ATI Community Health: Levels of Prevention Practice Pack 2026
|Questions |Answers |Rationales
1. A community health nurse is planning a program about primary prevention.
Which of the following topics should the nurse include?
A. Mammography screening for women over 40
B. Physical therapy for patients after a stroke
C. Immunization education for parents of toddlers
D. Tuberculin skin testing for high-risk populations
Answer: C
Rationale: Primary prevention focus on health promotion and preventing the initial
occurrence of disease or injury. Immunization education is a classic primary prevention
strategy.
2. A nurse is providing secondary prevention for a group of clients. Which of the
following activities should the nurse perform?
A. Screening school-age children for scoliosis
B. Referring a client to a support group for grief
C. Teaching a client how to use an inhaler for asthma
D. Advocating for better housing for low-income families
Answer: A
Rationale: Secondary prevention focuses on early detection and treatment of disease with
the goal of limiting severity and adverse effects. Screenings are secondary prevention.
,3. A nurse is working with a client who has a permanent disability. Which level
of prevention is focused on rehabilitation and restoring the client to their
optimal level of functioning?
A. Primary prevention
B. Secondary prevention
C. Quaternary prevention
D. Tertiary prevention
Answer: D
Rationale: Tertiary prevention aims to maximize recovery and reduce the limitations
caused by an existing disease or injury through rehabilitation.
4. Providing nutritional counseling to a group of healthy young adults is an
example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Answer: A
Rationale: Nutritional counseling for healthy individuals is a primary prevention measure
because it aims to prevent the onset of chronic diseases.
5. A community nurse is performing a skin assessment on a client with a history
of frequent sun exposure. This action is classified as:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: B
, Rationale: Assessing or screening for potential health issues (like skin cancer) in at-risk
individuals is secondary prevention.
6. Which of the following is an example of tertiary prevention for a client with
diabetes mellitus?
A. Teaching a client how to perform daily foot exams to prevent ulcers
B. Educating the community about the risk factors for diabetes
C. Screening for high blood sugar levels at a health fair
D. Providing a low-sugar diet to children at a local school
Answer: A
Rationale: Teaching a client with a diagnosed disease how to manage complications (like
foot ulcers) is tertiary prevention.
7. A nurse is advocating for legislation to require bicycle helmets for all children.
This is an example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Acute care
Answer: C
Rationale: Legislative efforts to prevent injury before it happens (like helmet laws) are
primary prevention.
8. A nurse is conducting a lead screening program for children in a community
with older homes. Which level of prevention is this?
A. Secondary
B. Primary
C. Tertiary
D. Environmental remediation
Answer: A
|Questions |Answers |Rationales
1. A community health nurse is planning a program about primary prevention.
Which of the following topics should the nurse include?
A. Mammography screening for women over 40
B. Physical therapy for patients after a stroke
C. Immunization education for parents of toddlers
D. Tuberculin skin testing for high-risk populations
Answer: C
Rationale: Primary prevention focus on health promotion and preventing the initial
occurrence of disease or injury. Immunization education is a classic primary prevention
strategy.
2. A nurse is providing secondary prevention for a group of clients. Which of the
following activities should the nurse perform?
A. Screening school-age children for scoliosis
B. Referring a client to a support group for grief
C. Teaching a client how to use an inhaler for asthma
D. Advocating for better housing for low-income families
Answer: A
Rationale: Secondary prevention focuses on early detection and treatment of disease with
the goal of limiting severity and adverse effects. Screenings are secondary prevention.
,3. A nurse is working with a client who has a permanent disability. Which level
of prevention is focused on rehabilitation and restoring the client to their
optimal level of functioning?
A. Primary prevention
B. Secondary prevention
C. Quaternary prevention
D. Tertiary prevention
Answer: D
Rationale: Tertiary prevention aims to maximize recovery and reduce the limitations
caused by an existing disease or injury through rehabilitation.
4. Providing nutritional counseling to a group of healthy young adults is an
example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health restoration
Answer: A
Rationale: Nutritional counseling for healthy individuals is a primary prevention measure
because it aims to prevent the onset of chronic diseases.
5. A community nurse is performing a skin assessment on a client with a history
of frequent sun exposure. This action is classified as:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
Answer: B
, Rationale: Assessing or screening for potential health issues (like skin cancer) in at-risk
individuals is secondary prevention.
6. Which of the following is an example of tertiary prevention for a client with
diabetes mellitus?
A. Teaching a client how to perform daily foot exams to prevent ulcers
B. Educating the community about the risk factors for diabetes
C. Screening for high blood sugar levels at a health fair
D. Providing a low-sugar diet to children at a local school
Answer: A
Rationale: Teaching a client with a diagnosed disease how to manage complications (like
foot ulcers) is tertiary prevention.
7. A nurse is advocating for legislation to require bicycle helmets for all children.
This is an example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Acute care
Answer: C
Rationale: Legislative efforts to prevent injury before it happens (like helmet laws) are
primary prevention.
8. A nurse is conducting a lead screening program for children in a community
with older homes. Which level of prevention is this?
A. Secondary
B. Primary
C. Tertiary
D. Environmental remediation
Answer: A
