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ATI RN CONCEPT-BASED LEVEL 3 AND THE NGN WITH 300+ VERIFIED QUESTIONS AND ANSWERS.pdf, Exams of Medicine

United States University (USU)Medicine

ATI RN CONCEPT-BASED LEVEL 3 AND THE NGN WITH 300+ VERIFIED QUESTIONS AND ANSWERS.pdf

Typology: Exams

2024/2025

Available from 07/06/2025

samuel-tutor 🇺🇸

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ATI RN CONCEPT-BASED LEVEL 3 AND

THE NGN WITH 300+ VERIFIED

QUESTIONS AND ANSWERS

question-How should phenytoin be administered? Why? - answer--administered IV bolus at a

rate no greater than 50mg/min.

-to prevent HYPOTENSION and BRADYCARDIA

question-Manifestations of Parkinson's Disease - answer-tremor, rigidity, BRADYKINESIA,

postural instability, depression and other psychiatric changes, dementia, autonomic symptoms,

sleep disturbances

question-Non-Hodgkin's Lymphoma - 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.

question-Hodgkin's lymphoma - answer-spreads SYSTEMICALLY from one group of lymph

nodes to the next group of nodes.

orthostatic hypotension - answer-caused by DEHYDRATION from fluid loos and electrolyte

imbalance

question-gross motor skills - answer-physical abilities involving large body movements, such as

walking and jumping

Partial preview of the text

Download ATI RN CONCEPT-BASED LEVEL 3 AND THE NGN WITH 300+ VERIFIED QUESTIONS AND ANSWERS.pdf and more Exams Medicine in PDF only on Docsity!

ATI RN CONCEPT-BASED LEVEL 3 AND

THE NGN WITH 300+ VERIFIED

QUESTIONS AND ANSWERS

question-How should phenytoin be administered? Why? - answer--administered IV bolus at a rate no greater than 50mg/min.

to prevent HYPOTENSION and BRADYCARDIA question-Manifestations of Parkinson's Disease - answer-tremor, rigidity, BRADYKINESIA, postural instability, depression and other psychiatric changes, dementia, autonomic symptoms, sleep disturbances question-Non-Hodgkin's Lymphoma - 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. question-Hodgkin's lymphoma - answer-spreads SYSTEMICALLY from one group of lymph nodes to the next group of nodes. orthostatic hypotension - answer-caused by DEHYDRATION from fluid loos and electrolyte imbalance question-gross motor skills - 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 question-Biofeedback - answer-technique that uses audio and visual signals that allow client to reduce muscle tension by gaining control over autonomic physiologic functions question-Important teachings for client with new prescription of a DIAPHRAGM. - 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 question-A client with fibrocystic breast condition will... - answer-have BREAST PAIN and tenderness as well ass LUMPS usually in the UPPER OUTER QUADRANT of the breast. question-Expected findings of INTRADUCTAL PAPILLOMA BREAST disorder? - answer- finding will include:
mass in duct and NIPPLE DISCHARGE question-Expected findings of DUCTAL EXTASIS BREAST DISORDER? - answer-Enlarged axillary nodes and Nipple discharge.

question-How does light to moderate drinking, (150ml or 5oz of wine each day) affect the client's risk for having a stroke? - answer-it doesn't increase, it actually DECREASES the risk for stroke. question-What is Ewing Sarcoma? What are expected manifestations of this disease? - 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. question-What are expected findings of Multiple Sclerosis (MS)? - answer--decrease visual acuity, diplopia, changes in peripheral vision, & nystagmus (repeat of uncontrolled movements). question-What are expected finding of Amyotrophic Later Sclerosis (ALS)? - answer-- fascifulcations of the face, twitching of the face or tongue. question-What is Amyotrophic Lateral Sclerosis (ALS)? - answer-Also known an Lou Gherig's disease, ALS is a motor neuron disease which can lead to paralysis. question-borderline personality disorder - answer-condition marked by extreme instability in mood, identity, and impulse control.
client's with this condition experience SUICIDAL IDEATION & SUBSTANCE ABUSE.

question-narcissistic personality disorder - 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 question-historonic personality disorder - answer-Impulsive attention seeking behavaior question-paranoid personality disorder - answer-A personality disorder characterized by a pervasive distrust and suspiciousness of the motives of others without sufficient basis question-What are some complications of an infant born at or less than 32 weeks? - answer-- apnea

nectrotizing enterocolitis (due to intestinal ischemia and immature immune system)
hypoglycemia
anemia
polycythemia
hypothermia question-What teachings should the nurse include for a client that underwent a UTERINE ARTERY EMBOLIZATION? - answer--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.

question-ADHD (Attention-Deficit Hyperactivity Disorder) - answer-a psychological disorder marked by extreme inattention and/or hyperactivity and impulsivity question-What should the nurse include in her planning for a patient who has ACUTE phase of DIVERTICULITIS? - answer--Instruct the client to AVOID COUGHING (this can increase the intra-abdominal pressure and cause BOWEL PERFORATION).

