ADULT HEALTH 1 FINAL EXAM | COMPLETE QUESTIONS WITH
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
How would you stage this wound?
Stage 4
Unstageable
Stage 3
Stage 2 - (answer)B. Unstageable
2. Arterial ulcers tend to be symmetrical and form a ___ whereas venous ulcers tend to be
asymmetrical and form a ___ - (answer)deep crater
shallow wound
The nurse is caring for a client who is admitted to the medical unit for the treatment of a venous
ulcer in the area of her lateral malleolus that has been unresponsive to treatment. What is the
nurse most likely to find during an assessment of this client's wound?
hemorrhage
deep wound bed
pale colored wound bed
,heavy exudate - (answer)heavy exudate
The nurse is providing care for a client who has just been diagnosed with peripheral arterial
occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
unequal peripheral pulses between extremities
Reddened extremities with muscle atrophy
Visible clubbing of the fingers and toes - (answer)unequal peripheral pulses between extremities
You have been asked to change your client's pressure wound and use a wet-to-dry dressing. What
is the purpose of this type of dressing?
The packed gauze is a temporary fix before surgery
The packed gauze works to remove (debride) the dead or injured tissue
The packed gauze is works in wounds that have eschar.
The packed gauze liquefies the slough so it can be cleansed from the wound - (answer)The
packed gauze works to remove (debride) the dead or injured tissue
A nurse is assessing her client's wound. What is the width of the wound in this picture?
4cm
5cm
,7cm
6cm - (answer)5cm
A superficial burn injury that is at the epidermal level is considered what degree of burn?
first degree
third degree
second degree
full thickness - (answer)first degree
A deep partial and full thickness burn is usually very painful.
True
False - (answer)False
Regarding burn injuries, what is the number one intervention the nurse does after assuring the
scene is safe and the client is no longer on fire?
cover the wound with a dry dressing
chest compressions
Airway management
call 911 - (answer)Airway management
, A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this
phase, the nurse should monitor for evidence of what alteration in laboratory values?
hypokalemia
hypocalcemia
hyperkalemia
hypercalcemia - (answer)hyperkalemia
The nurse is caring for a client who sustained third degree burns to the front side of the left arm
and hand, and the front side of the chest and abdomen. Using the rule of nines, what percentage
of the body surface area is burned?
27%
22.5%
36%
18% - (answer)22.5%
The nurse is caring for a client who sustained 2nd degree burns to the front and back of the head.
What percentage of body surface area is burned?
18%
100% RATED EXPERT SOLUTIONS |2026 LATEST UPDATED
How would you stage this wound?
Stage 4
Unstageable
Stage 3
Stage 2 - (answer)B. Unstageable
2. Arterial ulcers tend to be symmetrical and form a ___ whereas venous ulcers tend to be
asymmetrical and form a ___ - (answer)deep crater
shallow wound
The nurse is caring for a client who is admitted to the medical unit for the treatment of a venous
ulcer in the area of her lateral malleolus that has been unresponsive to treatment. What is the
nurse most likely to find during an assessment of this client's wound?
hemorrhage
deep wound bed
pale colored wound bed
,heavy exudate - (answer)heavy exudate
The nurse is providing care for a client who has just been diagnosed with peripheral arterial
occlusive disease (PAD). What assessment finding is most consistent with this diagnosis?
unequal peripheral pulses between extremities
Reddened extremities with muscle atrophy
Visible clubbing of the fingers and toes - (answer)unequal peripheral pulses between extremities
You have been asked to change your client's pressure wound and use a wet-to-dry dressing. What
is the purpose of this type of dressing?
The packed gauze is a temporary fix before surgery
The packed gauze works to remove (debride) the dead or injured tissue
The packed gauze is works in wounds that have eschar.
The packed gauze liquefies the slough so it can be cleansed from the wound - (answer)The
packed gauze works to remove (debride) the dead or injured tissue
A nurse is assessing her client's wound. What is the width of the wound in this picture?
4cm
5cm
,7cm
6cm - (answer)5cm
A superficial burn injury that is at the epidermal level is considered what degree of burn?
first degree
third degree
second degree
full thickness - (answer)first degree
A deep partial and full thickness burn is usually very painful.
True
False - (answer)False
Regarding burn injuries, what is the number one intervention the nurse does after assuring the
scene is safe and the client is no longer on fire?
cover the wound with a dry dressing
chest compressions
Airway management
call 911 - (answer)Airway management
, A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this
phase, the nurse should monitor for evidence of what alteration in laboratory values?
hypokalemia
hypocalcemia
hyperkalemia
hypercalcemia - (answer)hyperkalemia
The nurse is caring for a client who sustained third degree burns to the front side of the left arm
and hand, and the front side of the chest and abdomen. Using the rule of nines, what percentage
of the body surface area is burned?
27%
22.5%
36%
18% - (answer)22.5%
The nurse is caring for a client who sustained 2nd degree burns to the front and back of the head.
What percentage of body surface area is burned?
18%
