ATI RN COMMUNITY HEALTH CMS EXAM
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
1. A community health nurse is planning a primary prevention program. Which
intervention should be included?
A) Free mammograms for women over 50
B) Daily aspirin for clients with a history of stroke
C) Nutrition classes for pregnant teens
D) Blood pressure screenings at a senior center
Rationale: Primary prevention aims to prevent disease before it occurs. Nutrition
classes for pregnant teens promote healthy behaviors to prevent complications
such as low birth weight. Mammograms (A) and BP screenings (D) are secondary
prevention (early detection). Aspirin (B) is tertiary prevention (managing existing
disease).
2. A nurse is investigating an outbreak of gastroenteritis in a local community.
Which epidemiologic concept is the nurse applying?
A) Incidence rate
B) Attack rate
C) Case fatality rate
D) Prevalence rate
,Rationale: Attack rate is used in outbreak investigations to measure the
proportion of exposed individuals who become ill within a specific period.
Incidence rate (A) is broader, measuring new cases over time. Case fatality rate (C)
measures deaths among cases. Prevalence rate (D) measures existing cases at a
point in time.
3. A school nurse is conducting vision screenings for kindergarteners. This is an
example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Secondary prevention focuses on early detection and prompt
intervention. Vision screenings identify problems before they cause significant
impairment. Primary prevention (A) prevents disease onset. Tertiary prevention
(C) reduces disability from existing disease. Health promotion (D) is a component
of primary prevention.
4. A community health nurse is caring for a migrant farmworker family. Which
barrier to healthcare is most common for this population?
A) Lack of immunization records
B) Geographic mobility
C) Refusal of preventive services
D) High socioeconomic status
Rationale: Migrant farmworkers frequently move for seasonal work, leading to
interrupted care and lack of continuity. Immunization records (A) can be an issue
,but are secondary to mobility. Refusal of services (C) is not typical. Their
socioeconomic status is generally low, not high (D).
5. A nurse is using the nursing process in community health. During the evaluation
phase, which action should the nurse take?
A) Identify community strengths and weaknesses
B) Establish priorities for interventions
C) Determine if program objectives were met
D) Collect data from vital statistics
Rationale: Evaluation determines whether program goals and objectives were
achieved. Identifying strengths/weaknesses (A) occurs during assessment.
Establishing priorities (B) occurs during planning. Collecting data (D) occurs during
assessment.
6. A public health nurse is preparing a community disaster plan. Which role is the
nurse expected to perform during the response phase?
A) Conduct community risk assessment
B) Establish evacuation routes
C) Triage victims at a shelter
D) Secure disaster funding
Rationale: During response, nurses provide direct care including triage. Risk
assessment (A) and evacuation routes (B) are part of preparedness. Securing
funding (D) is administrative and typically not the nurse's primary role.
, 7. A nurse is educating a client with tuberculosis who refuses to take medication.
Which ethical principle is the nurse upholding by respecting the client's decision
while continuing to educate?
A) Beneficence
B) Autonomy
C) Justice
D) Nonmaleficence
Rationale: Autonomy respects the client's right to make their own healthcare
decisions, even if the nurse disagrees. Beneficence (A) means doing good. Justice
(C) means fairness in resource distribution. Nonmaleficence (D) means avoiding
harm.
8. A community health nurse is evaluating a smoking cessation program. Which
outcome indicates success?
A) Increased sales of nicotine patches
B) Decreased incidence of lung cancer in 2 months
C) Reduced number of participants who report smoking at 6 months
D) Increased number of smoking-related hospitalizations
Rationale: Reduced smoking rates at 6 months indicate behavioral change.
Increased patch sales (A) does not measure cessation. Lung cancer decrease (B)
takes years to observe. Increased hospitalizations (D) indicates worsening, not
improvement.
9. A nurse is providing case management for a client with diabetes. Which action
is a priority?
A) Arrange for home health visits
COMPLETE QUESTIONS WITH 100%
CORRECT ANSWERS
1. A community health nurse is planning a primary prevention program. Which
intervention should be included?
A) Free mammograms for women over 50
B) Daily aspirin for clients with a history of stroke
C) Nutrition classes for pregnant teens
D) Blood pressure screenings at a senior center
Rationale: Primary prevention aims to prevent disease before it occurs. Nutrition
classes for pregnant teens promote healthy behaviors to prevent complications
such as low birth weight. Mammograms (A) and BP screenings (D) are secondary
prevention (early detection). Aspirin (B) is tertiary prevention (managing existing
disease).
2. A nurse is investigating an outbreak of gastroenteritis in a local community.
Which epidemiologic concept is the nurse applying?
A) Incidence rate
B) Attack rate
C) Case fatality rate
D) Prevalence rate
,Rationale: Attack rate is used in outbreak investigations to measure the
proportion of exposed individuals who become ill within a specific period.
Incidence rate (A) is broader, measuring new cases over time. Case fatality rate (C)
measures deaths among cases. Prevalence rate (D) measures existing cases at a
point in time.
3. A school nurse is conducting vision screenings for kindergarteners. This is an
example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Rationale: Secondary prevention focuses on early detection and prompt
intervention. Vision screenings identify problems before they cause significant
impairment. Primary prevention (A) prevents disease onset. Tertiary prevention
(C) reduces disability from existing disease. Health promotion (D) is a component
of primary prevention.
4. A community health nurse is caring for a migrant farmworker family. Which
barrier to healthcare is most common for this population?
A) Lack of immunization records
B) Geographic mobility
C) Refusal of preventive services
D) High socioeconomic status
Rationale: Migrant farmworkers frequently move for seasonal work, leading to
interrupted care and lack of continuity. Immunization records (A) can be an issue
,but are secondary to mobility. Refusal of services (C) is not typical. Their
socioeconomic status is generally low, not high (D).
5. A nurse is using the nursing process in community health. During the evaluation
phase, which action should the nurse take?
A) Identify community strengths and weaknesses
B) Establish priorities for interventions
C) Determine if program objectives were met
D) Collect data from vital statistics
Rationale: Evaluation determines whether program goals and objectives were
achieved. Identifying strengths/weaknesses (A) occurs during assessment.
Establishing priorities (B) occurs during planning. Collecting data (D) occurs during
assessment.
6. A public health nurse is preparing a community disaster plan. Which role is the
nurse expected to perform during the response phase?
A) Conduct community risk assessment
B) Establish evacuation routes
C) Triage victims at a shelter
D) Secure disaster funding
Rationale: During response, nurses provide direct care including triage. Risk
assessment (A) and evacuation routes (B) are part of preparedness. Securing
funding (D) is administrative and typically not the nurse's primary role.
, 7. A nurse is educating a client with tuberculosis who refuses to take medication.
Which ethical principle is the nurse upholding by respecting the client's decision
while continuing to educate?
A) Beneficence
B) Autonomy
C) Justice
D) Nonmaleficence
Rationale: Autonomy respects the client's right to make their own healthcare
decisions, even if the nurse disagrees. Beneficence (A) means doing good. Justice
(C) means fairness in resource distribution. Nonmaleficence (D) means avoiding
harm.
8. A community health nurse is evaluating a smoking cessation program. Which
outcome indicates success?
A) Increased sales of nicotine patches
B) Decreased incidence of lung cancer in 2 months
C) Reduced number of participants who report smoking at 6 months
D) Increased number of smoking-related hospitalizations
Rationale: Reduced smoking rates at 6 months indicate behavioral change.
Increased patch sales (A) does not measure cessation. Lung cancer decrease (B)
takes years to observe. Increased hospitalizations (D) indicates worsening, not
improvement.
9. A nurse is providing case management for a client with diabetes. Which action
is a priority?
A) Arrange for home health visits
