RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass

RN 2019 Adult
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Medical Surgical ATI
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ue sti on 90 loa de dr ati on al s prov i de d




Question: 90 of 90 f f f


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A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
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ointment. The nurse should assess the client to monitor for which of the following adverse
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effects?
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Increased pigmentation f




Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation. f f f f f f f f f




Localized hair loss f f




Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth, f f f f f f f f f



f especially on the facial area. f f f f




Thinning of the skin f f f




MY f ANSWER




Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid f f f f f f f f f f f f



preparations. The client should only apply the ointment to dry patches of the skin because
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topical steroids can cause atrophy of the dermis and epidermis, which can result in thinning
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of the skin.
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Increased sensitivity to the sun f f f f




The nurse should instruct the client to avoid excessive sun exposure when taking topical fluticasone;
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however, triamcinolone ointment does not cause photosensitivity.
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ue sti on 89 loa de dr ati on al s prov i de d




Question: 89 of 90 f f f



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A nurse is assessing a client who has left-sided heart failure. Which of the following findings should
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the nurse identify as a manifestation of left-sided heart failure?
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Dependent edema f




The nurse should identify that dependent edema is a manifestation of right-sided heart
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failure due to right ventricular failure and fluid retention from pressure building up in the
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f venous system. f




Jugular distention f




The nurse should identify that jugular vein distention is a manifestation of right-sided heart
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failure due to right ventricular failure and fluid retention from pressure building up in the
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venous system.
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Weight gain f




The nurse should identify that weight gain is a manifestation of right-sided heart failure due
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to right ventricular failure and fluid retention from pressure building up in the venous
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system.
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Frothy sputum f
MY f ANSWER




The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations of
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left-sided heart failure. Treatment includes fluid restriction and diuretics to decrease
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f preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be an early f f f f f f f f f f f



f indication of pulmonary edema and can be life-threatening. Therefore, the nurse should f f f f f f f f f f f



f notify the provider immediately. f f f




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ue sti on 88 loa de dr ati on al s prov i de d




Question: 88 of 90 f f f



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A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the lips
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and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm Hg.
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Which of the following acid-base imbalances should the nurse identify that the client is
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experiencing?
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f f Respiratory alkalosis f f



MY f ANSWER




This pH is alkaline (increased) and the PCO is decreased, representing alveolar
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hyperventilation and resultant respiratory alkalosis.
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Respiratory acidosis f


This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased
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PCO indicate respiratory acidosis.
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Metabolic alkalosis f


This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
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(increased). An increased pH and HCO indicate metabolic alkalosis.
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Metabolic acidosis f


This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
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f (increased). A decreased pH and HCO indicate metabolic acidosis. f f f f f 3- f f f




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ue sti on 87 loa de dr ati on al s prov i de d




Question: 87 of 90 f f f



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A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should
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the nurse expect?
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Vitiligo