RN 2019 Adult
Medical Surgical ATI
Proctored Exam ALL
FORMS! Latest
updated 2023\2024
, RN81201981Adult81Medical81Surgical81ATI81Proctored81Exam81A
LL81FORMS!
•
RN81VATI81Adult81Medical81Surgical8
12019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 90 loa de drati on al s prov i de d
Question:819081of8190
• Time81Remaining:8100:38:42
CORRECT
• Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81caring81for81a81client81who81has81atopic81dermatitis81and81a81prescription81for81tria
mcinolone81ointment.81The81nurse81should81assess81the81client81to81monitor81for81which81of81the
81following81adverse81effects?
Increased81pigmentation
Topical81glucocorticoid81therapy81can81cause81the81adverse81effect81of81hypopigmentation.
Localized81hair81loss
Long-
term81glucocorticoid81therapy81can81cause81hypertrichosis,81or81excessive81hair81growth,81
especially81on81the81facial81area.
Thinning81of81the81skin
MY 81ANSWER
Thinning81of81the81skin81and81delayed81healing81are81adverse81effects81of81topical81gluco
corticoid81preparations.81The81client81should81only81apply81the81ointment81to81dry81patch
es81of81the81skin81because81topical81steroids81can81cause81atrophy81of81the81dermis81and8
1epidermis,81which81can81result81in81thinning81of81the81skin.
Increased81sensitivity81to81the81sun
The81nurse81should81instruct81the81client81to81avoid81excessive81sun81exposure81when81taking81to
pical81fluticasone;81however,81triamcinolone81ointment81does81not81cause81photosensitivity.
•
RN81VATI81Adult81Medical81Surgical812019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 89 loa de drati on al s prov i de d
Question:818981of8190
CORRECT
• Time81Remaining:8100:37:45
, • Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81assessing81a81client81who81has81left-
sided81heart81failure.81Which81of81the81following81findings81should81the81nurse81identify81as81a8
1manifestation81of81left-sided81heart81failure?
Dependent81edema
The81nurse81should81identify81that81dependent81edema81is81a81manifestation81of81right-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Jugular81distention
The81nurse81should81identify81that81jugular81vein81distention81is81a81manifestation81of81rig
ht-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Weight81gain
The81nurse81should81identify81that81weight81gain81is81a81manifestation81of81right-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Frothy81sputum
MY 81ANSWER
The81nurse81should81identify81that81frothy81sputum,81dyspnea,81and81wheezing81are81man
ifestations81of81left-
sided81heart81failure.81Treatment81includes81fluid81restriction81and81diuretics81to81decre
ase81preload81and81reduce81pulmonary81congestion.81Pink-
tinged81frothy81sputum81can81be81an81early81indication81of81pulmonary81edema81and81ca
n81be81life-
threatening.81Therefore,81the81nurse81should81notify81the81provider81immediately.
•
RN81VATI81Adult81Medical81Surgical812019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 88 loa de drati on al s prov i de d
Question:818881of8190
CORRECT
, • Time81Remaining:8100:37:30
• Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81caring81for81a81client81who81is81experiencing81anxiety81as81well81as81numbness81an
d81tingling81of81the81lips81and81fingers.81The81client's81ABGs81are:81pH817.48,81PCO28 1 3081mm81
Hg,81HCO3-8 1 2481mEq/L,81PaO28 1 8581mm81Hg.81Which81of81the81following81acid-
base81imbalances81should81the81nurse81identify81that81the81client81is81experiencing?
8181 Respiratory81alkalosis8 1
MY 81ANSWER
This81pH81is81alkaline81(increased)81and81the81PCO 8 1 is81decreased,81representing81alveol 2
ar81hyperventilation81and81resultant81respiratory81alkalosis.
Respiratory81acidosis
This81pH81is81alkaline81(increased)81and81the81PCO 8 1 is81decreased.81A81decreased81pH81 2
and81an81increased81PCO 8 1 indicate81respiratory81acidosis. 2
Metabolic81alkalosis
This81HCO 3-
8 1 2481mEq/L81is81within81the81expected81range81of812181to812881mEq/L81and81the81pH81is81alkali
ne81(increased).81An81increased81pH81and81HCO 3- 8 1 indicate81metabolic81alkalosis.
Metabolic81acidosis
This81HCO 3-
8 1 2481mEq/L81is81within81the81expected81range81of812181to812881mEq/L81and81the81pH81is81alkali
ne81(increased).81A81decreased81pH81and81HCO 3- 8 1 indicate81metabolic81acidosis.
•
RN81VATI81Adult81Medical81Surgical8
12019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 87 loa de drati on al s prov i de d
Question:818781of8190
• Time81Remaining:8100:37:22
CORRECT • Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81assessing81a81client81who81has81Cushing's81syndrome.81Which81of81the81following
81findings81should81the81nurse81expect?
Vitiligo
Medical Surgical ATI
Proctored Exam ALL
FORMS! Latest
updated 2023\2024
, RN81201981Adult81Medical81Surgical81ATI81Proctored81Exam81A
LL81FORMS!
