ATI RN ADULT MEDICAL SURGICAL PRACTICE TEST BANK 2019 AND 2023 LATEST TEST BANK 400 PRACTICE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED A+.pdf

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?