ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is caring for a client receiving rehabilitation for paralysis following a spinal cord injury and diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: D
Rationale: Regular perineal care (
D) prevents skin breakdown and infection from incontinence, a critical concern. Limiting fluids (
A) risks dehydration, antispasmodics (
B) are secondary, and Kegel exercises (
C) are ineffective due to paralysis.
Question 2 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: Penetrating injuries are characteristic of secondary blast injuries, caused by flying debris and shrapnel propelled at high velocity from the explosion. These injuries penetrate the skin and tissues, often requiring urgent surgical intervention. Blunt force trauma is associated with tertiary blast injuries, hollow organ damage with primary blast injuries, and post-trauma stress disorder is a psychological condition, not a physical secondary injury.
Question 3 of 5
A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?
Correct Answer: C
Rationale: Anticonvulsants, like carbamazepine, are first-line for trigeminal neuralgia, stabilizing nerve activity to reduce neuropathic pain. Analgesics are less effective, antibiotics treat infections, and antihistamines address allergies, none of which target this pain.
Question 4 of 5
The community health nurse is educating new nurses on the spread of infectious diseases. The nurse utilizes which of the following approaches to explain the factors that allow the reproduction and spread of infectious disease?
Correct Answer: A
Rationale: The epidemiologic triangle (agent, host, environment) explains how infectious diseases spread, guiding prevention strategies. Levels of prevention (
B), natural history (
C), and health promotion (
D) address prevention stages, disease progression, or general health but not transmission factors.
Question 5 of 5
A nurse is caring for a client who questions the need for cardiac rehabilitation, stating, 'My heart is permanently damaged from the heart attack, so what's the point of cardiac rehabilitation?' Which response should the nurse prioritize?
Correct Answer: C
Rationale: Explaining that cardiac rehabilitation helps safely restore activity levels (
C) addresses the client's concerns directly, highlighting benefits despite irreversible damage. Other responses are vague, overly general, or defer to authority without educating.