ATI Community Health Proctored Exam
Test Bank 2026/2027 NGN Comprehensive
150-Question Multiple-Choice Practice
Examination with Detailed Rationales
for Advanced Nursing Candidates
Difficulty Level: Advanced / Hard (Mixed)
Target Audience: Nursing students preparing for the ATI RN Community Health Proctored Exam and
NCLEX-RN
Format: Next Generation NCLEX (NGN) aligned multiple-choice questions
Total Questions: 150
Table of Contents
Section Topic Questions Page
I Foundations of Community Health Nursing 1–15 2
II Epidemiology and Biostatistics 16–30 3
III Community Health Assessment 31–42 4
IV Health Promotion and Disease Prevention 43–57 5
V Vulnerable Populations and Health Disparities 58–75 6
VI Environmental and Occupational Health 76–90 7
VII Communicable Disease Control 91–105 8
VIII Disaster Nursing and Emergency Preparedness 106–120 9
IX Maternal, Child, and School Health 121–135 10
,Section Topic Questions Page
X Home Health, Hospice, and Case Management 136–150 11
SECTION I: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1–15)
🟢 Question 1: A community health nurse just accepted a position in community health and has been
assigned to a neighborhood very close to where she lives. Which of the following best describes the
rationale for this assignment?
A. To maximize convenience and minimize commuting time for the nurse
B. To ensure that the nurse would care about her intervention outcomes
C. To allow participant observation by the nurse
D. To save gasoline in these difficult economic times
🔴 Correct Answer: C — Such an assignment allows for participant observation, or the deliberate sharing
in the life of a community. If the nurse lives in the community, activities such as participating in clinical
organizations and church life and reading the newspaper give the nurse "observations" of the
community's life. The priority is that the nurse is knowledgeable of and can observe the community; the
assignment does not have to do with convenience or transportation costs.
🟢 Question 2: A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and community-oriented
nursing, the nurse should include which of the following situations as an example of community-based
nursing?
A. A nurse conducting a community-wide immunization campaign
B. A nurse providing direct care to individuals and families in their homes
C. A nurse developing policies to improve population health outcomes
D. A nurse analyzing epidemiological data for disease surveillance
🔴 Correct Answer: B — Community-based nursing focuses on providing direct care to individuals and
families in community settings, such as homes, schools, and clinics. Community-oriented nursing focuses
on population-level health promotion, disease prevention, and policy development.
🟢 Question 3: A nurse is preparing a presentation on the roles of public health nurses. Which of the
following should be included as a function of assurance?
A. Identifying environmental hazards
B. Developing community policies
C. Linking clients to needed healthcare services
D. Diagnosing community health problems
,🔴 Correct Answer: C — "Assurance" refers to making sure essential health services are available and
accessible. Linking clients with services fulfills this core public health function.
🟢 Question 4: During a home visit, a nurse assesses an older adult client living alone. Which of the
following findings requires immediate intervention?
A. Unused medications stored in a cabinet
B. Frayed electrical cords near the bed
C. No handrails in the bathroom
D. Expired canned goods in the kitchen
🔴 Correct Answer: B — Frayed electrical cords pose an immediate fire and shock hazard, especially in
close proximity to sleep areas. The other findings are important but not as acutely dangerous.
🟢 Question 5: A community health nurse is conducting a windshield survey of an urban neighborhood.
Which of the following findings represents a social determinant of health?
A. Availability of walking trails
B. Number of fast-food restaurants
C. Presence of homelessness in public parks
D. Type of residential housing
🔴 Correct Answer: C — Social determinants of health include economic stability, education, social and
community context, health and healthcare, and neighborhood and built environment. Homelessness in
public parks reflects a breakdown in social and economic structures affecting health.
🟢 Question 6: A community health nurse drives through an assigned community before visiting
scheduled groups and then drives through again in the evening. Which of the following best describes
the nurse's reason for this action?
A. On the second trip, the nurse can confirm the results of the first assessment
B. Repeating the experience ensures that the nurse absorbed all relevant details
C. Driving through twice allows the nurse to see the community when many residents are at work or
school and then again when most are at home
D. When leaving in the evening, the nurse has more time to write down the results
🔴 Correct Answer: C — When doing a windshield survey, the nurse should observe twice: once during
the day when people are at work and children are at school, and again in the evening after work is done.
