1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
ATI RN Adult Medical Surgical
b b b b b
Proctored Exam 2023 b b
Already Graded A b b
Que b b b bb b b b b
sti on 90 l oa de d ra ti ona ls pr ovi de d
Question:b90bofb90
CORRECT •bbbbb Timeb Remaining:b 00:38:42
• Pauseb Remaining:b 00:05:00
PAUSE
FLAG
Abnursebisbcaringbforbabclientbwhobhasbatopicbdermatitisbandbabprescriptionbforbtriamcin
olonebointment.bThebnursebshouldbassessbthebclientbtobmonitorbforbwhichbofbthebfollowi
ngbadversebeffects?
Increasedbpigmentation
Topicalbglucocorticoidbtherapybcanbcausebthebadversebeffectbofbhypopigmentati
on.bLocalizedb hairbloss
Long-
termbglucocorticoidbtherapybcanbcausebhypertrichosis,borbexcessivebhairbgrowth,bespeciallybo
nbthebfacialbarea.
Thinningbofbthebskin
MY b AN S W E R
Thinningbofbthebskinbandbdelayedbhealingbarebadversebeffectsbofbtopicalbglucocorticoidbpre
parations.bThebclientbshouldbonlybapplybthebointmentbtobdrybpatchesbofbthebskinbbecauseb
topicalbsteroidsbcanbcausebatrophybofbthebdermisbandbepidermis,bwhichbcanbresultbinbthinni
ngbofbthebskin.
Increasedbsensitivitybtobthebsun
about:blank 1/172
,1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Thebnursebshouldbinstructbthebclientbtobavoidbexcessivebsunbexposurebwhenbtakingbto
picalbfluticasone;bhowever,btriamcinolonebointmentbdoesbnotbcausebphotosensitivity.
RNbVATIb AdultbMedicalb Surgicalb201
9
Que bb b bbbbbb bbbbbbb bbbCLOSE bbbbbb
sti on 89 loa d edr a ti ona ls pr ovi d ed
Question:b89bofb90 • Timeb Remaining:b 00:37:45
CORRECT • Pauseb Remaining:b 00:05:00
PAUSE
FLAG
Abnursebisbassessingbabclientbwhobhasbleft-
sidedbheartbfailure.bWhichbofbthebfollowingbfindingsbshouldbthebnursebidentifybasbabmani
festationbofbleft-sidedbheartbfailure?
Dependentbedema
Thebnursebshouldbidentifybthatbdependentbedema bisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbuildi
ngbupbinbthebvenousbsystem.
Jugularbdistention
Thebnursebshouldbidentifybthatbjugularbveinbdistentionbisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbu
ildingbupbinbthebvenousbsystem.
Weightbgain
Thebnursebshouldbidentifybthatbweightbgainbisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbuildi
ngbupbinbthebvenousbsystem.
Frothybsputum
MY b AN S W E R
Thebnursebshouldbidentifybthatbfrothybsputum,bdyspnea,bandbwheezingbarebmanifestations
bofbleft-
sidedbheartbfailure.bTreatmentbincludesbfluidbrestrictionbandbdiureticsbtobdecreasebpreloadb
andbreducebpulmonarybcongestion.bPink-
tingedbfrothybsputumbcanbbebanbearlybindicationbofbpulmonarybedemabandbcanbbeblife-
threatening.bTherefore,bthebnursebshouldbnotifybthebproviderbimmediately.
RNbVATIbAdultbMedicalbSurgicalb2019 Que bb b bbbbbbb bbbCLOSE b
sti on 8 8l oa d edr a ti ona ls pr ovi d ed
about:blank 2/172
,1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Thisbisbabpreview
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miumb andb unlockballb93bpages
Accessbtoballbdocumentsb
GetbUnlimitedbDownload
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BecomebPremiumbtobunlock
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obunlock
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, 1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Question:b88bofb90
CORRECT
• Timeb Remaining:b 00:37:30
FLAG • Pauseb Remaining:b 00:05:00
PAUSE
Abnursebisbcaringbforbabclientbwhobisbexperiencingbanxietybasbwellbasbnumbnessbandbtinglingb
ofbtheblipsbandbfingers.b Thebclient'sbABGsbare:bpHb7.48,bPCO2bb 30bmmbHg,bHCO3-
bbb24b mEq/L,bPaO2bb85bmmbHg.bWhichbofbthebfollowingbacid-
basebimbalancesbshouldbthebnursebidentifybthatbthebclientbisbexperiencing?
