ATI RN Concept-Based Assessment
Level 3 Study Guide
orthostatic hypotension - ✔ caused by DEHYDRATION from fluid loos and electrolyte
imbalance
gross motor skills - ✔ 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 - ✔ 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? - ✔ -administered IV bolus at a rate no
greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - ✔ tremor, rigidity, BRADYKINESIA, postural
instability, depression and other psychiatric changes, dementia, autonomic symptoms,
sleep disturbances
Non-Hodgkin's Lymphoma - ✔ 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 - ✔ spreads SYSTEMICALLY from one group of lymph nodes to
the next group of nodes.
Important teachings for client with new prescription of a DIAPHRAGM. - ✔ -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... - ✔ 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? - ✔ finding will
include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - ✔ Enlarged axillary
nodes and Nipple discharge.
Client with COPD will experience... - ✔ DIGITAL CLUBBING, which DECREASES
arterial O2 levels.
tophi with chronic gout - ✔ hard, painless nodule on first toe, collection of NA urate
crystals due to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity - ✔ -hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - ✔ 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 - ✔ -advance to high-fiber diet.
Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - ✔ inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - ✔ -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? - ✔ -osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's
risk for having a stroke? - ✔ it doesn't increase, it actually DECREASES the risk for
stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - ✔ -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)? - ✔ -decrease visual acuity,
diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled
movements).
,What are expected finding of Amyotrophic Later Sclerosis (ALS)? - ✔ -fascifulcations of
the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - ✔ Also known an Lou Gherig's disease,
ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - ✔ condition marked by extreme instability in mood,
identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - ✔ 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 - ✔ Impulsive attention seeking behavaior
paranoid personality disorder - ✔ 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? - ✔ -apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
What teachings should the nurse include for a client that underwent a UTERINE
ARTERY EMBOLIZATION? - ✔ -client may experience flu-like symptoms for 7 days
after procedure (embolectomy syndrome)
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
arteries of the FIBROID TUMOR is used
-inform client that SEVERE CRAMPING may occur in the first 24hr after the procedure
and can last up to 2 weeks.
What teachings should the nurse include for a client who has bipolar disorder and has a
new prescription of LITHIUM? - ✔ -instruct client to take Li with meals to decrease
irritation of gastric mucosa.
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause Li
toxicity).
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
-expect WEIGHT GAIN (common adverse effect of Li).
, Autism sSpectrum sDisorder s(ASD) s- s✔ s sA sdisorder scharacterized sby sdeficits sin ssocial
srelatedness sand scommunication sskills sthat sare soften saccompanied sby srepetitive,
sritualistic sbehavior.
Immunization sschedule s- s✔ s sBirth: sHep sB
2 smos: sHep sB, sROTAVIUS, sDTaP, sHib, sPneumococcal, sPoliovirus
4 smos: sRotavirus, sDTaP, sHib, sPneum, sPoliovirus
6 smos: sHep sB, sDTaP, sHib, sPneum, sPoliovirus
12 smos: sMMR, sVAR, sHep sA, sInfluenza, sHib
11-12 sYEARS: sTdap, sMeningococcal, sHPV
ADHD s(Attention-Deficit sHyperactivity sDisorder) s- s✔ s sa spsychological sdisorder smarked
sby sextreme sinattention sand/or shyperactivity sand simpulsivity
What sshould sthe snurse sinclude sin sher splanning sfor sa spatient swho shas sACUTE sphase sof
sDIVERTICULITIS? s- s✔ s s-Instruct sthe sclient sto sAVOID sCOUGHING s(this scan sincrease
sthe sintra-abdominal spressure sand scause sBOWEL sPERFORATION).
-ADMINISTER sOPIOID sanalgesics sto srelieve spain s(this scan sdecrease sbowel smotility)
-DO sNOT sadminister sEMEMAS sor sLAXITIVES s(this swill sincrease sbowel smotility sand
splaces sclient sat srisk sfor sbowel sperforation)
-client sshould sbe sNPO sor son sa sclear sliquid sdiet s(this swill sdecrease sinflammation sof sthe
sbowels).
sickle scell scrisis s- s✔ s scondition sin ssickle scell sanemia sin swhich sthe ssickled scells sinterfere
swith soxygen stransport, sobstruct scapillary sblood sflow, sand scause sfever sand ssevere spain
sin sthe sjoints sand sabdomen.
How sshould sthe snurse smanage scare sfor sa sclient swho sis sexperiencing sa ssickle scell scrisis?
s- s✔ s s-promote sfluid sintake sto sprevent sdehydration
-monitor speripheral scapillary srefill, spulse sO2, sand sskin stemp severy s1hr sto sassess
sPERFUSION sof sEXTREMITIES. s
-EXTEND sclient's sknees sto spromote sperfusion sof slower sextremities. s
-elevate shead sor sbed sto s30 sDEGREES sor sless sto sincrease sperfusion sto slower
sextremities.
What sare sthe sdepressive smanifestation sof slow sself-esteem? s- s✔ s s-hypersensitivity sto
scriticism
-guilt
-shame
-expression sof shelplessness
Level 3 Study Guide
orthostatic hypotension - ✔ caused by DEHYDRATION from fluid loos and electrolyte
imbalance
gross motor skills - ✔ 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 - ✔ 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? - ✔ -administered IV bolus at a rate no
greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - ✔ tremor, rigidity, BRADYKINESIA, postural
instability, depression and other psychiatric changes, dementia, autonomic symptoms,
sleep disturbances
Non-Hodgkin's Lymphoma - ✔ 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 - ✔ spreads SYSTEMICALLY from one group of lymph nodes to
the next group of nodes.
