RN 2019 Adult Medic
n n n
al Surgical ATI Procto
n n n
redExam ALL FORMS
n n n
! Latest updated 202
n n n
3\2024
, RN 2019 Adult Medical Surgical ATI Proctored Exam ALL F
n n n n n n n n n
ORMS!
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 90 loa de drati onal s prov i de d
Question: 90 of 90 n n n
CORRECT
• TimenRemaining: n00:38:42
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursen isn caringn forn anclient n whonhasnatopicn dermatitisn andnanprescriptionn forn triamcinolonen ointme
nt.n Then nursen should n assessn then client n ton monitorn forn whichn of n then followingn adversen effects?
Increased n pigmentation
Topicalnglucocorticoidntherapyncanncausenthenadverseneffectnofnhypopigmentation.
Localized n hairn loss
Long-
termnglucocorticoidntherapyncanncausenhypertrichosis,nornexcessivenhairngrowth,nespeciallyn
onnthenfacialnarea.
Thinningn of n then skin
MY n ANSWER
Thinningnofnthenskinnandndelayednhealingnarenadverseneffectsnofntopicalnglucocorticoidnprep
arations.nThenclientnshouldnonlynapplynthenointmentnto ndrynpatchesnofnthenskinnbecausentopic
alnsteroidsncanncausenatrophynofnthendermisnandnepidermis,nwhichncannresultninnthinningnofn
thenskin.
Increased n sensitivityn ton then sun
Thennursenshouldninstructnthenclientnto navoidnexcessivensunnexposurenwhenntakingntopicalnfluticason
e;nhowever,ntriamcinolonenointmentndoesnnotncausenphotosensitivity.
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 89 loa de drati onal s prov i de d
Question: 89 of 90 n n n
CORRECT
• TimenRemaining: n00:37:45
, • PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisnassessing nanclientnwhonhasnleft-
sidednheartnfailure.nWhichnofnthenfollowing nfindingsnshouldnthennursenidentifynasnanmanifestationn
ofnleft-sidednheartnfailure?
Dependentnedema
Thennursenshouldnidentifynthatndependentnedemanisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildin
gnupninnthenvenousnsystem.
Jugular ndistention
Thennursenshouldnidentifynthatnjugular nveinndistentionnisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildi
ngnupninnthenvenousnsystem.
Weightngain
Thennursenshouldnidentifynthatnweightngainnisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildi
ngnupninnthenvenousnsystem.
Frothynsputum
MY n ANSWER
Thennursenshouldnidentifynthatnfrothynsputum,ndyspnea,nandnwheezingnarenmanifestationsnof
nleft-
sidednheartnfailure.nTreatmentnincludesnfluidnrestrictionnandndiureticsnto ndecreasenpreloadn
andnreducenpulmonaryncongestion.nPink-
tingednfrothynsputumncannbenannearlynindicationnofnpulmonarynedemanandncannbenlife-
threatening.nTherefore,nthennursenshouldnnotifynthenprovider nimmediately.
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 88 loa de drati onal s prov i de d
Question: 88 of 90 n n n
CORRECT
, • TimenRemaining: n00:37:30
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisncaring nfornanclientnwhonisnexperiencing nanxietynasnwellnasnnumbnessnandntingling nofnthenl
ipsnandnfingers.nThenclient'snABGsnare:npHn7.48,nPCO2n 30nmmnHg,nHCO 3-
n 24n mEq/L,n PaO 85n mmn
2n Hg.nWhichnofnthenfollowing nacid-
basenimbalancesnshouldnthennursenidentifynthatnthenclientnisnexperiencing?
n n Respiratorynalkalosisn
MY n ANSWER
ThisnpHnisnalkalinen(increased)nandnthenPCO n isndecreased,nrepresentingnalveolar nhyperventi 2
lationnandnresultantnrespiratorynalkalosis.
Respiratorynacidosis
ThisnpHnisnalkalinen(increased)nandnthenPCO n isndecreased.nAndecreasednpHnandnannincreas 2
ednPCO n indicatenrespiratorynacidosis. 2
Metabolicnalkalosis
ThisnHCO 3
-
n 24nmEq/L nisnwithinnthe nexpected nrange nofn21nto n28nmEq/L nandnthe npHnisnalkaline n(increased).nAnni
ncreasednpHnandnHCO n indicatenmetabolicnalkalosis. 3-
Metabolicnacidosis
ThisnHCO 3-
n24nmEq/Lnisnwithinnthenexpectednrangenofn21nto n28nmEq/LnandnthenpHnisnalkalinen(increased).nAnde
creasednpHnandnHCO n indicatenmetabolicnacidosis. 3-
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 87 loa de drati onal s prov i de d
Question: 87 of 90 n n n
CORRECT
• TimenRemaining: n00:37:22
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisnassessing nanclientnwhonhasnCushing'snsyndrome.nWhichnofnthenfollowing nfindingsnshou
ldnthennursenexpect?
Vitiligo
n n n
al Surgical ATI Procto
n n n
redExam ALL FORMS
n n n
! Latest updated 202
n n n
3\2024
, RN 2019 Adult Medical Surgical ATI Proctored Exam ALL F
n n n n n n n n n
ORMS!
