ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is assessing a client who was brought into the emergency room following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: C
Rationale: The correct answer is C: Assess the cranial nerves. Meningococcal meningitis can affect the cranial nerves, leading to symptoms such as photophobia, altered mental status, and cranial nerve deficits. Assessing the cranial nerves will help the nurse to further evaluate the client's neurological status and identify any abnormalities that may indicate the severity of the condition. Administering an antipyretic (
A) may help reduce fever but does not address the underlying issue. Completing a vascular assessment (
B) is not a priority in this situation. Decreasing environmental stimuli (
D) may be helpful for a seizure but is not the next priority after implementing droplet precautions.
Question 2 of 5
A community health nurse is teaching a group of nursing students about descriptive analytics. The nurse recognizes that which of the following best describes the purpose of descriptive analytics in nursing?
Correct Answer: C
Rationale: Descriptive analytics in nursing aims to summarize and interpret historical client data to identify trends and patterns. This involves organizing and presenting data in a meaningful way to gain insights for decision-making. Predicting future outcomes (
A) involves predictive analytics, not descriptive analytics. Developing new treatment protocols (
B) is more related to evidence-based practice. Real-time monitoring of vital signs (
D) falls under the realm of monitoring and surveillance, not descriptive analytics. In summary, choice C is correct as it aligns with the fundamental purpose of descriptive analytics in nursing.
Question 3 of 5
A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client's nutritional status?
Correct Answer: B
Rationale: The correct answer is B: Plan medication doses to occur before meals. This is because Myasthenia gravis can cause difficulty swallowing, leading to weight loss. Taking medication before meals can enhance the client's ability to eat by improving muscle strength for swallowing and chewing. Restricting fluids (
A) may exacerbate swallowing difficulties. Increasing fat and carbohydrates (
C) can lead to weight gain but may not address the swallowing issue. Eating three large meals (
D) may be challenging for someone with swallowing difficulties.
Question 4 of 5
A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
Correct Answer: B
Rationale: The correct answer is B: Mitigation phase. In the National Response Framework, the mitigation phase focuses on actions taken to prevent or minimize the impact of a disaster. By identifying at-risk populations, educating residents about evacuation routes, and providing information on emergency shelters, the nurse is proactively working to reduce the potential negative effects of flooding. This aligns with the goals of the mitigation phase, which aims to reduce vulnerability and enhance resilience. The other choices are incorrect because they do not specifically address the proactive measures taken to prevent or minimize the impact of a disaster, as seen in the mitigation phase.
Question 5 of 5
A registered nurse (RN) and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the RN delegate to the LPN?SELECT ALL THAT APPLY
Correct Answer: A,B,C,E
Rationale: The correct tasks to delegate to the LPN include monitoring vital signs, administering routine medications, performing wound care, and providing oral care. RNs are responsible for assessing clients, developing care plans, and making critical decisions. LPNs can safely perform tasks that do not require advanced assessment or critical thinking skills. Monitoring vital signs, administering routine medications, performing wound care, and providing oral care are all within the scope of practice for LPNs and do not require the level of expertise or decision-making that an RN would provide. Developing a teaching plan for a newly diagnosed client with Type II Diabetes requires a higher level of education and expertise, making it inappropriate to delegate to an LPN.