LEGIT ATI RN COMMUNITY HEALTH LEVEL 3
PROCTORED 2026 ALL NGN ASSESSMENT 70
QUESTIONS AND ANSWERS PER ATI
MARKING SCHEME 2026 RN COMMUNITY
HEALTH PROCTORED EXAM
,Core Domains
• Foundations of Community Health Nursing
• Epidemiology and Biostatistics
• Health Promotion and Disease Prevention
• Vulnerable Populations and Health Disparities
• Disaster Management and Emergency Preparedness
• Environmental Health and Safety
• Communicable Disease Control
• Community Health Program Planning and Evaluation
• Case Management and Care Coordination
• Home Health and Hospice Nursing
Introduction
The ATI RN Community Health Level 3 Proctored Examination
assesses the nursing student's mastery of community and public
health nursing concepts, clinical judgment, and application of the
nursing process at the population level. This comprehensive NGN-
style assessment evaluates knowledge across epidemiology, health
promotion, disease prevention, vulnerable populations, disaster
management, environmental health, and program planning. The
examination employs multiple-choice and Next Generation NCLEX
(NGN) style questions requiring clinical decision-making,
prioritization, and evidence-based practice. Emphasis is placed on
the community-as-client framework, levels of prevention, and
,culturally competent care for diverse populations. Successful
completion demonstrates readiness to practice as a registered nurse
in community health settings.
SECTION ONE: QUESTIONS 1–70
Question 1
A community health nurse is planning an immunization clinic in a
rural village. Which action should the nurse take FIRST?
A. Arrange for vaccine storage equipment
B. Notify community leaders of clinic date
C. Develop an outreach and education plan
D. Conduct a community needs assessment
D. Conduct a community needs assessment
RATIONALE: The nursing process always begins with
assessment. A needs assessment identifies population-specific
barriers, baseline knowledge, and gaps before planning or
implementation. You cannot plan effective interventions without
first understanding the community's needs .
Question 2
A nurse manager is creating a job description for a community-
oriented nurse. Which tasks should be included? (Select all that
apply.)
A. Investigate potential health and environmental issues
B. Initiate support groups for parents of autistic children
C. Provide wound care for clients in their homes
D. Participate in local health surveillance activities
E. Provide health-related education to community groups
, A, B, D, E
RATIONALE: Community-oriented nursing focuses on
improving collective health through education, promotion, disease
prevention, and surveillance. Direct wound care (C) is community-
based nursing (illness care for individuals), not community-
oriented nursing .
Question 3
A nurse is working with a case manager for a client in an HMO. The
nurse should identify that an HMO provides which payment
structure?
A. The client is participating in a fee-for-service insurance program
B. The provider is paid a fixed sum for the client on a monthly or
yearly basis
C. The client pays the insurer a percentage of total costs for each
service
D. The provider bills the client directly for a predetermined
percentage
B. The provider is paid a fixed sum for the client on a monthly or
yearly basis
RATIONALE: In an HMO, the provider is paid a fixed sum
(capitation) for each client on a monthly or yearly basis, regardless
of services used. This is a key distinguishing feature of managed
care organizations .
Question 4
A community health nurse is preparing a windshield survey. Which
would the nurse observe?
PROCTORED 2026 ALL NGN ASSESSMENT 70
QUESTIONS AND ANSWERS PER ATI
MARKING SCHEME 2026 RN COMMUNITY
HEALTH PROCTORED EXAM
,Core Domains
• Foundations of Community Health Nursing
• Epidemiology and Biostatistics
• Health Promotion and Disease Prevention
• Vulnerable Populations and Health Disparities
• Disaster Management and Emergency Preparedness
• Environmental Health and Safety
• Communicable Disease Control
• Community Health Program Planning and Evaluation
• Case Management and Care Coordination
• Home Health and Hospice Nursing
Introduction
The ATI RN Community Health Level 3 Proctored Examination
assesses the nursing student's mastery of community and public
health nursing concepts, clinical judgment, and application of the
nursing process at the population level. This comprehensive NGN-
style assessment evaluates knowledge across epidemiology, health
promotion, disease prevention, vulnerable populations, disaster
management, environmental health, and program planning. The
examination employs multiple-choice and Next Generation NCLEX
(NGN) style questions requiring clinical decision-making,
prioritization, and evidence-based practice. Emphasis is placed on
the community-as-client framework, levels of prevention, and
,culturally competent care for diverse populations. Successful
completion demonstrates readiness to practice as a registered nurse
in community health settings.
SECTION ONE: QUESTIONS 1–70
Question 1
A community health nurse is planning an immunization clinic in a
rural village. Which action should the nurse take FIRST?
A. Arrange for vaccine storage equipment
B. Notify community leaders of clinic date
C. Develop an outreach and education plan
D. Conduct a community needs assessment
D. Conduct a community needs assessment
RATIONALE: The nursing process always begins with
assessment. A needs assessment identifies population-specific
barriers, baseline knowledge, and gaps before planning or
implementation. You cannot plan effective interventions without
first understanding the community's needs .
Question 2
A nurse manager is creating a job description for a community-
oriented nurse. Which tasks should be included? (Select all that
apply.)
A. Investigate potential health and environmental issues
B. Initiate support groups for parents of autistic children
C. Provide wound care for clients in their homes
D. Participate in local health surveillance activities
E. Provide health-related education to community groups
, A, B, D, E
RATIONALE: Community-oriented nursing focuses on
improving collective health through education, promotion, disease
prevention, and surveillance. Direct wound care (C) is community-
based nursing (illness care for individuals), not community-
oriented nursing .
Question 3
A nurse is working with a case manager for a client in an HMO. The
nurse should identify that an HMO provides which payment
structure?
A. The client is participating in a fee-for-service insurance program
B. The provider is paid a fixed sum for the client on a monthly or
yearly basis
C. The client pays the insurer a percentage of total costs for each
service
D. The provider bills the client directly for a predetermined
percentage
B. The provider is paid a fixed sum for the client on a monthly or
yearly basis
RATIONALE: In an HMO, the provider is paid a fixed sum
(capitation) for each client on a monthly or yearly basis, regardless
of services used. This is a key distinguishing feature of managed
care organizations .
Question 4
A community health nurse is preparing a windshield survey. Which
would the nurse observe?
