ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 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 4 of 5
The school nurse identifies 12 students with confirmed cases of influenza A. The families of the children are advised to keep the children home for a minimum of 5 to 7 days. Which of the following is an appropriate action by the nurse?
Correct Answer: B
Rationale: Education on respiratory and hand hygiene is effective in reducing influenza spread by teaching preventive measures. Closing the school for 6 weeks is excessive, discipline for handwashing is inappropriate, and a mandatory flu clinic is not the most immediate action.
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.