NGN 2024 ADULT MEDICAL SURGICAL ATI PROCTORED EXAM GRADED A

NGN g 2024 g Adult g Medical Surgical ATI Proctored
Exam
GRADED A+
 Q g g g g g g gg gg
ue st io n 90 lo ad e dr atio n als pr o v i de d




Question: g90 gof
g90
CORRECT
 Time gRemaining: g00:38:42
 Pause gRemaining: g00:05:00
PAUSE
FLAG
A gnurse gis gcaring gfor ga gclient gwho ghas gatopic gdermatitis gand ga gprescription gfor
gtriamcinolone gointment. gThe gnurse gshould gassess gthe gclient gto gmonitor gfor gwhich gof gthe
gfollowing gadverse geffects?




Increased gpigmentation

Topical gglucocorticoid gtherapy gcan gcause gthe gadverse geffect gof ghypopigmentation.

Localized ghair gloss

Long-term gglucocorticoid gtherapy gcan gcause ghypertrichosis, gor gexcessive ghair ggrowth,
gespecially gon gthe gfacial garea.


Thinning gof gthe gskin
MYANSWER




Thinning gof gthe gskin gand gdelayed ghealing gare gadverse geffects gof gtopical
gglucocorticoid gpreparations. gThe gclient gshould gonly gapply gthe gointment gto gdry

gpatches gof gthe gskin gbecause gtopical gsteroids gcan gcause gatrophy gof gthe gdermis gand

gepidermis, gwhich gcan gresult gin gthinning gof gthe gskin.


Increased gsensitivity gto gthe gsun

The gnurse gshould ginstruct gthe gclient gto gavoid gexcessive gsun gexposure gwhen gtaking
gtopical gfluticasone; ghowever, gtriamcinolone gointment gdoes gnot gcause

gphotosensitivity.



RN gVATI gAdult gMedical gSurgical g2019
gCLOSE
Q g g g g g gg gg
ue st io n 89 lo ad e dr atio n als pr o v i de d




Question: g89 gof g90
CORRECT
 Time gRemaining: g00:37:45

, NGN g 2024 g Adult g Medical Surgical ATI Proctored
Exam
GRADED A+
 Pause gRemaining: g00:05:00
PAUSE
FLAG
A gnurse gis gassessing ga gclient gwho ghas gleft-sided gheart gfailure. gWhich gof gthe gfollowing
gfindings gshould gthe gnurse gidentify gas ga gmanifestation gof gleft-sided gheart gfailure?




Dependent gedema

The gnurse gshould gidentify gthat gdependent gedema gis ga gmanifestation gof gright-sided
gheart gfailure gdue gto gright gventricular gfailure gand gfluid gretention gfrom gpressure

gbuilding gup gin gthe gvenous gsystem.


Jugular gdistention

The gnurse gshould gidentify gthat gjugular gvein gdistention gis ga gmanifestation gof gright-sided
gheart gfailure gdue gto gright gventricular gfailure gand gfluid gretention gfrom gpressure

gbuilding gup gin gthe gvenous gsystem.


Weight ggain

The gnurse gshould gidentify gthat gweight ggain gis ga gmanifestation gof gright-sided gheart
gfailure gdue gto gright gventricular gfailure gand gfluid gretention gfrom gpressure gbuilding

gup gin gthe gvenous gsystem.


Frothy gsputum
MYANSWER




The gnurse gshould gidentify gthat gfrothy gsputum, gdyspnea, gand gwheezing gare
gmanifestations gof gleft-sided gheart gfailure. gTreatment gincludes gfluid grestriction gand

gdiuretics gto gdecrease gpreload gand greduce gpulmonary gcongestion. gPink-tinged gfrothy

gsputum gcan gbe gan gearly gindication gof gpulmonary gedema gand gcan gbe glife-threatening.

gTherefore, gthe gnurse gshould gnotify gthe gprovider gimmediately.





