ATI RN ADULT MEDICAL SURGICAL
PROCTORED
EXAM 2019
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question90 loade drationals provide d
Question: 90 of 90
CORRECT
A nurse is caring for a patient who has atopic dermatitis and a prescription for triamcinolone
ointment. The nurse should assess the patient 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 A NSWER
, Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid preparations. The patient should only apply the ointment to
dry patches of the skin becausetopical 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 patient to avoid excessive sun exposure
when taking topicalfluticasone; however, triamcinolone ointment does not
cause photosensitivity.
•
RN VATI Adult Medical Surgical 2019
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Question89 loade drational s provide d
Question: 89 of 90
CORRECT
A nurse is assessing a patient who has left-sided heart failure. Which of the
following findingsshould 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 thevenous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of
right-sided heartfailure 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 venoussystem.
, MY A NSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations ofleft-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
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Question88 loade drational s provide d
Question: 88 of 90
CORRECT
A nurse is caring for a patient who is experiencing anxiety as well as numbness
and tingling of thelips and fingers. The patient'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 patient is experiencing?
Respiratory alkalosis
MY A NSWER
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
3-
the pH is alkaline (increased). An increased pH and HCO indicate
3-
metabolic alkalosis.
, Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and
3-
the pH is alkaline (increased). A decreased pH and HCO indicate
3-
metabolic acidosis.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question87 loade drational s provide d
Question: 87 of 90
CORRECT
FLAG
A nurse is assessing a patient who has Cushing's syndrome. Which of the
following findingsshould the nurse expect?
Vitiligo
Vitiligo is the loss of pigment from areas of a patient's skin, causing
irregular, white patches.Vitiligo is a manifestation of adrenal-gland
hypofunction.
Osteoporosis
MY A NSWER
Osteoporosis is a common finding with Cushing's syndrome. Bones
become thinner as aresult of mineral loss and nitrogen depletion, and the
risk for fractures increases.
Myxedema
PROCTORED
EXAM 2019
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question90 loade drationals provide d
Question: 90 of 90
CORRECT
A nurse is caring for a patient who has atopic dermatitis and a prescription for triamcinolone
ointment. The nurse should assess the patient 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 A NSWER
, Thinning of the skin and delayed healing are adverse effects of topical
glucocorticoid preparations. The patient should only apply the ointment to
dry patches of the skin becausetopical 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 patient to avoid excessive sun exposure
when taking topicalfluticasone; however, triamcinolone ointment does not
cause photosensitivity.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question89 loade drational s provide d
Question: 89 of 90
CORRECT
A nurse is assessing a patient who has left-sided heart failure. Which of the
following findingsshould 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 thevenous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of
right-sided heartfailure 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 venoussystem.
, MY A NSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations ofleft-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
Question88 loade drational s provide d
Question: 88 of 90
CORRECT
A nurse is caring for a patient who is experiencing anxiety as well as numbness
and tingling of thelips and fingers. The patient'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 patient is experiencing?
Respiratory alkalosis
MY A NSWER
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
3-
the pH is alkaline (increased). An increased pH and HCO indicate
3-
metabolic alkalosis.
, Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and
3-
the pH is alkaline (increased). A decreased pH and HCO indicate
3-
metabolic acidosis.
•
RN VATI Adult Medical Surgical 2019
CLOSE
Question87 loade drational s provide d
Question: 87 of 90
CORRECT
FLAG
A nurse is assessing a patient who has Cushing's syndrome. Which of the
following findingsshould the nurse expect?
Vitiligo
Vitiligo is the loss of pigment from areas of a patient's skin, causing
irregular, white patches.Vitiligo is a manifestation of adrenal-gland
hypofunction.
Osteoporosis
MY A NSWER
Osteoporosis is a common finding with Cushing's syndrome. Bones
become thinner as aresult of mineral loss and nitrogen depletion, and the
risk for fractures increases.
Myxedema
