ATI RN
ATI Med Surg Exam Neuro Questions
Extract:
Question 1 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.
Question 2 of 5
The school nurse identified 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 regarding respiratory and hand hygiene is appropriate to prevent the spread of influenza and promote healthy behaviors.
Question 3 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: C
Rationale: Sudden severe headache is a manifestation of a hemorrhagic stroke. A hemorrhagic stroke can cause intense pain in the head, neck, or face, due to the pressure and irritation of the bleeding. The headache may be described as 'the worst headache of my life' or 'thunderclap headache'.
Question 4 of 5
A client is receiving rehabilitation for paralysis following a spinal cord injury and is diagnosed with reflex incontinence. Which of the following is the highest priority intervention the nurse should include in the plan of care?
Correct Answer: B
Rationale: Providing regular perineal care to prevent skin breakdown is the highest priority to reduce the risk of infection and pressure ulcers due to reflex incontinence.
Question 5 of 5
A client is brought to the Emergency Department as one of the first victims of a train accident. The client reports light-headedness, a weak pulse, and uncontrolled bleeding. Which priority tag should a triage nurse use to categorize this client?
Correct Answer: B
Rationale: A red tag is appropriate for a client with life-threatening injuries requiring immediate attention, such as uncontrolled bleeding and shock symptoms.