ATI RN ADULT MEDICAL SURGICAL PROCTORED
EXAM 2023-2024
Question: 90 of 90
CORRECT
• Time Remaining: 00:38:42
FLAG
• Pause Remaining: 00:05:00
PAUSE
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
MY ANSWER
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.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Que st io n89 lo a de dr at i o nal s pro vi d e d
Question: 89 of 90
CORRECT
Med C
, • Time Remaining: 00:37:45
Med C
, • 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
MY ANSWER
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 2019
CLOSE
Que st io n88 lo a de dr at i o nal s pro vi d e d
Question: 88 of 90
CORRECT
Med C
, • 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`li
ps`and`fingers.`The`client's`ABGs`are:`pH`7.48,`PCO2` 30`mm`Hg,`HCO`- 3
` 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`
MY ` ANSWER
This`pH`is`alkaline`(increased)`and`the`PCO ` is`decreased,`representing`alveolar`hyperventilatio
2
n`and`resultant`respiratory`alkalosis.
Respiratory`acidosis
This`pH`is`alkaline`(increased)`and`the`PCO ` is`decreased.`A`decreased`pH`and`an`increased`PCO
2
2 ` indicate`respiratory`acidosis.
Metabolic`alkalosis
This`HCO 3-
` 24`mEq/L`is`within`the`expected`range`of`21`to`28`mEq/L`and`the`pH`is`alkaline`(increased).`A
n`increased`pH`and`HCO ` indicate`metabolic`alkalosis. 3-
Metabolic`acidosis
This`HCO 3-
` 24`mEq/L`is`within`the`expected`range`of`21`to`28`mEq/L`and`the`pH`is`alkaline`(increased).`A`
decreased`pH`and`HCO ` indicate`metabolic`acidosis. 3-
•
RN`VATI`Adult`Medical`Surgical`2019
`CLOSE
` ` `` ` ` ` ` ``
Que st io n87 lo a de dr ati o nal s pro vi de d
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`shoul
d`the`nurse`expect?
Vitiligo
Med`C
EXAM 2023-2024
Question: 90 of 90
CORRECT
• Time Remaining: 00:38:42
FLAG
• Pause Remaining: 00:05:00
PAUSE
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
MY ANSWER
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.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Que st io n89 lo a de dr at i o nal s pro vi d e d
Question: 89 of 90
CORRECT
Med C
, • Time Remaining: 00:37:45
Med C
, • 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
MY ANSWER
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 2019
CLOSE
Que st io n88 lo a de dr at i o nal s pro vi d e d
Question: 88 of 90
CORRECT
Med C
, • 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`li
ps`and`fingers.`The`client's`ABGs`are:`pH`7.48,`PCO2` 30`mm`Hg,`HCO`- 3
` 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`
MY ` ANSWER
This`pH`is`alkaline`(increased)`and`the`PCO ` is`decreased,`representing`alveolar`hyperventilatio
2
n`and`resultant`respiratory`alkalosis.
Respiratory`acidosis
This`pH`is`alkaline`(increased)`and`the`PCO ` is`decreased.`A`decreased`pH`and`an`increased`PCO
2
2 ` indicate`respiratory`acidosis.
Metabolic`alkalosis
This`HCO 3-
` 24`mEq/L`is`within`the`expected`range`of`21`to`28`mEq/L`and`the`pH`is`alkaline`(increased).`A
n`increased`pH`and`HCO ` indicate`metabolic`alkalosis. 3-
Metabolic`acidosis
This`HCO 3-
` 24`mEq/L`is`within`the`expected`range`of`21`to`28`mEq/L`and`the`pH`is`alkaline`(increased).`A`
decreased`pH`and`HCO ` indicate`metabolic`acidosis. 3-
•
RN`VATI`Adult`Medical`Surgical`2019
`CLOSE
` ` `` ` ` ` ` ``
Que st io n87 lo a de dr ati o nal s pro vi de d
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`shoul
d`the`nurse`expect?
Vitiligo
Med`C
