ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: A
Rationale: Prominent U waves indicate hypokalemia due to potassium loss from vomiting. Inverted P waves, elevated ST segments, and wide QRS suggest other conditions.
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 caring for a client with a ventricular pacemaker who is on ECG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?
Correct Answer: C
Rationale: Ventricular pacemaker spikes precede the QRS complex, indicating proper ventricular stimulation. Spikes with T waves, P waves, or after QRS suggest malfunction.
Question 4 of 5
A nurse is caring for a client who reports heart palpitations that come and go. An ECG confirms the client is experiencing episodes of ventricular tachycardia (VT). The client is stable. The nurse should anticipate the need for taking which of the following actions?
Correct Answer: A
Rationale: Elective cardioversion is appropriate for stable VT to restore normal rhythm. CPR and defibrillation are for unstable or pulseless VT, and ablation is a long-term option.
Question 5 of 5
A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?
Correct Answer: B
Rationale: Packed RBCs restore blood volume and oxygen delivery in hypovolemic shock due to blood loss. Cryoprecipitates treat clotting disorders, albumin addresses fluid loss, and platelets manage thrombocytopenia.