lOMoAR cPSD| 24448587
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RN VATI ADULT MEDICAL SURGICAL 2024 VERSION QUESTIONS
AND CORRECT DETAILED ANSWERS
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QUESTION 1 OF 90
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A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
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ointment. The nurse should assess the client to monitor for which of the following adverse
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effects?
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Sp
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Increased pigmentation
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Sp
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
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Localized hair loss
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Sp
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth, especially
on the facial area.
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la
Thinning of the skin
MY ANSWER
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Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
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preparations. The client 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
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Sp
the skin.
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Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking topical
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fluticasone; however, triamcinolone ointment does not cause photosensitivity.
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QUESTION 2 OF 90
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Sp
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided heart failure?
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la
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Sp
Dependent edema
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The nurse 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
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system.
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Jugular distention
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The nurse 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
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venous system. la
Weight gain
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Sp
The nurse should identify that weight gain is a manifestation of right-sided heart failure due to
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right ventricular failure and fluid retention from pressure building up in the venous system.
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Frothy sputum
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Sp
MY ANSWER
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The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations of left-
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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
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pulmonary edema and can be life-threatening. Therefore, the nurse should notify the provider
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immediately.
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Sp
Question: 3 of 90
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A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm
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sh
Sp
Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
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l a
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Sp
Respiratory alkalosis
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MY ANSWER
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Sp
This pH is alkaline (increased) and the PCO is decreased, representing alveolar hyperventilation
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and resultant respiratory alkalosis.
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Respiratory acidosis
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Sp
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This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased PCO
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2 2
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Sp
indicate respiratory acidosis.
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Metabolic alkalosis
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This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). An increased pH and HCO indicate metabolic alkalosis.
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Sp
3-
Metabolic acidosis
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, lOMoAR cPSD| 24448587
t
ne
sh
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). A decreased pH and HCO indicate metabolic acidosis.
3-
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la
tz
sh
Sp
Question: 4 of 90
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A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
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should the nurse expect?
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Sp
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Vitiligo
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Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white patches.
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Vitiligo is a manifestation of adrenal-gland hypofunction.
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Osteoporosis
MY ANSWER
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Sp
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Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as a result
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of mineral loss and nitrogen depletion, and the risk for fractures increases.
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Sp
Myxedema
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A client who has hypothyroidism can develop myxedema that causes mucinous cellular edema
around the eyes, across the upper back, and in the hands and feet. l a
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Sp
Heat intolerance
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a
A client who has hyperthyroidism can develop heat intolerance, along with an increase in
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sweating.
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Sp
ne
la
Question: 5 of 90
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Sp
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify
which of the following lesion characteristics on the client's skin?
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la
tz
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Sp
A pearly, waxy nodule
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MY ANSWER
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Sp
A client 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
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neck.
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An irregular border on a variegated-colored lesion
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A client who has melanoma has a lesion with irregular borders and variegated colors of red,
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white, and blue, most often on the upper back or lower legs.
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Sp
A firm, nodular, crusty, or ulcerated lesion
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la
A client 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
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skin.
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A weeping vesicle
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A client who has herpes zoster has weeping, blister-type lessons.
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ovide d
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Sp
Question: 6 of 90
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CORRECT • Time Remaining: 00:37:02
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• Pause Remaining: 00:05:00
PAUSE
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FLAG
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A nurse is assessing a client who has hypocalcemia. In which of the following areas should the
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nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots
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to select in the artwork below. Select only the hot spot that corresponds to your answer.)
