ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Implementing droplet precautions is the first priority for suspected meningitis, indicated by severe headache, stiff neck, and positive Kernig's and Brudzinski's signs. Meningitis can be contagious via respiratory droplets, so precautions protect others. Decreasing lights, initiating IV access, and administering antibiotics are important but secondary to infection control.
Question 2 of 5
A nurse is providing education regarding biologic threats. When discussing anthrax, which of the following should be included as potential portals of entry? SELECT ALL THAT APPLY
Correct Answer: B,C,E
Rationale: Anthrax enters through the integumentary system (
B) via skin cuts, respiratory system (
C) via inhalation, and gastrointestinal system (E) via ingestion. The central nervous system (
A) and renal system (
D) are not primary entry points.
Question 3 of 5
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Implementing droplet precautions is the first priority for suspected meningitis, indicated by severe headache, stiff neck, and positive Kernig's and Brudzinski's signs. Meningitis can be contagious via respiratory droplets, so precautions protect others. Decreasing lights, initiating IV access, and administering antibiotics are important but secondary to infection control.
Question 4 of 5
The nurse is providing education to a client who is newly diagnosed with Multiple Sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY
Correct Answer: B,E
Rationale: Saying exercise should be avoided (
B) is incorrect; exercise benefits MS patients. Alternating an eye patch every other day (E) is too infrequent; it should be every few hours. Urinary incontinence (
A), checking water temperature (
C), and visual disturbances (
D) are correct.
Question 5 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: A private room is the most appropriate setting for a client with scabies. Scabies is highly contagious and can spread through direct skin-to-skin contact or by sharing personal items. Placing the client in a private room helps prevent the spread of the mites to other patients and staff, enabling effective contact precautions. A negative-pressure room is for airborne infections, a semi-private room increases cross-contamination risk, and a positive-pressure room is unsuitable as scabies is not airborne.