ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse in an urgent care center is assessing a client who reports a sudden onset of irregular palpitations, fatigue, and dizziness. The nurse finds a rapid and irregular heart rate with a significant pulse deficit. Which of the following dysrhythmias should the nurse expect to find on the ECG?
Correct Answer: A
Rationale: Atrial fibrillation causes irregular palpitations, rapid irregular heart rate, and pulse deficit due to chaotic atrial activity. Sinus bradycardia, tachycardia, and first-degree AV block do not match these symptoms.
Question 2 of 5
A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.5
Rationale: Volume = 35 mg / 75 mg/mL = 0.4667 mL, rounded to 0.5 mL.
Question 3 of 5
A nurse is assessing the reflexes of a client who has an unrepaired femur fracture and has suddenly become stuporous. For which of the following findings should the nurse identify that the client exhibits Babinski's sign?
Correct Answer: D
Rationale: Babinski’s sign is dorsiflexion of the great toe, indicating upper motor neuron damage. Jerking, pinpoint pupils, and arm pronation are unrelated.
Question 4 of 5
A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?
Correct Answer: A
Rationale: Self-feeding with adaptive equipment is realistic for a C5 injury, leveraging arm strength. Independent transfers, chin/mouth stick use, and bowel/bladder control are not feasible.
Extract:
Nurses' Notes
Day 1:
Client admitted to the medical-surgical unit from the emergency department (ED). Client came to the ED after sudden onset of dizziness, numbness and weakness of right arm, right leg, and right side of the face.
Client is awake, responsive, and follows commands. Appears confused and is unable to form words to answer questions
Right facial droop noted. Right hand grasp weak, left hand grasp strong. Day 7: Client is awake, alert, and oriented. Able to form some words to answer questions
Right facial droop. Right hand grasp weak, left hand grasp strong. Right leg weak. Ambulates with a walker and assistance.
Vital Signs
Vital Signs Day 1: Temperature 37.5°C (99.5° F) Blood pressure 198/96 mm Hg Heart rate 112/min Respiratory rate 22/min
Oxygen saturation 96% on room air Day 7:
Temperature 38° C (100,4° F) Blood pressure 166/70 mm Hg Heart rate 88/min
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 5 of 5
A nurse is caring for a client. For each client finding, click to specify if the finding is consistent with Parkinson's disease, stroke, and/or multiple sclerosis. Each finding can support more than one disease process.
Options | Parkinson's Disease | Stroke | Multiple Sclerosis |
---|---|---|---|
Cognitive function | |||
Speech | |||
Mobility status | |||
Blood pressure | |||
Facial symmetry. |
Correct Answer:
Rationale: Cognitive function: Parkinson’s (later dementia), stroke (acute changes), MS (subtle deficits). Speech: Parkinson’s (hypophonia), stroke (aphasia), MS (dysarthria). Mobility: Parkinson’s (bradykinesia), stroke (hemiparesis), MS (spasticity). BP: Stroke (risk factor). Facial symmetry: Parkinson’s (masked face), stroke (droop), MS (rare weakness).