ATI RN Concept-Based Assessment Level 3
Study Guide Question And Answers
orthostatic hypotension - Correct Answer - caused by DEHYDRATION from fluid q q q qq q q q q q q
loos and electrolyte imbalance
q q q q
gross motor skills - Correct Answer - physical abilities involving large body
q q q q qq q q q q q q
movements, such as walking and jumping
q q q q q q
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
q q q q q q q q q q q q q q
Biofeedback - Correct Answer - technique that uses audio and visual signals that q q qq q q q q q q q q q
allow client to reduce muscle tension by gaining control over autonomic
q q q q q q q q q q q
physiologic functions.
q q
How should phenytoin be administered? Why? - Correct Answer - -administered IV
q q q q q q q qq q q q
bolus at a rate no greater than 50mg/min.
q q q q q q q q q
-to prevent HYPOTENSION and BRADYCARDIA
q q q q
Manifestations of Parkinson's Disease - Correct Answer - tremor, rigidity, q q q q q qq q q q
BRADYKINESIA, postural instability, depression and other psychiatric changes,
q q q q q q q q
dementia, autonomic symptoms, sleep disturbances
q q q q q
Non-Hodgkin's Lymphoma - Correct Answer - spreads ERRATICALLY through the q q q qq q q q q q
LYMPHATIC SYSTEM to other organs. It also manifest in PAINLESS, swollen
q q q q q q q q q q q
lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas.
q q q q q q q q q q q
Hodgkin's lymphoma - Correct Answer - spreads SYSTEMICALLY from one group
q q q qq q q q q q q
of lymph nodes to the next group of nodes.
q q q q q q q q q
Important teachings for client with new prescription of a DIAPHRAGM. - Correct
q q q q q q q q q q q q
Answer - -should remain in place for 6HR FOLLOWING INTERCOURSE
q q q q q q q q q q
-should remove diaphragm NO MORE THAN 24HRS following intercourse
q q q q q q q q
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
q q q q q q q q
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
q q q q q q q q q q
-replace every 2 yrs. q q q
,-client should be refitted if their weight FLUCTUATE BY 20%
q q q q q q q q q
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, &
q q q q q q q q q q
after each pregnancy
q q q
A client with fibrocystic breast condition will... - Correct Answer - have BREAST
q q q q q q q q qq q q q
PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT
q q q q q q q q q q q q q
of the breast.
q q q
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - Correct
q q q q q q q q q
Answer - finding will include:
q q q q q
-mass in duct and NIPPLE DISCHARGE
q q q q q
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - Correct Answer -
q q q q q q q q qq q
Enlarged axillary nodes and Nipple discharge.
q q q q q q
Client with COPD will experience... - Correct Answer - DIGITAL CLUBBING, which
q q q q q q qq q q q q
DECREASES arterial O2 levels.
q q q q
tophi with chronic gout - Correct Answer - hard, painless nodule on first toe,
q q q q q qq q q q q q q q
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
q q q q q q q q q q q q q
discharge
q
Swan neck deformity - Correct Answer - -hyperextension of PIP joint and flexion of
q q q q qq q q q q q q q q
DIP joint
q q
-late manifestation of RHEUMATOID ARTHRITIS (RA)
q q q q q
scleroderma - Correct Answer - chronic progressive disease of the skin and q q qq q q q q q q q q
internal organs with hardening and shrinking of connective tissue
q q q q q q q q q
-EXPECT flexion or contracture of joints. (late manifestation)
q q q q q q q
Preferred meal plan for a patient with DIVERTICULITIS - Correct Answer - -
q q q q q q q q q qq q q
advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of
q q q q q q q q q q q q q q
FIBER.
q
Diverticulitis - Correct Answer - inflammation of the diverticula q q qq q q q q q
What type of medication can increase a patient's risk for a stroke? - Correct
q q q q q q q q q q q q q q
Answer - -oral contraceptives B/C this will INCREASE the risk for developing a
q q q q q q q q q q q q q
THROMBOEMBOLISM.
