ATI RN Community Health CMS Proctored
Exam 2024 [Actual Exam] Real Questions &
Detailed Correct Answers
Question 1: A community-health nurse is conducting a windshield survey and notes that most
homes have peeling paint and visible water damage. This finding is most indicative of which
environmental health hazard?
A) Radon exposure
B) Lead exposure
C) Carbon monoxide poisoning
D) Ultraviolet radiation
Correct Answer: B) Lead exposure
Explanation: Deteriorating lead-based paint in older homes creates dust and chips that children
can ingest or inhale, increasing risk of developmental and neuro-cognitive problems.
Question 2: A nurse is planning a primary-prevention program for obesity in a rural county. Which
intervention is most appropriate?
A) Establishing a bariatric surgery referral clinic
B) Implementing farm-to-school salad bars
,C) Hosting weight-loss surgery info nights
D) Providing home-care wound visits
Correct Answer: B) Implementing farm-to-school salad bars
Explanation: Primary prevention aims to prevent disease before it occurs; increasing access to
fruits/vegetables in schools addresses dietary risk factors at the population level.
Question 3: A parish nurse is organizing a blood-pressure screening after Sunday services. This is
an example of which level of prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Correct Answer: B) Secondary
Explanation: Screening asymptomatic adults detects hypertension early, allowing prompt
intervention to prevent cardiovascular complications—a classic secondary-prevention activity.
Question 4: A community-health nurse is assessing a neighborhood with a large immigrant
population. Which approach is most appropriate to build trust?
A) Conduct surveys only in English
B) Use culturally competent bilingual workers
, C) Rely solely on social-media outreach
D) Schedule meetings during standard work hours
Correct Answer: B) Use culturally competent bilingual workers
Explanation: Language concordance and cultural respect reduce communication barriers and
demonstrate sensitivity to norms, fostering engagement and trust.
Question 5: A nurse is evaluating the effectiveness of a smoking-cessation program. Which
indicator best measures program impact?
A) Number of flyers distributed
B) Percentage of participants who quit at 6 months
C) Dollars spent on advertising
D) Number of community partners
Correct Answer: B) Percentage of participants who quit at 6 months
Explanation: Outcome indicators reflect actual health changes; sustained quit rates directly
measure program success in reducing tobacco use.
Question 6: A public-health nurse discovers that a local factory is dumping chemicals into a river.
The nurse’s first action should be to:
A) Confront the factory manager alone
B) Report the finding to the environmental health agency
Exam 2024 [Actual Exam] Real Questions &
Detailed Correct Answers
Question 1: A community-health nurse is conducting a windshield survey and notes that most
homes have peeling paint and visible water damage. This finding is most indicative of which
environmental health hazard?
A) Radon exposure
B) Lead exposure
C) Carbon monoxide poisoning
D) Ultraviolet radiation
Correct Answer: B) Lead exposure
Explanation: Deteriorating lead-based paint in older homes creates dust and chips that children
can ingest or inhale, increasing risk of developmental and neuro-cognitive problems.
Question 2: A nurse is planning a primary-prevention program for obesity in a rural county. Which
intervention is most appropriate?
A) Establishing a bariatric surgery referral clinic
B) Implementing farm-to-school salad bars
,C) Hosting weight-loss surgery info nights
D) Providing home-care wound visits
Correct Answer: B) Implementing farm-to-school salad bars
Explanation: Primary prevention aims to prevent disease before it occurs; increasing access to
fruits/vegetables in schools addresses dietary risk factors at the population level.
Question 3: A parish nurse is organizing a blood-pressure screening after Sunday services. This is
an example of which level of prevention?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Correct Answer: B) Secondary
Explanation: Screening asymptomatic adults detects hypertension early, allowing prompt
intervention to prevent cardiovascular complications—a classic secondary-prevention activity.
Question 4: A community-health nurse is assessing a neighborhood with a large immigrant
population. Which approach is most appropriate to build trust?
A) Conduct surveys only in English
B) Use culturally competent bilingual workers
, C) Rely solely on social-media outreach
D) Schedule meetings during standard work hours
Correct Answer: B) Use culturally competent bilingual workers
Explanation: Language concordance and cultural respect reduce communication barriers and
demonstrate sensitivity to norms, fostering engagement and trust.
Question 5: A nurse is evaluating the effectiveness of a smoking-cessation program. Which
indicator best measures program impact?
A) Number of flyers distributed
B) Percentage of participants who quit at 6 months
C) Dollars spent on advertising
D) Number of community partners
Correct Answer: B) Percentage of participants who quit at 6 months
Explanation: Outcome indicators reflect actual health changes; sustained quit rates directly
measure program success in reducing tobacco use.
Question 6: A public-health nurse discovers that a local factory is dumping chemicals into a river.
The nurse’s first action should be to:
A) Confront the factory manager alone
B) Report the finding to the environmental health agency
