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Exam (elaborations)

Ati Rn Concept Based_Assessment_Level_3

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ATI_RN_CONCEPT_BASED_ASSESSMENT_LEVEL_3_

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ATI RN CONCEPT BASED ASSESSMENT
LEVEL 3
QUESTIONS AND VERIFIED ANSWERS 2025.


diagnostic criteria for gambling disorder - CORRECT ANSWER>>-clients asks others for
money to
compensate for gambling losses
-gambling is done when client is feeling DISTRESSED over past 12 months. -client
had made REPEATED but UNSUCCESSFUL attempts at controlling, cutting back,
or stopping addictive behavior OVER PAST 12 MONTHS.
-client experiences need to INCREASE AMOUNT of money gambled each week.
examples of tactile distractions for client who is end-stage cancer. - CORRECT
ANSWER>>apply warm compress
Penile Implant Teaching - CORRECT ANSWER>>-VACUUM DEVICE uses NEG pressure to
draw
blood into the penis
-VACUUM CONSTRICTION device uses a rubber ring at the base of penis to maintain
erection.
-implant can be DEFLATED by pushing button in the SCROTUM.
Teachings of Adalimumab (Humira) - CORRECT ANSWER>>treats arthritis
-check solution is clear with no particulate matter through the prefilled window.
-administer EVERY OTHER WEEK for a client who has RA
-HAVE A TB SKIN TEST before 1st dose. If patient has TB this can cause a flare up.

,-


-Administer medication SUBQ tissuse of THIGH or ABDOMINAL area.
Nursing responses to a client with SCHIZOPHRENIA - CORRECT ANSWER>>"I understand
that
you believe the government is here, but I don't see any evidence of this."
Manifestations of GRAFT VERSUS HOST DISEASE (GVHD) - CORRECT ANSWER>>-diffuse
rash
-inflammation of mucosa of the eyes
-abdominal pain
How would the nurse INCREASE cerebral perfusion for a patient who had a stroke? -
CORRECT ANSWER>>-position client's head to MIDLINE POSITION
-lower head of bed to <25 deg elevation
-avoid flexing client's hips
-avoid suctioning and DO NOT ENCOURAGE client to cough.
signs and symptoms of PTSD - CORRECT ANSWER>>anxiety, intense fear, flashbacks,
irritability,
difficulty concentrating, sleep disturbances, and HYPERVIGILENCE
Manifestations of elder neglect - CORRECT ANSWER>>-sunken eyes (sign of
dehydration)
-malnutrition
-contractors
-excessive body odor
Nursing PRIORITY for patient experiencing ECLAMPSIA - CORRECT ANSWER>>-keep
clients head to one side
Nursing PRIORITY for patient experiencing POST-PARTUM DEPRESSION -
CORRECT ANSWER>>-determine if client plans to harm self
Manifestations of POST-PARTUM DEPRESSION - CORRECT ANSWER>>-fatigue

,-restlessness
-insomnia
-episodes of crying -
emotional liability
-thoughts of harming oneself or new born
Client teachings of PREVENTING sickle cell crisis - CORRECT ANSWER>>-contact provider
at 1st
indication of illness or infection
-engage in LOW-IMPACT exercise 3x week
-AVOID both EXTREME hot and cold temps.
-drink at least 3-4L (100-135oz) of fluids daily
Nursing PRIORITYs for client in POST-PARTUM experiencing VAGINAL BLEEDING -
CORRECT ANSWER>>-MASSAGE CLIENT'S FUNDUS
Manifestations of ACUTE COCAINE TOXICITY - CORRECT ANSWER>>-pupil dilation
-HTN due to vasoconstriction
-Agitation, dizziness, and TREMOR
-hyperthermia
Teachings of child with Juvenile Idiopathic Arthritis (JIA) - CORRECT ANSWER>>-offer
child high protein, high fiber foods
-participate in PHYSICAL ACTIVITIES like bicycle riding, swimming, and throwing/kicking
ball
-DISCOURAGE NAPS during daytime (this will increase joint stiffness making it harder to
sleep).
-warm baths/showers can help alleviate joint stiffness and decrease pain
Juvenile Idiopathic Arthritis (JIA) - CORRECT ANSWER>>Affects children (onset before
age 10).

, -


Persistent joint swelling (synovial thickening, accumulation of synovial fluid)
Nonsurgical treatment for MELANOMA - CORRECT ANSWER>>-targeted therapy (oral
medication of VEMURAFENIB)
Nonsurgical treatment for MULTIPLE ACTINIC KERATOSIS - CORRECT ANSWER>>-topical
chemotherapy (for superficial basal cell carcinoma)
Nonsurgical treatment for PROSTATE CANCER - CORRECT ANSWER>>-brachytherapy
Nonsurgical treatment of Large, deeply invasive basal cell tumors - CORRECT
ANSWER>>-
radiation therapy.
Medication for alcohol use disorder - CORRECT ANSWER>>NALTREXONE (can also be
used to
treat opioid use disorder)
meds for nicotine withdrawal - CORRECT ANSWER>>1. buproprion (also can be used for
OPIOID
WITHDRAWL)
2. nicotine replacement therapy such as nicotine gum, or patch
Meds for opioid withrawal support (detox) - CORRECT ANSWER>>Methadone,
Clonidine,
Subutrex
What lab findings should the nurse report to the provider for a client taking Li for a
bipolar disorder? - CORRECT ANSWER>>-WBC > 10,000 MM3 (this can cause
leukocytosis)
-BUN level outside normal ranges (10-20 mg/dL)
-Na level outside normal ranges (136-145 mEq/L)
-K level outside normal ranges (3.5-5.0 mEq/L)
What lab findings are expected for a child who has ACUTE POSTSTREPTOCOCCAL
GLOMERULONEPHRITIS? - CORRECT ANSWER>>-Increase creatinine

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