RN ATI Community Health 2026 Version | ATI RN
Community Health Nursing Assessment 2026 |
Comprehensive Practice Questions with Answers
and Rationales | NGN Review | NCLEX-RN
Preparation Study Guide
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1-35)
Question 1
A community health nurse is planning a primary prevention program. Which of
the following interventions should the nurse include?
A) Blood pressure screening for adults
B) Immunization clinic for children
C) Cardiac rehabilitation program for post-MI patients
D) Diabetes self-management education
Correct Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs.
Immunizations are a classic example of primary prevention. Blood pressure
screening is secondary prevention (early detection). Cardiac rehabilitation and
diabetes education are tertiary prevention (management of existing disease).
Question 2
Which of the following best describes the primary goal of community health
nursing?
A) Providing direct patient care
B) Ensuring disease prevention
C) Promoting health within a community
D) Implementing hospital policies
Correct Answer: C
,Rationale: The primary goal of community health nursing is to promote and
protect the health of populations through health education, disease prevention,
and community-based care. While direct care is part of the role, the focus
is on population-level health promotion.
Question 3
A nurse is conducting a community assessment. Which of the following is an
example of secondary prevention?
A) Health education classes on healthy eating
B) Mammography screening for women over 50
C) Physical therapy for stroke patients
D) Smoking cessation support groups
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment of
disease. Mammography screening is a secondary prevention measure.
Healthy eating classes are primary prevention; physical therapy and smoking
cessation groups can be tertiary prevention (managing existing conditions).
Question 4
According to the Health Belief Model, which of the following factors influences an
individual's likelihood of taking action to avoid disease? (Select all that apply)
A) Perceived susceptibility to the disease
B) Perceived seriousness of the disease
C) Perceived benefits of action minus perceived barriers
D) Cues to action
E) All of the above
Correct Answer: A, B, C, D
,Rationale: The Health Belief Model describes the likelihood of taking action to
avoid disease based on perceived susceptibility, perceived seriousness, modifying
factors, cues to action, and perceived benefits minus perceived barriers.
This model assumes preventive health behaviors are taken primarily to avoid
disease.
Question 5
Which of the following is a core function of public health?
A) Assessment
B) Policy development
C) Assurance
D) All of the above
Correct Answer: D
Rationale: The three core functions of public health are assessment (collecting
and analyzing data), policy development (developing policies and plans to address
health issues), and assurance (ensuring that necessary services are provided).
All three functions are essential to public health practice.
Question 6
A nurse is using the "levels of prevention" framework to plan community
interventions. Which of the following is an example of secondary prevention?
A) Health education on safe sex practices
B) Contact tracing for sexually transmitted infections
C) Support groups for people living with HIV
D) Antiretroviral therapy for HIV-positive patients
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment.
Contact tracing for STIs is secondary prevention because it identifies exposed
, individuals and provides treatment to prevent further spread. Health
education is primary; support groups and antiretroviral therapy are tertiary.
Question 7
A community health nurse reviews surveillance data showing a gradual increase in
pertussis among school-aged children despite high overall vaccination coverage.
Which action best demonstrates a population-focused nursing intervention?
A) Collaborate with public health officials to identify undervaccinated clusters and
implement targeted outreach
B) Recommend prophylactic antibiotics for every child in the district
C) Encourage only symptomatic students to remain home
D) Focus exclusively on treatment of hospitalized cases
Correct Answer: A
Rationale: Population-focused nursing emphasizes identifying trends,
assessing contributing factors, and implementing interventions that improve
health outcomes for groups rather than individual clients alone. Targeted
outreach addresses gaps in vaccine coverage while supporting disease
prevention.
Question 8
Nightingale's environmental theory emphasized what aspect of care?
