ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 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 2 of 5
A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?
Correct Answer: D
Rationale: The client's ability to prepare meals is the primary eligibility criterion for Meals-on-Wheels, as the program targets those unable to cook due to physical or cognitive limitations. Family support, financial resources, and transportation are secondary considerations.
Question 3 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 4 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 5 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.