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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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Chamberlain College Of Nursing

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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Number of pages 92
Written in 2024/2025
Type Exam (elaborations)
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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
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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
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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
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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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