ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client's nutritional status?
Correct Answer: B
Rationale: Planning medication doses before meals enhances muscle strength in Myasthenia gravis patients by timing anticholinesterase medications to peak during eating, aiding chewing and swallowing. Restricting fluids may cause dehydration, increasing fats and carbohydrates doesn't address swallowing issues, and large meals may be difficult due to fatigue.
Question 2 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 3 of 5
A nurse is providing education regarding biologic threats. When discussing anthrax, which of the following should be included as potential portals of entry? SELECT ALL THAT APPLY
Correct Answer: B,C,E
Rationale: Anthrax enters through the integumentary system (
B) via skin cuts, respiratory system (
C) via inhalation, and gastrointestinal system (E) via ingestion. The central nervous system (
A) and renal system (
D) are not primary entry points.
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 enters the room of a client and discovers the client with new right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Calling for help is the first action for a suspected stroke, indicated by right-sided weakness and slurred speech, to activate the stroke team. Thrombolytics (
A) require diagnosis confirmation, water (
C) risks aspiration, and carotid massage (
D) is irrelevant.