ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3 EXAM – FOCUSED QUESTIONS WITH 100% VERIFIED SOLUTIONS/A+ GRADE

The child with Down syndrome should be evaluated for which condition before
participating in some sports?
a. Hyperflexibility
b. Cutis marmorata
c. Atlantoaxial instability
d. Speckling of iris (Brushfield spots) - ANSWER-C. Atlantoaxial instability
- Children with Down syndrome are at risk for atlantoaxial instability. Before participating
in sports that put stress on the head and neck, a radiologic examination should be done.
Child with Down Syndrome delayed development - ANSWER--nurse should ensure the
child is enrolled in an early stimulation program which provides PHYSICAL THERAPY
to develop motor skills.
manifestations of increased ICP - ANSWER--decreased LOC
-vomiting (often projectile)
-rising bp
-increasing pulse pressure
-bradycardia
-papilledema
-fixed and dilating pupils
-posturing (decorticate and decerebrate)
-HTN
-Cheyne-stokes respirations
-wide pulse pressure
manifestations of acute glaucoma - ANSWER--headache
-eye pain
-rapid onset of elevated IOP
-vision alterations
-severe pain
-photophobia
manifestations of DKA - ANSWER-dehydration, eyeballs soft and sunken eyes, ab pain,
anorexia, KUSSMAUL RESPIRATIONS, fruity breath
What nursing interventions should take priority on a client with placenta previa at 36
weeks gestation? - ANSWER--initiate large-bore IV access
Education for preventing child-hood obesity - ANSWER--avoid using foods as a reward
for good behavior
ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3
EXAM – FOCUSED QUESTIONS WITH 100%
VERIFIED SOLUTIONS/A+ GRADE
-have healthy foods like fruits and veggies available for snacking
-limit television watching to 2hr or less each day
-avoid offering juice drinks (high sugar content)
positive symptoms of schizophrenia - ANSWER-Delusions of reference,
delusions of persecution,
delusions of grandeur,
thought broadcasting,
though insertion
-magical thinking
-auditory hallucinations
-clang association
disorganized thought,
disorganized behavior,
catatonia
negative symptoms of schizophrenia - ANSWER--disturbance of affect
-blunting (severe reduction in the intensity of affect expression)
-flat affect
-inappropriate affect (might laugh hysterically while describing someones death)
-emotional ambivalence
nursing priority for patient with WILMs Tumor - ANSWER--avoid palpation of abdomen
to avoid tumor rupture
What is Wilm's tumor? - ANSWER-Renal tumor of embryonal origin that is most
commonly seen in children 2-5yrs
Assoc w/ Beckwith-Wiedemann syndrome (hemihypertrophy, macroglossia,
visceromegaly), NF, and WAGR syndrome (Wilms' Aniridia, Genitourinary
abnormalities, mental retardation)
Nursing intervention for child born at 33wks and is 2 days old - ANSWER--position
newborn SIDE-LYING or Prone while in nursery.
-bathe child in PLAIN WATER ONLY
-initiate skin-to-skin contact regardless of age or weight of newborn
-lights should be dimmed during the night and at intervals during the day
intimate partner violence teaching - ANSWER--nurses priority is to provide safety and
develop a safety plan.
Teaching for minimizing behavioral problems with client who has Alzheimer's disease
(AD) - ANSWER--briefly leave the room when client becomes agitated
-use a soft, calm tone of voice
-avoid crowds of people when taking client on outings.
ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3
EXAM – FOCUSED QUESTIONS WITH 100%
VERIFIED SOLUTIONS/A+ GRADE
manifestations of prenatal complications - ANSWER--swelling of finders, face, and
sacral area (these are hypertensive conditions like PREECLAMPSIA)
PYROSIS - ANSWER-heartburn; burning sensation in upper abdomen due to reflux of
gastric acid
leukorrhea - ANSWER-a profuse, whitish mucus discharge from the uterus and vagina
Nursing actions for client with bipolar disorder experiencing mania - ANSWER--give
client short, firm direction when communicating
-encourage frequent rest periods during the day
-offer client high-fiber foods and extra fluids
-supervise client and give step-by-step directions.
risk factors for postpartum hemorrhage - ANSWER-usual suspects plus:
-grand multiparitiy
multiple gestation, large infant, polyhydraminos
dysfunctional labor, oxytocin induction or augmentation
VBAC, general anesthesia
therapeutic response lab values for client with ANOREXIA NERVOSA - ANSWER--BUN
18mg/dL (norm: 10-20 mg/dL)
-hematocrit 40% (norm: 42-52% males; 37-47% female)
-Na 138 mEq/dL (norm: 136-145 mEq/dL
-K 3.7 (norm: 3.5-5.0 mEq/dL)
Nursing action for client receiving IV OXYTOCIN and FHR shows VARIABLE
DECELERATIONS - ANSWER--administer O2 at 10 L/min via nonrebreather
-reposition client to relieve compression to umbilical chord.
A nurse is caring for a client who has lung cancer and is exhibiting manifestations of
syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following ndings
should the nurse report to the provider?
A. Behavioral changes
B. Client report of headache
C. Urine output 40 mL/hr
D. Client report of nausea
E. Increased urine specfic gravity - ANSWER-A. Behavioral changes
B. Client report of headache
D. Client report of nausea