Exam (elaborations)
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 Assessment Exam Questions with Correct Verified Answers Latest Update (2024/2025) Guaranteed Pass
RN VATI Adult Medical Surgical Asse...
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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
Que stion .. . .
87 l oade d rational s provide 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 .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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Que stion .. . .
86 l oade d rational s provide d
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