Exam (elaborations)

{NGN} ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024 WITH ALL 90 ACTUAL EXAM NGN QUESTIONS AND CORRECT ANSWERS AND RATIONALES| ALREADY GRADED A+ (INCLUDES IMAGES)

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ATI RN ADULT MEDICAL SURGICAL

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ATI RN ADULT MEDICAL SURGICAL

{NGN} ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024 WITH ALL 90 ACTUAL EXAM NGN QUESTIONS AND CORRECT ANSWERS AND RATIONALES| ALREADY GRADED A+ (INCLUDES IMAGES) RN VATI Adult Medical Surgical 2024 Questi on90 loade drati onals pr ovid e d Q: 90 of 90 CORRECT FLAG • T...

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Uploaded on August 14, 2024
Number of pages 90
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

ati rn adult medical surgical exam 2024

Institution ATI RN ADULT MEDICAL SURGICAL
Course ATI RN ADULT MEDICAL SURGICAL

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{NGN} ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM
2024 WITH ALL 90 ACTUAL EXAM NGN QUESTIONS AND
CORRECT ANSWERS AND RATIONALES| ALREADY GRADED A+
(INCLUDES IMAGES)
•
RN VATI Adult Medical Surgical
2024
Questi on90 loade drati onals pr ovid e d

Q: 90 of 90
CORRECT • Time Remaining: 00:38:42
• Pause Remaining: 00:05:00
PAUSE

FLAG

A nursing practitioner is caring for a patient who has atopic dermatitis and a prescription
for triamcinolone ointment. The nursing practitioner should assess the patient 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 patient 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 the skin.

Increased sensitivity to the sun

The nursing practitioner should instruct the patient to avoid excessive sun exposure when
taking topical fluticasone; however, triamcinolone ointment does not cause photosensitivity.

• RN VATI Adult Medical Surgical 2024
CLOSE
Que stion89 loade dr ati onal s pr ovid e d

Q: 89 of 90
CORRECT

Med C

,Time Remain
• Pause Remaining: 00:05:00
FLAG
PAUSE
A nursing practitioner is assessing a patient who has left-sided heart failure. Which of the
following findings should the nursing practitioner identify as a manifestation of left-sided heart
failure?

Dependent edema

The nursing practitioner 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 system.

Jugular distention

The nursing practitioner 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 venous system.

Weight gain

The nursing practitioner 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 venous system.

Frothy sputum
MY ANSWER

The nursing practitioner should identify that frothy sputum, dyspnea, and wheezing are
manifestations of left-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 nursing practitioner should notify the provider immediately.

•
RN VATI Adult Medical Surgical 2024
CLOSE
Que stion88 loade dr ati onal s pr ovid e d

Q: 88 of 90
CORRECT

Med C

, • Time Remaining: 00:37:30
• Pause Remaining: 00:05:00
PAUSE
FLAG
A nursing practitioner is caring for a patient who is experiencing anxiety as well as numbness
and tingling of the lips and fingers. The patient's ABGs are: pH 7.48, PCO
3
2 30 mm Hg, HCO
-
24
mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the nursing
practitioner identify that the patient is experiencing?

Respiratory
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 2024
CLOSE
Que stion87 loade dr ati onal s pr ovid e d

Q: 87 of 90
CORRECT
• Time Remaining: 00:37:22
• Pause Remaining: 00:05:00
PAUSE
FLAG

A nursing practitioner is assessing a patient who has Cushing's syndrome. Which of the
following findings should the nursing practitioner expect?

Vitiligo

Med C

, Vitiligo is the loss of pigment from areas of a patient's skin, causing irregular, white patches.
Vitiligo is a manifestation of adrenal-gland hypofunction.

MY ANSWER

Osteoporos

Osteoporosis is a common finding with Cushing's syndrome. Bones become thinner as a
result of mineral loss and nitrogen depletion, and the risk for fractures increases.

Myxedema

A patient who has hypothyroidism can develop myxedema that causes mucinous cellular
edema around the eyes, across the upper back, and in the hands and feet.

Heat intolerance

A patient who has hyperthyroidism can develop heat intolerance, along with an increase in
sweating.

•
RN VATI Adult Medical Surgical 2024
CLOSE
Que stion86 loade dr ati onal s pr ovid e d

Q: 86 of 90
CORRECT
• Time Remaining: 00:37:13
• Pause Remaining: 00:05:00
PAUSE
FLAG

A nursing practitioner is inspecting the skin of a patient who has basal cell carcinoma. The
nursing practitioner should identify which of the following lesion characteristics on the
patient's skin?

MY ANSWER

A pearly, waxy

A patient 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 neck.

An irregular border on a variegated-colored lesion

Med C

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Exam (elaborations) ·

Exam (elaborations)

{NGN} ATI RN ADULT MEDICAL SURGICAL PROCTORED EXAM 2024 WITH ALL 90 ACTUAL EXAM NGN QUESTIONS AND CORRECT ANSWERS AND RATIONALES| ALREADY GRADED A+ (INCLUDES IMAGES)

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