ATI RN Concept-Based Assessment
Level 3 Study Guide With 100% Correct
Answers
orthostatic hypotension - correct answers ✔✔caused by DEHYDRATION from fluid loos and
electrolyte imbalance
gross motor skills - correct answers ✔✔physical abilities involving large body movements, such
as walking and jumping
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
Biofeedback - correct answers ✔✔technique that uses audio and visual signals that allow client
to reduce muscle tension by gaining control over autonomic physiologic functions.
How should phenytoin be administered? Why? - correct answers ✔✔-administered IV bolus at a
rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - correct answers ✔✔tremor, rigidity, BRADYKINESIA,
postural instability, depression and other psychiatric changes, dementia, autonomic symptoms,
sleep disturbances
Non-Hodgkin's Lymphoma - correct answers ✔✔spreads ERRATICALLY through the LYMPHATIC
SYSTEM to other organs. It also manifest in PAINLESS, swollen lymph nodes found in the
CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas.
Hodgkin's lymphoma - correct answers ✔✔spreads SYSTEMICALLY from one group of lymph
nodes to the next group of nodes.
,Important teachings for client with new prescription of a DIAPHRAGM. - correct answers ✔✔-
should remain in place for 6HR FOLLOWING INTERCOURSE
-should remove diaphragm NO MORE THAN 24HRS following intercourse
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
-replace every 2 yrs.
-client should be refitted if their weight FLUCTUATE BY 20%
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each
pregnancy
A client with fibrocystic breast condition will... - correct answers ✔✔have BREAST PAIN and
tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT of the breast.
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - correct answers ✔✔finding
will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - correct answers ✔✔Enlarged axillary
nodes and Nipple discharge.
Client with COPD will experience... - correct answers ✔✔DIGITAL CLUBBING, which DECREASES
arterial O2 levels.
tophi with chronic gout - correct answers ✔✔hard, painless nodule on first toe, collection of NA
urate crystals due to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity - correct answers ✔✔-hyperextension of PIP joint and flexion of DIP joint
,-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - correct answers ✔✔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 - correct answers ✔✔-advance to high-
fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - correct answers ✔✔inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - correct answers ✔✔-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? -
correct answers ✔✔-osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke? - correct answers ✔✔it doesn't increase, it actually DECREASES the risk for
stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - correct answers
✔✔-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)? - correct answers ✔✔-decrease visual
acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements).
, What are expected finding of Amyotrophic Later Sclerosis (ALS)? - correct answers ✔✔-
fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - correct answers ✔✔Also known an Lou Gherig's
disease, ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - correct answers ✔✔condition marked by extreme instability in
mood, identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - correct answers ✔✔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 - correct answers ✔✔Impulsive attention seeking behavaior
paranoid personality disorder - correct answers ✔✔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? - correct answers ✔✔-
apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
Level 3 Study Guide With 100% Correct
Answers
orthostatic hypotension - correct answers ✔✔caused by DEHYDRATION from fluid loos and
electrolyte imbalance
gross motor skills - correct answers ✔✔physical abilities involving large body movements, such
as walking and jumping
-EX: 9 month-old infant SHOULD be able to sit UNSUPPORTED for up to 10 MIN
Biofeedback - correct answers ✔✔technique that uses audio and visual signals that allow client
to reduce muscle tension by gaining control over autonomic physiologic functions.
How should phenytoin be administered? Why? - correct answers ✔✔-administered IV bolus at a
rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - correct answers ✔✔tremor, rigidity, BRADYKINESIA,
postural instability, depression and other psychiatric changes, dementia, autonomic symptoms,
sleep disturbances
Non-Hodgkin's Lymphoma - correct answers ✔✔spreads ERRATICALLY through the LYMPHATIC
SYSTEM to other organs. It also manifest in PAINLESS, swollen lymph nodes found in the
CERVICAL, AXILLLARY, INGUINAL, & FEMORAL areas.
Hodgkin's lymphoma - correct answers ✔✔spreads SYSTEMICALLY from one group of lymph
nodes to the next group of nodes.
,Important teachings for client with new prescription of a DIAPHRAGM. - correct answers ✔✔-
should remain in place for 6HR FOLLOWING INTERCOURSE
-should remove diaphragm NO MORE THAN 24HRS following intercourse
-insert diaphragm NO MORE THAN 6HR PRIOR to intercourse
-apply about 10ml (2tsp) of SPERMICIDE inside diaphragm prior to intercourse
-replace every 2 yrs.
-client should be refitted if their weight FLUCTUATE BY 20%
-client should be refitted following a ABDOMINAL SURGERY, PELVIC SURGERY, & after each
pregnancy
A client with fibrocystic breast condition will... - correct answers ✔✔have BREAST PAIN and
tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT of the breast.
Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - correct answers ✔✔finding
will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - correct answers ✔✔Enlarged axillary
nodes and Nipple discharge.
Client with COPD will experience... - correct answers ✔✔DIGITAL CLUBBING, which DECREASES
arterial O2 levels.
tophi with chronic gout - correct answers ✔✔hard, painless nodule on first toe, collection of NA
urate crystals due to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity - correct answers ✔✔-hyperextension of PIP joint and flexion of DIP joint
,-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - correct answers ✔✔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 - correct answers ✔✔-advance to high-
fiber diet. Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - correct answers ✔✔inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - correct answers ✔✔-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? -
correct answers ✔✔-osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke? - correct answers ✔✔it doesn't increase, it actually DECREASES the risk for
stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - correct answers
✔✔-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)? - correct answers ✔✔-decrease visual
acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements).
, What are expected finding of Amyotrophic Later Sclerosis (ALS)? - correct answers ✔✔-
fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - correct answers ✔✔Also known an Lou Gherig's
disease, ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - correct answers ✔✔condition marked by extreme instability in
mood, identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - correct answers ✔✔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 - correct answers ✔✔Impulsive attention seeking behavaior
paranoid personality disorder - correct answers ✔✔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? - correct answers ✔✔-
apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
