NUR 402 EXAM 1 questions with correct 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? Correct
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? Correct Answer-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? Correct Answer-Evaluate airway and circulation
A nurse reviews the following data in the chart of a client with burn
injuries: 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 data provided, should the nurse categorizes this client's injuries?
Correct Answer-Full thickness
A nurse is caring for a patient who has just ad an open reduction internal
fixation of their right hip fracture by a posterior approach. Which of the
following activities, if observed by the nurse, would be incorrect care for
this patient? Correct Answer-OOB to chair with raised seat cushion, legs
crossed
, A gardener presents to the occupational health nurse after being exposed
to dry lime while fertilizing a lawn. There are large, dry particles on the
patient's right hand. What action would the occupational health nurse
prioritize next? Correct Answer-Brush off particles off hand and clothes,
and remove rings from right hand.
A patient being evaluated for severe burns to the torso and upper
extremities, with edema around burned areas. How should the nurse
describe the underlying cause for this assessment finding? Correct
Answer-Inability of the damaged capillaries to maintain fluids in the cell
walls
A 78 yr old woman 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? Correct Answer-Bilateral
wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the
emergency phase of the pt with an 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? Correct Answer-
Assess urine output and color
which of the following statements would summarize the difference
between triage in a mass casualty and triage in the emergency room?
Correct Answer-Only emergency room triage treats the most serious
injuries first
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? Correct
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? Correct Answer-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? Correct Answer-Evaluate airway and circulation
A nurse reviews the following data in the chart of a client with burn
injuries: 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 data provided, should the nurse categorizes this client's injuries?
Correct Answer-Full thickness
A nurse is caring for a patient who has just ad an open reduction internal
fixation of their right hip fracture by a posterior approach. Which of the
following activities, if observed by the nurse, would be incorrect care for
this patient? Correct Answer-OOB to chair with raised seat cushion, legs
crossed
, A gardener presents to the occupational health nurse after being exposed
to dry lime while fertilizing a lawn. There are large, dry particles on the
patient's right hand. What action would the occupational health nurse
prioritize next? Correct Answer-Brush off particles off hand and clothes,
and remove rings from right hand.
A patient being evaluated for severe burns to the torso and upper
extremities, with edema around burned areas. How should the nurse
describe the underlying cause for this assessment finding? Correct
Answer-Inability of the damaged capillaries to maintain fluids in the cell
walls
A 78 yr old woman 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? Correct Answer-Bilateral
wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the
emergency phase of the pt with an 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? Correct Answer-
Assess urine output and color
which of the following statements would summarize the difference
between triage in a mass casualty and triage in the emergency room?
Correct Answer-Only emergency room triage treats the most serious
injuries first