Different activities occur at different times, giving a more complete picture of the community.
, 🟢 Question 7: Before beginning to survey the community to assess its health needs and strengths, the
nurse reviews local statistical data and minutes of previous health care agency meetings. Which of the
following best explains why the nurse would start with this activity?
A. To avoid confronting the community until the nurse is thoroughly oriented
B. To become familiar with previous goals and priorities of the agency
C. To help get a better understanding of the assigned community
D. To save time and effort and perhaps gain new insight
🔴 Correct Answer: D — The nurse uses previously gathered data because it saves time and effort. Many
sources of data are readily available and useful for secondary analysis.
🟢 Question 8: A community health nurse is explaining the concept of health literacy to a group of
nursing students. Which statement demonstrates correct understanding?
A. "Reading level is the only determinant of health literacy."
B. "Health literacy does not influence health outcomes."
C. "Clients with limited health literacy may misunderstand medication instructions."
D. "Clients with low literacy are more likely to seek emergency care appropriately."
🔴 Correct Answer: C — Clients with low health literacy often have difficulty understanding prescription
instructions, which can lead to medication errors and poor outcomes. Health literacy includes reading,
comprehension, and numeracy skills.
🟢 Question 9: Which of the following best describes the concept of health disparities?
A. The universal access to healthcare services regardless of socioeconomic status
B. The implementation of standardized care protocols in all hospitals
C. The natural biological differences that occur as individuals age
D. The systematic difference in health status or distribution of health resources between different
population groups
🔴 Correct Answer: D — Health disparities are preventable differences in the burden of disease, injury,
violence, or opportunities to achieve optimal health experienced by socially disadvantaged populations.
🟢 Question 10: A nurse is explaining the difference between community-based and community-oriented
nursing. Which of the following is an example of community-oriented nursing?
A. Administering insulin to a diabetic patient during a home visit
B. Conducting a community health assessment to identify population health needs
C. Providing wound care to a post-surgical client at a clinic
D. Teaching a family about medication management
Test Bank 2026/2027 NGN Comprehensive
150-Question Multiple-Choice Practice
Examination with Detailed Rationales
for Advanced Nursing Candidates
Difficulty Level: Advanced / Hard (Mixed)
Target Audience: Nursing students preparing for the ATI RN Community Health Proctored Exam and
NCLEX-RN
Format: Next Generation NCLEX (NGN) aligned multiple-choice questions
Total Questions: 150
Table of Contents
Section Topic Questions Page
I Foundations of Community Health Nursing 1–15 2
II Epidemiology and Biostatistics 16–30 3
III Community Health Assessment 31–42 4
IV Health Promotion and Disease Prevention 43–57 5
V Vulnerable Populations and Health Disparities 58–75 6
VI Environmental and Occupational Health 76–90 7
VII Communicable Disease Control 91–105 8
VIII Disaster Nursing and Emergency Preparedness 106–120 9
IX Maternal, Child, and School Health 121–135 10
,Section Topic Questions Page
X Home Health, Hospice, and Case Management 136–150 11
SECTION I: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1–15)
🟢 Question 1: A community health nurse just accepted a position in community health and has been
assigned to a neighborhood very close to where she lives. Which of the following best describes the
rationale for this assignment?
A. To maximize convenience and minimize commuting time for the nurse
B. To ensure that the nurse would care about her intervention outcomes
C. To allow participant observation by the nurse
D. To save gasoline in these difficult economic times
🔴 Correct Answer: C — Such an assignment allows for participant observation, or the deliberate sharing
in the life of a community. If the nurse lives in the community, activities such as participating in clinical
organizations and church life and reading the newspaper give the nurse "observations" of the
community's life. The priority is that the nurse is knowledgeable of and can observe the community; the
assignment does not have to do with convenience or transportation costs.
🟢 Question 2: A nurse manager at a community agency is developing an orientation program for newly
hired nurses. When discussing the differences between community-based and community-oriented
nursing, the nurse should include which of the following situations as an example of community-based
nursing?
