ATI RN Community Health Proctored Exam
2026 | Level 3 | Practice Questions,
Answers and Rationales | Complete
Review
1. A community health nurse is conducting a windshield survey. Which of the
following data should the nurse collect during this process?
o A. The number of residents with chronic illnesses
o B. The location of health care facilities
o C. The average household income
o D. The immunization rates of children
o B. The location of health care facilities
o A windshield survey is a visual assessment of a community. It
involves observing the environment, housing, and available
resources, such as the location of health care facilities, grocery stores,
and parks. It does not typically involve collecting statistical data like
income or disease rates.
2. A nurse is planning a primary prevention program for a community. Which
of the following activities should the nurse include?
o A. Providing a smoking cessation class
o B. Administering influenza vaccines
o C. Screening for hypertension
o D. Teaching a class on managing diabetes
o B. Administering influenza vaccines
, o Primary prevention aims to prevent disease or injury before it
ever occurs. Immunizations are a classic example of primary
prevention. Smoking cessation and managing diabetes are secondary
and tertiary prevention, respectively.
3. A community health nurse is working with a population that has a high
incidence of tuberculosis (TB). Which of the following actions should the
nurse take first?
o A. Educate the community about the signs and symptoms of TB.
o B. Identify individuals who have been in contact with active TB cases.
o C. Provide directly observed therapy (DOT) for clients with active TB.
o D. Advocate for improved housing conditions.
o B. Identify individuals who have been in contact with active TB
cases.
o The first step in controlling a communicable disease outbreak is
case finding and contact tracing. This identifies those who have been
exposed and may need treatment or isolation, breaking the chain of
transmission. Education and DOT are important but secondary to
identifying the immediate spread.
4. Which of the following is an example of a tertiary prevention strategy?
o A. A community-wide campaign promoting the use of seatbelts.
o B. A rehabilitation program for clients who have had a stroke.
o C. A mammogram screening program for breast cancer.
o D. A nutrition education program in schools.
o B. A rehabilitation program for clients who have had a stroke.
o Tertiary prevention focuses on managing an existing disease to
slow its progression, prevent complications, and restore function.
, Rehabilitation after a stroke is a key example. Seatbelts and nutrition
education are primary prevention, and mammograms are secondary
prevention.
5. A nurse is assessing a community's needs. Which of the following is the
most reliable source of data for this assessment?
o A. Anecdotal stories from community leaders
o B. National census data and local health department statistics
o C. Information from a single focus group
o D. The nurse's personal observations from a windshield survey
o B. National census data and local health department statistics
o While qualitative data (stories, observations) is valuable,
quantitative data from official sources like the census and health
departments provides objective, reliable, and generalizable
information about the community's demographics and health status.
6. The nurse is applying the nursing process to community health. Which of
the following steps comes immediately after the community diagnosis is
formulated?
o A. Evaluating the effectiveness of interventions
o B. Planning interventions to address the diagnosis
o C. Implementing the planned interventions
o D. Collecting further assessment data
o B. Planning interventions to address the diagnosis
o The nursing process in community health follows the same steps
as individual care: Assessment, Diagnosis, Planning, Implementation,
and Evaluation (ADPIE). Once a community diagnosis is formulated,
the next step is to plan interventions.
, 7. A community health nurse is establishing a mobile clinic in a rural area.
Which of the following is the primary barrier the nurse should expect to
address?
o A. Lack of interest from the community
o B. Geographic isolation and transportation issues
o C. An abundance of available healthcare providers
o D. High rates of health insurance coverage
o B. Geographic isolation and transportation issues
o Rural populations often face significant barriers to healthcare
access, primarily due to distance and a lack of public transportation.
This is a key reason for establishing mobile clinics. Lack of interest
and an abundance of providers are not typical primary barriers in this
context.
