ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 STUDY GUIDE QUESTIONS WITH CORRECT ANSWERS

ATI RN CONCEPT-BASED ASSESSMENT
LEVEL 3 STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS
orthostaticbjhypotensionbj-bjANS--
causedbjbybjDEHYDRATIONbjfrombjfluidbjloosbjandbjelectrolytebjimbalance

grossbjmotorbjskillsbj-bjANS--
physicalbjabilitiesbjinvolvingbjlargebjbodybjmovements,bjsuchbjasbjwalkingbjandbjjumping
-EX:bj9bjmonth-
oldbjinfantbjSHOULDbjbebjablebjtobjsitbjUNSUPPORTEDbjforbjupbjtobj10bjMIN

Biofeedbackbj-bjANS--
techniquebjthatbjusesbjaudiobjandbjvisualbjsignalsbjthatbjallowbjclientbjtobjreducebjmusclebjte
nsionbjbybjgainingbjcontrolbjoverbjautonomicbjphysiologicbjfunctions.

Howbjshouldbjphenytoinbjbebjadministered?bjWhy?bj-bjANS---
administeredbjIVbjbolusbjatbjabjratebjnobjgreaterbjthanbj50mg/min.bj
-tobjpreventbjHYPOTENSIONbjandbjBRADYCARDIA

ManifestationsbjofbjParkinson'sbjDiseasebj-bjANS--
tremor,bjrigidity,bjBRADYKINESIA,bjposturalbjinstability,bjdepressionbjandbjotherbjpsychiatr
icbjchanges,bjdementia,bjautonomicbjsymptoms,bjsleepbjdisturbances

Non-Hodgkin'sbjLymphomabj-bjANS--
spreadsbjERRATICALLYbjthroughbjthebjLYMPHATICbjSYSTEMbjtobjotherbjorgans.bjItbjals
objmanifestbjinbjPAINLESS,bjswollenbjlymphbjnodesbjfoundbjinbjthebjCERVICAL,bjAXILLLA
RY,bjINGUINAL,bj&bjFEMORALbjareas.

Hodgkin'sbjlymphomabj-bjANS--
spreadsbjSYSTEMICALLYbjfrombjonebjgroupbjofbjlymphbjnodesbjtobjthebjnextbjgroupbjofbjno
des.

ImportantbjteachingsbjforbjclientbjwithbjnewbjprescriptionbjofbjabjDIAPHRAGM.bj-bjANS---
shouldbjremainbjinbjplacebjforbj6HRbjFOLLOWINGbjINTERCOURSE
-shouldbjremovebjdiaphragmbjNObjMOREbjTHANbj24HRSbjfollowingbjintercourse
-insertbjdiaphragmbjNObjMOREbjTHANbj6HRbjPRIORbjtobjintercourse
-applybjaboutbj10mlbj(2tsp)bjofbjSPERMICIDEbjinsidebjdiaphragmbjpriorbjtobjintercourse
-replacebjeverybj2bjyrs.
-clientbjshouldbjbebjrefittedbjifbjtheirbjweightbjFLUCTUATEbjBYbj20%
-
clientbjshouldbjbebjrefittedbjfollowingbjabjABDOMINALbjSURGERY,bjPELVICbjSURGERY,bj
&bjafterbjeachbjpregnancy

,Abjclientbjwithbjfibrocysticbjbreastbjconditionbjwill...bj-bjANS--
havebjBREASTbjPAINbjandbjtendernessbjasbjwellbjassbjLUMPSbjusuallybjinbjthebjUPPERbj
OUTERbjQUADRANTbjofbjthebjbreast.

ExpectedbjfindingsbjofbjINTRADUCTALbjPAPILLOMAbjBREASTbjdisorder?bj-bjANS--
findingbjwillbjinclude:
-massbjinbjductbjandbjNIPPLEbjDISCHARGE

ExpectedbjfindingsbjofbjDUCTALbjEXTASISbjBREASTbjDISORDER?bj-bjANS--
EnlargedbjaxillarybjnodesbjandbjNipplebjdischarge.