A. A nurse conducting a community-wide immunization campaign
B. A nurse providing direct care to individuals and families in their homes
C. A nurse developing policies to improve population health outcomes
D. A nurse analyzing epidemiological data for disease surveillance
🔴 Correct Answer: B — Community-based nursing focuses on providing direct care to individuals and
families in community settings, such as homes, schools, and clinics. Community-oriented nursing focuses
on population-level health promotion, disease prevention, and policy development.
🟢 Question 3: A nurse is preparing a presentation on the roles of public health nurses. Which of the
following should be included as a function of assurance?
A. Identifying environmental hazards
B. Developing community policies
C. Linking clients to needed healthcare services
D. Diagnosing community health problems
,🔴 Correct Answer: C — "Assurance" refers to making sure essential health services are available and
accessible. Linking clients with services fulfills this core public health function.
🟢 Question 4: During a home visit, a nurse assesses an older adult client living alone. Which of the
following findings requires immediate intervention?
A. Unused medications stored in a cabinet
B. Frayed electrical cords near the bed
C. No handrails in the bathroom
D. Expired canned goods in the kitchen
🔴 Correct Answer: B — Frayed electrical cords pose an immediate fire and shock hazard, especially in
close proximity to sleep areas. The other findings are important but not as acutely dangerous.
🟢 Question 5: A community health nurse is conducting a windshield survey of an urban neighborhood.
Which of the following findings represents a social determinant of health?
A. Availability of walking trails
B. Number of fast-food restaurants
C. Presence of homelessness in public parks
D. Type of residential housing
🔴 Correct Answer: C — Social determinants of health include economic stability, education, social and
community context, health and healthcare, and neighborhood and built environment. Homelessness in
public parks reflects a breakdown in social and economic structures affecting health.
🟢 Question 6: A community health nurse drives through an assigned community before visiting
scheduled groups and then drives through again in the evening. Which of the following best describes
the nurse's reason for this action?
A. On the second trip, the nurse can confirm the results of the first assessment
B. Repeating the experience ensures that the nurse absorbed all relevant details
C. Driving through twice allows the nurse to see the community when many residents are at work or
school and then again when most are at home
D. When leaving in the evening, the nurse has more time to write down the results
🔴 Correct Answer: C — When doing a windshield survey, the nurse should observe twice: once during
the day when people are at work and children are at school, and again in the evening after work is done.
Different activities occur at different times, giving a more complete picture of the community.
, 🟢 Question 7: Before beginning to survey the community to assess its health needs and strengths, the
nurse reviews local statistical data and minutes of previous health care agency meetings. Which of the
following best explains why the nurse would start with this activity?
A. To avoid confronting the community until the nurse is thoroughly oriented
B. To become familiar with previous goals and priorities of the agency
C. To help get a better understanding of the assigned community
D. To save time and effort and perhaps gain new insight
🔴 Correct Answer: D — The nurse uses previously gathered data because it saves time and effort. Many
sources of data are readily available and useful for secondary analysis.
🟢 Question 8: A community health nurse is explaining the concept of health literacy to a group of
nursing students. Which statement demonstrates correct understanding?
A. "Reading level is the only determinant of health literacy."
B. "Health literacy does not influence health outcomes."
C. "Clients with limited health literacy may misunderstand medication instructions."
D. "Clients with low literacy are more likely to seek emergency care appropriately."
🔴 Correct Answer: C — Clients with low health literacy often have difficulty understanding prescription
instructions, which can lead to medication errors and poor outcomes. Health literacy includes reading,
comprehension, and numeracy skills.
🟢 Question 9: Which of the following best describes the concept of health disparities?
A. The universal access to healthcare services regardless of socioeconomic status
B. The implementation of standardized care protocols in all hospitals
C. The natural biological differences that occur as individuals age
D. The systematic difference in health status or distribution of health resources between different
population groups
🔴 Correct Answer: D — Health disparities are preventable differences in the burden of disease, injury,
violence, or opportunities to achieve optimal health experienced by socially disadvantaged populations.
🟢 Question 10: A nurse is explaining the difference between community-based and community-oriented
nursing. Which of the following is an example of community-oriented nursing?
A. Administering insulin to a diabetic patient during a home visit
B. Conducting a community health assessment to identify population health needs
C. Providing wound care to a post-surgical client at a clinic
D. Teaching a family about medication management
