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Level 3 Nursing concepts study guide
Typology: Summaries
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Generated by ChatGPT – May 7 2025 This study guide summarizes key nursing concepts commonly tested on the ATI RN Concept-Based Assessment Level 3 proctored exam (including NGN-style clinical judgment focus). Use it for personal study or as an uploadable document (≥10 pages) to unlock resources on sharing platforms.
Definition: Adequate arterial blood flow through the tissues. Key disorders: Heart failure, shock, hypertension. Assessment cues: Cap refill >3 s, cool extremities, dusky skin, ↓ urine output. Priority interventions: Elevate HOB, O ₂therapy, IV fluids/vasopressors as ordered, monitor MAP. NGN link: Prioritize interventions for multiple clients with impaired perfusion.
Definition: Mechanisms that facilitate or impair neurologic function. Concepts: ICP, cerebral perfusion pressure (CPP), stroke types. Signs of ↑ ICP: Cushing triad (↑ BP, bradycardia, irregular respirations), vomiting, LOC change. Interventions: Head midline, HOB 30°, avoid hip flexion, osmotic diuretics (mannitol). NGN application: Bow-tie question selecting meds & monitoring parameters.
Normal movement requires intact musculoskeletal & nervous systems. Immobility complications: DVT, pressure injuries, constipation, atelectasis. Fall-risk assessment: Morse, STRATIFY; implement multifactorial precautions. Rehabilitation: ROM exercises, assistive devices, PT/OT collaboration.
ROME: Respiratory Opposite, Metabolic Equal for pH/CO /HCO .₂ ₃ Common causes: DKA (metabolic acidosis), vomiting (metabolic alkalosis). Arterial blood gas interpretation flowchart (pH → CO ₂ → HCO ).₃
Innate vs. adaptive immunity; vaccine schedules; herd immunity thresholds. Autoimmune exemplars: SLE, RA – nursing care focuses on pain & fatigue management.
Urinary vs. bowel elimination patterns; neurogenic bladder strategies. C. difficile isolation, stool specimen collection, laxative stewardship.
Oncogenesis, cancer staging (TNM), chemotherapy safety (PPE, extravasation). Client education on neutropenic precautions.
Recognize cues → Analyze cues → Prioritize hypotheses → Generate solutions → Take action → Evaluate outcomes (RAPPGE). Sample case study workflow with unfolding data tables.
