ATI RN
ATI Med Surg Exam Neuro Questions
Extract:
Question 1 of 5
An emergency room nurse is performing secondary triage on clients transported from the scene of a chemical spill. After caring for the clients, the EMS workers complained of nausea and dizziness. Which immediate interventions need to be taken by the triage nurse? SELECT ALL THAT APPLY
Correct Answer: B,E
Rationale: Evacuating the emergency department and sending the client and EMS crew to decontamination are immediate interventions to protect safety and remove chemical hazards.
Question 2 of 5
A community health nurse is assigned to identify activities that are a part of the prevention/mitigation phase of the disaster management cycle. Which of the following activities should the nurse identify as being in the prevention/mitigation phase?
Correct Answer: D
Rationale: Assisting community members in developing a disaster plan is part of the prevention/mitigation phase, reducing the risk and impact of disasters.
Question 3 of 5
The nurse notes that a client has ataxia. Which test does the nurse use to gain more information about this client's gait?
Correct Answer: B
Rationale: The Romberg test assesses balance and coordination, which are affected by ataxia, by evaluating proprioception during stance with eyes open and closed.
Question 4 of 5
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: Asking how they are managing at home, arranging mutual future visits, and sitting down to discuss with the client and family members are appropriate actions that show respect, collaboration, and facilitate communication and care planning.
Question 5 of 5
The nurse provides education to a client who is newly diagnosed with multiple sclerosis (MS). Which client statements indicate the need for additional teaching? SELECT ALL THAT APPLY
Correct Answer: B,C
Rationale: The statements 'I should not exercise because this may trigger an exacerbation' and 'I should alternate the eye patch every other day to help with the double vision' indicate the need for additional teaching, as exercise is beneficial for MS and alternating eye patches is not the correct management for double vision.