Important teachings for client with new prescription of a DIAPHRAGM. - ✔ -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... - ✔ 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? - ✔ finding will
include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - ✔ Enlarged axillary
nodes and Nipple discharge.
Client with COPD will experience... - ✔ DIGITAL CLUBBING, which DECREASES
arterial O2 levels.
tophi with chronic gout - ✔ hard, painless nodule on first toe, collection of NA urate
crystals due to chronic gout, sometimes bursts with chalky discharge
Swan neck deformity - ✔ -hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - ✔ 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 - ✔ -advance to high-fiber diet.
Best source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - ✔ inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - ✔ -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? - ✔ -osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's
risk for having a stroke? - ✔ it doesn't increase, it actually DECREASES the risk for
stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - ✔ -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)? - ✔ -decrease visual acuity,
diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled
movements).
,What are expected finding of Amyotrophic Later Sclerosis (ALS)? - ✔ -fascifulcations of
the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - ✔ Also known an Lou Gherig's disease,
ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - ✔ condition marked by extreme instability in mood,
identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - ✔ 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 - ✔ Impulsive attention seeking behavaior
paranoid personality disorder - ✔ 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? - ✔ -apnea
-nectrotizing enterocolitis (due to intestinal ischemia and immature immune system)
-hypoglycemia
-anemia
-polycythemia
-hypothermia
What teachings should the nurse include for a client that underwent a UTERINE
ARTERY EMBOLIZATION? - ✔ -client may experience flu-like symptoms for 7 days
after procedure (embolectomy syndrome)
-inform client that a CLOSURE DEVICE or INJECTION that blocks blood flow to the
arteries of the FIBROID TUMOR is used
-inform client that SEVERE CRAMPING may occur in the first 24hr after the procedure
and can last up to 2 weeks.
What teachings should the nurse include for a client who has bipolar disorder and has a
new prescription of LITHIUM? - ✔ -instruct client to take Li with meals to decrease
irritation of gastric mucosa.
-maintain adequate intake of salt (low Na can lead to Li retention, which can cause Li
toxicity).
-drink at least 1.5-3L of fluids each day (dehydration can lead to Li toxicity).
-expect WEIGHT GAIN (common adverse effect of Li).
, Autism sSpectrum sDisorder s(ASD) s- s✔ s sA sdisorder scharacterized sby sdeficits sin ssocial
srelatedness sand scommunication sskills sthat sare soften saccompanied sby srepetitive,
sritualistic sbehavior.
Immunization sschedule s- s✔ s sBirth: sHep sB
2 smos: sHep sB, sROTAVIUS, sDTaP, sHib, sPneumococcal, sPoliovirus
4 smos: sRotavirus, sDTaP, sHib, sPneum, sPoliovirus
6 smos: sHep sB, sDTaP, sHib, sPneum, sPoliovirus
12 smos: sMMR, sVAR, sHep sA, sInfluenza, sHib
11-12 sYEARS: sTdap, sMeningococcal, sHPV
ADHD s(Attention-Deficit sHyperactivity sDisorder) s- s✔ s sa spsychological sdisorder smarked
sby sextreme sinattention sand/or shyperactivity sand simpulsivity
What sshould sthe snurse sinclude sin sher splanning sfor sa spatient swho shas sACUTE sphase sof
sDIVERTICULITIS? s- s✔ s s-Instruct sthe sclient sto sAVOID sCOUGHING s(this scan sincrease
sthe sintra-abdominal spressure sand scause sBOWEL sPERFORATION).
-ADMINISTER sOPIOID sanalgesics sto srelieve spain s(this scan sdecrease sbowel smotility)
-DO sNOT sadminister sEMEMAS sor sLAXITIVES s(this swill sincrease sbowel smotility sand
splaces sclient sat srisk sfor sbowel sperforation)
-client sshould sbe sNPO sor son sa sclear sliquid sdiet s(this swill sdecrease sinflammation sof sthe
sbowels).
sickle scell scrisis s- s✔ s scondition sin ssickle scell sanemia sin swhich sthe ssickled scells sinterfere
swith soxygen stransport, sobstruct scapillary sblood sflow, sand scause sfever sand ssevere spain
sin sthe sjoints sand sabdomen.
How sshould sthe snurse smanage scare sfor sa sclient swho sis sexperiencing sa ssickle scell scrisis?
s- s✔ s s-promote sfluid sintake sto sprevent sdehydration
-monitor speripheral scapillary srefill, spulse sO2, sand sskin stemp severy s1hr sto sassess
sPERFUSION sof sEXTREMITIES. s
-EXTEND sclient's sknees sto spromote sperfusion sof slower sextremities. s
-elevate shead sor sbed sto s30 sDEGREES sor sless sto sincrease sperfusion sto slower
sextremities.
What sare sthe sdepressive smanifestation sof slow sself-esteem? s- s✔ s s-hypersensitivity sto
scriticism
-guilt
-shame
-expression sof shelplessness
