ATI COMMUNITY HEALTH PROCTORED FINAL EXAM
2025–2026 | 100 NCLEX-STYLE QUESTIONS WITH
CORRECT ANSWERS & RATIONALES (LATEST TEST
BANK) ALREADY GRADED A+
1. A community health nurse is conducting a home visit for a client
with active tuberculosis (TB). Which instruction is most important?
A. “Wear an N95 mask when you go outside.”
B. “Take all medications as prescribed until completed.”
C. “Avoid contact with family members for 6 months.”
D. “Schedule a chest x-ray every 2 weeks.”
Answer: B
Rationale: Medication adherence is the most critical factor to prevent
resistance and spread of TB.
2. A nurse is planning care for a family following a natural disaster.
Which intervention is a primary prevention strategy?
A. Providing crisis counseling to survivors
B. Administering tetanus immunizations to victims
C. Conducting a community needs assessment
D. Teaching stress-reduction techniques to responders
Answer: C
Rationale: Primary prevention focuses on preventing problems before
they occur, such as assessing needs and risks.
3. A nurse is preparing to teach a community group about prevention
of West Nile virus. Which instruction should be included?
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A. “Eliminate sources of standing water.”
B. “Use antibiotics if bitten by a mosquito.”
C. “Receive annual vaccination in the fall.”
D. “Avoid eating undercooked meat.”
Answer: A
Rationale: Standing water is a breeding site for mosquitoes that transmit
West Nile virus.
4. Which statement by a client indicates understanding of health
promotion in older adults?
A. “I will avoid the flu vaccine to prevent side effects.”
B. “I will have a colonoscopy starting at age 65.”
C. “I will increase calcium intake to reduce risk of fractures.”
D. “I should avoid exercise to protect my joints.”
Answer: C
Rationale: Adequate calcium and vitamin D intake prevents osteoporosis
in older adults.
5. A nurse is participating in disaster triage. Which client should
receive care first?
A. A client with a sucking chest wound
B. A client with third-degree burns over 80% of the body
C. A client with an open femur fracture
D. A client with abrasions to both arms
Answer: A
Rationale: Immediate airway/life-threatening conditions are treated first
in disaster triage.
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6. A public health nurse is developing a program to reduce obesity
rates in the community. Which intervention is an example of tertiary
prevention?
A. Teaching school children about healthy eating
B. Conducting BMI screenings at health fairs
C. Providing nutrition counseling to clients with diabetes
D. Advocating for healthier food options in local stores
Answer: C
Rationale: Tertiary prevention focuses on minimizing complications in
clients with established disease.
7. Which of the following is an example of cultural competence in
community nursing?
A. Avoiding use of interpreters during teaching sessions
B. Providing care based on the nurse’s personal values
C. Incorporating the client’s cultural beliefs into the care plan
D. Expecting clients to adapt to Western health practices
Answer: C
Rationale: Culturally competent care respects and integrates the client’s
cultural values.
8. A nurse is teaching a group of migrant workers about pesticide
exposure. Which symptom should be reported immediately?
A. Excessive salivation
B. Fatigue
C. Headache
D. Skin rash
Answer: A