ATI RN Adult Medical Surgical
Proctored Exam 2019
Already Graded A Que stion 90 loade d ra tionals pr ovide d
Question: 90 of 90
CORRECT • TimeooRemaining:oo00:38:42
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisoocaringooforooaooclientoowhooohasooatopicoodermatitisooandooaooprescriptionoof
orootriamcinoloneooointment.ooTheoonurseooshouldooassessootheooclientootooomonitorooforoo
whichooofootheoofollowingooadverseooeffects?
Increasedoopigmentation
Topicalooglucocorticoidootherapyoocanoocauseootheooadverseooeffectooofoohypopigmentatio
n.ooLocalizedoohairooloss
Long-
termooglucocorticoidootherapyoocanoocauseoohypertrichosis,ooorooexcessiveoohairoogrowth,ooespe
ciallyooonootheoofacialooarea.
Thinningooofootheooskin
oo
MY ANSWER
Thinningooofootheooskinooandoodelayedoohealingooareooadverseooeffectsooofootopicalooglucocorti
coidoopreparations.ooTheooclientooshouldooonlyooapplyootheooointmentootooodryoopatchesooofoot
heooskinoobecauseootopicaloosteroidsoocanoocauseooatrophyooofootheoodermisooandooepidermis,oo
whichoocanooresultooinoothinningooofootheooskin.
Increasedoosensitivityootoootheoosun
,Theoonurseooshouldooinstructootheooclientootoooavoidooexcessiveoosunooexposureoowhenootakingooto
picaloofluticasone;oohowever,ootriamcinoloneooointmentoodoesoonotoocauseoophotosensitivity.
RNooVATIooAdultooMedicalooSurgicalo
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 89 loa d e d ra tio na ls pr o vid e d
Question:oo89ooofoo90
CORRECT • TimeooRemaining:oo00:37:45
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisooassessingooaooclientoowhooohasooleft-
sidedooheartoofailure.ooWhichooofootheoofollowingoofindingsooshouldootheoonurseooidentifyooasoo
aoomanifestationooofooleft-sidedooheartoofailure?
Dependentooedema
Theoonurseooshouldooidentifyoothatoodependentooedemaooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Jugularoodistention
Theoonurseooshouldooidentifyoothatoojugularooveinoodistentionooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Weightoogain
Theoonurseooshouldooidentifyoothatooweightoogainooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Frothyoosputum
oo
MY ANSWER
Theoonurseooshouldooidentifyoothatoofrothyoosputum,oodyspnea,ooandoowheezingooareoomanife
stationsooofooleft-
sidedooheartoofailure.ooTreatmentooincludesoofluidoorestrictionooandoodiureticsootooodecreaseoo
preloadooandooreduceoopulmonaryoocongestion.ooPink-
tingedoofrothyoosputumoocanoobeooanooearlyooindicationooofoopulmonaryooedemaooandoocanoob
,eoolife-threatening.ooTherefore,ootheoonurseooshouldoonotifyootheooproviderooimmediately.
, RNooVATIooAdultooMedicalooSurgicalo
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 88 loa d e d ra tio na ls pr o vid e d
Question:oo88ooofoo90
CORRECT • TimeooRemaining:oo00:37:30
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisoocaringooforooaooclientoowhoooisooexperiencingooanxietyooasoowellooasoonumbnessooa
ndootinglingooofootheoolipsooandoofingers.ooTheooclient'sooABGsooare:oopHoo7.48,ooPCO2o o 30oomm
ooHg,ooHCO3-o o 24oomEq/L,ooPaO2o o 85oommooHg.ooWhichooofootheoofollowingooacid-
baseooimbalancesooshouldootheoonurseooidentifyoothatootheooclientooisooexperiencing?
Respiratoryooalkalosis
oo
MY ANSWER
ThisoopHooisooalkalineoo(increased)ooandootheooPCO o o isoodecreased,oorepresentingooalveolaroohy
2
perventilationooandooresultantoorespiratoryooalkalosis.
Respiratoryooacidosis
ThisoopHooisooalkalineoo(increased)ooandootheooPCO o o isoodecreased.ooAoodecreasedoopHooandooanooi
2
ncreasedooPCO 2
indicateoorespiratoryooacidosis.ooMeta
bolicooalkalosis
ThisooHCO 3-
o o 24oomEq/Looisoowithinootheooexpectedoorangeooofoo21ootooo28oomEq/LooandootheoopHooisooalkalin
e
(increased).ooAnooincreasedoopHooandooHCO 3-
o o indicateoometabolicooalkalosis.ooMetabolicooacidosis
ThisooHCO 3-
o o 24oomEq/Looisoowithinootheooexpectedoorangeooofoo21ootooo28oomEq/LooandootheoopHooisooalkalin
e
(increased).ooAoodecreasedoopHooandooHCO 3- o o indicateoometabolicooacidosis.
RNooVATIooAdultooMedicalooSurgicalo FLAG
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 87 loa d e d ra tio na ls pr o vid e d
Question:oo87ooofoo90
CORRECT
Proctored Exam 2019
Already Graded A Que stion 90 loade d ra tionals pr ovide d
Question: 90 of 90
CORRECT • TimeooRemaining:oo00:38:42
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisoocaringooforooaooclientoowhooohasooatopicoodermatitisooandooaooprescriptionoof
orootriamcinoloneooointment.ooTheoonurseooshouldooassessootheooclientootooomonitorooforoo
whichooofootheoofollowingooadverseooeffects?
