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ATI RN COMMUNITY HEALTH PROCTORED EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025 Q&A |
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1. A nurse is planning care for a client who is homeless. Which of the following is the first action the nurse should take? A. Determine the client’s employment history B. Identify the client’s needs C. Refer the client to a social worker D. Provide the client with a list of local shelters Rationale: The first step in the nursing process is assessment. Identifying the client's needs is essential before planning further care. 2. Which of the following levels of prevention is a community health nurse implementing when conducting vision screenings at a school? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Health promotion Rationale: Secondary prevention focuses on early detection of disease through screening.
3. A nurse is providing education to a group of older adults about influenza. Which of the following statements should the nurse include? A. "You should avoid getting the influenza vaccine if you have a cold." B. "You should receive the influenza vaccine every year." C. "You only need the vaccine once in your lifetime." D. "The vaccine is most effective if received after symptoms start." Rationale: The influenza vaccine is recommended annually for older adults due to changing strains. 4. A home health nurse is planning care for a client who has terminal cancer. Which of the following actions should the nurse include? A. Encourage the client to remain in bed at all times B. Focus on curative treatments C. Provide comfort measures for pain control D. Schedule frequent hospital visits Rationale: Hospice and palliative care focus on comfort and quality of life rather than curative treatment. 5. Which of the following findings indicates possible abuse in a school-age child? A. Frequent absences B. Poor academic performance C. Bruises in various stages of healing D. Wearing the same clothes frequently Rationale: Bruises in different healing stages may indicate repeated injury and possible abuse.
9. A nurse manager is reviewing roles of nurses in the community. Which of the following demonstrates a nurse functioning in the role of a case manager? A. Teaching a group of diabetic clients about nutrition B. Coordinating services for a client with multiple providers C. Conducting tuberculosis screenings D. Providing wound care in the home Rationale: Case managers coordinate care and communicate among providers to ensure effective service delivery. 10. Which of the following actions should a public health nurse take when implementing a program to reduce teenage pregnancy? A. Provide free condoms at local schools B. Punish teens who get pregnant C. Offer education on abstinence and contraception D. Require parental consent for participation Rationale: A comprehensive approach including education on abstinence and contraception is evidence-based and effective. 11. Which of the following statements by a client indicates understanding of health promotion? A. "I will start exercising after I have a heart attack." B. "I will only go to the doctor when I feel sick." C. "I will begin walking 30 minutes a day to stay healthy." D. "I will take antibiotics for every cold I get."
Rationale: Health promotion includes proactive behaviors like regular exercise to prevent illness.
12. What action should the nurse take when a client with active TB refuses treatment? A. Respect their decision and document it B. Notify the public health department C. Tell the family to isolate the client D. Report to the CDC Rationale: TB is a reportable disease; the health department must be notified to ensure public safety. 13. A nurse is discussing epidemiological triangle. Which of the following represents the host? A. Water source B. Human being C. Influenza virus D. Toxin Rationale: In the epidemiological triangle, the host is the human or animal exposed to the agent. 14. Which of the following activities is a community health nurse likely to perform as part of primary prevention? A. Lead exposure screening B. Smoking cessation education C. Support group for stroke patients D. Disease surveillance
Rationale: The immediate priority during a disaster is to triage and care for those affected.
18. Which of the following is a responsibility of a faith community nurse? A. Administer IV medications B. Provide spiritual and emotional support C. Manage acute illness D. Perform surgery Rationale: Faith community nurses often focus on holistic care, including emotional and spiritual well-being. 19. A nurse is caring for a community exposed to toxic waste. Which level of prevention is being implemented when screening individuals for exposure symptoms? A. Primary B. Secondary C. Tertiary D. Quaternary Rationale: Screening is secondary prevention—it detects problems early. 20. Which document outlines the national health goals of the U.S.? A. ANA Code of Ethics B. Healthy People 2030 C. OSHA Guidelines D. CDC Recommendations Rationale: Healthy People 2030 sets national objectives for improving health across the population.
21. A nurse is working with a community that has a high incidence of obesity. Which of the following interventions represents tertiary prevention? A. Providing nutrition education in schools B. Offering free BMI screenings at health fairs C. Advocating for healthier food options in local stores D. Teaching clients with obesity how to manage their diabetes Rationale: Tertiary prevention aims to manage long-term health problems such as diabetes caused by obesity. 22. Which action should the nurse take when teaching about vector-borne diseases? A. Encourage regular blood donation B. Promote use of insect repellent C. Provide dental hygiene resources D. Offer vision screenings Rationale: Vector-borne diseases like West Nile and Lyme disease can be prevented through insect precautions. 23. A nurse is reviewing the services offered by a local health department. Which service is the responsibility of the state department rather than the local level? A. Conducting restaurant inspections B. Offering immunization clinics C. Licensing registered nurses
Rationale: Lice can be killed by washing items in hot water and drying on high heat.
27. Which of the following data is considered subjective during a windshield survey? A. Types of businesses present B. Sidewalk conditions C. Community members stating they feel unsafe D. Number of churches Rationale: Subjective data includes opinions or feelings reported by residents. 28. Which of the following health insurance programs provides coverage for low-income children? A. Medicare Part A B. CHIP (Children’s Health Insurance Program) C. Tricare D. Workers’ compensation Rationale: CHIP provides health coverage to children in families that earn too much to qualify for Medicaid. 29. A home health nurse notices that an elderly client’s home has several safety hazards. What is the priority intervention? A. Suggest weekly family visits B. Recommend relocation C. Educate the client about safety modifications D. Contact adult protective services
Rationale: The nurse’s role includes educating and empowering the client to improve safety first.
