RN VATI Adult Medical Surgical LATEST (2023) QUESTIONS AND ANSWERS GRADED A

RN VATI Adult Medical Surgical LATEST
(2023) QUESTIONS AND ANSWERS
GRADED A
 60 60 60 60
Question 90 loaded rationals provided




Question:
A60nurse60is60caring60for60a60client60who60has60atopic60dermatitis60and60a60prescription60for60triamcinolo
ne60ointment.60The60nurse60should60assess60the60client60to60monitor60for60which60of60the60following60a
dverse60effects?


Increased60pigmentation

Topical60glucocorticoid60therapy60can60cause60the60adverse60effect60of60hypopigmentation.60Lo

calized60hair60loss

Long-
term60glucocorticoid60therapy60can60cause60hypertrichosis,60or60excessive60hair60growth,60especially60o
n60the60facial60area.

Thinning60of60the60skin
MY 60 60 ANSWE R




Thinning60of60the60skin60and60delayed60healing60are60adverse60effects60of60topical60glucocorticoid60pre
parations.60The60client60should60only60apply60the60ointment60to60dry60patches60of60the60skin60because60to
pical60steroids60can60cause60atrophy60of60the60dermis60and60epidermis,60which60can60result60in60thinnin
g60of60the60skin.

Increased60sensitivity60to60the60sun

The60nurse60should60instruct60the60client60to60avoid60excessive60sun60exposure60when60taking60topical60f
luticasone;60however,60triamcinolone60ointment60does60not60cause60photosensitivity.

 FLAG
RN60VATI60Adult60Medical60Surgical6020
19
CLOSE
60 60 60 60
Question 89 loaded rationals provided




Question: 89 of 90 60 60 60

CORRECT

,  Time60Remaining:6000:37:45
 Pause60Remaining:6000:05:00
PAUSE

, A60nurse60is60assessing60a60client60who60has60left-
sided60heart60failure.60Which60of60the60following60findings60should60the60nurse60identify60as60a60manif
estation60of60left-sided60heart60failure?


Dependent60edema

The60nurse60should60identify60that60dependent60edema60is60a60manifestation60of60right-
sided60heart60failure60due60to60right60ventricular60failure60and60fluid60retention60from60pressure60buildi
ng60up60in60the60venous60system.

Jugular60distention

The60nurse60should60identify60that60jugular60vein60distention60is60a60manifestation60of60right-
sided60heart60failure60due60to60right60ventricular60failure60and60fluid60retention60from60pressure60buildin
g60up60in60the60venous60system.

Weight60gain

The60nurse60should60identify60that60weight60gain60is60a60manifestation60of60right-
sided60heart60failure60due60to60right60ventricular60failure60and60fluid60retention60from60pressure60buildi
ng60up60in60the60venous60system.

Frothy60sputum
MY 60 60 ANSWE R




The60nurse60should60identify60that60frothy60sputum,60dyspnea,60and60wheezing60are60manifestations60
of60left-
60sided60heart60failure.60Treatment60includes60fluid60restriction60and60diuretics60to60decrease60preloa

d60and60reduce60pulmonary60congestion.60Pink-
tinged60frothy60sputum60can60be60an60early60indication60of60pulmonary60edema60and60can60be60life-
threatening.60Therefore,60the60nurse60should60notify60the60provider60immediately.



RN60VATI60Adult60Medical60Surgical6020
19
CLOSE
60 60 60 60
Question 88 loaded rationals provided




Question: 88 of 90 60 60 60

CORRECT  Time60Remaining:6000:37:30
 Pause60Remaining:6000:05:00
PAUSE

FLAG

, A60nurse60is60caring60for60a60client60who60is60experiencing60anxiety60as60well60as60numbness60and60tingl
ing60of60the60lips60and60fingers.60The60client's60ABGs60are:60pH607.48,60PCO26 0 3060mm60Hg,60HCO3-
6 0 2460mEq/L,60PaO
26 0 8560mm