RN VATI Adult Medical Surgical 2019
*****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?
Thinning of the skin
MY ANSWER
*****Anurseisasesingaclientwhohaslef
t-sidedheartfailure.Whichofthe
folowingfindingshouldthenurseidentify
asamanifestationofleft-
sidedheartfailure?
Frothysputum
MY ANSWER
****Anurseiscaringforaclientwhoisexperien
cinganxietyaswelasnumbnesandtingling 3
ofthelipsandfingers.Theclient'sABGsare:pH
7.48,PCO 30mmHg,HCO 24mEq/L,
2
-
PaO 85mmHg.Whichofthefolowingacid-
2
baseimbalanceshouldthenurseidentifythat
he clientisexperiencing?
Respiratoryalkalosis
MY ANSWER
****AnurseisasesingaclientwhohasCushing's
yndrome.Whichofthefolowingfindings
shouldthenurseexpect?
Osteoporosis
MY ANSWER
****Anurseisinspectingtheskinofaclientwho
hasbasalcelcarcinoma.Thenurseshould
identifywhichofthefolowinglesioncharact
eristicsontheclient'skin?
Apearly,waxynodule
MY ANSWER
****Anurseisasesingaclientwhohashypocalce
,RN VATI Adult Medical Surgical 2019
mia.Inwhichofthefolowingareashould
thenursetapontheclient'sfacetodetecthepr
esenceofChvostek'sign?(Youwilfindhot
spotstoselectintheartworkbelow.Selectonl
ythehotspothatcorespondstoyouranswer.)
Aiscorect.Thenurseshouldtaptheclient'sch
ekjustinfrontoftheearandbelowthe
zygomaticarch.Theclientwhohashypocalcemi
awildisplayaChvostek'sign,whichisa
twitchingofthefacialmuscle.
,RN VATI Adult Medical Surgical 2019
Bisincorect.Thenurseshouldapplyupwardpres
ureathesupraorbitalridge,belowthe
eyebrow,toasesfortendernesandinflammation
ofthefrontalsinuses.
Cisincorect.Thenurseshouldpalpatethejawan
dmastoidmuscleofaclientwhohas
temporomandibularjointdysfunction.Thisca
nbecausedbymisalignedteth,arthritis,or
grindingoftheteth.Withpalpation,thenurse
mightfelaclick,pop,orgratingsensationwhen
theclientopensorclosesthejaw.
BotomofForm
****Anurseinanemergencydepartmentisase
singaclientwhoisoverusing
prescribeddiureticsandhasasodiumlevel
of127mEq/L.Whichofthefolowing
laboratoryfindingshouldthenurseexpect?
Lowurinespecificgravity
MY ANSWER
***Ahomehealthnurseisasistingaclientwithp
lanningcareforafamilymemberwhohas
Alzheimer'sdisease.Whichofthefolowingins
tructionshouldthenurseinclude?
Reviewthedailyschedulewiththeclientevery
morning.
***Anurseiscaringforaclientwhohasdevelope
dacuterespiratorydistressyndrome(ARDS).
Whichofthefolowingfindingshouldthenurseid
entifyasamanifestationofthisyndrome?
Refractoryhypoxemia
MY ANSWER
, RN VATI Adult Medical Surgical 2019
***Anemergencyroomnurseisasesingaclient
whohasasthmaanddifficultybreathing.
Whichofthefolowingfindingshouldindicatet
othenursethatheclientisexperiencingsta
tu s asthmaticus?
Useofacesorymuscles
MY ANSWER
*****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?
Thinning of the skin
MY ANSWER
*****Anurseisasesingaclientwhohaslef
t-sidedheartfailure.Whichofthe
folowingfindingshouldthenurseidentify
asamanifestationofleft-
sidedheartfailure?
Frothysputum
MY ANSWER
****Anurseiscaringforaclientwhoisexperien
cinganxietyaswelasnumbnesandtingling 3
ofthelipsandfingers.Theclient'sABGsare:pH
7.48,PCO 30mmHg,HCO 24mEq/L,
2
-
PaO 85mmHg.Whichofthefolowingacid-
2
baseimbalanceshouldthenurseidentifythat
he clientisexperiencing?
Respiratoryalkalosis
MY ANSWER
****AnurseisasesingaclientwhohasCushing's
yndrome.Whichofthefolowingfindings
shouldthenurseexpect?
Osteoporosis
MY ANSWER
****Anurseisinspectingtheskinofaclientwho
hasbasalcelcarcinoma.Thenurseshould
identifywhichofthefolowinglesioncharact
eristicsontheclient'skin?
Apearly,waxynodule
MY ANSWER
****Anurseisasesingaclientwhohashypocalce
,RN VATI Adult Medical Surgical 2019
mia.Inwhichofthefolowingareashould
thenursetapontheclient'sfacetodetecthepr
esenceofChvostek'sign?(Youwilfindhot
spotstoselectintheartworkbelow.Selectonl
ythehotspothatcorespondstoyouranswer.)
Aiscorect.Thenurseshouldtaptheclient'sch
ekjustinfrontoftheearandbelowthe
zygomaticarch.Theclientwhohashypocalcemi
awildisplayaChvostek'sign,whichisa
twitchingofthefacialmuscle.
,RN VATI Adult Medical Surgical 2019
Bisincorect.Thenurseshouldapplyupwardpres
ureathesupraorbitalridge,belowthe
eyebrow,toasesfortendernesandinflammation
ofthefrontalsinuses.
Cisincorect.Thenurseshouldpalpatethejawan
dmastoidmuscleofaclientwhohas
temporomandibularjointdysfunction.Thisca
nbecausedbymisalignedteth,arthritis,or
grindingoftheteth.Withpalpation,thenurse
mightfelaclick,pop,orgratingsensationwhen
theclientopensorclosesthejaw.
BotomofForm
****Anurseinanemergencydepartmentisase
singaclientwhoisoverusing
prescribeddiureticsandhasasodiumlevel
of127mEq/L.Whichofthefolowing
laboratoryfindingshouldthenurseexpect?
Lowurinespecificgravity
MY ANSWER
***Ahomehealthnurseisasistingaclientwithp
lanningcareforafamilymemberwhohas
Alzheimer'sdisease.Whichofthefolowingins
tructionshouldthenurseinclude?
Reviewthedailyschedulewiththeclientevery
morning.
***Anurseiscaringforaclientwhohasdevelope
dacuterespiratorydistressyndrome(ARDS).
Whichofthefolowingfindingshouldthenurseid
entifyasamanifestationofthisyndrome?
Refractoryhypoxemia
MY ANSWER
, RN VATI Adult Medical Surgical 2019
***Anemergencyroomnurseisasesingaclient
whohasasthmaanddifficultybreathing.
Whichofthefolowingfindingshouldindicatet
othenursethatheclientisexperiencingsta
tu s asthmaticus?
Useofacesorymuscles
MY ANSWER
