NUR 402 EXAM 1 Questions And Accurate Answers
A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the
following questions would care coordinator ask when assessing for Impaired Physical
Mobility, barriers to mobility? - ANSWER How many steps are there to your front door
and in the house?
The burn patient relates the following history of health problems. which one should alert
the nurse to the need for alteration of fluid resuscitation plan? - ANS Heart failure
The nurse is caring for a patient who is admitted to the ED with burns to the lower legs
and hands. During the initial management, what is the priority nursing care? - ANS
Evaluate airway and circulation
A nurse reads the following information from the chart of a burn-injured client:
Admission Note Wound Assessment 36 yr old female with bilateral leg burns, Bilateral
leg burns present with a white and leather like appearance. No blisters bleeding
present. Patient denies pain. Based on the above information provided, how would the
nurse classify this client's injuries? - ANSWER Full thickness
The nurse is caring for a patient who has just had an open reduction internal fixation of
his right hip fracture by a posterior approach. Which of the following activities, if
observed by the nurse, would be incorrect care for this patient? ANSWER OOB to chair
with raised seat cushion, legs crossed
Scenarios The occupational health nurse is treating a gardener who has been exposed
to dry lime while fertilizing a lawn. The patient's right hand has large, dry particles on it.
What is the priority action of the occupational health nurse at this time? ANSWER Brush
particles off hand and clothes; remove rings from right hand.
A client is receiving treatment for severe torso and upper extremity burns and has
edema around the burned tissue areas. The nurse should determine that which of the
following pathophysiological causes is the basis for this assessment finding? ANSWER
, Inability of the damaged capillaries to maintain fluids in the cell walls
A 78-yr-old female has been rescued from a burning kitchen where she was trapped.
Which of the following physical assessment findings would indicate that she is at risk for
inhalation? ANSWER Bilateral wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the emergency phase of the
pt with the electrical burn that occurred while seated at a chair while wielding a pipe
and came in contact with electrical wires, after ABCDE has been assessed? ANSWER
Assess urine output and color
Which of the following statements best summarizes the difference between triage in a
mass casualty and triage in the emergency room? - ANSWER Only emergency room
triage treats the most serious injuries first
The burn pt relates the following history of health problems. Which one should alert the
need for alteration of resuscitation plan? - ANSWER Heart Failure
A patient has been admitted for thermal burns. After ABCDE issue have been addressed
which of the following would be a priority for the nurse caring for this patient? -
ANSWER Administration of tetanus toxoid
An occupational health nurse has been informed that a worker has received a flash burn
to the left upper arm. Upon arrival, pt is moaning, in pain. Which of the following would
be the nurse's priority action next? ANSWER Wrap cool tap water-soaked towels around
the burn
A 55kg pt has a TBSA burn of 75% How much total fluid should the pt receive in the first
8 house? And how much ml/hr should the nurse set the IV pump at for the remaining 16
hrs? - ANSWER 8250ml .
515.6ml
Which of the following pt has been appropriately triaged in the ED? ANSWER A pt,
A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the
following questions would care coordinator ask when assessing for Impaired Physical
Mobility, barriers to mobility? - ANSWER How many steps are there to your front door
and in the house?
The burn patient relates the following history of health problems. which one should alert
the nurse to the need for alteration of fluid resuscitation plan? - ANS Heart failure
The nurse is caring for a patient who is admitted to the ED with burns to the lower legs
and hands. During the initial management, what is the priority nursing care? - ANS
Evaluate airway and circulation
A nurse reads the following information from the chart of a burn-injured client:
Admission Note Wound Assessment 36 yr old female with bilateral leg burns, Bilateral
leg burns present with a white and leather like appearance. No blisters bleeding
present. Patient denies pain. Based on the above information provided, how would the
nurse classify this client's injuries? - ANSWER Full thickness
The nurse is caring for a patient who has just had an open reduction internal fixation of
his right hip fracture by a posterior approach. Which of the following activities, if
observed by the nurse, would be incorrect care for this patient? ANSWER OOB to chair
with raised seat cushion, legs crossed
Scenarios The occupational health nurse is treating a gardener who has been exposed
to dry lime while fertilizing a lawn. The patient's right hand has large, dry particles on it.
What is the priority action of the occupational health nurse at this time? ANSWER Brush
particles off hand and clothes; remove rings from right hand.
A client is receiving treatment for severe torso and upper extremity burns and has
edema around the burned tissue areas. The nurse should determine that which of the
following pathophysiological causes is the basis for this assessment finding? ANSWER
, Inability of the damaged capillaries to maintain fluids in the cell walls
A 78-yr-old female has been rescued from a burning kitchen where she was trapped.
Which of the following physical assessment findings would indicate that she is at risk for
inhalation? ANSWER Bilateral wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the emergency phase of the
pt with the electrical burn that occurred while seated at a chair while wielding a pipe
and came in contact with electrical wires, after ABCDE has been assessed? ANSWER
Assess urine output and color
Which of the following statements best summarizes the difference between triage in a
mass casualty and triage in the emergency room? - ANSWER Only emergency room
triage treats the most serious injuries first
The burn pt relates the following history of health problems. Which one should alert the
need for alteration of resuscitation plan? - ANSWER Heart Failure
A patient has been admitted for thermal burns. After ABCDE issue have been addressed
which of the following would be a priority for the nurse caring for this patient? -
ANSWER Administration of tetanus toxoid
An occupational health nurse has been informed that a worker has received a flash burn
to the left upper arm. Upon arrival, pt is moaning, in pain. Which of the following would
be the nurse's priority action next? ANSWER Wrap cool tap water-soaked towels around
the burn
A 55kg pt has a TBSA burn of 75% How much total fluid should the pt receive in the first
8 house? And how much ml/hr should the nurse set the IV pump at for the remaining 16
hrs? - ANSWER 8250ml .
515.6ml
Which of the following pt has been appropriately triaged in the ED? ANSWER A pt,
