ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
The emergency department nurse is preparing an infusion of IV alteplase for a client who suffered a cerebrovascular accident (CVA). Which of the following statements is accurate about the administration of alteplase?
Correct Answer: B
Rationale: Alteplase is given as a bolus over 1 minute, followed by a 60-minute infusion. Anticoagulants may be managed, the time window is 3–4.5 hours from onset, and max dose is 90 mg.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Elevating the head of the bed to 30 degrees reduces intracranial pressure by promoting venous drainage. Bright light, excessive fluids, and coughing increase ICP.
Question 3 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.
Question 4 of 5
A client is experiencing decorticate posturing. Which assessment finding would the nurse expect to observe in this client?
Correct Answer: A
Rationale: Decorticate posturing involves flexion and internal rotation of upper extremities with leg extension, indicating corticospinal tract damage. Extension patterns describe decerebrate posturing.
Question 5 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Tachycardia (160/min) is a compensatory mechanism in early shock. Hypokalemia and mottled skin occur later, and BP may remain normal initially.