q
A client with HYPOPITUITARISM places the them at risk for developing what type
q q q q q q q q q q q q
of condition? - Correct Answer - -osteoporosis
q q q q qq q q
,How does light to moderate drinking, (150ml or 5oz of wine each day) affect the
q q q q q q q q q q q q q q
client's risk for having a stroke? - Correct Answer - it doesn't increase, it actually
q q q q q q q q qq q q q q q q
DECREASES the risk for stroke.
q q q q q
What is Ewing Sarcoma? What are expected manifestations of this disease? -
q q q q q q q q q q q
Correct Answer - -rare malignant tumor arising in bone; most often occurring in
q qq q q q q q q q q q q q
children
q
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN,
q q q q q q q q q q q q
SWELLING, & PALPABLE MASS.
q q q q
What are expected findings of Multiple Sclerosis (MS)? - Correct Answer - -
q q q q q q q q q qq q q
decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus
q q q q q q q q q
(repeat of uncontrolled movements).
q q q q
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - Correct Answer
q q q q q q q q q q qq
- -fascifulcations of the face, twitching of the face or tongue.
q q q q q q q q q q q
What is Amyotrophic Lateral Sclerosis (ALS)? - Correct Answer - Also known an
q q q q q q q qq q q q q
Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
q q q q q q q q q q q q q q
borderline personality disorder - Correct Answer - condition marked by extreme
q q q q qq q q q q q
instability in mood, identity, and impulse control.
q q q q q q q q
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE
q q q q q q q q
ABUSE.
q
narcissistic personality disorder - Correct Answer - characterized by a grandioseq q q q qq q q q q q
sense of self-importance, a preoccupation with fantasies of success or power,
q q q q q q q q q q q
and a need for constant attention or admiration or ARROGANCE
q q q q q q q q q q
historonic personality disorder - Correct Answer - Impulsive attention seeking
q q q q qq q q q q
behavaior
q
paranoid personality disorder - Correct Answer - A personality disorder
q q q q qq q q q q
characterized by a pervasive distrust and suspiciousness of the motives of others
q q q q q q q q q q q q
without sufficient basis
q q q
What are some complications of an infant born at or less than 32 weeks? - Correct
q q q q q q q q q q q q q q q q
Answer - -apnea
q q q
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune q q q q q q q q
system)
q
-hypoglycemia
, -anemia
-polycythemia
-hypothermia
What teachings should the nurse include for a client that underwent a UTERINE
q q q q q q q q q q q q
ARTERY EMBOLIZATION? - Correct Answer - -client may experience flu-like
q q q q qq q q q q q
symptoms for 7 days after procedure (embolectomy syndrome)
q q q q q q q q
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
q q q q q q q q q q q q q
arteries of the FIBROID TUMOR is used
q q q q q q q
-inform client that SEVERE CRAMPING may occur in the first 24hr after the
q q q q q q q q q q q q
procedure and can last up to 2 weeks.
q q q q q q q q
What teachings should the nurse include for a client who has bipolar disorder and
q q q q q q q q q q q q q
has a new prescription of LITHIUM? - Correct Answer - -instruct client to take Li
q q q q q q q q qq q q q q q q
with meals to decrease irritation of gastric mucosa.
q q q q q q q q q
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause
q q q q q q q q q q q q q q
Li toxicity).
q q
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
q q q q q q q q q q q q q
-expect WEIGHT GAIN (common adverse effect of Li).
q q q q q q q
Autism Spectrum Disorder (ASD) - Correct Answer - A disorder characterized by
q q q q q qq q q q q q
deficits in social relatedness and communication skills that are often
q q q q q q q q q q
accompanied by repetitive, ritualistic behavior.