8. Which of the following best describes the concept of "cultural competence"
in community health nursing?
o A. The ability to speak multiple languages.
o B. Understanding and respecting the unique cultural beliefs and
practices of a community.
o C. Providing the same standard of care to all individuals regardless of
their background.
o D. Encouraging all community members to adopt Western medical
practices.
o B. Understanding and respecting the unique cultural beliefs and
practices of a community.
o Cultural competence goes beyond language. It is the ability to
provide care that is respectful of and responsive to the health beliefs,
2026 | Level 3 | Practice Questions,
Answers and Rationales | Complete
Review
1. A community health nurse is conducting a windshield survey. Which of the
following data should the nurse collect during this process?
o A. The number of residents with chronic illnesses
o B. The location of health care facilities
o C. The average household income
o D. The immunization rates of children
o B. The location of health care facilities
o A windshield survey is a visual assessment of a community. It
involves observing the environment, housing, and available
resources, such as the location of health care facilities, grocery stores,
and parks. It does not typically involve collecting statistical data like
income or disease rates.
2. A nurse is planning a primary prevention program for a community. Which
of the following activities should the nurse include?
o A. Providing a smoking cessation class
o B. Administering influenza vaccines
o C. Screening for hypertension
o D. Teaching a class on managing diabetes
o B. Administering influenza vaccines
, o Primary prevention aims to prevent disease or injury before it
ever occurs. Immunizations are a classic example of primary
prevention. Smoking cessation and managing diabetes are secondary
and tertiary prevention, respectively.
3. A community health nurse is working with a population that has a high
incidence of tuberculosis (TB). Which of the following actions should the
nurse take first?
o A. Educate the community about the signs and symptoms of TB.
o B. Identify individuals who have been in contact with active TB cases.
o C. Provide directly observed therapy (DOT) for clients with active TB.
o D. Advocate for improved housing conditions.
o B. Identify individuals who have been in contact with active TB
cases.
o The first step in controlling a communicable disease outbreak is
case finding and contact tracing. This identifies those who have been
exposed and may need treatment or isolation, breaking the chain of
transmission. Education and DOT are important but secondary to
identifying the immediate spread.
4. Which of the following is an example of a tertiary prevention strategy?
o A. A community-wide campaign promoting the use of seatbelts.
o B. A rehabilitation program for clients who have had a stroke.
o C. A mammogram screening program for breast cancer.
o D. A nutrition education program in schools.
o B. A rehabilitation program for clients who have had a stroke.
o Tertiary prevention focuses on managing an existing disease to
slow its progression, prevent complications, and restore function.
, Rehabilitation after a stroke is a key example. Seatbelts and nutrition
education are primary prevention, and mammograms are secondary
prevention.
5. A nurse is assessing a community's needs. Which of the following is the
most reliable source of data for this assessment?
o A. Anecdotal stories from community leaders
o B. National census data and local health department statistics
o C. Information from a single focus group
o D. The nurse's personal observations from a windshield survey
o B. National census data and local health department statistics
o While qualitative data (stories, observations) is valuable,
quantitative data from official sources like the census and health
departments provides objective, reliable, and generalizable
information about the community's demographics and health status.
6. The nurse is applying the nursing process to community health. Which of
the following steps comes immediately after the community diagnosis is
formulated?
o A. Evaluating the effectiveness of interventions
o B. Planning interventions to address the diagnosis
o C. Implementing the planned interventions
o D. Collecting further assessment data
o B. Planning interventions to address the diagnosis
o The nursing process in community health follows the same steps
as individual care: Assessment, Diagnosis, Planning, Implementation,
and Evaluation (ADPIE). Once a community diagnosis is formulated,
the next step is to plan interventions.
, 7. A community health nurse is establishing a mobile clinic in a rural area.
Which of the following is the primary barrier the nurse should expect to
address?
o A. Lack of interest from the community
o B. Geographic isolation and transportation issues
o C. An abundance of available healthcare providers
o D. High rates of health insurance coverage
o B. Geographic isolation and transportation issues
o Rural populations often face significant barriers to healthcare
access, primarily due to distance and a lack of public transportation.
This is a key reason for establishing mobile clinics. Lack of interest
and an abundance of providers are not typical primary barriers in this
context.
8. Which of the following best describes the concept of "cultural competence"
in community health nursing?
o A. The ability to speak multiple languages.
o B. Understanding and respecting the unique cultural beliefs and
practices of a community.
o C. Providing the same standard of care to all individuals regardless of
their background.
o D. Encouraging all community members to adopt Western medical
practices.
o B. Understanding and respecting the unique cultural beliefs and
practices of a community.
o Cultural competence goes beyond language. It is the ability to
provide care that is respectful of and responsive to the health beliefs,
