ATI RN COMMUNITY HEALTH 2026
PROCTORED EXAM PRACTICE
QUESTIONS AND ANSWERS
1. A community health nurse is implementing primary prevention activities. Which of the
following should the nurse include?
A. Performing skin cancer screenings for local construction workers
B. Providing physical therapy referrals for a client who had a stroke
C. Teaching a class about nutritional requirements for pregnant adolescents
D. Administering tuberculin skin tests to residents at a homeless shelter
Answer: C
Conceptual Explanation: Primary prevention involves health promotion and disease
prevention activities. Nutrition education during pregnancy prevents complications before
they occur. Screenings are secondary, and therapy/rehabilitation is tertiary.
2. A nurse is using the epidemiological triangle to investigate an outbreak of influenza. Which
of the following factors is considered the ‘agent’?
A. The H1N1 virus identified in the patient samples
B. The underlying chronic respiratory disease of a resident
,C. Crowded living conditions in a college dormitory
D. Low vaccination rates within the general community
Answer: A
Conceptual Explanation: In the epidemiological triangle, the agent is the factor that
causes the disease (in this case, the virus). The host is the human, and the environment is
the setting/conditions like crowding.
3. During a disaster triage scenario using the START method, a nurse assesses a victim with a
respiratory rate of 34/min. How should the nurse tag this client?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Deceased)
D. Red (Immediate)
Answer: D
Conceptual Explanation: Under the START triage system, a respiratory rate greater than
30/min indicates an immediate (Red) priority for treatment.
4. A home health nurse is visiting a client with a history of lead exposure. Which of the
following environmental assessment findings should be the nurse’s priority?
A. The home was built in 1985 and has some peeling wallpaper
B. The client uses ceramic dishes imported from abroad for hot meals
, C. There are several copper pipes visible in the basement
D. The client’s yard is adjacent to a busy interstate highway
Answer: B
Conceptual Explanation: Imported ceramics often contain lead glazes that can leach into
hot food, posing an immediate risk. While older homes (pre-1978) and highways are risks,
imported ceramics are a significant source of direct ingestion toxicity.
5. A nurse is conducting a secondary prevention activity for a group of older adults. Which of
the following actions should the nurse perform?
A. Holding a support group for spouses of clients with dementia
B. Conducting a blood pressure screening at a senior center
C. Administering a shingles vaccine to a 65-year-old client
D. Referring a client with COPD to a pulmonary rehab program
Answer: B
Conceptual Explanation: Secondary prevention focuses on early detection and screening.
Blood pressure checks identify hypertension early. Vaccines are primary; support groups
and rehab are tertiary.
6. An occupational health nurse is evaluating a workplace for ergonomic hazards. Which of
the following is an example of an ergonomic risk factor?
A. Exposure to secondhand smoke in the breakroom
PROCTORED EXAM PRACTICE
QUESTIONS AND ANSWERS
1. A community health nurse is implementing primary prevention activities. Which of the
following should the nurse include?
A. Performing skin cancer screenings for local construction workers
B. Providing physical therapy referrals for a client who had a stroke
C. Teaching a class about nutritional requirements for pregnant adolescents
D. Administering tuberculin skin tests to residents at a homeless shelter
Answer: C
Conceptual Explanation: Primary prevention involves health promotion and disease
prevention activities. Nutrition education during pregnancy prevents complications before
they occur. Screenings are secondary, and therapy/rehabilitation is tertiary.
2. A nurse is using the epidemiological triangle to investigate an outbreak of influenza. Which
of the following factors is considered the ‘agent’?
A. The H1N1 virus identified in the patient samples
B. The underlying chronic respiratory disease of a resident
,C. Crowded living conditions in a college dormitory
D. Low vaccination rates within the general community
Answer: A
Conceptual Explanation: In the epidemiological triangle, the agent is the factor that
causes the disease (in this case, the virus). The host is the human, and the environment is
the setting/conditions like crowding.
3. During a disaster triage scenario using the START method, a nurse assesses a victim with a
respiratory rate of 34/min. How should the nurse tag this client?
A. Green (Minor)
B. Yellow (Delayed)
C. Black (Deceased)
D. Red (Immediate)
Answer: D
Conceptual Explanation: Under the START triage system, a respiratory rate greater than
30/min indicates an immediate (Red) priority for treatment.
4. A home health nurse is visiting a client with a history of lead exposure. Which of the
following environmental assessment findings should be the nurse’s priority?
A. The home was built in 1985 and has some peeling wallpaper
B. The client uses ceramic dishes imported from abroad for hot meals
, C. There are several copper pipes visible in the basement
D. The client’s yard is adjacent to a busy interstate highway
Answer: B
Conceptual Explanation: Imported ceramics often contain lead glazes that can leach into
hot food, posing an immediate risk. While older homes (pre-1978) and highways are risks,
imported ceramics are a significant source of direct ingestion toxicity.
5. A nurse is conducting a secondary prevention activity for a group of older adults. Which of
the following actions should the nurse perform?
A. Holding a support group for spouses of clients with dementia
B. Conducting a blood pressure screening at a senior center
C. Administering a shingles vaccine to a 65-year-old client
D. Referring a client with COPD to a pulmonary rehab program
Answer: B
Conceptual Explanation: Secondary prevention focuses on early detection and screening.
Blood pressure checks identify hypertension early. Vaccines are primary; support groups
and rehab are tertiary.
6. An occupational health nurse is evaluating a workplace for ergonomic hazards. Which of
the following is an example of an ergonomic risk factor?
A. Exposure to secondhand smoke in the breakroom
