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Ati rn adult medical surgical
Ati rn adult medical surgical
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ATI RN Adult Medical SurgicalPs s s s s
roctored Exam 2019 s s
Already Graded A s s
Que s s s ss s s s s
stion 90 loade d ra tionals pr ovide d
Question: 90 of 90 s s s
CORRECT
• TimesRemaining:s00:38:42
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesisscaringsforsasclientswhoshassatopicsdermatitissandsasprescriptionsforstriamcinolonesoi
ntment.sThesnursesshouldsassesssthesclientstosmonitorsforswhichsofsthesfollowingsadverseseffe
cts?
Increasedspigmentation
Topicalsglucocorticoidstherapyscanscausesthesadverseseffectsofshypopigmentation.sLocalizeds
hairsloss
Long-
termsglucocorticoidstherapyscanscauseshypertrichosis,sorsexcessiveshairsgrowth,sespeciallysonsthesf
acialsarea.
Thinningsofsthesskin
MY s AN S WE R
Thinningsofsthesskinsandsdelayedshealingsaresadverseseffectssofstopicalsglucocorticoidspreparation
s.sThesclientsshouldsonlysapplysthesointmentstosdryspatchessofsthesskinsbecausestopicalssteroidssca
nscausesatrophysofsthesdermissandsepidermis,swhichscansresultsinsthinningsofsthesskin.
Increasedssensitivitystosthessun
,Thesnursesshouldsinstructsthesclientstosavoidsexcessivessunsexposureswhenstakingstopicalsfluti
casone;showever,striamcinolonesointmentsdoessnotscausesphotosensitivity.
RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 89 lo a d e d ra tion a ls CLOSE s s
pr ov id e d
Question: 89 of 90 s s s
CORRECT
• TimesRemaining:s00:37:45
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesissassessingsasclientswhoshassleft-
sidedsheartsfailure.sWhichsofsthesfollowingsfindingssshouldsthesnursesidentifysassasmanifestationsofs
left-sidedsheartsfailure?
Dependentsedema
Thesnursesshouldsidentifysthatsdependentsedemasissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsins
thesvenousssystem.
Jugularsdistention
Thesnursesshouldsidentifysthatsjugularsveinsdistentionsissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsinst
hesvenousssystem.
Weightsgain
Thesnursesshouldsidentifysthatsweightsgainsissasmanifestationsofsright-
sidedsheartsfailuresduestosrightsventricularsfailuresandsfluidsretentionsfromspressuresbuildingsupsinst
hesvenousssystem.
Frothyssputum
MY s AN S WE R
Thesnursesshouldsidentifysthatsfrothyssputum,sdyspnea,sandswheezingsaresmanifestationssofsleft-
sidedsheartsfailure.sTreatmentsincludessfluidsrestrictionsandsdiureticsstosdecreasespreloadsandsre
ducespulmonaryscongestion.sPink-
tingedsfrothyssputumscansbesansearlysindicationsofspulmonarysedemasandscansbeslife-
threatening.sTherefore,sthesnursesshouldsnotifysthesprovidersimmediately.
,RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 88 lo a d e d ra tion a ls CLOSE s spr ov id e d
Question: 88 of 90 s s s
CORRECT
• TimesRemaining:s00:37:30
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesisscaringsforsasclientswhosissexperiencingsanxietysasswellsassnumbnesssandstinglingsofstheslips
sandsfingers.sThesclient'ssABGssare:spHs7.48,sPCO 2ss 30smmsHg,sHCO3-
sss24smEq/L,sPaO2ss 85smmsHg.sWhichsofsthesfollowingsacid-
basesimbalancessshouldsthesnursesidentifysthatsthesclientsissexperiencing?
Respiratorysalkalosis
MY s AN S WE R
ThisspHsissalkalines(increased)sandsthesPCO sssissdecreased,srepresentingsalveolarshyperventilationsa 2
ndsresultantsrespiratorysalkalosis.
Respiratorysacidosis
ThisspHsissalkalines(increased)sandsthesPCO sssissdecreased.sAsdecreasedspHsandsansincreasedsPCO sindic 2 2
atesrespiratorysacidosis.
Metabolicsalkalosis
ThissHCO 3-
sss 24smEq/Lsisswithinsthesexpectedsrangesofs21stos28smEq/LsandsthespHsissalkalines(increased).sAnsincrea
sedspHsandsHCO sssindicatesmetabolicsalkalosis. 3-
Metabolicsacidosis
ThissHCO 3-
sss 24smEq/Lsisswithinsthesexpectedsrangesofs21stos28smEq/LsandsthespHsissalkalines(increased).sAsdecreas
edspHsandsHCO sssindicatesmetabolicsacidosis. 3-
RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 87 lo a d e d ra tion a ls CLOSE s spr ov id e d
Question: 87 of 90 s s s
CORRECT
• TimesRemaining:s00:37:22
• PausesRemaining:s00:05:00
PAUSE
FLAG
AsnursesissassessingsasclientswhoshassCushing'sssyndrome.sWhichsofsthesfollowingsfindingsssho
uldsthesnursesexpect?
, Vitiligo
Vitiligosisstheslosssofspigmentsfromsareassofsasclient'ssskin,scausingsirregular,swhitespatches.sVitiligosi
ssasmanifestationsofsadrenal-glandshypofunction.
Osteoporosis
MY s AN S WE R
OsteoporosississascommonsfindingswithsCushing'sssyndrome.sBonessbecomesthinnersassasresultsofs
mineralslosssandsnitrogensdepletion,sandsthesrisksforsfracturessincreases.
Myxedema
Asclientswhoshasshypothyroidismscansdevelopsmyxedemasthatscausessmucinousscellularsedemasaro
undstheseyes,sacrosssthesuppersback,sandsinstheshandssandsfeet.
Heatsintolerance
Asclientswhoshasshyperthyroidismscansdevelopsheatsintolerance,salongswithsansincreasesinssw
eating.
RNsVATIsAdultsMedicalsSurgicals2019
Que s s s ss s s
s tio n 86 lo a d e d ra tion a ls CLOSE s s
pr ov id e d
Question: 86 of 90 s s s
CORRECT
• TimesRemaining:s00:37:13
• PausesRemaining:s00:05:00
PAUSE
FLAG
Asnursesissinspectingsthesskinsofsasclientswhoshassbasalscellscarcinoma.sThesnursesshouldsidentifyswh
ichsofsthesfollowingslesionscharacteristicssonsthesclient'ssskin?
Aspearly,swaxysnodule
MY s AN S WE R
Asclientswhoshassbasalscellscarcinomashassasnodularslesionswithswell-
definedsborderssandsaspearlysorswaxysappearance,sresultingsfromsoverexposurestosthessun,sespe
ciallysonsthesface,shead,sandsneck.
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