ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has experienced a hemorrhagic stroke. Which intervention should the nurse prioritize when providing care to the client?
Correct Answer: C
Rationale: Monitoring vital signs and neurological status frequently is critical to detect changes in a hemorrhagic stroke patient, preventing complications. Active exercises (
A) are secondary, strict bed rest (
B) is not ideal, and anticoagulants (
D) are contraindicated due to bleeding risk.
Question 2 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: A red tag is assigned to patients who require immediate medical attention and intervention to survive. These patients have life-threatening injuries but have a high chance of survival if treated promptly. In this scenario, the client has a respiratory rate of 38, a weak and rapid pulse, and uncontrolled bleeding, indicating severe physiological distress and potential shock, necessitating immediate intervention to prevent death. According to NATO triage guidelines, such critical conditions warrant a red tag to prioritize urgent care.
Question 3 of 5
A nurse is conducting triage of clients transported from a mass casualty incident (MCI). A client arrives saturated with an unknown substance and medical transport reports feeling dizzy. The nurse should prioritize which actions? SELECT ALL THAT APPLY
Correct Answer: B,C,E
Rationale: Removing the client and crew (
B), contacting the decontamination team (
C), and removing saturated clothing (E) prevent further exposure to the unknown substance. Assigning a private room (
A) is less urgent, and identifying the chemical (
D) is secondary to immediate decontamination.
Question 4 of 5
The nurse is working on discharge planning for a 25-year-old hospitalized client diagnosed with Multiple Sclerosis (MS). The client has significant bilateral lower extremities muscle weakness. Which of the following facilities should the nurse expect this client to be discharged to?
Correct Answer: C
Rationale: A rehabilitation facility (
C) offers specialized therapies to improve mobility and function for MS patients with significant weakness. Home care (
A) is less intensive, sub-acute care (
B) is for less specialized needs, and skilled nursing (
D) is for long-term care.
Question 5 of 5
The nurse is caring for a client with multiple sclerosis. What action does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?
Correct Answer: D
Rationale: Gentle stretching exercises (
D) improve venous return, prevent stiffness, and maintain muscle strength in MS patients. Ice therapy (
A) is less effective, interferon (
B) reduces relapses, and corticosteroids (
C) manage acute exacerbations, not these specific goals.