ATI RN CONCEPT-BASED ASSESSMENT LEVEL 3
EXAM – FOCUSED QUESTIONS WITH 100%
VERIFIED SOLUTIONS/A+ GRADE
The child with Down syndrome should be
... [Show More] 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 i [Show Less]