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t
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sh
RN VATI ADULT MEDICAL SURGICAL 2024 VERSION QUESTIONS
AND CORRECT DETAILED ANSWERS
ne
la
tz
QUESTION 1 OF 90
sh
Sp
A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone
ne
ointment. The nurse should assess the client to monitor for which of the following adverse
la
effects?
sh
Sp
ne
la
Increased pigmentation
tz
sh
Sp
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
ne
Localized hair loss
la
sh
Sp
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair growth, especially
on the facial area.
ne
la
Thinning of the skin
MY ANSWER
tz
sh
Sp
ne
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
l a
preparations. The client 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
sh
Sp
the skin.
ne
a
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking topical
l
tz
sh
Sp
fluticasone; however, triamcinolone ointment does not cause photosensitivity.
ne
la
QUESTION 2 OF 90
sh
Sp
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse identify as a manifestation of left-sided heart failure?
ne
la
tz
sh
Sp
Dependent edema
ne
la
The nurse 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
sh
Sp
system.
la
Jugular distention
, t
ne
sh
The nurse 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
ne
venous system. la
Weight gain
tz
sh
Sp
The nurse should identify that weight gain is a manifestation of right-sided heart failure due to
ne
right ventricular failure and fluid retention from pressure building up in the venous system.
la
Frothy sputum
sh
Sp
MY ANSWER
ne
la
The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations of left-
tz
sh
Sp
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
ne
pulmonary edema and can be life-threatening. Therefore, the nurse should notify the provider
la
immediately.
sh
Sp
Question: 3 of 90
ne
la
A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of the
lips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85 mm
tz
sh
Sp
Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
ne
l a
sh
Sp
Respiratory alkalosis
ne
MY ANSWER
l a
tz
sh
Sp
This pH is alkaline (increased) and the PCO is decreased, representing alveolar hyperventilation
2
ne
and resultant respiratory alkalosis.
la
Respiratory acidosis
sh
Sp
ne
la
This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased PCO
tz
2 2
sh
Sp
indicate respiratory acidosis.
ne
Metabolic alkalosis
la
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). An increased pH and HCO indicate metabolic alkalosis.
sh
Sp
3-
Metabolic acidosis
la
, lOMoAR cPSD| 24448587
t
ne
sh
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). A decreased pH and HCO indicate metabolic acidosis.
3-
ne
la
tz
sh
Sp
Question: 4 of 90
ne
A nurse is assessing a client who has Cushing's syndrome. Which of the following findings
la
should the nurse expect?
sh
Sp
ne
Vitiligo
la
tz
sh
Vitiligo is the loss of pigment from areas of a client's skin, causing irregular, white patches.
Sp
Vitiligo is a manifestation of adrenal-gland hypofunction.
ne
la
Osteoporosis
MY ANSWER
sh
Sp
ne
Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as a result
la
of mineral loss and nitrogen depletion, and the risk for fractures increases.
tz
sh
Sp
Myxedema
ne
A client who has hypothyroidism can develop myxedema that causes mucinous cellular edema
around the eyes, across the upper back, and in the hands and feet. l a
sh
Sp
Heat intolerance
ne
a
A client who has hyperthyroidism can develop heat intolerance, along with an increase in
l
tz
sweating.
sh
Sp
ne
la
Question: 5 of 90
sh
Sp
A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify
which of the following lesion characteristics on the client's skin?
ne
la
tz
sh
Sp
A pearly, waxy nodule
ne
MY ANSWER
la
sh
Sp
A client 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
la
neck.
, t
ne
sh
An irregular border on a variegated-colored lesion
ne
A client who has melanoma has a lesion with irregular borders and variegated colors of red,
la
white, and blue, most often on the upper back or lower legs.
tz
sh
Sp
A firm, nodular, crusty, or ulcerated lesion
ne
la
A client 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
sh
Sp
skin.
ne
A weeping vesicle
la
tz
A client who has herpes zoster has weeping, blister-type lessons.
sh
Sp
ne
la
ovide d
sh
Sp
Question: 6 of 90
ne
CORRECT • Time Remaining: 00:37:02
la
• Pause Remaining: 00:05:00
PAUSE
tz
sh
Sp
FLAG
ne
l a
A nurse is assessing a client who has hypocalcemia. In which of the following areas should the
sh
Sp
nurse tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots
ne
to select in the artwork below. Select only the hot spot that corresponds to your answer.)
l a
tz
sh
Sp
ne
la
sh
Sp
ne
la
tz
sh
Sp
ne
la
sh
Sp
la