A) Hospital-based treatment
B) Preventive care
C) Surgical intervention
D) Pharmaceutical management
Correct Answer: B
Rationale: Florence Nightingale's environmental theory emphasized the
importance of fresh air, clean water, sanitation, and light in promoting health and
preventing disease. Her work during the Crimean War demonstrated that
Community Health Nursing Assessment 2026 |
Comprehensive Practice Questions with Answers
and Rationales | NGN Review | NCLEX-RN
Preparation Study Guide
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Questions 1-35)
Question 1
A community health nurse is planning a primary prevention program. Which of
the following interventions should the nurse include?
A) Blood pressure screening for adults
B) Immunization clinic for children
C) Cardiac rehabilitation program for post-MI patients
D) Diabetes self-management education
Correct Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs.
Immunizations are a classic example of primary prevention. Blood pressure
screening is secondary prevention (early detection). Cardiac rehabilitation and
diabetes education are tertiary prevention (management of existing disease).
Question 2
Which of the following best describes the primary goal of community health
nursing?
A) Providing direct patient care
B) Ensuring disease prevention
C) Promoting health within a community
D) Implementing hospital policies
Correct Answer: C
,Rationale: The primary goal of community health nursing is to promote and
protect the health of populations through health education, disease prevention,
and community-based care. While direct care is part of the role, the focus
is on population-level health promotion.
Question 3
A nurse is conducting a community assessment. Which of the following is an
example of secondary prevention?
A) Health education classes on healthy eating
B) Mammography screening for women over 50
C) Physical therapy for stroke patients
D) Smoking cessation support groups
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment of
disease. Mammography screening is a secondary prevention measure.
Healthy eating classes are primary prevention; physical therapy and smoking
cessation groups can be tertiary prevention (managing existing conditions).
Question 4
According to the Health Belief Model, which of the following factors influences an
individual's likelihood of taking action to avoid disease? (Select all that apply)
A) Perceived susceptibility to the disease
B) Perceived seriousness of the disease
C) Perceived benefits of action minus perceived barriers
D) Cues to action
E) All of the above
Correct Answer: A, B, C, D
,Rationale: The Health Belief Model describes the likelihood of taking action to
avoid disease based on perceived susceptibility, perceived seriousness, modifying
factors, cues to action, and perceived benefits minus perceived barriers.
This model assumes preventive health behaviors are taken primarily to avoid
disease.
Question 5
Which of the following is a core function of public health?
A) Assessment
B) Policy development
C) Assurance
D) All of the above
Correct Answer: D
Rationale: The three core functions of public health are assessment (collecting
and analyzing data), policy development (developing policies and plans to address
health issues), and assurance (ensuring that necessary services are provided).
All three functions are essential to public health practice.
Question 6
A nurse is using the "levels of prevention" framework to plan community
interventions. Which of the following is an example of secondary prevention?
A) Health education on safe sex practices
B) Contact tracing for sexually transmitted infections
C) Support groups for people living with HIV
D) Antiretroviral therapy for HIV-positive patients
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and treatment.
Contact tracing for STIs is secondary prevention because it identifies exposed
, individuals and provides treatment to prevent further spread. Health
education is primary; support groups and antiretroviral therapy are tertiary.
Question 7
A community health nurse reviews surveillance data showing a gradual increase in
pertussis among school-aged children despite high overall vaccination coverage.
Which action best demonstrates a population-focused nursing intervention?
A) Collaborate with public health officials to identify undervaccinated clusters and
implement targeted outreach
B) Recommend prophylactic antibiotics for every child in the district
C) Encourage only symptomatic students to remain home
D) Focus exclusively on treatment of hospitalized cases
Correct Answer: A
Rationale: Population-focused nursing emphasizes identifying trends,
assessing contributing factors, and implementing interventions that improve
health outcomes for groups rather than individual clients alone. Targeted
outreach addresses gaps in vaccine coverage while supporting disease
prevention.
Question 8
Nightingale's environmental theory emphasized what aspect of care?
A) Hospital-based treatment
B) Preventive care
C) Surgical intervention
D) Pharmaceutical management
Correct Answer: B
Rationale: Florence Nightingale's environmental theory emphasized the
importance of fresh air, clean water, sanitation, and light in promoting health and
preventing disease. Her work during the Crimean War demonstrated that
