RN VATI Adult Medical Surgical (GRADED A) VATI-RN (LATEST UPDATE) ADULT MEDICAL SURGICAL Exam

*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?

Thinning of the skin

*****A nurse is assessing a client who hasleft-sided heart failure. Which of the following findings

should the nurse identify as a manifestation of left-sided heart failure?

Frothy sputum

****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

****A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should

the nurse expect?

Osteoporosis

****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

****A nurse is assessing a client who has hypocalcemia. In which of the following areas should the nurse

tap on the client's face to detect the presence of Chvostek's sign? (You will find hot spots to select in the

artwork below. Select only the hot spot that corresponds to your answer.)

A is correct. The nurse should tap the client's cheek just in front of the ear and below the zygomatic

arch. The client who has hypocalcemia will display a Chvostek's sign, which is a twitching of the facial

muscle.

Bisincorrect. The nurse should apply upward pressure at the supraorbital ridge, below theeyebrow,

to assess for tenderness and inflammation of the frontal sinuses.



C is incorrect. The nurse should palpate the jaw and mastoid muscle of a client who has

temporomandibular joint dysfunction. This can be caused by misaligned teeth, arthritis, or grinding of

the teeth. With palpation, the nurse might feel a click, pop, or grating sensation when the client opens

or closes the jaw.

****A nurse in an emergency department is assessing a client who is overusing prescribed diuretics and

has a sodium level of 127 mEq/L. Which of the following laboratory findings should the nurse expect?

Low urine specific gravity

***A home health nurse is assisting a client with planning care for a family member who has Alzheimer's

disease. Which of the following instructions should the nurse include?

Review the daily schedule with the client every morning.

***A nurse is caring for a client who has developed acute respiratory distress syndrome (ARDS). Which

of the following findings should the nurse identify as a manifestation of this syndrome?

Refractory hypoxemia

***An emergency room nurse is assessing a client who has asthma and difficulty breathing. Which of

the following findings should indicate to the nurse that the client is experiencing status asthmaticus?

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