ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3
STUDY GUIDE EXAM QUESTIONS WITH
VERIFIED ANSWERS .
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
1
,-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.
2
,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
3
, 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
4
STUDY GUIDE EXAM QUESTIONS WITH
VERIFIED ANSWERS .
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
1
,-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.
2
,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
3
, 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
4
