ATI RN Concept-Based Assessment Level 3 |
High-Yield Questions&Answers, Rationales &
Advanced Study Guide |Guarantee Pass |Newest
Version and Latest Exam
A nurse is teaching a female adult client about screening prevention
for cancer. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I will need to have a mammogram every 2 years beginning at age
45."
B. "I should have a colonoscopy every 15 years
beginning at age 60."
C."I will need to have an annual breast examination
every year after 40."
D."I should have a fecal occult test done every 3 years."
ANSWER: C."I will need to have an annual breast examination every
year after 40."
A nurse is planning care for a client who has malnutrition due to
cancer. Which of the following
interventions should the nurse include in the plan of care? (Select all
that apply.)
A. Have the client keep a food diary.
B. Encourage tooth brushing before and after meals.
C. Assess laboratory test report of ferritin.
D. Monitor for changes in mental status.
E. Explain that fluid intake should occur between meals.
ANSWER:
,A. Have the client keep a food diary.
B. Encourage tooth brushing before and after meals.
C. Assess laboratory test report of ferritin.
E. Explain that fluid intake should occur between meals.
orthostatic hypotension
ANSWER:
caused by DEHYDRATION from fluid loos and electrolyte imbalance
gross motor skills
ANSWER
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
ANSWER:
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?
ANSWER:
-administered IV bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease
ANSWER:
tremor, rigidity, BRADYKINESIA, postural instability, depression and
other psychiatric changes, dementia, autonomic symptoms, sleep
disturbances
,Non-Hodgkin's Lymphoma
ANSWER:
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
ANSWER:
spreads SYSTEMICALLY from one group of lymph nodes to the next
group of nodes.
Important teachings for client with new prescription of a
DIAPHRAGM.
ANSWER:
-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...
ANSWER:
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?
ANSWER:
, finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER?
ANSWER:
Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience...
ANSWER:
DIGITAL CLUBBING, which DECREASES arterial O2 levels.
tophi with chronic gout
ANSWER:
hard, painless nodule on first toe, collection of NA urate crystals due
to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity
ANSWER:
-hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
Scleroderma
ANSWER:
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:
-advance to high-fiber diet. Best source of fiber is a BANANA which
yields 3.1g of FIBER.
Diverticulitis
High-Yield Questions&Answers, Rationales &
Advanced Study Guide |Guarantee Pass |Newest
Version and Latest Exam
A nurse is teaching a female adult client about screening prevention
for cancer. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I will need to have a mammogram every 2 years beginning at age
45."
B. "I should have a colonoscopy every 15 years
beginning at age 60."
C."I will need to have an annual breast examination
every year after 40."
D."I should have a fecal occult test done every 3 years."
ANSWER: C."I will need to have an annual breast examination every
year after 40."
A nurse is planning care for a client who has malnutrition due to
cancer. Which of the following
interventions should the nurse include in the plan of care? (Select all
that apply.)
A. Have the client keep a food diary.
B. Encourage tooth brushing before and after meals.
C. Assess laboratory test report of ferritin.
D. Monitor for changes in mental status.
E. Explain that fluid intake should occur between meals.
ANSWER:
,A. Have the client keep a food diary.
B. Encourage tooth brushing before and after meals.
C. Assess laboratory test report of ferritin.
E. Explain that fluid intake should occur between meals.
orthostatic hypotension
ANSWER:
caused by DEHYDRATION from fluid loos and electrolyte imbalance
gross motor skills
ANSWER
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
ANSWER:
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?
ANSWER:
-administered IV bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease
ANSWER:
tremor, rigidity, BRADYKINESIA, postural instability, depression and
other psychiatric changes, dementia, autonomic symptoms, sleep
disturbances
,Non-Hodgkin's Lymphoma
ANSWER:
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
ANSWER:
spreads SYSTEMICALLY from one group of lymph nodes to the next
group of nodes.
Important teachings for client with new prescription of a
DIAPHRAGM.
ANSWER:
-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...
ANSWER:
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?
ANSWER:
, finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER?
ANSWER:
Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience...
ANSWER:
DIGITAL CLUBBING, which DECREASES arterial O2 levels.
tophi with chronic gout
ANSWER:
hard, painless nodule on first toe, collection of NA urate crystals due
to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity
ANSWER:
-hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
Scleroderma
ANSWER:
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:
-advance to high-fiber diet. Best source of fiber is a BANANA which
yields 3.1g of FIBER.
Diverticulitis
