ATI RN
ATI Community Leadership Disaster and Neuro Questions
Extract:
Question 1 of 5
The school nurse identifies 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 on respiratory and hand hygiene is effective in reducing influenza spread by teaching preventive measures. Closing the school for 6 weeks is excessive, discipline for handwashing is inappropriate, and a mandatory flu clinic is not the most immediate action.
Question 2 of 5
A nurse is caring for a client who questions the need for cardiac rehabilitation, stating, 'My heart is permanently damaged from the heart attack, so what's the point of cardiac rehabilitation?' Which response should the nurse prioritize?
Correct Answer: C
Rationale: Explaining that cardiac rehabilitation helps safely restore activity levels (
C) addresses the client's concerns directly, highlighting benefits despite irreversible damage. Other responses are vague, overly general, or defer to authority without educating.
Question 3 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 4 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.
Question 5 of 5
The nurse is caring for a client with multiple sclerosis. What action does the nurse implement to increase venous return, prevent stiffness, and maintain muscle strength and endurance?
Correct Answer: D
Rationale: Gentle stretching exercises (
D) improve venous return, prevent stiffness, and maintain muscle strength in MS patients. Ice therapy (
A) is less effective, interferon (
B) reduces relapses, and corticosteroids (
C) manage acute exacerbations, not these specific goals.