ATI RN COMMUNITY HEALTH
NURSING ADVANCED ASSESSMENT
QUESTIONS AND ANSWERS
1. A community health nurse is conducting a program for a group of local residents about the
secondary prevention of communicable diseases. Which of the following activities should the
nurse include?
A. Providing immunizations to older adults against influenza.
B. Lead screening for children who are at high risk for exposure.
C. Educating the public about safe food handling practices.
D. Rehabilitating clients who have complications from Lyme disease.
Answer: B
Conceptual Explanation: Secondary prevention focuses on early detection and screening.
Lead screening identifies children with elevated levels before severe damage occurs.
2. A nurse is working in a rural clinic. Which of the following factors should the nurse identify
as a primary barrier to healthcare for clients in this community?
A. Lack of interest in preventative care.
B. Availability of specialized medical equipment.
,C. Excessive number of healthcare providers.
D. Unavailability of public transportation.
Answer: D
Conceptual Explanation: In rural communities, transportation is a major barrier due to
distance and the lack of public transit systems.
3. An occupational health nurse is planning to use the epidemiological triad to investigate an
outbreak of respiratory illness in a factory. Which of the following factors should the nurse
identify as an environmental factor?
A. The age and health status of the employees.
B. The virulence of the specific virus causing the illness.
C. The chemical fumes present in the ventilation system.
D. The genetics and immunity of the workers.
Answer: C
Conceptual Explanation: In the epidemiological triad (agent, host, environment),
environmental factors are external factors that facilitate transmission, such as air quality or
working conditions.
4. A school nurse is providing primary prevention for students regarding substance abuse.
Which of the following actions should the nurse take?
A. Refer students to a local support group for drug addiction.
, B. Provide education on the risks of underage drinking at a school assembly.
C. Perform random drug testing for student-athletes.
D. Monitor students who are currently in recovery for relapse.
Answer: B
Conceptual Explanation: Primary prevention involves health promotion and disease
prevention to stop the problem before it starts.
5. A nurse is performing a windshield survey of a community. Which of the following
observations indicates a concern regarding environmental health?
A. Multiple public parks with children playing.
B. Handicap-accessible ramps on all public buildings.
C. Heavy traffic congestion near a residential school zone.
D. Abundant grocery stores selling fresh produce.
Answer: C
Conceptual Explanation: Heavy traffic near schools increases air pollution and risk of
injury, representing an environmental health concern.
6. A community health nurse is calculating the prevalence rate of a disease. Which of the
following data should the nurse include in the numerator?
A. The number of existing cases (new and old) in the population.
B. The total number of people in the population at risk.
NURSING ADVANCED ASSESSMENT
QUESTIONS AND ANSWERS
1. A community health nurse is conducting a program for a group of local residents about the
secondary prevention of communicable diseases. Which of the following activities should the
nurse include?
A. Providing immunizations to older adults against influenza.
B. Lead screening for children who are at high risk for exposure.
C. Educating the public about safe food handling practices.
D. Rehabilitating clients who have complications from Lyme disease.
Answer: B
Conceptual Explanation: Secondary prevention focuses on early detection and screening.
Lead screening identifies children with elevated levels before severe damage occurs.
2. A nurse is working in a rural clinic. Which of the following factors should the nurse identify
as a primary barrier to healthcare for clients in this community?
A. Lack of interest in preventative care.
B. Availability of specialized medical equipment.
,C. Excessive number of healthcare providers.
D. Unavailability of public transportation.
Answer: D
Conceptual Explanation: In rural communities, transportation is a major barrier due to
distance and the lack of public transit systems.
3. An occupational health nurse is planning to use the epidemiological triad to investigate an
outbreak of respiratory illness in a factory. Which of the following factors should the nurse
identify as an environmental factor?
A. The age and health status of the employees.
B. The virulence of the specific virus causing the illness.
C. The chemical fumes present in the ventilation system.
D. The genetics and immunity of the workers.
Answer: C
Conceptual Explanation: In the epidemiological triad (agent, host, environment),
environmental factors are external factors that facilitate transmission, such as air quality or
working conditions.
4. A school nurse is providing primary prevention for students regarding substance abuse.
Which of the following actions should the nurse take?
A. Refer students to a local support group for drug addiction.
, B. Provide education on the risks of underage drinking at a school assembly.
C. Perform random drug testing for student-athletes.
D. Monitor students who are currently in recovery for relapse.
Answer: B
Conceptual Explanation: Primary prevention involves health promotion and disease
prevention to stop the problem before it starts.
5. A nurse is performing a windshield survey of a community. Which of the following
observations indicates a concern regarding environmental health?
A. Multiple public parks with children playing.
B. Handicap-accessible ramps on all public buildings.
C. Heavy traffic congestion near a residential school zone.
D. Abundant grocery stores selling fresh produce.
Answer: C
Conceptual Explanation: Heavy traffic near schools increases air pollution and risk of
injury, representing an environmental health concern.
6. A community health nurse is calculating the prevalence rate of a disease. Which of the
following data should the nurse include in the numerator?
A. The number of existing cases (new and old) in the population.
B. The total number of people in the population at risk.
