ATI Community Health Nursing

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Sample questions from ATI Community Health Nursing

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A public health nurse is planning a program to reduce falls among adults age 65 and older. Which activity is an example of primary prevention?

   • A.Teaching older adults exercises to improve balance and leg strength
   • B.Screening older adults for fall risk during clinic visits
   • C.Arranging rehabilitation for an older adult after a hip fracture
   • D.Collecting data on fall-related hospitalizations

   Rationale: Primary prevention acts before injury or illness occurs, and balance and strength education can reduce the likelihood of a fall. Fall-risk screening is secondary prevention because it identifies risk early, while rehabilitation after a fracture is tertiary prevention. Hospitalization data support surveillance and program evaluation rather than direct primary prevention.

2. 2.A community health nurse reviews a county report showing 240 new cases of influenza during January. Which measure is the nurse reviewing?

   • A.Incidence
   • B.Prevalence
   • C.Mortality rate
   • D.Case-fatality rate

   Rationale: Incidence counts new cases occurring in a population during a specified period. Prevalence includes all existing cases at a point or during a period, not only new cases. Mortality concerns deaths, and case-fatality describes the proportion of people with a condition who die from it.

3. 3.A nurse is conducting a home visit for a client with heart failure. Which action best demonstrates the principle of maintaining client safety during the visit?

   • A.Tell a colleague the visit location and expected return time
   • B.Enter the home immediately to avoid delaying the assessment
   • C.Leave the nursing bag open on the client's kitchen table
   • D.Continue the visit despite feeling threatened by a household member

   Rationale: Sharing the visit location and expected return time is a basic safety measure for community-based practice. Entering without assessing the situation and leaving supplies unsecured create avoidable risks. A nurse should leave and seek assistance if threatened, rather than continuing the visit.

4. 4.A county health department is investigating a cluster of foodborne illness. Which action should the nurse take first?

   • A.Verify that the number of reported cases exceeds the expected number
   • B.Announce the suspected source to the community
   • C.Begin a long-term health education campaign
   • D.Close all restaurants in the county

   Answer and rationale are in the full material.

5. 5.A nurse is planning a community assessment. Which data source is an example of a secondary data source?

   • A.A windshield survey conducted by the nurse
   • B.Interviews with residents at a community meeting
   • C.County census data
   • D.A focus group led by the nursing team

   Answer and rationale are in the full material.