Questions 45

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ATI Community Leadership Disaster and Neuro Questions

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Question 1 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.

Question 2 of 5

The community health nurse is educating new nurses on the spread of infectious diseases. The nurse utilizes which of the following approaches to explain the factors that allow the reproduction and spread of infectious disease?

Correct Answer: A

Rationale: The epidemiologic triangle (agent, host, environment) explains how infectious diseases spread, guiding prevention strategies. Levels of prevention (
B), natural history (
C), and health promotion (
D) address prevention stages, disease progression, or general health but not transmission factors.

Question 3 of 5

A nurse is caring for a client who was injured by a blast of high-order explosives. Medics report secondary injuries from the explosion. The nurse anticipates what type of injuries?

Correct Answer: D

Rationale: Penetrating injuries are characteristic of secondary blast injuries, caused by flying debris and shrapnel propelled at high velocity from the explosion. These injuries penetrate the skin and tissues, often requiring urgent surgical intervention. Blunt force trauma is associated with tertiary blast injuries, hollow organ damage with primary blast injuries, and post-trauma stress disorder is a psychological condition, not a physical secondary injury.

Question 4 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 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.

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A community health nurse is conducting an educational program on various environmental pollutants. The nurse should emphasize that clients who have which of the following disorders are especially vulnerable to ozone effects?

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