ATI RN COMMUNITY HEALTH
NURSING PRACTICE EXAM QUESTIONS
AND ANSWERS
1. A community health nurse is conducting a primary prevention activity to reduce the
incidence of communicable diseases. Which of the following actions should the nurse take?
A. Performing a TB skin test for at-risk residents
B. Leading a support group for clients living with HIV
C. Administering antibiotics to a client with pneumonia
D. Providing education on hand hygiene to elementary students
Answer: D
Conceptual Explanation: Primary prevention involves activities that prevent the onset of
disease. Hand hygiene education is a primary prevention measure. TB testing is secondary,
while treatment and support groups are tertiary.
2. A nurse is triaging victims at the scene of a mass casualty event. Which client should be
assigned a red tag?
A. A client who is unconscious with a massive head injury and fixed pupils
,B. A client with a closed fracture of the right forearm
C. A client with a sucking chest wound and severe respiratory distress
D. A client with a minor laceration who is walking around the scene
Answer: C
Conceptual Explanation: Red tags are for immediate threats to life that are treatable.
Sucking chest wounds require immediate intervention. Fixed pupils in an unconscious
trauma patient are often black-tagged (expectant).
3. A nurse is applying the ethical principle of distributive justice in a community setting.
Which action best exemplifies this?
A. Ensuring a client gives informed consent for a procedure
B. Protecting the privacy of a client’s medical record
C. Keeping a promise to return to a client’s home at a specific time
D. Allocating flu vaccines to the most vulnerable populations first
Answer: D
Conceptual Explanation: Distributive justice refers to the fair distribution of benefits and
burdens in society. Prioritizing vulnerable populations for vaccines ensures equitable
access to resources.
, 4. An occupational health nurse is calculating the incidence rate of new back injuries in a
factory. Which data point is required for this calculation?
A. The total number of current back injuries in the factory
B. The number of new cases of back injuries in a specific timeframe
C. The number of workers who retired due to back injuries
D. The total number of deaths resulting from back injuries
Answer: B
Conceptual Explanation: Incidence rate refers to the number of new cases of a disease or
injury in a population over a specific period of time.
5. A community nurse is educating a family about lead exposure in an older home. Which of
the following interventions is a secondary prevention measure?
A. Teaching the family to use cold water for cooking
B. Removing lead-based paint from the window sills
C. Encouraging a diet high in calcium and iron
D. Screening the children for blood lead levels
Answer: D
Conceptual Explanation: Screening for lead levels is a secondary prevention measure
because it aims to detect the condition early. Primary prevention focuses on preventing
exposure.
NURSING PRACTICE EXAM QUESTIONS
AND ANSWERS
1. A community health nurse is conducting a primary prevention activity to reduce the
incidence of communicable diseases. Which of the following actions should the nurse take?
A. Performing a TB skin test for at-risk residents
B. Leading a support group for clients living with HIV
C. Administering antibiotics to a client with pneumonia
D. Providing education on hand hygiene to elementary students
Answer: D
Conceptual Explanation: Primary prevention involves activities that prevent the onset of
disease. Hand hygiene education is a primary prevention measure. TB testing is secondary,
while treatment and support groups are tertiary.
2. A nurse is triaging victims at the scene of a mass casualty event. Which client should be
assigned a red tag?
A. A client who is unconscious with a massive head injury and fixed pupils
,B. A client with a closed fracture of the right forearm
C. A client with a sucking chest wound and severe respiratory distress
D. A client with a minor laceration who is walking around the scene
Answer: C
Conceptual Explanation: Red tags are for immediate threats to life that are treatable.
Sucking chest wounds require immediate intervention. Fixed pupils in an unconscious
trauma patient are often black-tagged (expectant).
3. A nurse is applying the ethical principle of distributive justice in a community setting.
Which action best exemplifies this?
A. Ensuring a client gives informed consent for a procedure
B. Protecting the privacy of a client’s medical record
C. Keeping a promise to return to a client’s home at a specific time
D. Allocating flu vaccines to the most vulnerable populations first
Answer: D
Conceptual Explanation: Distributive justice refers to the fair distribution of benefits and
burdens in society. Prioritizing vulnerable populations for vaccines ensures equitable
access to resources.
, 4. An occupational health nurse is calculating the incidence rate of new back injuries in a
factory. Which data point is required for this calculation?
A. The total number of current back injuries in the factory
B. The number of new cases of back injuries in a specific timeframe
C. The number of workers who retired due to back injuries
D. The total number of deaths resulting from back injuries
Answer: B
Conceptual Explanation: Incidence rate refers to the number of new cases of a disease or
injury in a population over a specific period of time.
5. A community nurse is educating a family about lead exposure in an older home. Which of
the following interventions is a secondary prevention measure?
A. Teaching the family to use cold water for cooking
B. Removing lead-based paint from the window sills
C. Encouraging a diet high in calcium and iron
D. Screening the children for blood lead levels
Answer: D
Conceptual Explanation: Screening for lead levels is a secondary prevention measure
because it aims to detect the condition early. Primary prevention focuses on preventing
exposure.
