{NGN} ATI RN Adult Medical-Surgical Proctored Exam | 90 Real NGN Questions with Correct Answers & Rationales | A+ Graded | Includes Images

This document contains all 90 actual Next Generation NCLEX (NGN)-style questions from the ATI RN Adult Medical-Surgical Proctored Exam, complete with correct answers and detailed rationales. It covers essential adult med-surg topics such as cardiovascular, respiratory, GI, renal, neuro, and more. Graded A+ and including visual aids, this resource is ideal for thorough exam preparation and clinical understanding. {NGN} ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM WITH ALL 90 ACTUAL EXAM NGN QUESTIONS AND CORRECT ANSWERS AND RATIONALES| ALREADY GRADED A+ (INCLUDES IMAGES) • RN VATI Adult Medical Surgical Questi on90 loade drati onals pr ovid e d Q: 90 of 90 CORRECT FLAG • Time Remaining: 00:38:42 • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is caring for a patient who has atopic dermatitis and a prescription for triamcinolone ointment. The nursing practitioner should assess the patient to monitor for which of the following adverse effects? Increased pigmentation Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation. Localized hair loss Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth, especially on the facial area. Thinning of the skin MY ANSWER Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid preparations. The patient should only apply the ointment to dry patches of the skin because topical steroids can cause atrophy of the dermis and epidermis, which can result in thinning of the skin. Increased sensitivity to the sun The nursing practitioner should instruct the patient to avoid excessive sun exposure when taking topical fluticasone; however, triamcinolone ointment does not cause photosensitivity. • RN VATI Adult Medical Surgical . CLOSE Que stion89 loade dr ati onal s pr ovid e d Q: 89 of 90 CORRECT • Time Remain FLAG • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is assessing a patient who has left-sided heart failure. Which of the following findings should the nursing practitioner identify as a manifestation of left-sided heart failure? Dependent edema The nursing practitioner should identify that dependent edema is a manifestation of right-sided heart failure due to right ventricular failure and fluid retention from pressure building up in the venous system. Jugular distention The nursing practitioner should identify that jugular vein distention is a manifestation of right-sided heart failure due to right ventricular failure and fluid retention from pressure building up in the venous system. Weight gain The nursing practitioner should identify that weight gain is a manifestation of right-sided heart failure due to right ventricular failure and fluid retention from pressure building up in the venous system. MY ANSWER The nursing practitioner should identify that frothy sputum, dyspnea, and wheezing are manifestations of left-sided heart failure. Treatment includes fluid restriction and diuretics to decrease preload and reduce pulmonary congestion. Pink-tinged frothy sputum can be an early indication of pulmonary edema and can be life-threatening. Therefore, the nursing practitioner should notify the provider immediately. • RN VATI Adult Medical Surgical . CLOSE Que stion88 loade dr ati onal s pr ovid e d Q: 88 of 90 CORRECT FLAG • Time Remaining: 00:37:30 • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is caring for a patient who is experiencing anxiety as well as numbness and tingling of the lips and fingers. The patient's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO - 24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nursing practitioner identify that the patient is experiencing? MY ANSWER This pH is alkaline (increased) and the PCO2 is decreased, representing alveolar hyperventilation and resultant respiratory alkalosis. Respiratory acidosis This pH is alkaline (increased) and the PCO2 is decreased. A decreased pH and an increased PCO2 indicate respiratory acidosis. Metabolic alkalosis This HCO3- 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline (increased). An increased pH and HCO3- indicate metabolic alkalosis. Metabolic acidosis This HCO3- 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline (increased). A decreased pH and HCO3- indicate metabolic acidosis. • RN VATI Adult Medical Surgical . CLOSE Que stion87 loade dr ati onal s pr ovid e d Q: 87 of 90 CORRECT FLAG • Time Remaining: 00:37:22 • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is assessing a patient who has Cushing's syndrome. Which of the following findings should the nursing practitioner expect? Vitiligo Vitiligo is the loss of pigment from areas of a patient's skin, causing irregular, white patches. Vitiligo is a manifestation of adrenal-gland hypofunction. MY ANSWER Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as a result of mineral loss and nitrogen depletion, and the risk for fractures increases. Myxedema A patient who has hypothyroidism can develop myxedema that causes mucinous cellular edema around the eyes, across the upper back, and in the hands and feet. Heat intolerance A patient who has hyperthyroidism can develop heat intolerance, along with an increase in sweating. • RN VATI Adult Medical Surgical . CLOSE Que stion86 loade dr ati onal s pr ovid e d Q: 86 of 90 CORRECT FLAG • Time Remaining: 00:37:13 • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is inspecting the skin of a patient who has basal cell carcinoma. The nursing practitioner should identify which of the following lesion characteristics on the patient's skin? MY ANSWER A patient who has basal cell carcinoma has a nodular lesion with well-defined borders and a pearly or waxy appearance, resulting from overexposure to the sun, especially on the face, head, and neck. An irregular border on a variegated-colored lesion A patient who has melanoma has a lesion with irregular borders and variegated colors of red, white, and blue, most often on the upper back or lower legs. A firm, nodular, crusty, or ulcerated lesion A patient who has squamous cell carcinoma has a firm, nodular, and crusty lesion with an ulcerated center, resulting from sun exposure, chronic irritation, burns, or irradiation to the skin. A weeping vesicle A patient who has herpes zoster has weeping, blister-type lesions. • RN VATI Adult Medical Surgical . CLOSE Que stion85 loade dr ati onal s pr ovid e d Q: 85 of 90 CORRECT FLAG • Time Remaining: 00:37:02 • Pause Remaining: 00:05:00 PAUSE A nursing practitioner is assessing a patient who has hypocalcemia. In which of the following areas should the nursing practitioner tap on the patient's face to detect the presence of Chvostek's sign? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) A is correct. The nursing practitioner should tap the patient's cheek just in front of the ear and below the zygomatic arch. The patient who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial muscle. B is incorrect. The nursing practitioner should apply upward pressure at the supraorbital ridge, below the eyebrow, to assess for tenderness and inflammation of the frontal sinuses. C is incorrect. The nursing practitioner should palpate the jaw and mastoid muscle of a patient who has temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of the teeth. With palpation, the nursing practitioner might feel a click, pop, or grating sensation when the patient opens or closes the jaw.