ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Positioning the child laterally prevents aspiration during a seizure. Restraining, using tongue blades, or stopping the seizure risks injury.
Question 2 of 5
A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets 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: Convert 125 mcg to 0.125 mg. Dose = 0.125 mg / 0.25 mg/tablet = 0.5 tablets.
Extract:
Medical History
0900:
Client had a left-hemisphere stroke with right-sided arm mild expressive aphasia. Client is able to ambulate with assistance. Client is alert to person and place but is unable to tell the date and time.
Nurses' Notes
1000:
Client is assisted out of bed to chair. Client is sitting upright eating breakfast. Bilateral breath sounds clear and present throughout. Client drools and clears throat when eating. Voice hoarse after swallowing.
1800:
Client coughing frequently. Breath sounds with crackles heard in right upper lobe.
Vital Signs
1000:
Temperature 37.2° C (99° F) Blood pressure 128/76 mm Hg Heart rate 86/min Respirations 18/min
Oxygen saturation 96% on room air
1800:
Temperature 39.6° C (103.3° F) Blood Pressure 118/78 mm Hg Heart Rate 104/min Respiration rate 24/min
Oxygenation saturation 92% on room air
Question 3 of 5
A nurse is caring for a client who has had a stroke. Select the 3 findings that require immediate follow-up.
Correct Answer: A,D,E
Rationale: Drooling and hoarse voice suggest aspiration risk, and a temperature of 39.6°C (103.3°F) indicates possible infection, all requiring immediate follow-up. BP and breath sounds lack context for urgency.
Extract:
Question 4 of 5
A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?
Correct Answer: D
Rationale: In normal sinus rhythm, the P wave precedes each QRS complex, indicating proper atrial-to-ventricular conduction. A P-R interval of 0.22 seconds is prolonged, inverted T waves suggest abnormalities, and QRS duration of 0.20 seconds indicates conduction delay.
Question 5 of 5
A nurse is teaching a client who has septic shock about the development of disseminated intravascular coagulation (DIC). Which of the following statements should the nurse make?
Correct Answer: D
Rationale: DIC results from abnormal coagulation, depleting fibrinogen and causing clotting and bleeding. Heparin is not lifelong, platelets decrease, and it’s not genetic.