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RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass
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RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass RN VATI Adult Medical Surgical Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass RN VATI Adult Medical Surgical Asse...

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  • August 31, 2024
  • 92
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • rn vati adult medical surgical assessment exam que

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RN VATI Adult Medical Surgical Assessment Exam

 .
Que stion .. . .
90 l oade d rational s provide d




Question: .90 .of .90
CORRECT
.


A .nurse .is .caring .for .a .client .who .has .atopic .dermatitis .and .a .prescription .for .triamcinolone
.ointment. .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

.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 .nurse .should .instruct .the .client .to .avoid .excessive .sun .exposure .when .taking .topical
.fluticasone; .however, .triamcinolone .ointment .does .not .cause .photosensitivity.



RN .VATI .Adult .Medical .Surgical .2019
.CLOSE
Que stion .. . .
89 l oade d rational s provide d




Question: .89 .of .90
CORRECT

, FLAG
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?



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

.the .venous .system.


Jugular .distention

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 .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

.venous .system.


Frothy .sputum

MY . ANSWER




The .nurse .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 .nurse .should

.notify .the .provider .immediately.





RN .VATI .Adult .Medical .Surgical .2019
.CLOSE
Que stion .. . .
88 l oade d rational s provide d




Question: .88 .of .90
CORRECT
 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
.the .lips .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 .alkalosis

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
2


.increased .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
3-


.alkaline .(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
3-


.alkaline .(increased). .A .decreased .pH .and .HCO3- .indicate .metabolic .acidosis.



RN .VATI .Adult .Medical .Surgical .2019
.CLOSE
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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 .findings
.should .the .nurse .expect?



Vitiligo

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

, Osteoporosis

MY . ANSWER




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 .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. .


Heat .intolerance

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





RN .VATI .Adult .Medical .Surgical .2019
.CLOSE
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Question: .86 .of .90
CORRECT
 Time .Remaining: .00:37:13
 Pause .Remaining: .00:05:00
PAUSE
FLAG
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?



A .pearly, .waxy .nodule

MY . ANSWER




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 .neck.


An .irregular .border .on .a .variegated-colored .lesion

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