In practice, you can achieve consensus across multiple nodes with a reasonable amount of fault tolerance if you are willing to accept high (as in, hundreds of milliseconds) latency bounds. That's a loss of availability that's not acceptable to many applications.
This means, that you can't build a low-latency multi-master system that achieves the "A" and "I" guarantees. Thus, distributed systems that wish to achieve a greater form of consistency typically (Megastore from Google being a notable exception, at the cost of 140ms latency) choose master slave systems (with "floating masters" for fault tolerance). In these systems availability is lost for a short period of time in case the master fails. BigTable (or HBase) is an example of this: (grand simplification follows) when a tablet master (RegionServer in HBase) for a specific token range fails, availability is lost until other nodes take over the "master-less" token range.
These are not binary "on/off" switches: see Yahoo's PNUTS for a great "middle of the road" system. The paper < http://research.yahoo.com/node/2304 > has an intuitive example explaining the various consistency models.
Note: in a partitioned system, the scope of consistency guarantees (that is, any consistency guarantees: eventual or not) is typically limited to (at best) a single partition of a "table group"/"entity group" (in Microsoft Azure Cloud SQL Server and Google Megastore, respectively), a single partition of a table (usual sharded MySQL setups) or just a single row in a table (BigTable) or document in a document oriented store. Atomic and isolated cross row transactions are impractical on commodity hardware (and are limited even in systems that mandate the use of infiband interconnect and high-performance SSDs).
[Disclaimer: I am commiter on Project Voldemort, a Dynamo implementation; in addition to Dynamo, I also find Yahoo's PNUTS and Google's BigTable to be very interesting architectures.]