavior.
15. A nurse is planning services for a community with a high percentage of uninsured
residents. Which resource should the nurse investigate first?
A. Private specialty clinics only
Answers 2026/2027 Exam | Complete Questions And Answers
(Verified Answers) | Exam Prep | Comprehensive Exam Guide
2026&2027
1. A community health nurse is assessing a neighborhood with a high rate of newly
diagnosed type 2 diabetes. Which finding should the nurse identify as a modifiable
community risk factor?
A. Average age of residents
B. Genetic predisposition
C. Limited access to affordable healthy foods
D. Family history of diabetes
Answer: C
Limited access to affordable healthy foods is a modifiable environmental factor that can
contribute to poor dietary patterns and increased diabetes risk. The other findings are largely
nonmodifiable characteristics.
2. A public health nurse is planning a primary prevention program for adolescents.
Which intervention should the nurse include?
A. Teaching students about HPV vaccination
B. Screening students for cervical cancer
C. Referring students with abnormal Pap results
D. Providing rehabilitation after cancer treatment
Answer: A
Primary prevention prevents disease before it occurs. Education and promotion of
recommended immunizations, including HPV vaccination, reduce the risk of future disease.
3. A nurse is conducting a windshield survey of a community. Which observation
provides information about the community's physical environment?
A. Percentage of residents with health insurance
B. Number of residents reporting depression
C. Rates of chronic disease
D. Availability of sidewalks and recreational areas
Answer: D
A windshield survey involves systematic observation of the physical and social characteristics
of a community. Sidewalks and recreational spaces are important environmental
observations.
, 4. A community health nurse wants to determine whether a proposed health program
addresses a priority community need. Which action should the nurse take first?
A. Purchase educational materials
B. Analyze community assessment data
C. Schedule individual counseling sessions
D. Begin advertising the program
Answer: B
Community assessment data identify population needs, risk factors, available resources, and
priorities. Program planning should be based on these findings.
5. A nurse is teaching a community group about levels of prevention. Which example
represents secondary prevention?
A. Administering an influenza vaccine
B. Teaching healthy eating habits
C. Screening adults for hypertension
D. Providing physical therapy after a stroke
Answer: C
Secondary prevention focuses on early detection and treatment of disease. Blood pressure
screening can identify hypertension before complications develop.
6. A nurse receives a report that several people who attended the same community
event developed vomiting and diarrhea within 24 hours. Which action is the
priority?
A. Begin collecting information about the affected individuals
B. Recommend that residents receive influenza vaccines
C. Provide long-term dietary counseling
D. Develop a chronic disease support group
Answer: A
A cluster of similar acute illnesses suggests a possible outbreak. The nurse should begin
gathering epidemiologic information to identify affected persons, exposures, and potential
sources.
7. A public health nurse is interviewing a client who may have been exposed to
tuberculosis. Which question is most important when assessing exposure risk?
A. "How often do you exercise?"
B. "What foods do you usually eat?"
C. "Do you have seasonal allergies?"
D. "Have you spent prolonged time in close contact with anyone diagnosed with
tuberculosis?"
,Answer: D
Tuberculosis is transmitted primarily through airborne particles. Prolonged close contact with
an infectious person is an important exposure risk.
8. A nurse is developing a community teaching program for adults with limited health
literacy. Which strategy is most appropriate?
A. Provide lengthy written explanations
B. Use plain language and demonstrate important skills
C. Use complex medical terminology
D. Ask participants to memorize disease definitions
Answer: B
Plain language, demonstrations, pictures, and teach-back techniques improve understanding
and support appropriate health decisions among people with limited health literacy.
9. A community nurse is evaluating a smoking cessation program. Which finding
provides the strongest evidence that the program achieved its intended outcome?
A. More residents attended health fairs
B. Participants reported liking the educational materials
C. The proportion of participants who stopped smoking increased
D. The program distributed more brochures than expected
Answer: C
An outcome measure evaluates whether the desired health change occurred. An increased
smoking-cessation rate directly measures the program's intended effect.
10. A nurse is assigned to conduct a home visit for an older adult who lives alone.
Which action should the nurse take before entering the home?
A. Assess the environment for potential safety hazards
B. Immediately rearrange the client's furniture
C. Ask the client to sign all teaching materials
D. Begin medication reconciliation without an introduction
Answer: A
Home visits require attention to the client's safety as well as the nurse's safety. The nurse
should assess environmental hazards before proceeding with the visit.
11. A community health nurse is reviewing an immunization program. Which activity is
an example of primary prevention?
A. Identifying children with developmental delays
B. Referring children with hearing loss
, C. Treating children with vaccine-preventable infections
D. Administering recommended childhood vaccines
Answer: D
Vaccination prevents infection from occurring and therefore represents primary prevention.
12. A nurse is caring for a client from a culture in which family members traditionally
participate in major health decisions. Which approach is appropriate?
A. Exclude the family to preserve confidentiality
B. Ask the client whom they want involved in decision-making
C. Assume the oldest family member should make decisions
D. Require the client to make decisions independently
Answer: B
Culturally responsive care begins by asking the client about preferences and desired family
involvement rather than making assumptions based on cultural background.
13. A community nurse identifies an increase in opioid-related deaths. Which
intervention represents tertiary prevention?
A. Providing rehabilitation services to individuals with substance use disorder
B. Teaching adolescents about substance-use risks
C. Distributing prevention information before substance exposure
D. Conducting community screening for risk factors
Answer: A
Tertiary prevention reduces complications and disability associated with an established
condition. Rehabilitation for substance use disorder is an example.
14. A nurse is assessing the effectiveness of a community walking program. Which
indicator is most useful?
A. Number of posters displayed
B. Number of volunteers recruited
C. Percentage of participants who demonstrate increased physical activity
D. Number of meetings conducted
Answer: C
The percentage of participants who increase physical activity directly evaluates whether the
intervention changed the targeted behavior.
15. A nurse is planning services for a community with a high percentage of uninsured
residents. Which resource should the nurse investigate first?
A. Private specialty clinics only
