ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
Correct Answer: C
Rationale: Defibrillation is the priority for ventricular fibrillation to restore rhythm. Amiodarone, epinephrine, and airway management follow.
Question 2 of 5
What are the anticipated signs and symptoms for a client who has meningitis? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Fever, chills, nuchal rigidity, severe headache, and Brudzinski’s sign are classic meningitis symptoms due to meningeal inflammation. Bradycardia is not typical; tachycardia is more common.
Question 3 of 5
A nurse is assessing a client in the emergency department when it is noted the left pupil is enlarged and fixed while the right pupil constricts to 2mm when exposed to light. Which of the following is a possible cause of unequal pupil sizing?
Correct Answer: C
Rationale: Unequal pupils with one fixed and dilated suggest increased intracranial pressure, often from ocular or head trauma. Normal variation, aging, or light exposure do not cause this.
Question 4 of 5
A nurse is assessing a client who has disseminated intravascular coagulation (DIC). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: DIC involves excessive thrombosis and bleeding due to clotting factor and platelet consumption. Clotting factors decrease, platelets decline, and fluid retention is not primary.
Question 5 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.