ATI RN Adult Medical Surgical Pro
m m m m m
ctored Exam 2019 m m
Already Graded A m m
Que m m m mmm mm m
stion 90 loade d ar tionals pr ovide d
Question: 90 of 90 m m m
CORRECT
• Time mRemaining: m00:38:42
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismcaringmformamclientmwhomhasmatopicmdermatitismandmamprescriptionmformtriamcinol
onemointment.mThemnursemshouldmassessmthemclientmtommonitormformwhichmofmthemfollowing m
adversemeffects?
Increasedmpigmentation
Topicalmglucocorticoidmtherapymcanmcausemthemadversemeffectmofmhypopigmentation.mLocali
zedmhair mloss
Long-
termmglucocorticoidmtherapymcanmcausemhypertrichosis,mormexcessivemhair mgrowth,mespeciallymon
m themfacialmarea.
Thinning mofmthemskin
MY m ANSWER
Thinning mofmthemskinmandmdelayedmhealing maremadversemeffectsmofmtopicalmglucocorticoidmprepa
rations.mThemclientmshouldmonlymapplymthemointmentmtomdrympatchesmofmthemskinmbecausemtopic
almsteroidsmcanmcausematrophymofmthemdermismandmepidermis,mwhichmcanmresultminmthinning mofmt
hemskin.
Increasedmsensitivitymtomthemsun
,Themnursemshouldminstructmthemclientmtomavoidmexcessivemsunmexposuremwhenmtaking mtopicalmflutica
sone;mhowever,mtriamcinolonemointmentmdoesmnotmcausemphotosensitivity.
RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 89 loade d ra tionals CLOSE m m
pr ovide d
Question: 89 of 90 m m m
CORRECT • Time mRemaining: m00:37:45
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismassessing mamclientmwhomhasmleft-
sidedmheartmfailure.mWhichmofmthemfollowing mfindingsmshouldmthemnursemidentifymasmammanifest
ationmofmleft-sidedmheartmfailure?
Dependentmedema
Themnursemshouldmidentifymthatmdependentmedemamismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricular mfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Jugular mdistention
Themnursemshouldmidentifymthatmjugular mveinmdistentionmismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricular mfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Weightmgain
Themnursemshouldmidentifymthatmweightmgainmismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricularmfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Frothymsputum
MY m ANSWER
Themnursemshouldmidentifymthatmfrothymsputum,mdyspnea,mandmwheezing maremmanifestationsmo
fmleft-
sidedmheartmfailure.mTreatmentmincludesmfluidmrestrictionmandmdiureticsmtomdecreasempreloadma
ndmreducempulmonarymcongestion.mPink-
tingedmfrothymsputummcanmbemanmearlymindicationmofmpulmonarymedemamandmcanmbemlife-
,threatening.mTherefore,mthemnursemshouldmnotifymthemprovider mimmediately.
, RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 88 loade d ra tionals CLOSE m m
pr ovide d
Question: 88 of 90 m m m
CORRECT • Time mRemaining: m00:37:30
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismcaring mfor mamclientmwhomismexperiencingmanxietymasmwellmasmnumbnessmandmtingling mof
m them lipsm andm fingers.m Them client'sm ABGsm are:m pHm 7.48,m PCO 2m 30m mmm Hg,m HCO 3 -
m 24m mEq/L,m PaO 2m 85m mm m Hg.m Whichm ofm them following m acid-
basemimbalancesmshouldmthemnursemidentifymthatmthemclientmismexperiencing?
Respiratorymalkalosis
MY m ANSWER
ThismpHmismalkalinem(increased)mandmthemPCO m ismdecreased,mrepresenting malveolar mhyperventilat
2
ionmandmresultantmrespiratorymalkalosis.
Respiratorymacidosis
ThismpHmismalkalinem(increased)mandmthemPCO m ismdecreased.mAmdecreasedmpHmandmanmincreasedmPC
2
O 2
indicatemrespiratorymacidosis.mMetabol
icmalkalosis
ThismHCO m 24mmEq/Lmismwithinmthemexpectedmrangemofm21mtom28mmEq/LmandmthempHmismalkaline
3-
(increased).mAnmincreasedmpHmandmHCO 3-
mindicatemmetabolicmalkalosis.mMetabolicmacidosis
ThismHCO m 24mmEq/Lmismwithinmthemexpectedmrangemofm21mtom28mmEq/LmandmthempHmismalkaline
3-
(increased).mAmdecreasedmpHmandmHCO m indicatemmetabolicmacidosis. 3-
RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 87 loade d ra tionals CLOSE m m
pr ovide d
Question: 87 of 90 m m m
CORRECT • Time mRemaining: m00:37:22
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismassessing mamclientmwhomhasmCushing'smsyndrome.mWhichmofmthemfollowing mfindi
ngsmshouldmthemnursemexpect?
m m m m m
ctored Exam 2019 m m
Already Graded A m m
Que m m m mmm mm m
stion 90 loade d ar tionals pr ovide d
Question: 90 of 90 m m m
CORRECT
• Time mRemaining: m00:38:42
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismcaringmformamclientmwhomhasmatopicmdermatitismandmamprescriptionmformtriamcinol
onemointment.mThemnursemshouldmassessmthemclientmtommonitormformwhichmofmthemfollowing m
adversemeffects?
