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ATI Community Health Exam 2

RN - Nursing Exam(s) 49 Questions ✓ Free Access

Community Health

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Q1: A nurse in a public clinic is planning a health fair for clients in the community who are at risk for developing type 2 diabetes mellitus. Which of the following activities should the nurse include for secondary prevention?

Answer Choices:

A. Demonstrating a 15qninute exercise routine
B. Screening for blood sugar levels
C. Providing a cooking lesson using sugar alternatives
D. Educating about stress management strategies
Correct Answer: Screening for blood sugar levels
Rationale:

💠 Secondary prevention focuses on early detection of disease before symptoms appear to begin timely intervention.

💠 Screening for blood glucose levels helps detect prediabetes or undiagnosed type 2 diabetes, particularly in high-risk groups.

💠 This allows for lifestyle modifications or early treatment that can prevent complications.

💠 Exercise demonstration and cooking lessons are primary prevention (prevent disease onset), and stress management supports ongoing control, not early detection.

Q2: A community health nurse is calculating the number of deaths of school age children in a county. Which of the following methods should the nurse use to obtain this data?

Answer Choices:

A. Age-specific mortality rate
B. Prevalence rate
C. Cause-specific mortality rate
D. Case fatality rate
Correct Answer: Age-specific mortality rate
Rationale:

💎 The age-specific mortality rate calculates the number of deaths among individuals within a specific age group, such as school-aged children.

💎 This method helps identify trends and target interventions based on age.

💎 Prevalence rate measures existing cases, not deaths.

💎 Cause-specific and case fatality rates focus on specific diseases, not age group mortality.

Q3: A nurse is caring for a client who has end-stage liver disease and states, "l am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Answer Choices:

A. Inform the client that they are better off without medical care if they continue to drink
B. Report the client's refusal to comply to the charge nurse and end the discussion
C. Accept the client's decision and offer to be a resource if the client changes their mind.
D. Ask the client's family to remove alcohol from the client's home.
Correct Answer: Accept the client's decision and offer to be a resource if the client changes their mind.
Rationale:

💖 A core principle of client advocacy is respecting the client's right to make informed decisions, even if they differ from the nurse’s perspective.

💖 The nurse’s role is to provide unbiased support and information, not to coerce or criticize.

💖 Offering continued availability shows compassionate and nonjudgmental care.

💖 Involving family without permission or reporting noncompliance violates ethical principles and autonomy.

Q4: A nurse should identify a possible health literacy barrier when a client responds with which of the following statements?

Answer Choices:

A. My sibling has the same diagnosis, so I know what to expect
B. "l don't like to read: just tell me what I need to know
C. "With practice I am able to learn new skills pertaining to my health
D. "Let me put my glasses on before start reading this material
Correct Answer: "l don't like to read: just tell me what I need to know
Rationale:

🤎 A client who prefers verbal instruction over reading may have limited literacy or difficulty understanding written materials.

🤎 Recognizing this allows the nurse to adapt teaching strategies to visual or auditory formats.

🤎 This is a barrier to effective self-care and decision-making, especially with medication or written discharge instructions.

🤎 The other statements reflect personal preferences or assistive needs (e.g., glasses), not a barrier to comprehension.

Q5: A school nurse is preparing a lesson for a high school health class about the prevention of sexually transmitted infections(STIS). Which of the following interventions should the nurse include that aims to block transmission of STIS at the portal of exit?

Answer Choices:

A. Prophylactic antivirals
B. Immunizations
C. Condom use
D. Antibiotics
Correct Answer: Condom use
Rationale:

🛡️ Condoms act as a physical barrier that prevents infectious agents from leaving the body, effectively blocking the portal of exit (e.g., semen, vaginal fluids).

🛡️ This is a critical intervention in primary prevention of sexually transmitted infections (STIs).

🛡️ Immunizations prevent disease by enhancing host resistance, and antibiotics and antivirals treat infections after transmission.

🛡️ Condoms are a real-time, direct method for preventing spread at the point of contact.

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Exam Details
Total Questions: 49 practice questions
Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI COMMUNITY HEALTH
Last Updated: Dec 01, 2025
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