Respiratorybalkalosis
MY b AN S W E R
ThisbpHbisbalkalineb(increased)bandbthebPCO bbbisbdecreased,brepresentingbal 2
veolarbhyperventilationbandbresultantbrespiratorybalkalosis.
Respiratorybacidosis
ThisbpHbisbalkalineb(increased)bandbthebPCO bbbisbdecreased.bAbdecreasedbpHbandbanbincrease
2
dbPCO bindicateb respiratorybacidosis.
2
Metabolicbalkalosis
ThisbHCO 3-
bbb24bmEq/Lbisbwithinbthebexpectedbrangebofb21btob28bmEq/LbandbthebpHb isbalkaline b(i
ncreased).bAnbincreasedbpHbandbHCO bbbindicatebmetabolicbalkalosis. 3-
Metabolicbacidosis
ThisbHCO 3-
bbb24bmEq/Lbisbwithinbthebexpectedbrangebofb21btob28bmEq/LbandbthebpHb isbalkaline b(i
ncreased).bAbdecreasedbpHb andbHCO bbbbindicatebmetabolicbacidosis.
3-
RNbVATIb AdultbMedicalb Surgicalb201
9
Que bb b bbbbbb bbbbbbb bbbCLOSE bbbbbb
sti on 87 loa d edr a ti ona ls pr ovi d ed
Question:b87bofb90 • Timeb Remaining:b 00:37:22
CORRECT • Pauseb Remaining:b 00:05:00
PAUSE
FLAG
AbnursebisbassessingbabclientbwhobhasbCushing'sbsyndrome.bWhichbofbthebfollowingbfin
dingsbshouldbthebnursebexpect?
about:blank 4/172
M al
ATI RN Adult Medical Surgical
b b b b b
Proctored Exam 2023 b b
Already Graded A b b
Que b b b bb b b b b
sti on 90 l oa de d ra ti ona ls pr ovi de d
Question:b90bofb90
CORRECT •bbbbb Timeb Remaining:b 00:38:42
• Pauseb Remaining:b 00:05:00
PAUSE
FLAG
Abnursebisbcaringbforbabclientbwhobhasbatopicbdermatitisbandbabprescriptionbforbtriamcin
olonebointment.bThebnursebshouldbassessbthebclientbtobmonitorbforbwhichbofbthebfollowi
ngbadversebeffects?
Increasedbpigmentation
Topicalbglucocorticoidbtherapybcanbcausebthebadversebeffectbofbhypopigmentati
on.bLocalizedb hairbloss
Long-
termbglucocorticoidbtherapybcanbcausebhypertrichosis,borbexcessivebhairbgrowth,bespeciallybo
nbthebfacialbarea.
Thinningbofbthebskin
MY b AN S W E R
Thinningbofbthebskinbandbdelayedbhealingbarebadversebeffectsbofbtopicalbglucocorticoidbpre
parations.bThebclientbshouldbonlybapplybthebointmentbtobdrybpatchesbofbthebskinbbecauseb
topicalbsteroidsbcanbcausebatrophybofbthebdermisbandbepidermis,bwhichbcanbresultbinbthinni
ngbofbthebskin.
Increasedbsensitivitybtobthebsun
about:blank 1/172
,1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Thebnursebshouldbinstructbthebclientbtobavoidbexcessivebsunbexposurebwhenbtakingbto
picalbfluticasone;bhowever,btriamcinolonebointmentbdoesbnotbcausebphotosensitivity.
RNbVATIb AdultbMedicalb Surgicalb201
9
Que bb b bbbbbb bbbbbbb bbbCLOSE bbbbbb
sti on 89 loa d edr a ti ona ls pr ovi d ed
Question:b89bofb90 • Timeb Remaining:b 00:37:45
CORRECT • Pauseb Remaining:b 00:05:00
PAUSE
FLAG
Abnursebisbassessingbabclientbwhobhasbleft-
sidedbheartbfailure.bWhichbofbthebfollowingbfindingsbshouldbthebnursebidentifybasbabmani
festationbofbleft-sidedbheartbfailure?