Increasedmpigmentation
Topicalmglucocorticoidmtherapymcanmcausemthemadversemeffectmofmhypopigmentation.mLocali
zedmhair mloss
Long-
termmglucocorticoidmtherapymcanmcausemhypertrichosis,mormexcessivemhair mgrowth,mespeciallymon
m themfacialmarea.
Thinning mofmthemskin
MY m ANSWER
Thinning mofmthemskinmandmdelayedmhealing maremadversemeffectsmofmtopicalmglucocorticoidmprepa
rations.mThemclientmshouldmonlymapplymthemointmentmtomdrympatchesmofmthemskinmbecausemtopic
almsteroidsmcanmcausematrophymofmthemdermismandmepidermis,mwhichmcanmresultminmthinning mofmt
hemskin.
Increasedmsensitivitymtomthemsun
,Themnursemshouldminstructmthemclientmtomavoidmexcessivemsunmexposuremwhenmtaking mtopicalmflutica
sone;mhowever,mtriamcinolonemointmentmdoesmnotmcausemphotosensitivity.
RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 89 loade d ra tionals CLOSE m m
pr ovide d
Question: 89 of 90 m m m
CORRECT • Time mRemaining: m00:37:45
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismassessing mamclientmwhomhasmleft-
sidedmheartmfailure.mWhichmofmthemfollowing mfindingsmshouldmthemnursemidentifymasmammanifest
ationmofmleft-sidedmheartmfailure?
Dependentmedema
Themnursemshouldmidentifymthatmdependentmedemamismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricular mfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Jugular mdistention
Themnursemshouldmidentifymthatmjugular mveinmdistentionmismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricular mfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Weightmgain
Themnursemshouldmidentifymthatmweightmgainmismammanifestationmofmright-
sidedmheartmfailuremduemtomrightmventricularmfailuremandmfluidmretentionmfrommpressurembuildin
gmupminmthemvenousmsystem.
Frothymsputum
MY m ANSWER
Themnursemshouldmidentifymthatmfrothymsputum,mdyspnea,mandmwheezing maremmanifestationsmo
fmleft-
sidedmheartmfailure.mTreatmentmincludesmfluidmrestrictionmandmdiureticsmtomdecreasempreloadma
ndmreducempulmonarymcongestion.mPink-
tingedmfrothymsputummcanmbemanmearlymindicationmofmpulmonarymedemamandmcanmbemlife-
,threatening.mTherefore,mthemnursemshouldmnotifymthemprovider mimmediately.
, RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 88 loade d ra tionals CLOSE m m
pr ovide d
Question: 88 of 90 m m m
CORRECT • Time mRemaining: m00:37:30
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismcaring mfor mamclientmwhomismexperiencingmanxietymasmwellmasmnumbnessmandmtingling mof
m them lipsm andm fingers.m Them client'sm ABGsm are:m pHm 7.48,m PCO 2m 30m mmm Hg,m HCO 3 -
m 24m mEq/L,m PaO 2m 85m mm m Hg.m Whichm ofm them following m acid-
basemimbalancesmshouldmthemnursemidentifymthatmthemclientmismexperiencing?
Respiratorymalkalosis
MY m ANSWER
ThismpHmismalkalinem(increased)mandmthemPCO m ismdecreased,mrepresenting malveolar mhyperventilat
2
ionmandmresultantmrespiratorymalkalosis.
Respiratorymacidosis
ThismpHmismalkalinem(increased)mandmthemPCO m ismdecreased.mAmdecreasedmpHmandmanmincreasedmPC
2
O 2
indicatemrespiratorymacidosis.mMetabol
icmalkalosis
ThismHCO m 24mmEq/Lmismwithinmthemexpectedmrangemofm21mtom28mmEq/LmandmthempHmismalkaline
3-
(increased).mAnmincreasedmpHmandmHCO 3-
mindicatemmetabolicmalkalosis.mMetabolicmacidosis
ThismHCO m 24mmEq/Lmismwithinmthemexpectedmrangemofm21mtom28mmEq/LmandmthempHmismalkaline
3-
(increased).mAmdecreasedmpHmandmHCO m indicatemmetabolicmacidosis. 3-
RNmVATImAdult mMedicalmSurgicalm201
9
Que m m m mmm m
stion 87 loade d ra tionals CLOSE m m
pr ovide d
Question: 87 of 90 m m m
CORRECT • Time mRemaining: m00:37:22
• Pause mRemaining: m00:05:00
PAUSE
FLAG
Amnursemismassessing mamclientmwhomhasmCushing'smsyndrome.mWhichmofmthemfollowing mfindi
ngsmshouldmthemnursemexpect?
