RN 2023 Adult Medical Surgical ATI Proctored Exam
ALLFORMS!
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RN VATI Adult Medical Surgical 2023
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Qu e sti on 90 loade drati onals p r o v id e d
Question: 90 of 90
CORRECT
Time Remaining: 00:38:42
Pause Remaining: 00:05:00
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A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinoloneointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth,especially on the facial area.
Thinning of the skin
MY ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
becausetopical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topicalfluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
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Qu ei sti on 89 loade drati onals p r o v id e d
Question: 89 of 90
CORRECT
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Pause Remaining: 00:05:00
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A nurse is assessing a client who has left-sided heart failure. Which of the following
findingsishould the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
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
thevenous system.
Jugulardistention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heartfailure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venoussystem.
Frothy sputum
MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations
ofleft-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 pulmonary edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
RN VATI Adult Medical Surgical 2023
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ii i i i
Qu e sti on 88 lo ad e drat i o n als pr o v id e d
Question: 88 of 90
CORRECT
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Time Remaining: 00:37:30
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A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of
thelips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
Respiratory ialkalosis
MY ANSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar 2
hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased 2
PCO indicate respiratory acidosis. 2
Metabolic alkalosis
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. 3-
Metabolic acidosis
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-
RN VATI Adult Medical Surgical 2019
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ii
Qu ei sti on 87 loade drati onals p r o v id e d
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findingsishould the nurse expect?
Vitiligo
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ALLFORMS!
Downloaded by: kiaritalaboy |
Distribution of this document is illegal
, RN 2023 Adult Medical Surgical ATI Proctored Exam ALL
FORMS!
RN VATI Adult Medical Surgical 2023
CLOSE
i i i
Qu e sti on 90 loade drati onals p r o v id e d
Question: 90 of 90
CORRECT
Time Remaining: 00:38:42
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinoloneointment. The nurse should assess the client to monitor for which of the
following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.
Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth,especially on the facial area.
Thinning of the skin
MY ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
becausetopical steroids can cause atrophy of the dermis and epidermis, which can result
in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topicalfluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
CLOSE
ii
Qu ei sti on 89 loade drati onals p r o v id e d
Question: 89 of 90
CORRECT
Time Remaining: 00:37:45
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Distribution of this document is illegal
, RN 2023 Adult Medical Surgical ATI Proctored Exam ALL
FORMS!
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has left-sided heart failure. Which of the following
findingsishould the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
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
thevenous system.
Jugulardistention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heartfailure due to right ventricular failure and fluid retention from pressure building up in
the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venoussystem.
Frothy sputum
MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are manifestations
ofleft-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 pulmonary edema and can be life-threatening. Therefore, the nurse should
notify the provider immediately.
RN VATI Adult Medical Surgical 2023
CLOSE
ii i i i
Qu e sti on 88 lo ad e drat i o n als pr o v id e d
Question: 88 of 90
CORRECT
Downloaded by: kiaritalaboy |
Distribution of this document is illegal
, RN 2023 Adult Medical Surgical ATI Proctored Exam ALL
FORMS!
Time Remaining: 00:37:30
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is caring for a client who is experiencing anxiety as well as numbness and tingling of
thelips and fingers. The client's ABGs are: pH 7.48, PCO2 30 mm Hg, HCO3- 24 mEq/L, PaO2 85
mm Hg. Which of the following acid-base imbalances should the nurse identify that the client is
experiencing?
Respiratory ialkalosis
MY ANSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar 2
hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO is decreased. A decreased pH and an increased 2
PCO indicate respiratory acidosis. 2
Metabolic alkalosis
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. 3-
Metabolic acidosis
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-
RN VATI Adult Medical Surgical 2019
CLOSE
ii
Qu ei sti on 87 loade drati onals p r o v id e d
Question: 87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the following
findingsishould the nurse expect?
Vitiligo
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