ATI RN Adult Medical Surgical Pro
z z z z z
ctored Exam 2023 z z
Already Graded A z z
Que z z z zz z z z z
st ion 90 l oa de d ra t iona l s pr ovi de d
Question:z90zofz90
CORRECT •z z TimezRemaining:z00:38:42
• PausezRemaining:z00:05:00
PAUSE
FLAG
Aznurseziszcaringzforzazclientzwhozhaszatopiczdermatitiszandzazprescriptionzforztriamcinolon
ez ointment.zTheznursezshouldzassesszthezclientztozmonitorzforzwhichzofzthezfollowingzadv
ersez effects?
Increasedzpigmentation
Topicalzglucocorticoidztherapyzcanzcausezthezadversezeffectzofzhypopigmentatio
n.z Localizedzhairzloss
Long-
termzglucocorticoidztherapyzcanzcausezhypertrichosis,zorzexcessivezhairzgrowth,zespeciallyz onz
thezfacialzarea.
Thinningzofzthezskin
MY z ANSWER
Thinningzofzthezskinzandzdelayedzhealingzarezadversezeffectszofztopicalzglucocorticoidz prepar
ations.zThezclientzshouldzonlyzapplyzthezointmentztozdryzpatcheszofzthezskinzbecausez topicalz
steroidszcanzcausezatrophyzofzthezdermiszandzepidermis,zwhichzcanzresultzinzthinningzofz thezs
kin.
Increasedzsensitivityztozthezsun
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,9/9/24,z3:40zAM 20230605120411z647dcf3bdd586zatizrnzadultzmedicalzsurgical
Theznursezshouldzinstructzthezclientztozavoidzexcessivezsunzexposurezwhenztakingztopicalz fluticas
one;zhowever,ztriamcinolonezointmentzdoesznotzcausezphotosensitivity.
RNz VATIzAdultz Medicalz Surgicalz 2019
Que z z z z z CLOSE z
sti on 89 l oa de dr a ti onal s pr ovided
Question:z89zofz90
CORRECT • Timez Remaining:z 00:37:45
• PausezRemaining:z00:05:00
PAUSE
FLAG
Aznurseziszassessingzazclientzwhozhaszleft-
sidedzheartzfailure.zWhichzofzthezfollowingzfindingsz shouldztheznursezidentifyzaszazmanifestati
onzofzleft-sidedzheartzfailure?
Dependentzedema
Theznursezshouldzidentifyzthatzdependentzedemaziszazmanifestationzofzright-
sidedzheartzfailurez dueztozrightzventricularzfailurezandzfluidzretentionzfromzpressurezbuildingz
upzinzthezvenousz system.
Jugularzdistention
Theznursezshouldzidentifyzthatzjugularzveinzdistentionziszazmanifestationzofzright-
sidedzheartz failurezdueztozrightzventricularzfailurezandzfluidzretentionzfromzpressurezbuilding
zupzinzthez venouszsystem.
Weightzgain
Theznursezshouldzidentifyzthatzweightzgainziszazmanifestationzofzright-
sidedzheartzfailurezdueztoz rightzventricularzfailurezandzfluidzretentionzfromzpressurezbuildingz
upzinzthezvenouszsystem.
Frothyzsputum
MY z ANSWER
Theznursezshouldzidentifyzthatzfrothyzsputum,zdyspnea,zandzwheezingzarezmanifestationszof
z left-
sidedzheartzfailure.zTreatmentzincludeszfluidzrestrictionzandzdiureticsztozdecreasezpreloadz a
ndzreducezpulmonaryzcongestion.zPink-
tingedzfrothyzsputumzcanzbezanzearlyzindicationzofz pulmonaryzedemazandzcanzbezlife-
threatening.zTherefore,ztheznursezshouldznotifyzthezproviderz immediately.
RNz VATIzAdultz Medicalz Surgicalz 2019 Que z z z z CLOSE z
sti on 8 8loa de dra ti onal s pr ovided
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,9/9/24,z3:40zAM 20230605120411z647dcf3bdd586zatizrnzadultzmedicalzsurgical
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, 9/9/24,z3:40zAM 20230605120411z647dcf3bdd586zatizrnzadultzmedicalzsurgical
Vitiligo
Vitiligoziszthezlosszofzpigmentzfromzareaszofzazclient'szskin,zcausingzirregular,zwhitezpatches.z Vi
tiligoziszazmanifestationzofzadrenal-glandzhypofunction.
Osteoporosis
MY z ANSWER
OsteoporosisziszazcommonzfindingzwithzCushing'szsyndrome.zBoneszbecomezthinner zaszazresul
tz ofzmineralzlosszandznitrogenzdepletion,zandzthezriskzforzfractureszincreases.
Myxedema
Azclientzwhozhaszhypothyroidism zcanzdevelopzmyxedemazthatzcauseszmucinouszcellularzedemaz a
roundzthezeyes,zacrosszthezupperzback,zandzinzthezhandszandzfeet.
Heatzintolerance
Azclientzwhozhaszhyperthyroidismzcanzdevelopzheatzintolerance,zalongzwithzanzincreasezinz sw
eating.
RNz VATIzAdultz Medicalz Surgicalz 2019
Que z z z z z CLOSE z
sti on 86 l oa de dr a ti onal s pr ovided
Question:z86zofz90
CORRECT • Timez Remaining:z 00:37:13
• PausezRemaining:z00:05:00
PAUSE
FLAG
Aznurseziszinspectingzthezskinzofzazclientzwhozhaszbasalzcellzcarcinoma.zTheznursezshouldzidenti
fyz whichzofzthezfollowingzlesionzcharacteristicszonzthezclient'szskin?
Azpearly,zwaxyznodule
MY z ANSWER
Azclientzwhozhaszbasalzcellzcarcinomazhaszaznodularzlesionzwithzwell-
definedzborderszandzaz pearlyzorzwaxyzappearance,zresultingzfromzoverexposure ztozthezsun,z
especiallyzonzthezface,z head,zandzneck.
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