Ati rn adult medical surgical

ATI RN Adult Medical SurgicalP
s s s s s




roctored Exam 2019 s s




Already Graded A s s

Que s s s ss s s s s
stion 90 loade d ra tionals pr ovide d




Question: 90 of 90 s s s


CORRECT
• TimesRemaining:s00:38:42
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesisscaringsforsasclientswhoshassatopicsdermatitissandsasprescriptionsforstriamcinolonesoi
ntment.sThesnursesshouldsassesssthesclientstosmonitorsforswhichsofsthesfollowingsadverseseffe
cts?



Increasedspigmentation

Topicalsglucocorticoidstherapyscanscausesthesadverseseffectsofshypopigmentation.sLocalizeds

hairsloss

Long-
termsglucocorticoidstherapyscanscauseshypertrichosis,sorsexcessiveshairsgrowth,sespeciallysonsthesf
acialsarea.

Thinningsofsthesskin
MY s AN S WE R




Thinningsofsthesskinsandsdelayedshealingsaresadverseseffectssofstopicalsglucocorticoidspreparation
s.sThesclientsshouldsonlysapplysthesointmentstosdryspatchessofsthesskinsbecausestopicalssteroidssca
nscausesatrophysofsthesdermissandsepidermis,swhichscansresultsinsthinningsofsthesskin.

Increasedssensitivitystosthessun

,Thesnursesshouldsinstructsthesclientstosavoidsexcessivessunsexposureswhenstakingstopicalsfluti
casone;showever,striamcinolonesointmentsdoessnotscausesphotosensitivity.


RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 89 lo a d e d ra tion a ls CLOSE s s
pr ov id e d




Question: 89 of 90 s s s


CORRECT
• TimesRemaining:s00:37:45
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesissassessingsasclientswhoshassleft-
sidedsheartsfailure.sWhichsofsthesfollowingsfindingssshouldsthesnursesidentifysassasmanifestationsofs
left-sidedsheartsfailure?



Dependentsedema

Thesnursesshouldsidentifysthatsdependentsedemasissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsins
thesvenousssystem.

Jugularsdistention

Thesnursesshouldsidentifysthatsjugularsveinsdistentionsissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsinst
hesvenousssystem.

Weightsgain

Thesnursesshouldsidentifysthatsweightsgainsissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsinst
hesvenousssystem.

Frothyssputum
MY s AN S WE R




Thesnursesshouldsidentifysthatsfrothyssputum,sdyspnea,sandswheezingsaresmanifestationssofsleft-
sidedsheartsfailure.sTreatmentsincludessfluidsrestrictionsandsdiureticsstosdecreasespreloadsandsre
ducespulmonaryscongestion.sPink-
tingedsfrothyssputumscansbesansearlysindicationsofspulmonarysedemasandscansbeslife-
threatening.sTherefore,sthesnursesshouldsnotifysthesprovidersimmediately.

,RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 88 lo a d e d ra tion a ls CLOSE s spr ov id e d




Question: 88 of 90 s s s


CORRECT
• TimesRemaining:s00:37:30
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesisscaringsforsasclientswhosissexperiencingsanxietysasswellsassnumbnesssandstinglingsofstheslips
sandsfingers.sThesclient'ssABGssare:spHs7.48,sPCO 2ss 30smmsHg,sHCO3-

sss24smEq/L,sPaO2ss 85smmsHg.sWhichsofsthesfollowingsacid-


basesimbalancessshouldsthesnursesidentifysthatsthesclientsissexperiencing?



Respiratorysalkalosis
MY s AN S WE R




ThisspHsissalkalines(increased)sandsthesPCO sssissdecreased,srepresentingsalveolarshyperventilationsa 2



ndsresultantsrespiratorysalkalosis.
Respiratorysacidosis
ThisspHsissalkalines(increased)sandsthesPCO sssissdecreased.sAsdecreasedspHsandsansincreasedsPCO sindic 2 2



atesrespiratorysacidosis.
Metabolicsalkalosis
ThissHCO 3-


sss 24smEq/Lsisswithinsthesexpectedsrangesofs21stos28smEq/LsandsthespHsissalkalines(increased).sAnsincrea
sedspHsandsHCO sssindicatesmetabolicsalkalosis. 3-



Metabolicsacidosis
ThissHCO 3-


sss 24smEq/Lsisswithinsthesexpectedsrangesofs21stos28smEq/LsandsthespHsissalkalines(increased).sAsdecreas
edspHsandsHCO sssindicatesmetabolicsacidosis. 3-




RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 87 lo a d e d ra tion a ls CLOSE s spr ov id e d




Question: 87 of 90 s s s


CORRECT
• TimesRemaining:s00:37:22
• PausesRemaining:s00:05:00
PAUSE
FLAG

AsnursesissassessingsasclientswhoshassCushing'sssyndrome.sWhichsofsthesfollowingsfindingsssho
uldsthesnursesexpect?

, Vitiligo

Vitiligosisstheslosssofspigmentsfromsareassofsasclient'ssskin,scausingsirregular,swhitespatches.sVitiligosi
ssasmanifestationsofsadrenal-glandshypofunction.

Osteoporosis
MY s AN S WE R




OsteoporosississascommonsfindingswithsCushing'sssyndrome.sBonessbecomesthinnersassasresultsofs
mineralslosssandsnitrogensdepletion,sandsthesrisksforsfracturessincreases.

Myxedema

Asclientswhoshasshypothyroidismscansdevelopsmyxedemasthatscausessmucinousscellularsedemasaro
undstheseyes,sacrosssthesuppersback,sandsinstheshandssandsfeet.

Heatsintolerance

Asclientswhoshasshyperthyroidismscansdevelopsheatsintolerance,salongswithsansincreasesinssw
eating.



RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 86 lo a d e d ra tion a ls CLOSE s s
pr ov id e d




Question: 86 of 90 s s s


CORRECT
• TimesRemaining:s00:37:13
• PausesRemaining:s00:05:00
PAUSE
FLAG

Asnursesissinspectingsthesskinsofsasclientswhoshassbasalscellscarcinoma.sThesnursesshouldsidentifyswh
ichsofsthesfollowingslesionscharacteristicssonsthesclient'ssskin?



Aspearly,swaxysnodule
MY s AN S WE R




Asclientswhoshassbasalscellscarcinomashassasnodularslesionswithswell-
definedsborderssandsaspearlysorswaxysappearance,sresultingsfromsoverexposurestosthessun,sespe
ciallysonsthesface,shead,sandsneck.