RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass

RN VATI Adult Medical Surgical Assessment Exam
Questions with Correct Verified Answers Latest
Update (2024/2025) Guaranteed Pass58
58 58 58 58
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Question:589058of5890
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A58nurse58is58caring58for58a58client58who58has58atopic58dermatitis58and58a58prescription58for58tria
mcinolone58ointment.58The58nurse58should58assess58the58client58to58monitor58for58which58of58the5
8following58adverse58effects?



Increased58pigmentation

Topical58glucocorticoid58therapy58can58cause58the58adverse58effect58of58hypopigmentation
.58

Localized58hair58loss

Long-
term58glucocorticoid58therapy58can58cause58hypertrichosis,58or58excessive58hair58growth,5
8especially58on58the58facial58area.


Thinning58of58the58skin

MY 58 ANSWER




Thinning58of58the58skin58and58delayed58healing58are58adverse58effects58of58topical58glucoc
orticoid58preparations.58The58client58should58only58apply58the58ointment58to58dry58patche
s58of58the58skin58because58topical58steroids58can58cause58atrophy58of58the58dermis58and58
epidermis,58which58can58result58in58thinning58of58the58skin.58

Increased58sensitivity58to58the58sun

The58nurse58should58instruct58the58client58to58avoid58excessive58sun58exposure58when58ta
king58topical58fluticasone;58however,58triamcinolone58ointment58does58not58cause58photos
ensitivity.

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Question:588958of5890
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A58nurse58is58assessing58a58client58who58has58left-
sided58heart58failure.58Which58of58the58following58findings58should58the58nurse58identify58as58a5
8manifestation58of58left-sided58heart58failure?



Dependent58edema

The58nurse58should58identify58that58dependent58edema58is58a58manifestation58of58right-
sided58heart58failure58due58to58right58ventricular58failure58and58fluid58retention58from58pr
essure58building58up58in58the58venous58system.

Jugular58distention

The58nurse58should58identify58that58jugular58vein58distention58is58a58manifestation58of58ri
ght-
sided58heart58failure58due58to58right58ventricular58failure58and58fluid58retention58from58pr
essure58building58up58in58the58venous58system.

Weight58gain

The58nurse58should58identify58that58weight58gain58is58a58manifestation58of58right-
sided58heart58failure58due58to58right58ventricular58failure58and58fluid58retention58from58pr
essure58building58up58in58the58venous58system.

Frothy58sputum

MY 58 ANSWER




The58nurse58should58identify58that58frothy58sputum,58dyspnea,58and58wheezing58are58man
ifestations58of58left-
sided58heart58failure.58Treatment58includes58fluid58restriction58and58diuretics58to58decrea

, se58preload58and58reduce58pulmonary58congestion.58Pink-
tinged58frothy58sputum58can58be58an58early58indication58of58pulmonary58edema58and58can
58be58life-

threatening.58Therefore,58the58nurse58should58notify58the58provider58immediately.


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Question:588858of5890
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 Time58Remaining:5800:37:30
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A58nurse58is58caring58for58a58client58who58is58experiencing58anxiety58as58well58as58numbness58a
nd58tingling58of58the58lips58and58fingers.58The58client's58ABGs58are:58pH587.48,58PCO2583058mm58
Hg,58HCO3-582458mEq/L,58PaO2588558mm58Hg.58Which58of58the58following58acid-
base58imbalances58should58the58nurse58identify58that58the58client58is58experiencing?

Respiratory58alkalosis

MY 58 ANSWER




This58pH58is58alkaline58(increased)58and58the58PCO 58is58decreased,58representing58alveola
2


r58hyperventilation58and58resultant58respiratory58alkalosis.
Respiratory58acidosis
This58pH58is58alkaline58(increased)58and58the58PCO 58is58decreased.58A58decreased58pH58a
2


nd58an58increased58PCO 58indicate58respiratory58acidosis.58 2

Metabolic58alkalosis
This58HCO 3-


582458mEq/L58is58within58the58expected58range58of582158to582858mEq/L58and58the58pH58is

58alkaline58(increased).58An58increased58pH58and58HCO3-58indicate58metabolic58alkalosis.
Metabolic58acidosis
This58HCO 3-


582458mEq/L58is58within58the58expected58range58of582158to582858mEq/L58and58the58pH58is

58alkaline58(increased).58A58decreased58pH58and58HCO 58indicate58metabolic58acidosis.
3-




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Question:588758of5890
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A58nurse58is58assessing58a58client58who58has58Cushing's58syndrome.58Which58of58the58following5
8findings58should58the58nurse58expect?



Vitiligo

Vitiligo58is58the58loss58of58pigment58from58areas58of58a58client's58skin,58causing58irregular,
58white58patches.58Vitiligo58is58a58manifestation58of58adrenal-gland58hypofunction.


Osteoporosis

MY 58 ANSWER




Osteoporosis58is58a58common58finding58with58Cushing's58syndrome.58Bones58become58thi
nner58as58a58result58of58mineral58loss58and58nitrogen58depletion,58and58the58risk58for58fra
ctures58increases.

Myxedema

A58client58who58has58hypothyroidism58can58develop58myxedema58that58causes58mucinous
58cellular58edema58around58the58eyes,58across58the58upper58back,58and58in58the58hands58a

nd58feet.58

Heat58intolerance

A58client58who58has58hyperthyroidism58can58develop58heat58intolerance,58along58with58an
58increase58in58sweating.




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Question:588658of5890