ATI RN
ATI Med Surg Exam Neuro Questions
Extract:
Question 1 of 5
The facility education nurse is providing a group of new nurses education regarding weaponized biological threats. When discussing anthrax, which of the following should be included as portals of entry? SELECT ALL THAT APPLY
Correct Answer: A,C,E
Rationale: The integumentary system is a portal of entry for anthrax because the bacteria can enter through cuts or abrasions on the skin (cutaneous anthrax). The central nervous system is a portal of entry because the bacteria can spread to the brain and spinal cord (meningeal anthrax). The respiratory system is a portal of entry because the bacteria can be inhaled into the lungs (inhalation anthrax).
Question 2 of 5
A nurse is caring for a client with a myocardial infarction. The client questions the need for cardiac rehabilitation since 'my heart is already damaged.' Which of the following is the appropriate nursing response?
Correct Answer: C
Rationale: Cardiac rehabilitation cannot undo the damage to your heart, but it can help you get back to your previous level of activity safely.' This statement is the appropriate nursing response. It acknowledges the client's condition and provides factual information about cardiac rehabilitation. It also emphasizes the positive outcomes of cardiac rehabilitation, such as improving physical function, reducing symptoms, and preventing further complications.
Question 3 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: C
Rationale: If you experience chest pain, call your physician immediately. This instruction is correct because chest pain is a serious and potentially life-threatening side effect of sumatriptan. Chest pain may indicate a heart attack or coronary artery spasm, which require immediate medical attention.
Question 4 of 5
A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
Correct Answer: D
Rationale: The AP has the knowledge and skill to perform the task is one of the five rights of delegation. The nurse is responsible for assessing the AP's competence and readiness to perform the task, and providing appropriate training and feedback if needed.
Question 5 of 5
The hospital's Emergency Operations Committee is working on their disaster plan. In which components should nurses be included? SELECT ALL THAT APPLY
Correct Answer: A,B,C,D
Rationale: Nurses performing duties outside of their typical job description, a plan for comprehensive practice drills, identification of resources for food, water, and supplies, and an internal and external communication plan are all components that should include nurses to ensure effective disaster preparedness and response.