,i ,i ,i ,i
SurgicalATIProctored
,i ,i ,i ,i
ExamFORMABANDC
,i ,i ,i ,i ,i ,i ,i
LATESTAPRIL2025
,i ,i ,i
,•
RN VATI Adult Medical Surgical 2019 ,i , i , i , i , i
CLOSE
Q ues ,it ,i ,ii o n ,i ,i 90l oa ,id e ,i , i ,i ,idra ,it ,i ,i ,i , iio na , i ,ils ,i , ipro ,i , i ,i ,iv ,i , iid e ,i , id
Question: 90of 90 , i ,i ,i
CORRECT
• TimeRemaining: 00:38:42
,i ,i
• PauseRemaining: 00:05:00
,i ,i
PAUSE
FLAG
A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
The nurse should assess the client to monitor for which of the following adverse effects?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Increased pigmentation , i
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation. , i , i , i , i , i , i , i , i , i
Localized hair loss , i , i
Long-term glucocorticoidtherapy cancause hypertrichosis, orexcessive hairgrowth, especially ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,ion the facial area. ,i ,i ,i
Thinning of the skin , i ,i , i
MY , i ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,ipreparations.Theclientshouldonlyapplytheointmenttodrypatchesoftheskinbecause ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,itopical steroids can cause atrophy of the dermis and epidermis, which can result in thinning of ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,ithe skin. ,i
Increased sensitivityto the sun , i ,i ,i , i
Thenurseshouldinstructtheclienttoavoidexcessive sunexposurewhentakingtopical ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,ifluticasone; however, triamcinolone ointment does not cause photosensitivity. ,i ,i ,i ,i ,i ,i ,i
•
RN VATI Adult Medical Surgical 2019 ,i
Q ues ,it ,i ,ii o n ,i ,i 89l oa ,id e ,i , i ,i ,idra ,it ,i ,i ,i , iio na , i ,ils ,i , ipro ,i , i ,i ,iv ,i , iid e ,i , id
, i , i ,i , i
CLOSE
Question: 89of 90 , i ,i ,i
CORRECT
• TimeRemaining:00:37:45
,i ,i
, • PauseRemaining: 00:05:00 ,i ,i
PAUSE
FLAG
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should
,i , i ,i ,i , i , i , i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,the nurse identify as a manifestation of left-sided heart failure?
i ,i , i , i , i , i , i , i , i , i
Dependent edema , i
The nurse should identify that dependent edema is a manifestation of right-sided heart failure ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
duetorightventricularfailureandfluidretention frompressurebuildingup inthe venous system.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Jugular distention , i
The nurse should identify that jugular vein distention is a manifestation of right-sided heart failure
,i , i ,i , i ,i ,i ,i ,i ,i , i ,i ,i ,i ,i
,i dueto right ventricular failure and fluid retention from pressure building up in the venous ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,i system.
Weight gain , i
The nurse should identify that weight gain is a manifestation of right-sided heart failure dueto ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
rightventricularfailureandfluidretentionfrompressurebuilding upinthevenous system.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Frothy sputum , i
MY , i ANSWER
Thenurseshouldidentifythatfrothysputum,dyspnea,andwheezingaremanifestationsof left- ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
sided heart failure. Treatment includes fluid restriction and diuretics to decrease preload and ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,i reduce pulmonary congestion. Pink-tinged frothy sputum can be an early indication of ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,i pulmonary edema and can be life-threatening. Therefore, the nurse should notify the provider ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
,i immediately.
•
RN VATI Adult Medical Surgical 2019 ,i , i , i , i , i
CLOSE
Q ues ,it ,i ,ii o n ,i ,i 88l oa ,id e ,i , i ,i ,idra ,it ,i ,i ,i , iio na , i ,ils ,i , ipro ,i , i ,i ,iv ,i , iid e ,i , id
Question: 88of 90 , i ,i ,i
CORRECT
, • TimeRemaining: 00:37:30 ,i ,i
• PauseRemaining: 00:05:00 ,i ,i
PAUSE
FLAG
A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
,i , i ,i ,i ,i , i ,i , i , i ,i , i , i ,i , i ,i ,i , i , i
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
,i
, i , i , i , i , i , i , i , i , i
, i
, i , i , i
, i
, i ,i
, i
,mm Hg. Which of the following acid-base imbalances should the nurse identify that the
i ,i
, i , i , i , i ,i , i ,i ,i , i , i , i , i
,client is experiencing?
i , i ,i
, i , i Respiratory alkalosis , i , i
MY , i ANSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar hyperventilation ,i ,i ,i ,i ,i ,i ,i
2 , i
,i ,i ,i ,i
, i and resultant respiratory alkalosis. , i , i , i
Respiratory acidosis ,i
This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased PCO ,i ,i ,i , i ,i ,i ,i
2 , i
,i ,i ,i ,i ,i ,i ,i ,i
2
,
indicate respiratory acidosis.
i
,i ,i
Metabolic alkalosis ,i
This HCO 24 mEq/L is withinthe expected range of 21 to 28 mEq/L and the pH is alkaline ,i
3- , i
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i , i ,i ,i ,i ,i ,i
,i (increased). An increased pH and HCO indicate metabolic alkalosis. ,i ,i ,i ,i ,i
3- , i
,i ,i
Metabolic acidosis ,i
This HCO 24 mEq/L is withinthe expected range of 21 to 28 mEq/L and the pH is alkaline ,i
3- , i
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i , i ,i ,i ,i ,i ,i
,i (increased). A decreased pH and HCO indicate metabolic acidosis. ,i ,i ,i ,i ,i
3- , i
,i ,i
•
RN VATI Adult Medical Surgical 2019 ,i , i , i , i , i
CLOSE
Q ues ,it ,i ,ii o n ,i ,i 87l oa ,id e ,i , i ,i ,idra ,it ,i ,i ,i , iio na , i ,ils ,i , ipro ,i , i ,i ,iv ,i , iid e ,i , id
Question: 87of 90 , i ,i ,i
CORRECT
• TimeRemaining: 00:37:22 ,i ,i
• PauseRemaining: 00:05:00 ,i ,i
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should
,i ,i ,i ,i ,i , i , i ,i ,i ,i , i ,i ,i ,i ,i
the nurse expect?
,i ,i ,i
Vitiligo