30. Which organization is responsible for protecting the public from workplace hazards? A. CDC B. OSHA C. WHO D. FDA Rationale: OSHA sets and enforces standards to ensure safe and healthy working conditions. 31. A nurse is planning a disaster preparedness presentation. What should be the focus of primary prevention? A. Developing evacuation plans B. Triage procedures C. Managing shelter operations D. Providing stress debriefing Rationale: Primary prevention aims to prevent injury before it occurs, such as planning and preparedness. 32. What is the most appropriate resource for a nurse looking for national trends in adolescent tobacco use? A. Community survey B. County health report C. Youth Risk Behavior Surveillance System (YRBSS)
Rationale: Local health authorities must be informed to initiate outbreak investigation and response.
36. Which of the following best describes the purpose of a mission statement in a community health program? A. It defines the purpose and values of the program. B. It lists client discharge instructions C. It sets budgetary limits D. It details clinical protocols Rationale: The mission statement outlines a program’s core purpose and goals. 37. A nurse is implementing health promotion activities for older adults in a community. Which is a primary prevention activity? A. Providing a diabetes support group B. Administering shingles vaccines C. Referring clients for colonoscopy D. Teaching blood sugar monitoring Rationale: Vaccinations are a form of primary prevention. 38. What type of data is considered secondary in a community assessment? A. Health records from local clinics B. Interviews with key informants C. Windshield survey observations D. Focus group responses Rationale: Secondary data is pre-existing, such as records or census data. 39. A nurse is assisting with policy development. Which group is responsible for passing public health legislation?
A. Health department B. Community board C. Legislative branch D. Judicial system Rationale: The legislative branch passes laws and policies related to public health.
40. A nurse is reviewing CDC guidelines for bioterrorism. Which of the following agents is classified as Category A? A. Ricin B. Anthrax C. Yellow fever D. Avian influenza Rationale: Category A agents, like anthrax, pose the highest risk to public health. 41. A nurse is providing care after a natural disaster. Which of the following represents tertiary prevention? A. Teaching families to make emergency kits B. Creating disaster response policies C. Evacuating residents in the storm path D. Providing mental health counseling for survivors Rationale: Tertiary prevention includes services to reduce long-term effects after a disaster. 42. A community health nurse suspects child neglect. What is the appropriate first action? A. Document the findings
C. Low income and no health insurance D. Female gender Rationale: Socioeconomic status and lack of access to care are significant risk factors.
46. A nurse is planning a smoking prevention program for high school students. What type of prevention is this? A. Primary B. Secondary C. Tertiary D. Rehabilitation Rationale: Educating before the behavior begins is primary prevention. 47. Which of the following services is provided by Medicare? A. Health insurance for low-income families B. Health coverage for adults over 65 C. Supplemental food assistance D. Childhood immunizations Rationale: Medicare is a federal program for individuals over age 65 or with specific disabilities. 48. What action should the nurse take during a measles outbreak in a school? A. Report the outbreak to local health authorities B. Isolate all students C. Offer antibiotics
D. Cancel all classes Rationale: Reporting is necessary for public health intervention and tracking.
49. A nurse is using the Omaha System in documentation. What is the primary purpose? A. Prescribing medication B. Billing for services C. Guiding problem-solving and care documentation D. Managing appointments Rationale: The Omaha System standardizes documentation in community health. 50. A community health nurse is using informatics. Which of the following activities is an example? A. Using electronic health records to monitor vaccination rates B. Administering a flu shot C. Teaching CPR in schools D. Conducting in-person interviews Rationale: Informatics includes using digital tools for managing and analyzing health data. 51. A nurse is caring for a client who has hepatitis A. Which of the following transmission-based precautions should the nurse implement? A. Contact precautions B. Droplet precautions C. Airborne precautions D. Reverse isolation
Rationale: Planning involves setting specific goals and measurable objectives after assessment.
55. A nurse is working with a community that lacks access to mental health services. Which of the following is the most appropriate intervention? A. Advocate for the development of local mental health clinics B. Refer clients to the nearest metropolitan hospital C. Avoid addressing mental health due to stigma D. Recommend clients seek online therapy only Rationale: Advocacy for sustainable, local resources addresses long-term community health needs. 56. A nurse is assessing a population affected by a hurricane. Which of the following should be the nurse’s priority? A. Providing safe shelter and clean water B. Conducting needs assessment surveys C. Offering stress reduction classes D. Preparing health promotion handouts Rationale: Immediate survival needs such as shelter and water are the priority in disaster response. 57. A nurse is teaching a group about preventing West Nile Virus. Which statement shows understanding? A. "I will get the vaccine every year." B. "I will remove standing water from my yard." C. "I will take antibiotics if I get bitten."
D. "I will stay inside during winter months." Rationale: Mosquitoes breed in standing water; removing it reduces risk.
58. A home health nurse is visiting a client who lives alone and has cognitive impairment. What is the nurse’s priority? A. Encourage the client to socialize B. Assess the client’s ability to safely perform ADLs C. Recommend a day program D. Provide medication teaching Rationale: Ensuring the client's safety through functional assessment is the top priority. 59. What is the goal of Healthy People 2030? A. Eliminate all chronic diseases B. Offer free healthcare to all Americans C. Improve the overall health and well-being of the population D. Control the cost of prescription medications Rationale: Healthy People 2030 focuses on national objectives to improve population health outcomes. 60. A nurse is assessing the health literacy of a client. Which behavior indicates limited health literacy? A. Asking questions B. Taking notes during visits C. Using a pill organizer D. Frequently missing medication doses due to confusion