Increasedoopigmentation
Topicalooglucocorticoidootherapyoocanoocauseootheooadverseooeffectooofoohypopigmentatio
n.ooLocalizedoohairooloss
Long-
termooglucocorticoidootherapyoocanoocauseoohypertrichosis,ooorooexcessiveoohairoogrowth,ooespe
ciallyooonootheoofacialooarea.
Thinningooofootheooskin
oo
MY ANSWER
Thinningooofootheooskinooandoodelayedoohealingooareooadverseooeffectsooofootopicalooglucocorti
coidoopreparations.ooTheooclientooshouldooonlyooapplyootheooointmentootooodryoopatchesooofoot
heooskinoobecauseootopicaloosteroidsoocanoocauseooatrophyooofootheoodermisooandooepidermis,oo
whichoocanooresultooinoothinningooofootheooskin.
Increasedoosensitivityootoootheoosun
,Theoonurseooshouldooinstructootheooclientootoooavoidooexcessiveoosunooexposureoowhenootakingooto
picaloofluticasone;oohowever,ootriamcinoloneooointmentoodoesoonotoocauseoophotosensitivity.
RNooVATIooAdultooMedicalooSurgicalo
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 89 loa d e d ra tio na ls pr o vid e d
Question:oo89ooofoo90
CORRECT • TimeooRemaining:oo00:37:45
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisooassessingooaooclientoowhooohasooleft-
sidedooheartoofailure.ooWhichooofootheoofollowingoofindingsooshouldootheoonurseooidentifyooasoo
aoomanifestationooofooleft-sidedooheartoofailure?
Dependentooedema
Theoonurseooshouldooidentifyoothatoodependentooedemaooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Jugularoodistention
Theoonurseooshouldooidentifyoothatoojugularooveinoodistentionooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Weightoogain
Theoonurseooshouldooidentifyoothatooweightoogainooisooaoomanifestationooofooright-
sidedooheartoofailureoodueootooorightooventricularoofailureooandoofluidooretentionoofromoopress
ureoobuildingooupooinootheoovenousoosystem.
Frothyoosputum
oo
MY ANSWER
Theoonurseooshouldooidentifyoothatoofrothyoosputum,oodyspnea,ooandoowheezingooareoomanife
stationsooofooleft-
sidedooheartoofailure.ooTreatmentooincludesoofluidoorestrictionooandoodiureticsootooodecreaseoo
preloadooandooreduceoopulmonaryoocongestion.ooPink-
tingedoofrothyoosputumoocanoobeooanooearlyooindicationooofoopulmonaryooedemaooandoocanoob
,eoolife-threatening.ooTherefore,ootheoonurseooshouldoonotifyootheooproviderooimmediately.
, RNooVATIooAdultooMedicalooSurgicalo
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 88 loa d e d ra tio na ls pr o vid e d
Question:oo88ooofoo90
CORRECT • TimeooRemaining:oo00:37:30
• PauseooRemaining:oo00:05:00
PAUSE
FLAG
Aoonurseooisoocaringooforooaooclientoowhoooisooexperiencingooanxietyooasoowellooasoonumbnessooa
ndootinglingooofootheoolipsooandoofingers.ooTheooclient'sooABGsooare:oopHoo7.48,ooPCO2o o 30oomm
ooHg,ooHCO3-o o 24oomEq/L,ooPaO2o o 85oommooHg.ooWhichooofootheoofollowingooacid-
baseooimbalancesooshouldootheoonurseooidentifyoothatootheooclientooisooexperiencing?
Respiratoryooalkalosis
oo
MY ANSWER
ThisoopHooisooalkalineoo(increased)ooandootheooPCO o o isoodecreased,oorepresentingooalveolaroohy
2
perventilationooandooresultantoorespiratoryooalkalosis.
Respiratoryooacidosis
ThisoopHooisooalkalineoo(increased)ooandootheooPCO o o isoodecreased.ooAoodecreasedoopHooandooanooi
2
ncreasedooPCO 2
indicateoorespiratoryooacidosis.ooMeta
bolicooalkalosis
ThisooHCO 3-
o o 24oomEq/Looisoowithinootheooexpectedoorangeooofoo21ootooo28oomEq/LooandootheoopHooisooalkalin
e
(increased).ooAnooincreasedoopHooandooHCO 3-
o o indicateoometabolicooalkalosis.ooMetabolicooacidosis
ThisooHCO 3-
o o 24oomEq/Looisoowithinootheooexpectedoorangeooofoo21ootooo28oomEq/LooandootheoopHooisooalkalin
e
(increased).ooAoodecreasedoopHooandooHCO 3- o o indicateoometabolicooacidosis.
RNooVATIooAdultooMedicalooSurgicalo FLAG
o2019
Que oo oo oo oo oo oo ooCLOSE oo oo
s tio n 87 loa d e d ra tio na ls pr o vid e d
Question:oo87ooofoo90
CORRECT