RN gVATI gAdult gMedical gSurgical g2019
gCLOSE
Q g g g g g gg gg
ue st io n 88 lo ad e dr atio n als pr o v i de d




Question: g88 gof g90
CORRECT

, NGN g 2024 g Adult g Medical Surgical ATI Proctored
Exam
GRADED A+
 Time gRemaining: g00:37:30
 Pause gRemaining: g00:05:00
PAUSE
FLAG
A gnurse gis gcaring gfor ga gclient gwho gis gexperiencing ganxiety gas gwell gas gnumbness gand
gtingling gof gthe glips gand gfingers. gThe gclient's gABGs gare: gpH g7.48, gPCO2 g 30 gmm gHg, gHCO3- g 24
gmEq/L, gPaO2 g 85 gmm gHg. gWhich gof gthe gfollowing gacid-base gimbalances gshould gthe gnurse
gidentify gthat gthe gclient gis gexperiencing?




g g Respiratory galkalosis g

MYANSWER




This gpH gis galkaline g(increased) gand gthe gPCO g is gdecreased, grepresenting galveolar 2


ghyperventilation gand gresultant grespiratory galkalosis.

Respiratory gacidosis
This gpH gis galkaline g(increased) gand gthe gPCO g is gdecreased. gA gdecreased gpH gand gan
2


gincreased gPCO g indicate grespiratory gacidosis. 2


Metabolic galkalosis
This gHCO g 24 gmEq/L gis gwithin gthe gexpected grange gof g21 gto g28 gmEq/L gand gthe gpH
3-


gis galkaline g(increased). gAn gincreased gpH gand gHCO g indicate gmetabolic galkalosis. 3-


Metabolic gacidosis
This gHCO g 24 gmEq/L gis gwithin gthe gexpected grange gof g21 gto g28 gmEq/L gand gthe gpH
3-


gis galkaline g(increased). gA gdecreased gpH gand gHCO g indicate gmetabolic gacidosis. 3-





RN gVATI gAdult gMedical gSurgical
g2019

QgCLOSE
g g g g g gg gg
ue st io n 87 lo ad e dr atio n als pr o v i de d




Question: g87 gof g90
CORRECT  Time gRemaining: g00:37:22
 Pause gRemaining: g00:05:00
PAUSE

FLAG
A gnurse gis gassessing ga gclient gwho ghas gCushing's gsyndrome. gWhich gof gthe gfollowing
gfindings gshould gthe gnurse gexpect?




Vitiligo

, NGN g 2024 g Adult g Medical Surgical ATI Proctored
Exam
GRADED A+
Vitiligo gis gthe gloss gof gpigment gfrom gareas gof ga gclient's gskin, gcausing girregular, gwhite
gpatches. gVitiligo gis ga gmanifestation gof gadrenal-gland ghypofunction.


Osteoporosis
MYANSWER




Osteoporosis gis ga gcommon gfinding gwith gCushing's gsyndrome. gBones gbecome gthinner
gas ga gresult gof gmineral gloss gand gnitrogen gdepletion, gand gthe grisk gfor gfractures

gincreases.


Myxedema

A gclient gwho ghas ghypothyroidism gcan gdevelop gmyxedema gthat gcauses gmucinous
gcellular gedema garound gthe geyes, gacross gthe gupper gback, gand gin gthe ghands gand gfeet.


Heat gintolerance

A gclient gwho ghas ghyperthyroidism gcan gdevelop gheat gintolerance, galong gwith gan
gincrease gin gsweating.





RN gVATI gAdult gMedical gSurgical
g2019

QgCLOSE
g g g g g gg gg
ue st io n 86 lo ad e dr atio n als pr o v i de d




Question: g86 gof g90
CORRECT  Time gRemaining: g00:37:13
 Pause gRemaining: g00:05:00
PAUSE

FLAG
A gnurse gis ginspecting gthe gskin gof ga gclient gwho ghas gbasal gcell gcarcinoma. gThe gnurse gshould
gidentify gwhich gof gthe gfollowing glesion gcharacteristics gon gthe gclient's gskin?




g g A gpearly, gwaxy gnodule g
MYANSWER




A gclient gwho ghas gbasal gcell gcarcinoma ghas ga gnodular glesion gwith gwell-defined
gborders gand ga gpearly gor gwaxy gappearance, gresulting gfrom goverexposure gto gthe gsun,

gespecially gon gthe gface, ghead, gand gneck.


An girregular gborder gon ga gvariegated-colored glesion