ATI Community Health Proctored Exam Retake Level 1
with Questions and Verified Answers, Passing Score
Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) is conducting a windshield
survey in Riverton, a rural town with one grocery store, no sidewalks, and a single bus
route that stops running at 5 p.m. The nurse observes many older adults walking on the
shoulder of the road carrying grocery bags.
Question:
Which two findings from the windshield survey best indicate a need for a primary
prevention intervention focused on injury prevention?
Options:
A. Absence of sidewalks
B. Limited bus schedule
C. Presence of a grocery store
,D. Older adults carrying heavy bags
(Correct Choices: A, B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, B
● Community Health Principle Justification: Primary prevention aims to prevent
injury before it occurs. Lack of sidewalks (A) and limited public transportation (B)
are environmental/system-level hazards increasing pedestrian injury risk,
especially for older adults. Addressing these aligns with Healthy People 2023
injury-prevention objectives.
● Distractor Analysis: C is a resource, not a hazard; D describes vulnerability but is
individual-level and less actionable for primary prevention.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: The CHN reviews 2024 county health rankings and notes a
census tract with high premature death rates, low high-school graduation, and one
primary-care clinic.
Question:
Which level of prevention is the nurse implementing by launching a community-wide
adult literacy program in partnership with the local library?
Options:
,A. Primary
B. Secondary
C. Tertiary
D. Assessment
(Correct: A)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A
● Community Health Principle Justification: Adult literacy is primary
prevention—addressing education (a social determinant) to reduce future health
disparities and improve health literacy (HP 2023).
● Distractor Analysis: B involves screening; C focuses on disease management; D
is a phase, not a prevention level.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN is notified of 12 tuberculosis (TB) cases among seasonal
farmworkers living in employer-provided barracks.
Question:
Select the two priority public health actions the nurse must initiate first to control the
outbreak.
, Options:
A. Schedule mobile chest X-ray screening for all residents
B. Begin directly observed therapy (DOT) for confirmed cases
C. Distribute N95 masks to farmworkers
D. Arrange BCG vaccination for adults
(Correct Choices: A, B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, B
● Community Health Principle Justification: Secondary prevention (screening)
identifies latent/early cases; DOT ensures treatment completion and reduces
transmission (CDC TB 2024 guidelines). Both are outbreak-control priorities.
● Distractor Analysis: C is respiratory protection but less effective than case
finding; D is not recommended for U.S. adults.
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: During a home visit to a client with diabetes, the CHN finds the
client’s refrigerator broken and limited finances.
Question:
with Questions and Verified Answers, Passing Score
Guarantee
Item ID: ATI-COMM-L1-001
Item Type: NGN - Community Application
Community Scenario: A community health nurse (CHN) is conducting a windshield
survey in Riverton, a rural town with one grocery store, no sidewalks, and a single bus
route that stops running at 5 p.m. The nurse observes many older adults walking on the
shoulder of the road carrying grocery bags.
Question:
Which two findings from the windshield survey best indicate a need for a primary
prevention intervention focused on injury prevention?
Options:
A. Absence of sidewalks
B. Limited bus schedule
C. Presence of a grocery store
,D. Older adults carrying heavy bags
(Correct Choices: A, B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, B
● Community Health Principle Justification: Primary prevention aims to prevent
injury before it occurs. Lack of sidewalks (A) and limited public transportation (B)
are environmental/system-level hazards increasing pedestrian injury risk,
especially for older adults. Addressing these aligns with Healthy People 2023
injury-prevention objectives.
● Distractor Analysis: C is a resource, not a hazard; D describes vulnerability but is
individual-level and less actionable for primary prevention.
Item ID: ATI-COMM-L1-002
Item Type: Foundational MCQ
Community Scenario: The CHN reviews 2024 county health rankings and notes a
census tract with high premature death rates, low high-school graduation, and one
primary-care clinic.
Question:
Which level of prevention is the nurse implementing by launching a community-wide
adult literacy program in partnership with the local library?
Options:
,A. Primary
B. Secondary
C. Tertiary
D. Assessment
(Correct: A)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A
● Community Health Principle Justification: Adult literacy is primary
prevention—addressing education (a social determinant) to reduce future health
disparities and improve health literacy (HP 2023).
● Distractor Analysis: B involves screening; C focuses on disease management; D
is a phase, not a prevention level.
Item ID: ATI-COMM-L1-003
Item Type: NGN - Community Application
Community Scenario: A CHN is notified of 12 tuberculosis (TB) cases among seasonal
farmworkers living in employer-provided barracks.
Question:
Select the two priority public health actions the nurse must initiate first to control the
outbreak.
, Options:
A. Schedule mobile chest X-ray screening for all residents
B. Begin directly observed therapy (DOT) for confirmed cases
C. Distribute N95 masks to farmworkers
D. Arrange BCG vaccination for adults
(Correct Choices: A, B)
Rationale (Verified | Passing Score | 2024):
● Correct Answer: A, B
● Community Health Principle Justification: Secondary prevention (screening)
identifies latent/early cases; DOT ensures treatment completion and reduces
transmission (CDC TB 2024 guidelines). Both are outbreak-control priorities.
● Distractor Analysis: C is respiratory protection but less effective than case
finding; D is not recommended for U.S. adults.
Item ID: ATI-COMM-L1-004
Item Type: Foundational MCQ
Community Scenario: During a home visit to a client with diabetes, the CHN finds the
client’s refrigerator broken and limited finances.
Question:
