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NUR 4355 – ATI Community Health Nursing
Practice Exam Questions and Correct Answers
(Verified Answers) Plus Rationales 2025
- A nurse is developing a disaster response plan. Which of the following should the nurse include as part of the preparedness phase? A. Providing immunizations after exposure B. Setting up shelters for displaced clients C. Developing emergency communication protocols D. Performing triage in the field Preparedness includes planning and training activities conducted before a disaster occurs, such as communication plans.
- A community health nurse is visiting a client with tuberculosis who lives in a homeless shelter. What is the priority action? A. Initiate directly observed therapy (DOT) B. Report the shelter to the local health department C. Teach the client about hand hygiene D. Provide the client with multivitamins DOT ensures compliance with treatment, which is critical in preventing the spread and resistance of TB.
- A public health nurse is developing goals for a smoking cessation program. Which is an example of a SMART goal? A. Reduce smoking in the community soon B. Reduce the community smoking rate by 10% within 6 months C. Reduce teen smoking nationwide D. Improve lung health SMART goals are specific, measurable, achievable, relevant, and time- bound.
- A nurse is caring for a client recently diagnosed with hepatitis A. Which action should the nurse take? A. Start antiviral therapy B. Educate the client about hand hygiene C. Administer the hepatitis B vaccine D. Restrict dairy products Hepatitis A is transmitted fecal-oral route, so hand hygiene is essential to prevent spread.
- Which of the following is a primary prevention strategy? A. Pap smear screening B. Administering medications to manage hypertension C. Immunization against measles D. Colonoscopy for early cancer detection Primary prevention aims to prevent disease before it occurs, such as through vaccines.
B. Notify the police C. Refer the family to a community clinic for vaccines D. Administer the vaccines without consent Connecting families to accessible resources supports compliance with public health guidelines. 10.A nurse is working with migrant farmworkers. Which is a common health risk in this population? A. Pesticide exposure B. COPD C. Liver cancer D. Hypertension Farmworkers are frequently exposed to chemicals in agriculture, such as pesticides. 11.A nurse is performing epidemiological surveillance. What is the purpose of this activity? A. Ensure patient compliance B. Conduct primary research C. Track disease trends and outbreaks D. Provide direct care Surveillance helps identify patterns and control the spread of disease. 12.Which action is appropriate in the recovery phase of disaster management? A. Evacuate the community B. Perform field triage C. Evaluate the effectiveness of the response plan
D. Stockpile vaccines The recovery phase focuses on evaluating outcomes and restoring services. 13.A nurse is assessing the social determinants of health for a client. Which factor should the nurse consider? A. Access to nutritious food B. Blood glucose level C. Sleep pattern D. Physical activity level Social determinants include factors like income, education, housing, and food access. 14.What is an example of tertiary prevention? A. Annual flu vaccine B. Screening for scoliosis in children C. Support group for clients with stroke D. Teaching seatbelt use Tertiary prevention involves reducing disability and promoting rehabilitation after disease onset. 15.A nurse is planning a program for teenagers about substance use. What teaching strategy is most appropriate? A. Lecture format B. Peer-led discussion groups C. Distribute research papers D. Assign textbook reading Peer influence is effective in adolescent health education.
19.A nurse is discussing herd immunity. Which concept best describes its purpose? A. Protecting those who cannot be vaccinated B. Reducing antibiotic resistance C. Preventing overpopulation D. Detecting disease early Herd immunity protects vulnerable individuals by limiting the spread of contagious diseases. 20.A nurse is working in a correctional facility. What is a common health concern in this setting? A. Asthma B. Tuberculosis C. Diabetes D. Lead poisoning TB is prevalent in crowded environments like prisons due to close contact and poor ventilation. 21.A nurse is caring for a client with suspected measles. Which action should the nurse take first? A. Notify the CDC B. Place the client in airborne isolation C. Administer antibiotics D. Document the findings Measles is airborne; immediate isolation prevents transmission to others.
