RN ATI
COMMUNITY
HEALTH
PROCTORED
EXAM 2023 \2026
WITH NGN
,
,SECTION 1: LEVELS OF PREVENTION & COMMUNITY
ASSESSMENT (Questions 1-20)
Question 1
A community health nurse is planning a smoking cessation program.
Which of the following interventions is an example of primary
prevention?
A. Referring a patient with lung cancer to a support group
B. Teaching school children about the dangers of tobacco use
C. Screening adults for early signs of chronic obstructive pulmonary
disease
D. Providing nicotine replacement therapy to a smoker trying to quit
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs
(health education). Secondary = screening (C). Tertiary =
rehabilitation/support (A, D).
Question 2
A nurse is conducting a community assessment. Which of the following
is the first step in the community health nursing process?
A. Implement a health education program
B. Identify community strengths and needs
C. Evaluate the effectiveness of interventions
D. Develop a nursing care plan for the community
Answer: B
Rationale: The nursing process (assessment, diagnosis, planning,
implementation, evaluation) begins with assessment – identifying
strengths and needs.
, Question 3
A nurse is providing education to a group of parents about childhood
immunizations. This is an example of which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A
Rationale: Immunizations prevent disease occurrence – primary
prevention.
Question 4
A community health nurse is evaluating a program designed to reduce
hospital readmissions for heart failure patients. Which type of
prevention is this?
A. Primary
B. Secondary
C. Tertiary
D. Primordial
Answer: C
Rationale: Tertiary prevention reduces complications and improves
quality of life after disease is established.
Question 5
A nurse is working with a migrant farmworker population. Which of the
following barriers to healthcare is most common in this group?
A. Lack of transportation
B. Language barriers
COMMUNITY
HEALTH
PROCTORED
EXAM 2023 \2026
WITH NGN
,
,SECTION 1: LEVELS OF PREVENTION & COMMUNITY
ASSESSMENT (Questions 1-20)
Question 1
A community health nurse is planning a smoking cessation program.
Which of the following interventions is an example of primary
prevention?
A. Referring a patient with lung cancer to a support group
B. Teaching school children about the dangers of tobacco use
C. Screening adults for early signs of chronic obstructive pulmonary
disease
D. Providing nicotine replacement therapy to a smoker trying to quit
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs
(health education). Secondary = screening (C). Tertiary =
rehabilitation/support (A, D).
Question 2
A nurse is conducting a community assessment. Which of the following
is the first step in the community health nursing process?
A. Implement a health education program
B. Identify community strengths and needs
C. Evaluate the effectiveness of interventions
D. Develop a nursing care plan for the community
Answer: B
Rationale: The nursing process (assessment, diagnosis, planning,
implementation, evaluation) begins with assessment – identifying
strengths and needs.
, Question 3
A nurse is providing education to a group of parents about childhood
immunizations. This is an example of which level of prevention?
A. Primary
B. Secondary
C. Tertiary
D. Quaternary
Answer: A
Rationale: Immunizations prevent disease occurrence – primary
prevention.
Question 4
A community health nurse is evaluating a program designed to reduce
hospital readmissions for heart failure patients. Which type of
prevention is this?
A. Primary
B. Secondary
C. Tertiary
D. Primordial
Answer: C
Rationale: Tertiary prevention reduces complications and improves
quality of life after disease is established.
Question 5
A nurse is working with a migrant farmworker population. Which of the
following barriers to healthcare is most common in this group?
A. Lack of transportation
B. Language barriers
