(2023) QUESTIONS AND ANSWERS
GRADED A
60 60 60 60
Question 90 loaded rationals provided
Question:
69 69 69 69
Question 90 loaded rationals provided
Question:
A69nurse69is69caring69for69a69client69who69has69atopic69dermatitis69and69a69prescription69for69triamcinolo
ne69ointment.69The69nurse69should69assess69the69client69to69monitor69for69which69of69the69following69a
dverse69effects?
Increased69pigmentation
Topical69glucocorticoid69therapy69can69cause69the69adverse69effect69of69hypopigmentation.69Lo
calized69hair69loss
Long-
term69glucocorticoid69therapy69can69cause69hypertrichosis,69or69excessive69hair69growth,69especially69o
n69the69facial69area.
Thinning69of69the69skin
MY 69 69 ANSWE R
Thinning69of69the69skin69and69delayed69healing69are69adverse69effects69of69topical69glucocorticoid69pre
parations.69The69client69should69only69apply69the69ointment69to69dry69patches69of69the69skin69because69to
pical69steroids69can69cause69atrophy69of69the69dermis69and69epidermis,69which69can69result69in69thinnin
g69of69the69skin.
Increased69sensitivity69to69the69sun
The69nurse69should69instruct69the69client69to69avoid69excessive69sun69exposure69when69taking69topical69f
luticasone;69however,69triamcinolone69ointment69does69not69cause69photosensitivity.
RN69VATI69Adult69Medical69Surgical6920
19
CLOSE FLAG
69 69 69 69
Question 89 loaded rationals provided
Question: 89 of 90 69 69 69
CORRECT
, Time69Remaining:6900:37:45
Pause69Remaining:6900:05:00
PAUSE
, A69nurse69is69assessing69a69client69who69has69left-
sided69heart69failure.69Which69of69the69following69findings69should69the69nurse69identify69as69a69manif
estation69of69left-sided69heart69failure?
Dependent69edema
The69nurse69should69identify69that69dependent69edema69is69a69manifestation69of69right-
sided69heart69failure69due69to69right69ventricular69failure69and69fluid69retention69from69pressure69buildi
ng69up69in69the69venous69system.
Jugular69distention
The69nurse69should69identify69that69jugular69vein69distention69is69a69manifestation69of69right-
sided69heart69failure69due69to69right69ventricular69failure69and69fluid69retention69from69pressure69buildin
g69up69in69the69venous69system.
Weight69gain
The69nurse69should69identify69that69weight69gain69is69a69manifestation69of69right-
sided69heart69failure69due69to69right69ventricular69failure69and69fluid69retention69from69pressure69buildi
ng69up69in69the69venous69system.
Frothy69sputum
MY 69 69 ANSWE R
The69nurse69should69identify69that69frothy69sputum,69dyspnea,69and69wheezing69are69manifestations69
of69left-
69sided69heart69failure.69Treatment69includes69fluid69restriction69and69diuretics69to69decrease69preloa
d69and69reduce69pulmonary69congestion.69Pink-
tinged69frothy69sputum69can69be69an69early69indication69of69pulmonary69edema69and69can69be69life-
threatening.69Therefore,69the69nurse69should69notify69the69provider69immediately.
RN69VATI69Adult69Medical69Surgical6920
19
CLOSE
69 69 69 69
Question 88 loaded rationals provided
Question: 88 of 90 69 69 69
CORRECT Time69Remaining:6900:37:30
Pause69Remaining:6900:05:00
PAUSE
FLAG
, A69nurse69is69caring69for69a69client69who69is69experiencing69anxiety69as69well69as69numbness69and69tingl
ing69of69the69lips69and69fingers.69The69client's69ABGs69are:69pH697.48,69PCO26 9 3069mm69Hg,69HCO3-
6 9 2469mEq/L,69PaO
26 9 8569mm