ATI RN
ATI Community Leadership Disaster and Neuro Questions
Question 1 of 5
A nurse is caring for a client brought to the Emergency Department as one of the first victims of a train accident. The nurse assesses the client, noting a respiratory rate of 38, a weak, rapid pulse, and uncontrolled bleeding. Using NATO guidelines, the nurse assigns which priority tag?
Correct Answer: A
Rationale: The correct answer is A: Red tag. The nurse assigns a red tag based on the assessment findings of a high respiratory rate, weak rapid pulse, and uncontrolled bleeding, indicating a critically injured patient requiring immediate intervention. Red tag signifies priority 1 according to NATO guidelines, indicating the need for immediate life-saving interventions. Other choices are incorrect because Black tag (
B) is used for deceased or non-salvageable patients, Green tag (
C) for minor injuries, and Yellow tag (
D) for delayed or non-urgent care. In this scenario, the patient's critical condition necessitates the assignment of a red tag for prompt and urgent care.
Question 2 of 5
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
Correct Answer: B
Rationale: The correct answer is B, a private room. Scabies is transmitted through direct skin-to-skin contact, so placing the client in a private room helps prevent spread to others.
Choice A, a negative-pressure isolation room, is used for airborne infections.
Choice C, a semi-private room with a client who has pediculosis capitis, is incorrect because scabies and head lice are different conditions with different modes of transmission.
Choice D, a positive-pressure isolation room, is used to protect immunocompromised individuals from outside pathogens.
Question 3 of 5
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
Correct Answer: B
Rationale: The correct answer is B: A private room. This is because scabies is transmitted through close skin-to-skin contact, so placing the client in a private room will help prevent the spread of the infestation to others. A negative-pressure isolation room (choice
A) is used for airborne infections, not for scabies. Placing the client in a semi-private room with a client who has pediculosis capitis (lice) (choice
C) increases the risk of cross-infection. Positive-pressure isolation rooms (choice
D) are used to protect immunocompromised clients from airborne pathogens.
Question 4 of 5
A nurse is delegating tasks to the assistive personnel (AP). The nurse should direct the AP to complete which of the following tasks first?
Correct Answer: B
Rationale: The correct answer is B because providing a snack to a diabetic client who is feeling lightheaded addresses an immediate physiological need. Hypoglycemia can lead to serious complications and needs to be addressed promptly to prevent harm.
Choices A, C, and D involve important tasks but do not address an urgent physiological need like hypoglycemia. Assisting a client with a bed bath, feeding a client with bilateral casts, or ambulating a postoperative client can be prioritized based on the client's condition and safety but do not take precedence over addressing a potential medical emergency like hypoglycemia.
Question 5 of 5
A nurse is caring for a client who was injured by a blast of high-order explosives. Medics report secondary injuries from the explosion. The nurse anticipates what type of injuries?
Correct Answer: D
Rationale: The correct answer is D: Penetrating injuries. High-order explosives cause secondary injuries like shrapnel or debris penetrating the body leading to penetrating injuries. Blunt force trauma (
A) results from direct impact, not explosions. Hollow organ damage (
B) is more likely with crush injuries. Post-trauma stress disorder (
C) is a psychological response, not a physical injury.
Therefore, the nurse should anticipate penetrating injuries as a result of the blast.