ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 STUDY
GUIDE | QUESTIONS AND ANSWERS | VERIFIED ANSWERS
GRADED A+ | LATEST EXAM
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
GUIDE | QUESTIONS AND ANSWERS | VERIFIED ANSWERS
GRADED A+ | LATEST EXAM
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