ADMINISTER OPIOID analgesics to relieve pain (this can decrease bowel motility)
DO NOT administer EMEMAS or LAXITIVES (this will increase bowel motility and places client at risk for bowel perforation)
client should be NPO or on a clear liquid diet (this will decrease inflammation of the bowels). question-sickle cell crisis - answer-condition in sickle cell anemia in which the sickled cells interfere with oxygen transport, obstruct capillary blood flow, and cause fever and severe pain in the joints and abdomen. question-How should the nurse manage care for a client who is experiencing a sickle cell crisis? - answer--promote fluid intake to prevent dehydration
monitor peripheral capillary refill, pulse O2, and skin temp every 1hr to assess PERFUSION of EXTREMITIES.
EXTEND client's knees to promote perfusion of lower extremities.
elevate head or bed to 30 DEGREES or less to increase perfusion to lower extremities. question-What are the depressive manifestation of low self-esteem? - answer--hypersensitivity to criticism
guilt

shame
expression of helplessness
lack of eye contact
pessimistic outcome on life question-What are the manifestations of spiritual distress? - answer--express lack of meaning in life
anger
refusing interactions with family
discontinuing spiritual practice question-What are the manifestations of disturbed thought process? - answer--impaired problem- solving skills
confusion
difficulty concentration
inappropriate thinking
memory deficits question-What are the nursing interactions for palliative care of near death clients? - answer-- administer analgesics like morphine SUB Q, SUBLINGUAL, or IV if the client is NOT RESPONSIVE.
APPLY A SOCOPALAMINE TRANSDERMAL PATCH or administer ATROPINE to decrease oral or respiratory secretions.
provide soothing music, use therapeutic touch, and keep noise level low

take a sitz bath 3-4 times a day to help minimize discomfort question-What meds should the nurse expect to administer for a client who is in post-partum and experiencing hemorrhaging? - answer--METHYLERGONOUINE (causes contractions of the uterine muscle, which decreases bleeding. Adverse affect is HTN).
MISOPROSTOL (uterotonic med) question-What meds should the nurse expect to administer for a client who is in PRE-TERM LABOR? - answer--BETHAMETHASONE (glucocorticoid given to stimulate fetal lung maturity)
TERBUTALINE (tocolytic med which causes relaxation of smooth muscles of the uterine wall). question-What meds should the nurse expect to administer for a client who is experiencing PRE- ECLAMPSIA? - answer--MAGNESIUM SULFATE (prevents seizures)
NIFEDIPINE (Ca Channel blocker that relaxes vascular smooth muscles which lower BP). question-How should a nurse plan care for a client with DEMENTIA? - answer--USE LARGE CALENDARS that are easy for client to read.
keep client's room dimly lit at night to prevent falls and wandering
speak slowly to client in a NORMAL VOLUME
provide SIMPLE explanation and directions question-What are some signs/symptoms of OPIOID WITHDRAWAL? - answer-- RHINORRHEA
yawning

tearing
hyperthermia
TACHYPNEA
diaphoresis
enlarged pupils
hyperflexia question-What are the early manifestations of ALS? - answer--fascilfulcations of the face
twitching of the tongue
nasal tone of voice leading to DYSARTHRIA (diff speaking)
muscle atrophy of ARMS & HANDS question-Client teaching for gestation HTN - answer--gestations HTN will resolve during the 1st week of postpartum but can last for 12 wks.
gestational HTN will begin around 20th week of pregnancy
client will NOT EXPERIENCE vaginal discharge for a few days. question-What are some contraindications for a client taking ORAL CONTRACEPTIVES? - answer--patient that is EXPERIENCING a HEADACHE w/aura
client who has a history of DM for 20 yrs w/ vascular disease
client who has liver tumors, HTN, and/or GALL BLADDER disease

RECCOMMEND joining a self-help group. question-aversion therapy - answer-form of behavioral therapy in which an undesirable behavior is paired with an aversive stimulus to reduce the frequency of the behavior Ex: used to treat client who have SEXUAL PARAPHILIAS question-Disulfiram (Antabuse) - answer--Used for alcohol aversion therapy.
Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction.
Teach pt to avoid some over-the-counter cough preparations, mouthwash etc. question-major depressive disorder - answer--A mood disorder in which a person experiences, in the absence of drugs or a medical condition, two or more weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities.
Ex: a client who had a RECENT MOVE ACROSS the country to look for work question-How to calculate caloric intake for an obese client that is wanting to lose 2lbs of body fat per week and is currently consuming 2500 calories per day? - answer--know that 1lb of body fat = 3500 calories
multiply 3500 by 2= 7000 (amount of calories client needs to lose per week)
divide 7000 (calories) by 7 (days)= 1000 (calories needed to be subtracted from the current daily caloric intake).
subtract 1000 from 2500=
1500 (calories needed to be consumed DAILY to meet weekly weight loss.

