ATI RN Concept-Based Assessment
Level 3 Study Guide 2024/2025 . Graded
A+
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 Spectrum Disorder (ASD) - ✔ A disorder characterized by deficits in social
relatedness and communication skills that are often accompanied by repetitive,
ritualistic behavior.
Immunization schedule - ✔ 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
Level 3 Study Guide 2024/2025 . Graded
A+
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 Spectrum Disorder (ASD) - ✔ A disorder characterized by deficits in social
relatedness and communication skills that are often accompanied by repetitive,
ritualistic behavior.
Immunization schedule - ✔ 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
