ATI RN Concept-Based Assessment
Level 3 Study Guide
orthostatic hypotension - CORRECT ANSWER-caused by DEHYDRATION from fluid
loos and electrolyte imbalance
gross motor skills - CORRECT 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 - CORRECT 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? - CORRECT ANSWER--administered IV
bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - CORRECT ANSWER-tremor, rigidity,
BRADYKINESIA, postural instability, depression and other psychiatric changes,
dementia, autonomic symptoms, sleep disturbances
,Non-Hodgkin's Lymphoma - CORRECT 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 - CORRECT 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. - CORRECT
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... - CORRECT 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? - CORRECT
ANSWER-finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - CORRECT
ANSWER-Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience... - CORRECT ANSWER-DIGITAL CLUBBING, which
DECREASES arterial O2 levels.
tophi with chronic gout - CORRECT ANSWER-hard, painless nodule on first toe,
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
discharge
Swan neck deformity - CORRECT ANSWER--hyperextension of PIP joint and flexion of
DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - CORRECT 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 - CORRECT ANSWER--
advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of
FIBER.
,Diverticulitis - CORRECT ANSWER-inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - CORRECT
ANSWER--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 ANSWER--osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's
risk for having a stroke? - CORRECT ANSWER-it doesn't increase, it actually
DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? -
CORRECT ANSWER--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 ANSWER--
decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of
uncontrolled movements).
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - CORRECT
ANSWER--fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - CORRECT ANSWER-Also known an
Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - CORRECT ANSWER-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 ANSWER-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 ANSWER-Impulsive attention seeking
behavaior
paranoid personality disorder - CORRECT ANSWER-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
ANSWER--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? - CORRECT ANSWER--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? - CORRECT ANSWER--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 Spectrum Disorder (ASD) - CORRECT ANSWER-A disorder characterized by
deficits in social relatedness and communication skills that are often accompanied by
repetitive, ritualistic behavior.
Immunization schedule - CORRECT ANSWER-Birth: Hep B
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
6 mos: Hep B, DTaP, Hib, Pneum, Poliovirus
12 mos: MMR, VAR, Hep A, Influenza, Hib
11-12 YEARS: Tdap, Meningococcal, HPV
ADHD (Attention-Deficit Hyperactivity Disorder) - CORRECT ANSWER-a psychological
disorder marked by extreme inattention and/or hyperactivity and impulsivity
What should the nurse include in her planning for a patient who has ACUTE phase of
DIVERTICULITIS? - CORRECT ANSWER--Instruct the client to AVOID COUGHING
(this can increase the intra-abdominal pressure and cause BOWEL PERFORATION).
Level 3 Study Guide
orthostatic hypotension - CORRECT ANSWER-caused by DEHYDRATION from fluid
loos and electrolyte imbalance
gross motor skills - CORRECT 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 - CORRECT 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? - CORRECT ANSWER--administered IV
bolus at a rate no greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - CORRECT ANSWER-tremor, rigidity,
BRADYKINESIA, postural instability, depression and other psychiatric changes,
dementia, autonomic symptoms, sleep disturbances
,Non-Hodgkin's Lymphoma - CORRECT 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 - CORRECT 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. - CORRECT
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... - CORRECT 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? - CORRECT
ANSWER-finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - CORRECT
ANSWER-Enlarged axillary nodes and Nipple discharge.
Client with COPD will experience... - CORRECT ANSWER-DIGITAL CLUBBING, which
DECREASES arterial O2 levels.
tophi with chronic gout - CORRECT ANSWER-hard, painless nodule on first toe,
collection of NA urate crystals due to chronic gout, sometimes bursts with chalky
discharge
Swan neck deformity - CORRECT ANSWER--hyperextension of PIP joint and flexion of
DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - CORRECT 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 - CORRECT ANSWER--
advance to high-fiber diet. Best source of fiber is a BANANA which yields 3.1g of
FIBER.
,Diverticulitis - CORRECT ANSWER-inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - CORRECT
ANSWER--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 ANSWER--osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's
risk for having a stroke? - CORRECT ANSWER-it doesn't increase, it actually
DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? -
CORRECT ANSWER--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 ANSWER--
decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of
uncontrolled movements).
What are expected finding of Amyotrophic Later Sclerosis (ALS)? - CORRECT
ANSWER--fascifulcations of the face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - CORRECT ANSWER-Also known an
Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis.
borderline personality disorder - CORRECT ANSWER-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 ANSWER-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 ANSWER-Impulsive attention seeking
behavaior
paranoid personality disorder - CORRECT ANSWER-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
ANSWER--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? - CORRECT ANSWER--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? - CORRECT ANSWER--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 Spectrum Disorder (ASD) - CORRECT ANSWER-A disorder characterized by
deficits in social relatedness and communication skills that are often accompanied by
repetitive, ritualistic behavior.
Immunization schedule - CORRECT ANSWER-Birth: Hep B
2 mos: Hep B, ROTAVIUS, DTaP, Hib, Pneumococcal, Poliovirus
4 mos: Rotavirus, DTaP, Hib, Pneum, Poliovirus
6 mos: Hep B, DTaP, Hib, Pneum, Poliovirus
12 mos: MMR, VAR, Hep A, Influenza, Hib
11-12 YEARS: Tdap, Meningococcal, HPV
ADHD (Attention-Deficit Hyperactivity Disorder) - CORRECT ANSWER-a psychological
disorder marked by extreme inattention and/or hyperactivity and impulsivity
What should the nurse include in her planning for a patient who has ACUTE phase of
DIVERTICULITIS? - CORRECT ANSWER--Instruct the client to AVOID COUGHING
(this can increase the intra-abdominal pressure and cause BOWEL PERFORATION).