question-Manifestations of major depressive disorder - answer--Insomnia

Feelings of worthlessness or excessive guilt
Fatigue or loss of energy
Diminished ability to concentrate
Substantial change in appetite or weight
Psychomotor agitation/retardation
Recurrent thoughts of death or suicide question-bipolar disorder - answer-severe mood swings between major depressive episodes and manic episodes
client may exhibit MANIPULATIVE behavior question-Nursing Process - answer-Assessment Diagnosis Planning Implementation Evaluation question-What are the nursing interventions/teaching for a client who has ACUTE GLOMERULONEPHRITIS? - answer--restrict fluid intake based on previous day's urine output
restrict fluid intake to 500-600 ml above 24hr urine output to prevent FVO, increased BP, and edema

fundal height > than 34 cm
UTERINE HYPERTONICITY
HYPOTENSION question-What med(s) can the nurse expect to administer to a client that has GONORRHEA? - answer--CEFTRIAXONE (anitbiotic given IM) question-How should the nurse plan her care for a client who has PTSD? - answer--stay with client during flashbacks or nightmares to promote safety & sense of security
ASSIST client to IDENTIFY STAGE OF GRIEF
maintain a consistent care-giving staff
have client acknowledge and verbalize their feelings. question-What discharge teachings should the nurse include to the parents of a newborn who underwent a circumcision? - answer--do not remove yellow film (will fall off in 2-3 days)
apply diaper loosely
CLEAN PENIS with WARM WATER.
DO NOT use SOAP until 5-6 days after circumcision
report any signs of swelling b/c this could be a manifestation of INFECTION question-What medication can the nurse expect to administer for a client experiencing INFERTILITY? - answer--CLOMIPHENE (stimulates growth and release of eggs thus increasing chance of conception).

question-What medication can the nurse expect to administer for a client experiencing GESTATION HTN? - answer--LABETOALOL (beta blocker that decreases BP) question-What medication can the nurse expect to administer for a client experiencing UTERINE ATONY? - answer--MISOPROSTOL (uterine oxytocin that causes contractions of uterine muscle). question-Manifestations of right-hemispheric stroke - answer--EUPHORIA

impaired visual-spatial perception
left sided neglect.
CONSTANT SMILING
impaired sense of humor
disorientation to time and place
inability to recognize familiar faces
loss of hearing
impulsiveness
denial of illness
lack of awareness question-Manifestations of left-hemispheric stroke - answer--right visual field defects
anxiety
low tolerance of frustration
DIFFICULTY READING

hypothermia question-adverse effects of phenytoin - answer-anti-epileptic med:
gingival hyperplasia (bleeding gums)
- CNS effects
teratrogenic (cleft palate) question-adverse effects of diazepam - answer--benzodiazepine to manage status epilepticus
Sedation, psychological and physical dependence question-Newborn home safety teachings - answer-tell parents of newborn to:
increase temp of room to 79-81 F to prevent hypothermia
not cover newborn with blankets while sleeping (increases risk of SIDS)
set the water heater temp to no more than 120 F (49 C)
place crib AWAY from heating vents, radiators, and portable space heaters. question-discharge teaching for placenta previa - answer-explain to client that:
if any vaginal bleeding occurs, return to hospital IMMEDIATELY
do not place ANYTHING in their vaginas (no sexual intercourse)
must maintain BED REST only allowed to move for bathroom privileges
CLIENTS SHOULD HAVE CLOSE SUPERVISION and access to transportation

question-manifestations of alcohol withdrawls - answer--hypertensive with in 12- 7 2 hours of last drink

tachycardia with in 12-72 hours of last drink
disturbed sleep with in 12-72 hours of last drink
have mild TREMORS question-What increases a client's risk for developing Alzheimer's Disease (AD)? - answer-- PRESENCE of APOLIPOPROTEIN E-4 gene
viruses (herpes zoster)
exposure to toxic metals like Zn or Cu
age (older than 60 yrs), gender (more common in women), and family history question-phases of battering (power and control wheel) - answer-• Phase 1: Tensions build, Minor battering incidents occur and conflict builds
Phase 2: An explosive beating or otherwise abusive incident
Phase 3: Calm, Honeymoon phase as batterer often promises never to be abusive again question-teaching for managing fatigue of end-stage COPD - answer-instruct client to:
walk at a self-pace rate & stop when fatigue occurs (rest-walk-rest until 20min is complete)
avoid eating dry foods b/c this will stimulate coughing thus causing fatigue
REST ELBOWS on table during activities
raise height of table to prevent back strain
sleep with head UPRIGHT to avoid DYSPNEA

ATI RN CONCEPT-BASED LEVEL 3 AND THE NGN WITH 300+ VERIFIED QUESTIONS AND ANSWERS.pdf, Exams of Medicine

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Partial preview of the text

Download ATI RN CONCEPT-BASED LEVEL 3 AND THE NGN WITH 300+ VERIFIED QUESTIONS AND ANSWERS.pdf and more Exams Medicine in PDF only on Docsity!

ATI RN CONCEPT-BASED LEVEL 3 AND

THE NGN WITH 300+ VERIFIED

QUESTIONS AND ANSWERS