q q q q q
Immunization schedule - Correct Answer - Birth: Hep B q q q qq q q q q
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
q q q q q q q q
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
q q q q q q
6 mos: Hep B, DTaP, Hib, Pneum, Poliovirus
q q q q q q q
12 mos: MMR, VAR, Hep A, Influenza, Hib
q q q q q q q
Study Guide Question And Answers
orthostatic hypotension - Correct Answer - caused by DEHYDRATION from fluid q q q qq q q q q q q
loos and electrolyte imbalance
q q q q
gross motor skills - Correct Answer - physical abilities involving large body
q q q q qq q q q q q q
movements, such as walking and jumping
q q q q q q
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
q q q q q q q q q q q q q q
Biofeedback - Correct Answer - technique that uses audio and visual signals that q q qq q q q q q q q q q
allow client to reduce muscle tension by gaining control over autonomic
q q q q q q q q q q q
physiologic functions.
q q
How should phenytoin be administered? Why? - Correct Answer - -administered IV
q q q q q q q qq q q q
bolus at a rate no greater than 50mg/min.
q q q q q q q q q
-to prevent HYPOTENSION and BRADYCARDIA
q q q q
Manifestations of Parkinson's Disease - Correct Answer - tremor, rigidity, q q q q q qq q q q
BRADYKINESIA, postural instability, depression and other psychiatric changes,
q q q q q q q q
dementia, autonomic symptoms, sleep disturbances
q q q q q
Non-Hodgkin's Lymphoma - Correct Answer - spreads ERRATICALLY through the q q q qq q q q q q
LYMPHATIC SYSTEM to other organs. It also manifest in PAINLESS, swollen
q q q q q q q q q q q
lymph nodes found in the CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas.
q q q q q q q q q q q
Hodgkin's lymphoma - Correct Answer - spreads SYSTEMICALLY from one group
q q q qq q q q q q q
of lymph nodes to the next group of nodes.
q q q q q q q q q
Important teachings for client with new prescription of a DIAPHRAGM. - Correct
q q q q q q q q q q q q
Answer - -should remain in place for 6HR FOLLOWING INTERCOURSE
q q q q q q q q q q
-should remove diaphragm NO MORE THAN 24HRS following intercourse
q q q q q q q q
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
q q q q q q q q
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
q q q q q q q q q q
-replace every 2 yrs. q q q
,-client should be refitted if their weight FLUCTUATE BY 20%
q q q q q q q q q
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, &
q q q q q q q q q q
after each pregnancy
q q q
A client with fibrocystic breast condition will... - Correct Answer - have BREAST
q q q q q q q q qq q q q
PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT
q q q q q q q q q q q q q
of the breast.
q q q
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - Correct
q q q q q q q q q
Answer - finding will include:
q q q q q
-mass in duct and NIPPLE DISCHARGE
q q q q q
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - Correct Answer -
q q q q q q q q qq q
Enlarged axillary nodes and Nipple discharge.
q q q q q q
Client with COPD will experience... - Correct Answer - DIGITAL CLUBBING, which
q q q q q q qq q q q q
DECREASES arterial O2 levels.
q q q q
tophi with chronic gout - Correct Answer - hard, painless nodule on first toe,
q q q q q qq q q q q q q q
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
q q q q q q q q q q q q q
discharge
q
Swan neck deformity - Correct Answer - -hyperextension of PIP joint and flexion of
q q q q qq q q q q q q q q
DIP joint
q q
-late manifestation of RHEUMATOID ARTHRITIS (RA)
q q q q q
scleroderma - Correct Answer - chronic progressive disease of the skin and q q qq q q q q q q q q
internal organs with hardening and shrinking of connective tissue
q q q q q q q q q
-EXPECT flexion or contracture of joints. (late manifestation)
q q q q q q q
Preferred meal plan for a patient with DIVERTICULITIS - Correct Answer - -
q q q q q q q q q qq q q
advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of
q q q q q q q q q q q q q q
FIBER.
q
Diverticulitis - Correct Answer - inflammation of the diverticula q q qq q q q q q
What type of medication can increase a patient's risk for a stroke? - Correct
q q q q q q q q q q q q q q
Answer - -oral contraceptives B/C this will INCREASE the risk for developing a
q q q q q q q q q q q q q
THROMBOEMBOLISM.
