ASSESSMENT EXAM PRACTICE QUESTIONS AND
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Exam Description:
This comprehensive ATI Community Health assessment includes 150 multiple-choice
questions designed to reflect current professional standards, public health guidelines,
epidemiology principles, population-focused nursing care, disaster management, communicable
disease control, environmental health, vulnerable populations, leadership, ethics, policy, and
legal considerations in community health practice.
Section 1: Questions 1–50 (Foundations, Epidemiology, Prevention, Health Promotion,
Environmental Health, Ethics, Legal Issues)
Section 2: Questions 51–100 (Communicable Diseases, Immunization, Disaster
Preparedness, Community Assessment, Vulnerable Populations, Occupational & School
Health)
Section 3: Questions 101–150 (Case Management, Home Health, Global Health, Policy,
Leadership, Program Planning & Evaluation, Advanced Clinical Scenarios)
1. A community health nurse is planning interventions for a population with
rising rates of hypertension. Which intervention represents primary
prevention?
A. Screening adults for elevated blood pressure
B. Referring clients for cardiac rehabilitation
C. Providing community education on low-sodium diets and exercise
D. Monitoring clients for medication adherence
Rationale: Primary prevention aims to prevent disease before it occurs. Education
on diet and exercise reduces risk factors prior to diagnosis.
, 2. The nurse analyzes morbidity and mortality data in a community. Which
measure reflects the number of new cases of a disease within a specified
time period?
A. Prevalence rate
B. Mortality rate
C. Case fatality rate
D. Incidence rate
Rationale: Incidence refers to new cases occurring in a specific time frame.
3. During a home visit, a client refuses immunization for religious reasons.
What is the nurse’s best response?
A. Report the refusal to authorities
B. Document refusal and terminate care
C. Respect the client’s autonomy while providing evidence-based
education
D. Insist on vaccination to protect the public
Rationale: Ethical practice supports autonomy while ensuring informed decision-
making.
4. Which action by a community health nurse demonstrates tertiary prevention?
A. Teaching hand hygiene
B. Conducting cholesterol screenings
, C. Facilitating stroke rehabilitation services
D. Promoting smoking cessation
Rationale: Tertiary prevention focuses on reducing complications of existing
disease.
5. A nurse notes a cluster of tuberculosis cases in a homeless shelter. What is
the priority action?
A. Provide educational pamphlets
B. Notify the public health department
C. Initiate antibiotic therapy independently
D. Close the shelter
Rationale: TB is a reportable disease; public health authorities must be notified.
6. A community with high lead exposure in children is identified. Which
intervention addresses environmental health?
A. Teaching parents about balanced diets
B. Advocating for removal of lead-based paint in housing
C. Screening for vision problems
D. Providing iron supplements only
Rationale: Eliminating environmental hazards addresses the root cause.
, 7. The nurse is calculating crude birth rate. Which data are required?
A. Total deaths per year
B. Infant deaths under age 1
C. Number of live births per year and total population
D. Number of women of childbearing age
Rationale: Crude birth rate = live births per 1,000 population per year.
8. Which principle best describes community-oriented nursing practice?
A. Individual-focused acute care
B. Hospital-based interventions
C. Population-focused health promotion
D. Physician-directed care
Rationale: Community health nursing emphasizes population-level interventions.
9. A nurse is conducting a windshield survey. What is the purpose?
A. Collect laboratory data
B. Interview local officials
C. Observe community conditions and resources
D. Perform door-to-door screening
Rationale: Windshield surveys provide observational community assessment data.