ATI RN CONCEPT-BASED ASSESSMENT LEVEL
3 STUDY GUIDE | HIGH-YIELD REVIEW,
PRACTICE QUESTIONS & RATIONALES | PASS-
READY
Client with COPD will experience... - --ANSWER IS---DIGITAL CLUBBING, which
DECREASES arterial O2 levels.
tophi with chronic gout - --ANSWER IS---hard, painless nodule on first toe,
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
discharge
Swan neck deformity - --ANSWER IS----hyperextension of PIP joint and flexion of
DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - --ANSWER IS---chronic progressive disease of the skin and internal
organs with hardening and shrinking of connective tissue
-EXPECT flexion or contracture of joints. (late manifestation)
Preferred meal plan for a patient with DIVERTICULITIS - --ANSWER IS----advance
to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - --ANSWER IS---inflammation of the diverticula
,What type of medication can increase a patient's risk for a stroke? - --ANSWER IS--
--oral contraceptives B/C this will INCREASE the risk for developing a
THROMBOEMBOLISM.
A client with HYPOPITUITARISM places the them at risk for developing what type
of condition? - --ANSWER IS----osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the
client's risk for having a stroke? - --ANSWER IS---it doesn't increase, it actually
DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - --
ANSWER IS----rare malignant tumor arising in bone; most often occurring in
children
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN,
SWELLING, & PALPABLE MASS.
What are expected findings of Multiple Sclerosis (MS)? - --ANSWER IS----decrease
visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of
uncontrolled movements).
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - --ANSWER IS----
fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - --ANSWER IS---Also known an Lou
Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
,borderline personality disorder - --ANSWER IS---condition marked by extreme
instability in mood, identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - --ANSWER IS---characterized by a grandiose
sense of self-importance, a preoccupation with fantasies of success or power, and
a need for constant attention or admiration or ARROGANCE
historonic personality disorder - --ANSWER IS---Impulsive attention seeking
behavaior
paranoid personality disorder - --ANSWER IS---A personality disorder
characterized by a pervasive distrust and suspiciousness of the motives of others
without sufficient basis
What are some complications of an infant born at or less than 32 weeks? - --
ANSWER IS----apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune
system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
, What teachings should the nurse include for a client that underwent a UTERINE
ARTERY EMBOLIZATION? - --ANSWER IS----client may experience flu-like
symptoms for 7 days after procedure (embolectomy syndrome)
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
arteries of the FIBROID TUMOR is used
-inform client that SEVERE CRAMPING may occur in the first 24hr after the
procedure and can last up to 2 weeks.
What teachings should the nurse include for a client who has bipolar disorder and
has a new prescription of LITHIUM? - --ANSWER IS----instruct client to take Li with
meals to decrease irritation of gastric mucosa.
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause
Li toxicity).
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
-expect WEIGHT GAIN (common adverse effect of Li).
Autism Spectrum Disorder (ASD) - --ANSWER IS---A disorder characterized by
deficits in social relatedness and communication skills that are often accompanied
by repetitive, ritualistic behavior.
Immunization schedule - --ANSWER IS---Birth: Hep B
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
3 STUDY GUIDE | HIGH-YIELD REVIEW,
PRACTICE QUESTIONS & RATIONALES | PASS-
READY
Client with COPD will experience... - --ANSWER IS---DIGITAL CLUBBING, which
DECREASES arterial O2 levels.
tophi with chronic gout - --ANSWER IS---hard, painless nodule on first toe,
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
discharge
Swan neck deformity - --ANSWER IS----hyperextension of PIP joint and flexion of
DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - --ANSWER IS---chronic progressive disease of the skin and internal
organs with hardening and shrinking of connective tissue
-EXPECT flexion or contracture of joints. (late manifestation)
Preferred meal plan for a patient with DIVERTICULITIS - --ANSWER IS----advance
to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - --ANSWER IS---inflammation of the diverticula
,What type of medication can increase a patient's risk for a stroke? - --ANSWER IS--
--oral contraceptives B/C this will INCREASE the risk for developing a
THROMBOEMBOLISM.
A client with HYPOPITUITARISM places the them at risk for developing what type
of condition? - --ANSWER IS----osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the
client's risk for having a stroke? - --ANSWER IS---it doesn't increase, it actually
DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - --
ANSWER IS----rare malignant tumor arising in bone; most often occurring in
children
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN,
SWELLING, & PALPABLE MASS.
What are expected findings of Multiple Sclerosis (MS)? - --ANSWER IS----decrease
visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of
uncontrolled movements).
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - --ANSWER IS----
fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - --ANSWER IS---Also known an Lou
Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
,borderline personality disorder - --ANSWER IS---condition marked by extreme
instability in mood, identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - --ANSWER IS---characterized by a grandiose
sense of self-importance, a preoccupation with fantasies of success or power, and
a need for constant attention or admiration or ARROGANCE
historonic personality disorder - --ANSWER IS---Impulsive attention seeking
behavaior
paranoid personality disorder - --ANSWER IS---A personality disorder
characterized by a pervasive distrust and suspiciousness of the motives of others
without sufficient basis
What are some complications of an infant born at or less than 32 weeks? - --
ANSWER IS----apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune
system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
, What teachings should the nurse include for a client that underwent a UTERINE
ARTERY EMBOLIZATION? - --ANSWER IS----client may experience flu-like
symptoms for 7 days after procedure (embolectomy syndrome)
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
arteries of the FIBROID TUMOR is used
-inform client that SEVERE CRAMPING may occur in the first 24hr after the
procedure and can last up to 2 weeks.
What teachings should the nurse include for a client who has bipolar disorder and
has a new prescription of LITHIUM? - --ANSWER IS----instruct client to take Li with
meals to decrease irritation of gastric mucosa.
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause
Li toxicity).
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
-expect WEIGHT GAIN (common adverse effect of Li).
Autism Spectrum Disorder (ASD) - --ANSWER IS---A disorder characterized by
deficits in social relatedness and communication skills that are often accompanied
by repetitive, ritualistic behavior.
Immunization schedule - --ANSWER IS---Birth: Hep B
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