q
A client with HYPOPITUITARISM places the them at risk for developing what type
q q q q q q q q q q q q
of condition? - Correct Answer - -osteoporosis
q q q q qq q q
,How does light to moderate drinking, (150ml or 5oz of wine each day) affect the
q q q q q q q q q q q q q q
client's risk for having a stroke? - Correct Answer - it doesn't increase, it actually
q q q q q q q q qq q q q q q q
DECREASES the risk for stroke.
q q q q q
What is Ewing Sarcoma? What are expected manifestations of this disease? -
q q q q q q q q q q q
Correct Answer - -rare malignant tumor arising in bone; most often occurring in
q qq q q q q q q q q q q q
children
q
-client will experience pain in the UPPER THIGH as well as LOCALIZED PAIN,
q q q q q q q q q q q q
SWELLING, & PALPABLE MASS.
q q q q
What are expected findings of Multiple Sclerosis (MS)? - Correct Answer - -
q q q q q q q q q qq q q
decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus
q q q q q q q q q
(repeat of uncontrolled movements).
q q q q
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - Correct Answer
q q q q q q q q q q qq
- -fascifulcations of the face, twitching of the face or tongue.
q q q q q q q q q q q
What is Amyotrophic Lateral Sclerosis (ALS)? - Correct Answer - Also known an
q q q q q q q qq q q q q
Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
q q q q q q q q q q q q q q
borderline personality disorder - Correct Answer - condition marked by extreme
q q q q qq q q q q q
instability in mood, identity, and impulse control.
q q q q q q q q
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE
q q q q q q q q
ABUSE.
q
narcissistic personality disorder - Correct Answer - characterized by a grandioseq q q q qq q q q q q
sense of self-importance, a preoccupation with fantasies of success or power,
q q q q q q q q q q q
and a need for constant attention or admiration or ARROGANCE
q q q q q q q q q q
historonic personality disorder - Correct Answer - Impulsive attention seeking
q q q q qq q q q q
behavaior
q
paranoid personality disorder - Correct Answer - A personality disorder
q q q q qq q q q q
characterized by a pervasive distrust and suspiciousness of the motives of others
q q q q q q q q q q q q
without sufficient basis
q q q
What are some complications of an infant born at or less than 32 weeks? - Correct
q q q q q q q q q q q q q q q q
Answer - -apnea
q q q
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune q q q q q q q q
system)
q
-hypoglycemia
, -anemia
-polycythemia
-hypothermia
What teachings should the nurse include for a client that underwent a UTERINE
q q q q q q q q q q q q
ARTERY EMBOLIZATION? - Correct Answer - -client may experience flu-like
q q q q qq q q q q q
symptoms for 7 days after procedure (embolectomy syndrome)
q q q q q q q q
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
q q q q q q q q q q q q q
arteries of the FIBROID TUMOR is used
q q q q q q q
-inform client that SEVERE CRAMPING may occur in the first 24hr after the
q q q q q q q q q q q q
procedure and can last up to 2 weeks.
q q q q q q q q
What teachings should the nurse include for a client who has bipolar disorder and
q q q q q q q q q q q q q
has a new prescription of LITHIUM? - Correct Answer - -instruct client to take Li
q q q q q q q q qq q q q q q q
with meals to decrease irritation of gastric mucosa.
q q q q q q q q q
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause
q q q q q q q q q q q q q q
Li toxicity).
q q
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
q q q q q q q q q q q q q
-expect WEIGHT GAIN (common adverse effect of Li).
q q q q q q q
Autism Spectrum Disorder (ASD) - Correct Answer - A disorder characterized by
q q q q q qq q q q q q
deficits in social relatedness and communication skills that are often
q q q q q q q q q q
accompanied by repetitive, ritualistic behavior.
q q q q q
Immunization schedule - Correct Answer - Birth: Hep B q q q qq q q q q
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
q q q q q q q q
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
q q q q q q
6 mos: Hep B, DTaP, Hib, Pneum, Poliovirus
q q q q q q q
12 mos: MMR, VAR, Hep A, Influenza, Hib
q q q q q q q
