•
RN VATI ADULT MEDICAL
SURGICAL 2021
CLOSE
Question 90 loaded ration als provided
Question: 90 of 90
CORRECT • Time Remaining: 00:38:42
• Pause Remaining: 00:05:00
PAUSE
FLAG
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
Question 89 loaded ration als provided
,Question: 89 of 90
CORRECT
• Time Remaining: 00:37:45
• 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
Question 88 loaded ration als provided
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, PCO 30 mm Hg, HCO 24 mEq/L, PaO 85
2 3
-
2
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
2
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
3
-
pH is alkaline (increased). An increased pH and HCO indicate metabolic
-
3
alkalosis.
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the
3
-
pH is alkaline (increased). A decreased pH and HCO indicate metabolic
-
3
acidosis.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question 87 loaded ration als provided
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
MY ANSWER
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 2019
CLOSE
Question 86 loaded ration als provided
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?
RN VATI ADULT MEDICAL
SURGICAL 2021
CLOSE
Question 90 loaded ration als provided
Question: 90 of 90
CORRECT • Time Remaining: 00:38:42
• Pause Remaining: 00:05:00
PAUSE
FLAG
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
Question 89 loaded ration als provided
,Question: 89 of 90
CORRECT
• Time Remaining: 00:37:45
• 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
Question 88 loaded ration als provided
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, PCO 30 mm Hg, HCO 24 mEq/L, PaO 85
2 3
-
2
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
2
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
3
-
pH is alkaline (increased). An increased pH and HCO indicate metabolic
-
3
alkalosis.
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the
3
-
pH is alkaline (increased). A decreased pH and HCO indicate metabolic
-
3
acidosis.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question 87 loaded ration als provided
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
MY ANSWER
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 2019
CLOSE
Question 86 loaded ration als provided
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?
