ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
Correct Answer: D
Rationale: Giving extra time for activities accommodates bradykinesia, reducing frustration and promoting independence. Low-protein diets may interfere with medication, fast walking increases fall risk, and passive exercises don't directly address slowness of movement.
Question 3 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 4 of 5
The nurse is creating an education plan for a client who has a recent diagnosis of Multiple Sclerosis (MS). Which of the following interventions should the nurse include in the client's plan?
Correct Answer: B
Rationale: Teaching stress management techniques (
B) helps manage MS symptoms, as stress can exacerbate them. High-impact exercises (
A) risk injury, avoiding social interactions (
C) harms mental health, and hourly voiding (
D) is not standard unless bladder issues are present.
Question 5 of 5
A nurse is monitoring a client who had a cerebral aneurysm rupture. Which of the following findings should the nurse identify as a manifestation of increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Hypertension (
A) is a key sign of increased ICP, as the body raises blood pressure to maintain cerebral perfusion. Tinnitus (
B), hypotension (
C), and tachycardia (
D) are not primary indicators of elevated ICP.