ClientbjwithbjCOPDbjwillbjexperience...bj-bjANS--
DIGITALbjCLUBBING,bjwhichbjDECREASESbjarterialbjO2bjlevels.

tophibjwithbjchronicbjgoutbj-bjANS--
hard,bjpainlessbjnodulebjonbjfirstbjtoe,bjcollectionbjofbjNAbjuratebjcrystalsbjduebjtobjchronicbjg
out,bjsometimesbjburstsbjwithbjchalkybjdischarge

Swanbjneckbjdeformitybj-bjANS---hyperextensionbjofbjPIPbjjointbjandbjflexionbjofbjDIPbjjoint
-latebjmanifestationbjofbjRHEUMATOIDbjARTHRITISbj(RA)

sclerodermabj-bjANS--
chronicbjprogressivebjdiseasebjofbjthebjskinbjandbjinternalbjorgansbjwithbjhardeningbjandbjs
hrinkingbjofbjconnectivebjtissue
-EXPECTbjflexionbjorbjcontracturebjofbjjoints.bj(latebjmanifestation)

PreferredbjmealbjplanbjforbjabjpatientbjwithbjDIVERTICULITISbj-bjANS---advancebjtobjhigh-
fiberbjdiet.bjBestbjsourcebjofbjfiberbjisbjabjBANANAbjwhichbjyieldsbj3.1gbjofbjFIBER.

Diverticulitisbj-bjANS--inflammationbjofbjthebjdiverticula

Whatbjtypebjofbjmedicationbjcanbjincreasebjabjpatient'sbjriskbjforbjabjstroke?bj-bjANS---
oralbjcontraceptivesbjB/
CbjthisbjwillbjINCREASEbjthebjriskbjforbjdevelopingbjabjTHROMBOEMBOLISM.

AbjclientbjwithbjHYPOPITUITARISMbjplacesbjthebjthembjatbjriskbjforbjdevelopingbjwhatbjtyp
ebjofbjcondition?bj-bjANS---osteoporosis

Howbjdoesbjlightbjtobjmoderatebjdrinking,bj(150mlbjorbj5ozbjofbjwinebjeachbjday)bjaffectbjtheb
jclient'sbjriskbjforbjhavingbjabjstroke?bj-bjANS--
itbjdoesn'tbjincrease,bjitbjactuallybjDECREASESbjthebjriskbjforbjstroke.

WhatbjisbjEwingbjSarcoma?bjWhatbjarebjexpectedbjmanifestationsbjofbjthisbjdisease?bj-
bjANS---rarebjmalignantbjtumorbjarisingbjinbjbone;bjmostbjoftenbjoccurringbjinbjchildren

,-
clientbjwillbjexperiencebjpainbjinbjthebjUPPERbjTHIGHbjasbjwellbjasbjLOCALIZEDbjPAIN,bjS
WELLING,bj&bjPALPABLEbjMASS.

WhatbjarebjexpectedbjfindingsbjofbjMultiplebjSclerosisbj(MS)?bj-bjANS---
decreasebjvisualbjacuity,bjdiplopia,bjchangesbjinbjperipheralbjvision,bj&bjnystagmusbj(repea
tbjofbjuncontrolledbjmovements).

WhatbjarebjexpectedbjfindingbjofbjAmyotrophicbjLaterbjSclerosisbj(ALS)?bj-bjANS---
fascifulcationsbjofbjthebjface,bjtwitchingbjofbjthebjfacebjorbjtongue.

WhatbjisbjAmyotrophicbjLateralbjSclerosisbj(ALS)?bj-bjANS--
AlsobjknownbjanbjLoubjGherig'sbjdisease,bjALSbjisbjabjmotorbjneuronbjdiseasebjwhichbjcanbj
leadbjtobjparalysis.

borderlinebjpersonalitybjdisorderbj-bjANS--
conditionbjmarkedbjbybjextremebjinstabilitybjinbjmood,bjidentity,bjandbjimpulsebjcontrol.bj
-
client'sbjwithbjthisbjconditionbjexperiencebjSUICIDALbjIDEATIONbj&bjSUBSTANCEbjABUS
E.

narcissisticbjpersonalitybjdisorderbj-bjANS--
characterizedbjbybjabjgrandiosebjsensebjofbjself-
importance,bjabjpreoccupationbjwithbjfantasiesbjofbjsuccessbjorbjpower,bjandbjabjneedbjforbj
constantbjattentionbjorbjadmirationbjorbjARROGANCE

historonicbjpersonalitybjdisorderbj-bjANS--Impulsivebjattentionbjseekingbjbehavaior

paranoidbjpersonalitybjdisorderbj-bjANS--
Abjpersonalitybjdisorderbjcharacterizedbjbybjabjpervasivebjdistrustbjandbjsuspiciousnessbjof
bjthebjmotivesbjofbjothersbjwithoutbjsufficientbjbasis


