ATI RN CONCEPT-BASED ASSESSMENT
LEVEL 3 STUDY GUIDE EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Orthostatic hypotension - ANS caused by DEHYDRATION from fluid loos and electrolyte
imbalance
gross motor skills - ANS 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 - ANS 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? - ANS -administered IV bolus at a rate no
greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - ANS tremor, rigidity, BRADYKINESIA, postural
instability, depression and other psychiatric changes, dementia, autonomic symptoms, sleep
disturbances
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 105
,Non-Hodgkin's Lymphoma - ANS 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 - ANS spreads SYSTEMICALLY from one group of lymph nodes to the
next group of nodes.
Important teachings for client with new prescription of a DIAPHRAGM. - ANS -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... - ANS 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? - ANS finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - ANS Enlarged axillary nodes and
Nipple discharge.
Client with COPD will experience... - ANS DIGITAL CLUBBING, which DECREASES arterial O2
levels.
tophi with chronic gout - ANS hard, painless nodule on first toe, collection of NA urate
crystals due to chronic gout, sometimes bursts with chalky discharge
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 105
,Swan neck deformity - ANS -hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - ANS 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 - ANS -advance to high-fiber diet. Best
source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - ANS inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - ANS -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? -
ANS -osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke? - ANS it doesn't increase, it actually DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - ANS -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)? - ANS -decrease visual acuity,
diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements).
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 105
, What are expected finding of Amyotrophic Later Sclerosis (ALS)? - ANS -fascifulcations of the
face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - ANS Also known an Lou Gherig's disease, ALS is
a motor neuron disease which can lead to paralysis.
borderline personality disorder - ANS condition marked by extreme instability in mood,
identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - ANS 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 - ANS Impulsive attention seeking behavaior
paranoid personality disorder - ANS 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? - ANS -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? - ANS -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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 105
LEVEL 3 STUDY GUIDE EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Orthostatic hypotension - ANS caused by DEHYDRATION from fluid loos and electrolyte
imbalance
gross motor skills - ANS 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 - ANS 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? - ANS -administered IV bolus at a rate no
greater than 50mg/min.
-to prevent HYPOTENSION and BRADYCARDIA
Manifestations of Parkinson's Disease - ANS tremor, rigidity, BRADYKINESIA, postural
instability, depression and other psychiatric changes, dementia, autonomic symptoms, sleep
disturbances
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 105
,Non-Hodgkin's Lymphoma - ANS 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 - ANS spreads SYSTEMICALLY from one group of lymph nodes to the
next group of nodes.
Important teachings for client with new prescription of a DIAPHRAGM. - ANS -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... - ANS 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? - ANS finding will include:
-mass in duct and NIPPLE DISCHARGE
Expected findings of DUCTAL EXTASIS BREAST DISORDER? - ANS Enlarged axillary nodes and
Nipple discharge.
Client with COPD will experience... - ANS DIGITAL CLUBBING, which DECREASES arterial O2
levels.
tophi with chronic gout - ANS hard, painless nodule on first toe, collection of NA urate
crystals due to chronic gout, sometimes bursts with chalky discharge
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 105
,Swan neck deformity - ANS -hyperextension of PIP joint and flexion of DIP joint
-late manifestation of RHEUMATOID ARTHRITIS (RA)
scleroderma - ANS 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 - ANS -advance to high-fiber diet. Best
source of fiber is a BANANA which yields 3.1g of FIBER.
Diverticulitis - ANS inflammation of the diverticula
What type of medication can increase a patient's risk for a stroke? - ANS -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? -
ANS -osteoporosis
How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for
having a stroke? - ANS it doesn't increase, it actually DECREASES the risk for stroke.
What is Ewing Sarcoma? What are expected manifestations of this disease? - ANS -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)? - ANS -decrease visual acuity,
diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements).
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 105
, What are expected finding of Amyotrophic Later Sclerosis (ALS)? - ANS -fascifulcations of the
face, twitching of the face or tongue.
What is Amyotrophic Lateral Sclerosis (ALS)? - ANS Also known an Lou Gherig's disease, ALS is
a motor neuron disease which can lead to paralysis.
borderline personality disorder - ANS condition marked by extreme instability in mood,
identity, and impulse control.
-client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.
narcissistic personality disorder - ANS 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 - ANS Impulsive attention seeking behavaior
paranoid personality disorder - ANS 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? - ANS -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? - ANS -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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 105
