ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: Changes in consciousness are a hallmark of hemorrhagic stroke due to rapid bleeding increasing intracranial pressure, disrupting brain function. This can manifest as confusion, lethargy, or unconsciousness. A gradual headache or symptom onset is atypical, as hemorrhagic strokes present suddenly. Neurologic deficits lasting less than 1 hour suggest a transient ischemic attack, not a hemorrhagic stroke.
Question 2 of 5
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
Correct Answer: C,D,E
Rationale: Arranging mutual future visits (
C) establishes a consistent care schedule for ongoing diabetes management. Asking how the client is managing at home (
D) provides critical information for a personalized care plan. Sitting down to discuss with the client and family (E) builds rapport and involves the support system. Going into the bedroom without permission (
A) invades privacy, and thanking the client (
B) is courteous but not critical to care.
Question 3 of 5
A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
Correct Answer: D
Rationale: An occupational health nurse promotes health and safety in workplaces like automotive plants, preventing work-related injuries and illnesses. Nurse clinicians focus on direct care, public health nurses on community health, and community nurse specialists on specialized community care.
Question 4 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 5 of 5
A nurse is teaching a client who has a new prescription for Sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Instructing the client to call a physician immediately for chest pain is critical, as Sumatriptan can cause serious cardiovascular side effects, such as angina or myocardial infarction. Chewing tablets affects absorption, daily use is not indicated, and repeat dosing should occur after 2 hours, not 1.