RN VATI Adult Medical Surgical 2019
1. A nurse is caring for a client who has atopic dermati- Increased pigmentation
tis and a prescription for triamcinolone ointment. The
nurse should assess the client to monitor for which of Topical glucocorticoid
the following adverse effects? therapy can cause the ad-
verse effect of hypopig-
mentation.
Localized hair loss
Long-term glucocorticoid
therapy can cause hyper-
trichosis, or excessive hair
growth, especially on the
facial area.
Thinning of the skin
2. assessing a client who has left-sided heart failure. Frothy sputum
Which of the following findings should the nurse iden-
tify as a manifestation of left-sided heart failure?
3. A nurse is caring for a client who is experi- Respiratory alkalosis
encing anxiety as well as numbness and tingling
of the lipsandfingers.Theclient'sABGsare:pH7.48,PCO2
30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of
the following acid-base imbalances should the nurse
identify that the client is experiencing?
4. A nurse is assessing a client who has Cushing's syn- Osteoporosis
drome. Which of the following findings should the
nurse expect?
, RN VATI Adult Medical Surgical 2019
5. A nurse is inspecting the skin of a client who has basal A pearly, waxy nodule
cell carcinoma. The nurse should identify which of the
following lesion characteristics on the client's skin?
6. A nurse is assessing a client who has hypocalcemia. In A is correct. The nurse
which of the following areas should the nurse tap on should tap the client's
the client's face to detect the presence of Chvostek's cheek just in front of the
sign? (You will find hot spots to select in the artwork ear and below the zy-
below. Select only the hot spot that corresponds to gomatic arch. The client
your answer.) who has hypocalcemia will
display a Chvostek's sign,
which is a twitching of the
facial muscle.
7. A nurse in an emergency department is assessing a Low urine specific gravity
client who is overusing prescribed diuretics and has
a sodium level of 127 mEq/L. Which of the following
laboratory findings should the nurse expect?
8. A home health nurse is assisting a client with planning Review the daily schedule
care for a family member who has Alzheimer's disease. with the client every morn-
Which of the following instructions should the nurse ing.
include?
9. A nurse is caring for a client who has developed acute Refractory hypoxemia
respiratory distress syndrome (ARDS). Which of the
following findings should the nurse identify as a man-
ifestation of this syndrome?
10. An emergency room nurse is assessing a client who Flat neck veins
has asthma and difficulty breathing. Which of the fol-
lowing findings should indicate to the nurse that the
client is experiencing status asthmaticus?
1. A nurse is caring for a client who has atopic dermati- Increased pigmentation
tis and a prescription for triamcinolone ointment. The
nurse should assess the client to monitor for which of Topical glucocorticoid
the following adverse effects? therapy can cause the ad-
verse effect of hypopig-
mentation.
Localized hair loss
Long-term glucocorticoid
therapy can cause hyper-
trichosis, or excessive hair
growth, especially on the
facial area.
Thinning of the skin
2. assessing a client who has left-sided heart failure. Frothy sputum
Which of the following findings should the nurse iden-
tify as a manifestation of left-sided heart failure?
3. A nurse is caring for a client who is experi- Respiratory alkalosis
encing anxiety as well as numbness and tingling
of the lipsandfingers.Theclient'sABGsare:pH7.48,PCO2
30mmHg,HCO3- 24mEq/L,PaO2 85mm Hg. Which of
the following acid-base imbalances should the nurse
identify that the client is experiencing?
4. A nurse is assessing a client who has Cushing's syn- Osteoporosis
drome. Which of the following findings should the
nurse expect?
, RN VATI Adult Medical Surgical 2019
5. A nurse is inspecting the skin of a client who has basal A pearly, waxy nodule
cell carcinoma. The nurse should identify which of the
following lesion characteristics on the client's skin?
6. A nurse is assessing a client who has hypocalcemia. In A is correct. The nurse
which of the following areas should the nurse tap on should tap the client's
the client's face to detect the presence of Chvostek's cheek just in front of the
sign? (You will find hot spots to select in the artwork ear and below the zy-
below. Select only the hot spot that corresponds to gomatic arch. The client
your answer.) who has hypocalcemia will
display a Chvostek's sign,
which is a twitching of the
facial muscle.
7. A nurse in an emergency department is assessing a Low urine specific gravity
client who is overusing prescribed diuretics and has
a sodium level of 127 mEq/L. Which of the following
laboratory findings should the nurse expect?
8. A home health nurse is assisting a client with planning Review the daily schedule
care for a family member who has Alzheimer's disease. with the client every morn-
Which of the following instructions should the nurse ing.
include?
9. A nurse is caring for a client who has developed acute Refractory hypoxemia
respiratory distress syndrome (ARDS). Which of the
following findings should the nurse identify as a man-
ifestation of this syndrome?
10. An emergency room nurse is assessing a client who Flat neck veins
has asthma and difficulty breathing. Which of the fol-
lowing findings should indicate to the nurse that the
client is experiencing status asthmaticus?
