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Exam (elaborations)

ATI RN Concept-Based Assessment Level 3 Study Guide 2025

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ATI RN Concept-Based Assessment Level 3 Study Guide 2025

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ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3
STUDY GUIDE 2025.


expected findings for client who has BASAL CELL CARCINOMA - correct
answer>>pearly papule w/ waxy border (malignant and can occur on sun-exposed
are of the BODY


education planning about bullying - correct answer>>-children who are victims of
bullying have an increased risk for depression, and more likely to attempt suicide.
-victims of bullying behavior are at an increased risk for low self-esteem, feelings
of insecurity, depression, and loneliness.


client teachings of Pelvic Inflammation Disease (PID) - correct answer>>instruct
client to:
-check temp 2x day
-avoid sexual activity until antibiotic therapy is complete
-restrict ambulation and recline in the SEMI-FOWLER's position
-apply HEAT therapy to lower abdomen and back to relieve discomfort


Pancreatic enzyme replacement therapy teachings - correct answer>>Instruct
client to:
take PANCRELIPASE CAPSULE after an antacid or H2 blocker med (decreases
gastric pH).

,-

-capsule can be opened and mixed with APPLESAUCE or other ACIDIC FOODS.
-TAKE HALF THE MED dose rx whenever having a snack
-take capsule BEFORE or WITH EACH MEAL and to drink a glass of H2O.


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

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