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 90 loa de drati onal s prov i de d
Question: 90 of 90 n n n
CORRECT
• TimenRemaining: n00:38:42
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursen isn caringn forn anclient n whonhasnatopicn dermatitisn andnanprescriptionn forn triamcinolonen ointme
nt.n Then nursen should n assessn then client n ton monitorn forn whichn of n then followingn adversen effects?
Increased n pigmentation
Topicalnglucocorticoidntherapyncanncausenthenadverseneffectnofnhypopigmentation.
Localized n hairn loss
Long-
termnglucocorticoidntherapyncanncausenhypertrichosis,nornexcessivenhairngrowth,nespeciallyn
onnthenfacialnarea.
Thinningn of n then skin
MY n ANSWER
Thinningnofnthenskinnandndelayednhealingnarenadverseneffectsnofntopicalnglucocorticoidnprep
arations.nThenclientnshouldnonlynapplynthenointmentnto ndrynpatchesnofnthenskinnbecausentopic
alnsteroidsncanncausenatrophynofnthendermisnandnepidermis,nwhichncannresultninnthinningnofn
thenskin.
Increased n sensitivityn ton then sun
Thennursenshouldninstructnthenclientnto navoidnexcessivensunnexposurenwhenntakingntopicalnfluticason
e;nhowever,ntriamcinolonenointmentndoesnnotncausenphotosensitivity.
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 89 loa de drati onal s prov i de d
Question: 89 of 90 n n n
CORRECT
• TimenRemaining: n00:37:45
, • PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisnassessing nanclientnwhonhasnleft-
sidednheartnfailure.nWhichnofnthenfollowing nfindingsnshouldnthennursenidentifynasnanmanifestationn
ofnleft-sidednheartnfailure?
Dependentnedema
Thennursenshouldnidentifynthatndependentnedemanisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildin
gnupninnthenvenousnsystem.
Jugular ndistention
Thennursenshouldnidentifynthatnjugular nveinndistentionnisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildi
ngnupninnthenvenousnsystem.
Weightngain
Thennursenshouldnidentifynthatnweightngainnisnanmanifestationnofnright-
sidednheartnfailurenduento nrightnventricular nfailurenandnfluidnretentionnfromnpressurenbuildi
ngnupninnthenvenousnsystem.
Frothynsputum
MY n ANSWER
Thennursenshouldnidentifynthatnfrothynsputum,ndyspnea,nandnwheezingnarenmanifestationsnof
nleft-
sidednheartnfailure.nTreatmentnincludesnfluidnrestrictionnandndiureticsnto ndecreasenpreloadn
andnreducenpulmonaryncongestion.nPink-
tingednfrothynsputumncannbenannearlynindicationnofnpulmonarynedemanandncannbenlife-
threatening.nTherefore,nthennursenshouldnnotifynthenprovider nimmediately.
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 88 loa de drati onal s prov i de d
Question: 88 of 90 n n n
CORRECT
, • TimenRemaining: n00:37:30
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisncaring nfornanclientnwhonisnexperiencing nanxietynasnwellnasnnumbnessnandntingling nofnthenl
ipsnandnfingers.nThenclient'snABGsnare:npHn7.48,nPCO2n 30nmmnHg,nHCO 3-
n 24n mEq/L,n PaO 85n mmn
2n Hg.nWhichnofnthenfollowing nacid-
basenimbalancesnshouldnthennursenidentifynthatnthenclientnisnexperiencing?
n n Respiratorynalkalosisn
MY n ANSWER
ThisnpHnisnalkalinen(increased)nandnthenPCO n isndecreased,nrepresentingnalveolar nhyperventi 2
lationnandnresultantnrespiratorynalkalosis.
Respiratorynacidosis
ThisnpHnisnalkalinen(increased)nandnthenPCO n isndecreased.nAndecreasednpHnandnannincreas 2
ednPCO n indicatenrespiratorynacidosis. 2
Metabolicnalkalosis
ThisnHCO 3
-
n 24nmEq/L nisnwithinnthe nexpected nrange nofn21nto n28nmEq/L nandnthe npHnisnalkaline n(increased).nAnni
ncreasednpHnandnHCO n indicatenmetabolicnalkalosis. 3-
Metabolicnacidosis
ThisnHCO 3-
n24nmEq/Lnisnwithinnthenexpectednrangenofn21nto n28nmEq/LnandnthenpHnisnalkalinen(increased).nAnde
creasednpHnandnHCO n indicatenmetabolicnacidosis. 3-
•
RNnVATInAdultnMedicalnSurgicaln2019
Q
CLOSE
n nn n n n nn n nnn nn nn
ue sti on 87 loa de drati onal s prov i de d
Question: 87 of 90 n n n
CORRECT
• TimenRemaining: n00:37:22
• PausenRemaining: n00:05:00
PAUSE
FLAG
Annursenisnassessing nanclientnwhonhasnCushing'snsyndrome.nWhichnofnthenfollowing nfindingsnshou
ldnthennursenexpect?
Vitiligo
