RN 2025 Adult Medical-Surgical ATI Proctored
Exam – All Forms With Verified Questions and
Correct Answers
(Latest Update)
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive
hair growth, especially on the facial area.
Thinning of the skin
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topical fluticasone; however, triamcinolone ointment does not cause photosensitivity.
, Pause Remaining:
00:05:00
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A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart
failure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should notify the provider immediately.
RN VATI Adult Medical Surgical 2025
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Question: 88 of 90
CORRECT
, Time Remaining: 00:37:30
Pause Remaining:
00:05:00
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A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should the nurse identify that
the client is experiencing?
Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased, representing
alveolar hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH
2
and an increased PCO indicate respiratory acidosis.
2
Metabolic alkalosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). An increased pH and HCO indicate metabolic alkalosis.
3-
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). A decreased pH and HCO indicate metabolic acidosis.
3-
RN VATI Adult Medical Surgical 2025
CLOSE
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
Vitiligo
, Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white patches.
Vitiligo is a manifestation of adrenal-gland hypofunction.
Osteoporosis
Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner
as a result of mineral loss and nitrogen depletion, and the risk for fractures increases.
Myxedema
A client who has hypothyroidism can develop myxedema that causes mucinous
cellular edema around the eyes, across the upper back, and in the hands and feet.
Heat intolerance
A client who has hyperthyroidism can develop heat intolerance, along with an
increase in sweating.
RN VATI Adult Medical Surgical 2025
CLOSE
Question: 86 of 90
CORRECT
Time Remaining: 00:37:13
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin?
A pearly, waxy nodule
A client who has basal cell carcinoma has a nodular lesion with well-defined borders
and a pearly or waxy appearance, resulting from overexposure to the sun, especially
on the face, head, and neck.
An irregular border on a variegated-colored lesion
Exam – All Forms With Verified Questions and
Correct Answers
(Latest Update)
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive
hair growth, especially on the facial area.
Thinning of the skin
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topical fluticasone; however, triamcinolone ointment does not cause photosensitivity.
, Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart
failure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Frothy sputum
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should notify the provider immediately.
RN VATI Adult Medical Surgical 2025
CLOSE
Question: 88 of 90
CORRECT
, Time Remaining: 00:37:30
Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should the nurse identify that
the client is experiencing?
Respiratory alkalosis
This pH is alkaline (increased) and the PCO2 is decreased, representing
alveolar hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH
2
and an increased PCO indicate respiratory acidosis.
2
Metabolic alkalosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). An increased pH and HCO indicate metabolic alkalosis.
3-
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). A decreased pH and HCO indicate metabolic acidosis.
3-
RN VATI Adult Medical Surgical 2025
CLOSE
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
Vitiligo
, Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white patches.
Vitiligo is a manifestation of adrenal-gland hypofunction.
Osteoporosis
Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner
as a result of mineral loss and nitrogen depletion, and the risk for fractures increases.
Myxedema
A client who has hypothyroidism can develop myxedema that causes mucinous
cellular edema around the eyes, across the upper back, and in the hands and feet.
Heat intolerance
A client who has hyperthyroidism can develop heat intolerance, along with an
increase in sweating.
RN VATI Adult Medical Surgical 2025
CLOSE
Question: 86 of 90
CORRECT
Time Remaining: 00:37:13
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse
should identify which of the following lesion characteristics on the client's skin?
A pearly, waxy nodule
A client who has basal cell carcinoma has a nodular lesion with well-defined borders
and a pearly or waxy appearance, resulting from overexposure to the sun, especially
on the face, head, and neck.
An irregular border on a variegated-colored lesion