Whatbjarebjsomebjcomplicationsbjofbjanbjinfantbjbornbjatbjorbjlessbjthanbj32bjweeks?bj-
bjANS---apnea
-
nectrotizingbjenterocolitisbj(duebjtobjintestinalbjischemiabjandbjimmaturebjimmunebjsystem)
-hypoglycemia
-anemia
-polycythemia
-hypothermia

WhatbjteachingsbjshouldbjthebjnursebjincludebjforbjabjclientbjthatbjunderwentbjabjUTERINEbj
ARTERYbjEMBOLIZATION?bj-bjANS---clientbjmaybjexperiencebjflu-
likebjsymptomsbjforbj7bjdaysbjafterbjprocedurebj(embolectomybjsyndrome)

, -
informbjclientbjthatbjabjCLOSUREbjDEVICEbjorbjINJECTIONbjthatbjblocksbjbloodbjflowbjtobjt
hebjarteriesbjofbjthebjFIBROIDbjTUMORbjisbjused
-
informbjclientbjthatbjSEVEREbjCRAMPINGbjmaybjoccurbjinbjthebjfirstbj24hrbjafterbjthebjproc
edurebjandbjcanbjlastbjupbjtobj2bjweeks.

Whatbjteachingsbjshouldbjthebjnursebjincludebjforbjabjclientbjwhobjhasbjbipolarbjdisorderbjan
dbjhasbjabjnewbjprescriptionbjofbjLITHIUM?bj-bjANS---
instructbjclientbjtobjtakebjLibjwithbjmealsbjtobjdecreasebjirritationbjofbjgastricbjmucosa.bj
-
maintainbjadequatebjintakebjofbjsaltbj(lowbjNabjcanbjleadbjtobjLibjretention,bjwhichbjcanbjcaus
ebjLibjtoxicity).
-drinkbjatbjleastbj1.5-3Lbjofbjfluidsbjeachbjdaybj(dehydrationbjcanbjleadbjtobjLibjtoxicity).
-expectbjWEIGHTbjGAINbj(commonbjadversebjeffectbjofbjLi).

AutismbjSpectrumbjDisorderbj(ASD)bj-bjANS--
Abjdisorderbjcharacterizedbjbybjdeficitsbjinbjsocialbjrelatednessbjandbjcommunicationbjskills
bjthatbjarebjoftenbjaccompaniedbjbybjrepetitive,bjritualisticbjbehavior.


Immunizationbjschedulebj-bjANS--Birth:bjHepbjB

2bjmos:bjHepbjB,bjROTAVIUS,bjDTaP,bjHib,bjPneumococcal,bjPoliovirus

4bjmos:bjRotavirus,bjDTaP,bjHib,bjPneum,bjPoliovirus

6bjmos:bjHepbjB,bjDTaP,bjHib,bjPneum,bjPoliovirus

12bjmos:bjMMR,bjVAR,bjHepbjA,bjInfluenza,bjHib

11-12bjYEARS:bjTdap,bjMeningococcal,bjHPV

ADHDbj(Attention-DeficitbjHyperactivitybjDisorder)bj-bjANS--
abjpsychologicalbjdisorderbjmarkedbjbybjextremebjinattentionbjand/
orbjhyperactivitybjandbjimpulsivity

WhatbjshouldbjthebjnursebjincludebjinbjherbjplanningbjforbjabjpatientbjwhobjhasbjACUTEbjpha
sebjofbjDIVERTICULITIS?bj-bjANS---
InstructbjthebjclientbjtobjAVOIDbjCOUGHINGbj(thisbjcanbjincreasebjthebjintra-
abdominalbjpressurebjandbjcausebjBOWELbjPERFORATION).
-
ADMINISTERbjOPIOIDbjanalgesicsbjtobjrelievebjpainbj(thisbjcanbjdecreasebjbowelbjmotility)
-
DObjNOTbjadministerbjEMEMASbjorbjLAXITIVESbj(thisbjwillbjincreasebjbowelbjmotilitybjand
bjplacesbjclientbjatbjriskbjforbjbowelbjperforation)