RN VATI Adult Medical Surgical
2019
1. Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmen- tation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth,
especially on the facial area.
Thinning of the skin: 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?
2. Frothy sputum: assessing a client who has left-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of left-sided heart failure?
3. Respiratory alkalosis: A nurse is caring for a client who is experienc- ing
anxiety as well as numbness and tingling of the lipsandfingers.The-
client'sABGsare:pH7.48,PCO2 30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of the
following acid-base imbalances should the nurse identify that the client is experiencing?
4. Osteoporosis: A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
5. A pearly, waxy nodule: A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following lesion characteristics on the
client's skin?
6. A is correct. The nurse should tap the client's cheek just in front of the ear and
below the zygomatic arch. The client who has hypocalcemia will display a Chvostek's
sign, which is a twitching of the facial muscle.: A nurse is assessing a client who has
hypocalcemia. In which of the following areas should the nurse tap on the client's face to
detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork
below. Select only the hot spot that corresponds to your answer.)
7. Low urine specific gravity: A nurse in an emergency department is assessing a client
who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the
following laboratory findings should the nurse expect?
1/
, RN VATI Adult Medical Surgical
2019
8. Review the daily schedule with the client every morning.: A home health nurse is
assisting a client with planning care for a family member who has Alzheimer's disease.
Which of the following instructions should the nurse include?
9. Refractory hypoxemia: A nurse is caring for a client who has developed acute
respiratory distress syndrome (ARDS). Which of the following findings should the nurse
identify as a manifestation of this syndrome?
10.Flat neck veins: An emergency room nurse is assessing a client who has asthma
and difficulty breathing. Which of the following findings should indicate to the nurse
that the client is experiencing status asthmaticus?
11.Skin rash: A nurse is teaching a client who has a new prescription for phenytoin to
treat a seizure disorder. Which of the following adverse effects should the nurse instruct
the client to report immediately to the provider?
12.Clear drainage on the dressings: A nurse is monitoring a client following a lumbar
laminectomy. The client has a drain and indwelling urinary catheter. The nurse should
identify which of the following findings as an indication of a complication of the surgery?
13.Increased abdominal girth: A nurse is assessing a client who has right-sided heart
failure. Which of the following findings should the nurse identify as a manifes- tation of
right-sided heart failure?
14."I changed the floor plan of our home to accommodate my father's wheel-
chair.": A nurse is caring for a client who recently assumed the role of caregiver for their
aging parents who have chronic illnesses. The nurse should identify that which of the
following statements by the client indicates acceptance of the role change?
15.The client's blood pressure is elevated.: A nurse is caring for a client who is
receiving vancomycin intermittent IV bolus therapy for methicillin-resistant Staphylo-
coccus aureus (MRSA). Which of the following findings is an indication to the nurse that
the client is experiencing an adverse effect of the medication?
16.BUN 24 mg/dL: A nurse is caring for a male client who has a new prescription for
cyclosporine following a kidney transplant. Which of the following findings should the
nurse identify as an adverse effect of this therapy?
17.Iron-deficiency anemia: A nurse is caring for a client who has dumping syn- drome
following a gastric resection. The nurse should monitor the client for which of the
following complications of dumping syndrome?
18.The client's daily peak expiratory flow (PEF) measures 85% above personal best.:
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the
following findings should indicate to the nurse that the medication has been effective?
2/
2019
1. Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmen- tation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth,
especially on the facial area.
Thinning of the skin: 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?
2. Frothy sputum: assessing a client who has left-sided heart failure. Which of the
following findings should the nurse identify as a manifestation of left-sided heart failure?
3. Respiratory alkalosis: A nurse is caring for a client who is experienc- ing
anxiety as well as numbness and tingling of the lipsandfingers.The-
client'sABGsare:pH7.48,PCO2 30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of the
following acid-base imbalances should the nurse identify that the client is experiencing?
4. Osteoporosis: A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
5. A pearly, waxy nodule: A nurse is inspecting the skin of a client who has basal cell
carcinoma. The nurse should identify which of the following lesion characteristics on the
client's skin?
6. A is correct. The nurse should tap the client's cheek just in front of the ear and
below the zygomatic arch. The client who has hypocalcemia will display a Chvostek's
sign, which is a twitching of the facial muscle.: A nurse is assessing a client who has
hypocalcemia. In which of the following areas should the nurse tap on the client's face to
detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork
below. Select only the hot spot that corresponds to your answer.)
7. Low urine specific gravity: A nurse in an emergency department is assessing a client
who is overusing prescribed diuretics and has a sodium level of 127 mEq/L. Which of the
following laboratory findings should the nurse expect?
1/
, RN VATI Adult Medical Surgical
2019
8. Review the daily schedule with the client every morning.: A home health nurse is
assisting a client with planning care for a family member who has Alzheimer's disease.
Which of the following instructions should the nurse include?
9. Refractory hypoxemia: A nurse is caring for a client who has developed acute
respiratory distress syndrome (ARDS). Which of the following findings should the nurse
identify as a manifestation of this syndrome?
10.Flat neck veins: An emergency room nurse is assessing a client who has asthma
and difficulty breathing. Which of the following findings should indicate to the nurse
that the client is experiencing status asthmaticus?
11.Skin rash: A nurse is teaching a client who has a new prescription for phenytoin to
treat a seizure disorder. Which of the following adverse effects should the nurse instruct
the client to report immediately to the provider?
12.Clear drainage on the dressings: A nurse is monitoring a client following a lumbar
laminectomy. The client has a drain and indwelling urinary catheter. The nurse should
identify which of the following findings as an indication of a complication of the surgery?
13.Increased abdominal girth: A nurse is assessing a client who has right-sided heart
failure. Which of the following findings should the nurse identify as a manifes- tation of
right-sided heart failure?
14."I changed the floor plan of our home to accommodate my father's wheel-
chair.": A nurse is caring for a client who recently assumed the role of caregiver for their
aging parents who have chronic illnesses. The nurse should identify that which of the
following statements by the client indicates acceptance of the role change?
15.The client's blood pressure is elevated.: A nurse is caring for a client who is
receiving vancomycin intermittent IV bolus therapy for methicillin-resistant Staphylo-
coccus aureus (MRSA). Which of the following findings is an indication to the nurse that
the client is experiencing an adverse effect of the medication?
16.BUN 24 mg/dL: A nurse is caring for a male client who has a new prescription for
cyclosporine following a kidney transplant. Which of the following findings should the
nurse identify as an adverse effect of this therapy?
17.Iron-deficiency anemia: A nurse is caring for a client who has dumping syn- drome
following a gastric resection. The nurse should monitor the client for which of the
following complications of dumping syndrome?
18.The client's daily peak expiratory flow (PEF) measures 85% above personal best.:
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the
following findings should indicate to the nurse that the medication has been effective?
2/
