ATI RN
ATI Med Surg Exam Neuro Questions
Extract:
Question 1 of 5
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: B
Rationale: Providing regular perineal care to prevent skin breakdown is the highest priority to reduce the risk of infection and pressure ulcers due to reflex incontinence.
Question 2 of 5
A nurse educator is teaching a group of nursing students how to become effective leaders. The nursing students should recognize that an effective nurse leader has which of the following qualities? SELECT ALL THAT APPLY
Correct Answer: C,D
Rationale: The ability to set priorities and integrity are qualities of an effective nurse leader, enabling focus on important tasks and ethical decision-making.
Question 3 of 5
A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since 'my heart is already damaged.' Which of the following is the appropriate nursing response?
Correct Answer: C
Rationale: Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely.' This statement is the appropriate nursing response. It acknowledges the client's condition and provides factual information about cardiac rehabilitation. It also emphasizes the positive outcomes of cardiac rehabilitation, such as improving physical function, reducing symptoms, and preventing further complications.
Question 4 of 5
A nurse is educating a group of nursing students about client-focused community-based nursing. The nurse should recognize which of the following best describes client-focused community-based nursing.
Correct Answer: B
Rationale: A philosophy that guides family-centered illness care best describes client-focused community-based nursing, emphasizing individual and family needs.
Question 5 of 5
The facility education nurse is providing a group of new nurses education regarding weaponized biological threats. When discussing anthrax, which of the following should be included as portals of entry? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The integumentary system is a portal of entry for anthrax because the bacteria can enter through cuts or abrasions on the skin (cutaneous anthrax). The central nervous system is a portal of entry because the bacteria can spread to the brain and spinal cord (meningeal anthrax). The respiratory system is a portal of entry because the bacteria can be inhaled into the lungs (inhalation anthrax).