•
RN81VATI81Adult81Medical81Surgical8
12019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 90 loa de drati on al s prov i de d
Question:819081of8190
• Time81Remaining:8100:38:42
CORRECT
• Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81caring81for81a81client81who81has81atopic81dermatitis81and81a81prescription81for81tria
mcinolone81ointment.81The81nurse81should81assess81the81client81to81monitor81for81which81of81the
81following81adverse81effects?
Increased81pigmentation
Topical81glucocorticoid81therapy81can81cause81the81adverse81effect81of81hypopigmentation.
Localized81hair81loss
Long-
term81glucocorticoid81therapy81can81cause81hypertrichosis,81or81excessive81hair81growth,81
especially81on81the81facial81area.
Thinning81of81the81skin
MY 81ANSWER
Thinning81of81the81skin81and81delayed81healing81are81adverse81effects81of81topical81gluco
corticoid81preparations.81The81client81should81only81apply81the81ointment81to81dry81patch
es81of81the81skin81because81topical81steroids81can81cause81atrophy81of81the81dermis81and8
1epidermis,81which81can81result81in81thinning81of81the81skin.
Increased81sensitivity81to81the81sun
The81nurse81should81instruct81the81client81to81avoid81excessive81sun81exposure81when81taking81to
pical81fluticasone;81however,81triamcinolone81ointment81does81not81cause81photosensitivity.
•
RN81VATI81Adult81Medical81Surgical812019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 89 loa de drati on al s prov i de d
Question:818981of8190
CORRECT
• Time81Remaining:8100:37:45
, • Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81assessing81a81client81who81has81left-
sided81heart81failure.81Which81of81the81following81findings81should81the81nurse81identify81as81a8
1manifestation81of81left-sided81heart81failure?
Dependent81edema
The81nurse81should81identify81that81dependent81edema81is81a81manifestation81of81right-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Jugular81distention
The81nurse81should81identify81that81jugular81vein81distention81is81a81manifestation81of81rig
ht-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Weight81gain
The81nurse81should81identify81that81weight81gain81is81a81manifestation81of81right-
sided81heart81failure81due81to81right81ventricular81failure81and81fluid81retention81from81pr
essure81building81up81in81the81venous81system.
Frothy81sputum
MY 81ANSWER
The81nurse81should81identify81that81frothy81sputum,81dyspnea,81and81wheezing81are81man
ifestations81of81left-
sided81heart81failure.81Treatment81includes81fluid81restriction81and81diuretics81to81decre
ase81preload81and81reduce81pulmonary81congestion.81Pink-
tinged81frothy81sputum81can81be81an81early81indication81of81pulmonary81edema81and81ca
n81be81life-
threatening.81Therefore,81the81nurse81should81notify81the81provider81immediately.
•
RN81VATI81Adult81Medical81Surgical812019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 88 loa de drati on al s prov i de d
Question:818881of8190
CORRECT
, • Time81Remaining:8100:37:30
• Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81caring81for81a81client81who81is81experiencing81anxiety81as81well81as81numbness81an
d81tingling81of81the81lips81and81fingers.81The81client's81ABGs81are:81pH817.48,81PCO28 1 3081mm81
Hg,81HCO3-8 1 2481mEq/L,81PaO28 1 8581mm81Hg.81Which81of81the81following81acid-
base81imbalances81should81the81nurse81identify81that81the81client81is81experiencing?
8181 Respiratory81alkalosis8 1
MY 81ANSWER
This81pH81is81alkaline81(increased)81and81the81PCO 8 1 is81decreased,81representing81alveol 2
ar81hyperventilation81and81resultant81respiratory81alkalosis.
Respiratory81acidosis
This81pH81is81alkaline81(increased)81and81the81PCO 8 1 is81decreased.81A81decreased81pH81 2
and81an81increased81PCO 8 1 indicate81respiratory81acidosis. 2
Metabolic81alkalosis
This81HCO 3-
8 1 2481mEq/L81is81within81the81expected81range81of812181to812881mEq/L81and81the81pH81is81alkali
ne81(increased).81An81increased81pH81and81HCO 3- 8 1 indicate81metabolic81alkalosis.
Metabolic81acidosis
This81HCO 3-
8 1 2481mEq/L81is81within81the81expected81range81of812181to812881mEq/L81and81the81pH81is81alkali
ne81(increased).81A81decreased81pH81and81HCO 3- 8 1 indicate81metabolic81acidosis.
•
RN81VATI81Adult81Medical81Surgical8
12019
Q
CLOSE
81 81 81 81 81 81 8181 81 81 8181 8181 8181
ue sti on 87 loa de drati on al s prov i de d
Question:818781of8190
• Time81Remaining:8100:37:22
CORRECT • Pause81Remaining:81 00:05:00
PAUSE
FLAG
A81nurse81is81assessing81a81client81who81has81Cushing's81syndrome.81Which81of81the81following
81findings81should81the81nurse81expect?
Vitiligo