Dependentbedema
Thebnursebshouldbidentifybthatbdependentbedema bisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbuildi
ngbupbinbthebvenousbsystem.
Jugularbdistention
Thebnursebshouldbidentifybthatbjugularbveinbdistentionbisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbu
ildingbupbinbthebvenousbsystem.
Weightbgain
Thebnursebshouldbidentifybthatbweightbgainbisbabmanifestationbofbright-
sidedbheartbfailurebduebtobrightbventricularbfailurebandbfluidbretentionbfrombpressurebbuildi
ngbupbinbthebvenousbsystem.
Frothybsputum
MY b AN S W E R
Thebnursebshouldbidentifybthatbfrothybsputum,bdyspnea,bandbwheezingbarebmanifestations
bofbleft-
sidedbheartbfailure.bTreatmentbincludesbfluidbrestrictionbandbdiureticsbtobdecreasebpreloadb
andbreducebpulmonarybcongestion.bPink-
tingedbfrothybsputumbcanbbebanbearlybindicationbofbpulmonarybedemabandbcanbbeblife-
threatening.bTherefore,bthebnursebshouldbnotifybthebproviderbimmediately.
RNbVATIbAdultbMedicalbSurgicalb2019 Que bb b bbbbbbb bbbCLOSE b
sti on 8 8l oa d edr a ti ona ls pr ovi d ed
about:blank 2/172
,1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Thisbisbabpreview
Dobyoubwantbfullbaccess?bGobPre
miumb andb unlockballb93bpages
Accessbtoballbdocumentsb
GetbUnlimitedbDownload
sbImprovebyourbgrades
Upgrade
BecomebPremiumbtobunlock
Upload
Sharebyourbdocumentsbt
obunlock
Alreadyb Premium?b Logbin
about:blank 3/172
, 1/4/24,b7:07bA 20230605120411b647dcf3bdd586batibrnbadultbmedicalbsurgic
M al
Question:b88bofb90
CORRECT
• Timeb Remaining:b 00:37:30
FLAG • Pauseb Remaining:b 00:05:00
PAUSE
Abnursebisbcaringbforbabclientbwhobisbexperiencingbanxietybasbwellbasbnumbnessbandbtinglingb
ofbtheblipsbandbfingers.b Thebclient'sbABGsbare:bpHb7.48,bPCO2bb 30bmmbHg,bHCO3-
bbb24b mEq/L,bPaO2bb85bmmbHg.bWhichbofbthebfollowingbacid-
basebimbalancesbshouldbthebnursebidentifybthatbthebclientbisbexperiencing?
Respiratorybalkalosis
MY b AN S W E R
ThisbpHbisbalkalineb(increased)bandbthebPCO bbbisbdecreased,brepresentingbal 2
veolarbhyperventilationbandbresultantbrespiratorybalkalosis.
Respiratorybacidosis
ThisbpHbisbalkalineb(increased)bandbthebPCO bbbisbdecreased.bAbdecreasedbpHbandbanbincrease
2
dbPCO bindicateb respiratorybacidosis.
2
Metabolicbalkalosis
ThisbHCO 3-
bbb24bmEq/Lbisbwithinbthebexpectedbrangebofb21btob28bmEq/LbandbthebpHb isbalkaline b(i
ncreased).bAnbincreasedbpHbandbHCO bbbindicatebmetabolicbalkalosis. 3-
Metabolicbacidosis
ThisbHCO 3-
bbb24bmEq/Lbisbwithinbthebexpectedbrangebofb21btob28bmEq/LbandbthebpHb isbalkaline b(i
ncreased).bAbdecreasedbpHb andbHCO bbbbindicatebmetabolicbacidosis.
3-
RNbVATIb AdultbMedicalb Surgicalb201
9
Que bb b bbbbbb bbbbbbb bbbCLOSE bbbbbb
sti on 87 loa d edr a ti ona ls pr ovi d ed
Question:b87bofb90 • Timeb Remaining:b 00:37:22
CORRECT • Pauseb Remaining:b 00:05:00
PAUSE
FLAG
AbnursebisbassessingbabclientbwhobhasbCushing'sbsyndrome.bWhichbofbthebfollowingbfin
dingsbshouldbthebnursebexpect?
about:blank 4/172