22.A nurse is developing an educational program for older adults. Which strategy enhances learning? A. Use large-print materials with simple language B. Use fast-paced videos C. Provide written exams D. Limit discussion time Older adults benefit from clear, readable, and straightforward materials. 23.A nurse in a rural area is planning to implement telehealth. What is the main benefit? A. Cost reduction B. Decreased provider workload C. Increased access to care D. Eliminated in-person care Telehealth bridges access gaps, especially in underserved or remote areas. 24.Which of the following is an example of vertical transmission of disease? A. Sharing needles B. Transmission from mother to fetus C. Consuming contaminated food D. Contact with infected animals Vertical transmission refers to passing infection from mother to baby during pregnancy or birth. 25.Which is an example of the case management role of a community health nurse? A. Coordinating services for a homeless client with diabetes
C. Perform wound care D. Isolate the client Anthrax requires immediate antibiotic treatment to prevent severe illness or death. 29.A nurse is leading a community support group for caregivers. What level of prevention is this? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention Tertiary prevention helps those already affected by health issues improve quality of life. 30.A nurse is teaching about cultural competence. Which statement demonstrates understanding? A. “All people from the same culture have the same beliefs.” B. “I should ask clients about their cultural preferences.” C. “Cultural competence only applies in hospitals.” D. “Interpreters should be avoided if possible.” Cultural competence involves respecting and incorporating clients’ beliefs and values. 31.A client in a rural area has limited access to transportation. Which is the best solution? A. Recommend a hospital 50 miles away B. Arrange home health services
C. Instruct the client to relocate D. Suggest carpooling Home health services ensure clients in remote areas still receive needed care. 32.What is the purpose of the Healthy People initiative? A. Provide science-based objectives for improving national health B. Monitor hospital infections C. Fund Medicaid D. Evaluate nursing programs Healthy People provides 10-year goals and benchmarks for national health promotion. 33.A nurse is caring for a client with lead poisoning. What housing-related intervention is appropriate? A. Refer to lead abatement services B. Recommend carpet installation C. Teach daily fruit juice intake D. Install water filters for hard water Lead abatement services help remove lead from homes, especially older buildings. 34.What does the term "population-focused practice" mean? A. Focus on pediatric care B. Focus on improving outcomes for entire groups C. Focus only on chronic illness D. Focus on hospital-acquired conditions
38.A nurse is explaining incidence rate. Which example best demonstrates this concept? A. New cases of flu reported in January B. All cancer cases in the last year C. Total diabetes cases in a city D. Total deaths from heart disease Incidence refers to the number of new cases in a population over a period. 39.A nurse suspects elder abuse. What is the priority action? A. Ask a coworker for advice B. Report the suspicion to adult protective services C. Wait until the client discloses abuse D. Document and monitor for more signs Mandatory reporting laws require nurses to report suspected abuse immediately. 40.A nurse is preparing a presentation on food deserts. Which point should be included? A. They are areas with food shortages due to war B. They are communities with limited access to healthy food C. They are places where fast food is banned D. They refer to contaminated food sources Food deserts lack affordable, nutritious food, impacting community health. 41.What is the primary goal of occupational health nursing? A. Ensure employees get regular exercise B. Promote health and safety in the workplace
C. Provide CPR classes to staff D. Conduct food safety inspections Occupational nurses focus on preventing work-related illness and injury. 42.A nurse is reviewing disaster triage tags. What does a black tag indicate? A. Minor injuries B. Delayed treatment C. Immediate attention D. Expectant; not expected to survive Black tags indicate patients who are beyond help and should not use critical resources. 43.Which is a modifiable risk factor for cardiovascular disease? A. Age B. Gender C. Smoking D. Family history Smoking is a behavior that can be changed to reduce disease risk. 44.A nurse is screening for intimate partner violence. Which question is most appropriate? A. “Do you want to press charges?” B. “Do you feel safe at home?” C. “Why don’t you leave?” D. “Is your partner angry a lot?” Asking about safety is a nonjudgmental, open-ended way to assess for abuse.
48.A nurse is working to decrease infant mortality. What action is most effective? A. Promote prenatal care access B. Provide home smoke alarms C. Teach CPR to new parents D. Administer tetanus boosters Prenatal care helps identify and manage complications early, improving outcomes. 49.A nurse is planning to evaluate a recent community health intervention. What should the nurse examine? A. Past year’s census data B. Comparison of health outcomes before and after C. Staffing ratios D. Total program cost Outcome evaluation involves assessing whether the intervention met its goals. 50.What is the best definition of health literacy? A. Ability to read and write B. Understanding of insurance forms C. Ability to understand and use health information D. Having a medical degree Health literacy is the capacity to obtain, process, and understand basic health information.
51.A community health nurse is assessing a family's home for safety. Which finding requires intervention? A. Carbon monoxide detector in the hallway B. Hot water heater set to 120°F C. Locked cabinets for medications D. Space heater near curtains Flammable items near heat sources increase the risk of fire and should be addressed immediately. 52.A school nurse is planning an asthma education session. What should be included? A. Identify and avoid asthma triggers B. Discontinue medications when symptoms subside C. Use antibiotics during flare-ups D. Encourage sports without restriction Recognizing and avoiding asthma triggers is key in preventing attacks. 53.A nurse is conducting a community health assessment. Which component involves analyzing relationships and power structures? A. Physical environment B. Demographic data C. Social systems D. Health history Social systems reflect how the community is organized and function socially and politically.
57.A nurse is advocating for policy change to improve housing quality. This reflects which public health core function? A. Policy development B. Assurance C. Assessment D. Diagnosis Policy development involves using scientific knowledge to influence laws and policies that affect health. 58.A nurse is caring for a group of older adults. Which finding increases the risk for social isolation? A. Living alone with limited transportation B. Attending church weekly C. Having grandchildren visit often D. Participating in local clubs Limited social interaction and mobility increase the risk for social isolation. 59.A public health nurse is involved in tertiary prevention. Which activity is appropriate? A. Providing prenatal education B. Administering flu vaccines C. Blood pressure screening D. Teaching foot care to clients with diabetes Tertiary prevention focuses on managing existing conditions to prevent further complications.
60.What is the role of the faith community nurse? A. Integrating spiritual care with health education and promotion B. Performing hospital admissions C. Conducting insurance reviews D. Dispensing medication at clinics Faith community nurses focus on holistic care including spiritual and physical aspects. 61.A nurse is assisting a family affected by a flood. What is the priority action during the response phase? A. Ensure access to food, water, and shelter B. Conduct a community evaluation C. Provide long-term counseling D. Review disaster plans The response phase focuses on immediate survival needs and safety. 62.What is a benefit of using electronic health records (EHR) in community health? A. Decreased access to patient information B. Delayed reporting to public health C. Improved continuity and coordination of care D. Increased documentation errors EHRs enhance communication, reduce errors, and improve client tracking. 63.Which is an example of horizontal transmission? A. HIV passed during birth B. Influenza spread by coughing
