ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?
Correct Answer: D
Rationale: Scheduling energy-intensive activities during peak energy times (
D) conserves energy by aligning tasks with the client's natural rhythms, promoting efficiency and reducing fatigue. Restricting visitors (
A), clustering activities (
B), or scheduling toilet breaks (
C) are less effective for energy conservation.
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
A nurse is assessing a client who was brought into the emergency room following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: C
Rationale: Assessing the cranial nerves is critical next to evaluate neurological impairment in suspected meningococcal meningitis, indicated by nuchal rigidity and petechial rash. This assessment guides treatment by identifying central nervous system involvement. Administering antipyretics, vascular assessments, and decreasing stimuli are supportive but less urgent than neurological assessment.
Question 4 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 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.