AH3 EXAM 5 QUESTIONS & ANSWERS
A 65 year old male patient has experienced full-thickness electrical burns on the legs
and arms. As the nurse you know this patient is at risk for the following: Select all that
apply:
A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
D. Hypernatremia
E. Bone fractures
F. Fluid volume overload - Answers :A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
E. Bone fractures
True or False:
A patient who experiences an alkali chemical burn is easier to treat because the skin
will neutralize the chemical rather than with an acidic chemical burn. - Answers :False
A patient arrives to the ER with full-thickness burns on the front and back of the torso
and neck. The patient has no spinal injuries but is disoriented and coughing up black
sooty sputum. Vital signs are: oxygen saturation 63%, heart rate 145, blood pressure
80/56, and respiratory rate 39. As the nurse you will:
A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
C. Prep the patient for fasciotomy.
D. Prep the patient for intubation.
E. Place a pillow under the patient's neck.
F. Obtain IV access at two sites.
G. Restrict fluids. - Answers :A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
D. Prep the patient for intubation.
F. Obtain IV access at two sites.
A patient arrives to the ER due to experiencing burns while in an enclosed warehouse.
Which assessment findings below demonstrate the patient may have experienced an
inhalation injury?
A. Carbonaceous sputum
B. Hair singeing on the head and nose
C. Lhermitte's Sign
D. Bright red lips
, E. Hoarse voice
F. Tachycardia - Answers :A. Carbonaceous sputum
B. Hair singeing on the head and nose
D. Bright red lips
E. Hoarse voice
F. Tachycardia
You're providing education to a group of local firefighters about carbon monoxide
poisoning. Which statement is correct about the pathophysiology regarding this
condition?
A. "Patients are most likely to present with cyanosis around the lips and face."
B. "In this condition, carbon monoxide binds to the hemoglobin of the red blood cell
leading to a decrease in the ability of the hemoglobin to carry oxygen to the body."
C. "Carbon monoxide poisoning leads to a hyperoxygenated state, which causes
hypercapnia."
D. "Carbon monoxide binds to the hemoglobin of the red blood cell and prevents the
transport of carbon dioxide out of the blood, which leads to poisoning." - Answers :B. "In
this condition, carbon monoxide binds to the hemoglobin of the red blood cell leading to
a decrease in the ability of the hemoglobin to carry oxygen to the body."
A patient experienced a full-thickness burn 72 hours ago. The patient's vital signs are
within normal limits and urinary output is 50 mL/hr. This is known as what phase of burn
management?
A. Emergent
B. Acute
C. Rehabilitative - Answers :B. Acute
This phase starts when capillary permeability has returned to normal and the patient's
vitals are within normal limits and ends with wound closure. The phase after this is
rehabilitative.
What are some patient priorities during the emergent phase of burn management?
A. Fluid volume
B. Respiratory status
C. Psychosocial
D. Wound closure
E. Nutrition - Answers :A. Fluid volume
B. Respiratory status
During the emergent phase of burn management, you would expect the following lab
values:
A. Low sodium, low potassium, high glucose, low hematocrit
A 65 year old male patient has experienced full-thickness electrical burns on the legs
and arms. As the nurse you know this patient is at risk for the following: Select all that
apply:
A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
D. Hypernatremia
E. Bone fractures
F. Fluid volume overload - Answers :A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
E. Bone fractures
True or False:
A patient who experiences an alkali chemical burn is easier to treat because the skin
will neutralize the chemical rather than with an acidic chemical burn. - Answers :False
A patient arrives to the ER with full-thickness burns on the front and back of the torso
and neck. The patient has no spinal injuries but is disoriented and coughing up black
sooty sputum. Vital signs are: oxygen saturation 63%, heart rate 145, blood pressure
80/56, and respiratory rate 39. As the nurse you will:
A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
C. Prep the patient for fasciotomy.
D. Prep the patient for intubation.
E. Place a pillow under the patient's neck.
F. Obtain IV access at two sites.
G. Restrict fluids. - Answers :A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
D. Prep the patient for intubation.
F. Obtain IV access at two sites.
A patient arrives to the ER due to experiencing burns while in an enclosed warehouse.
Which assessment findings below demonstrate the patient may have experienced an
inhalation injury?
A. Carbonaceous sputum
B. Hair singeing on the head and nose
C. Lhermitte's Sign
D. Bright red lips
, E. Hoarse voice
F. Tachycardia - Answers :A. Carbonaceous sputum
B. Hair singeing on the head and nose
D. Bright red lips
E. Hoarse voice
F. Tachycardia
You're providing education to a group of local firefighters about carbon monoxide
poisoning. Which statement is correct about the pathophysiology regarding this
condition?
A. "Patients are most likely to present with cyanosis around the lips and face."
B. "In this condition, carbon monoxide binds to the hemoglobin of the red blood cell
leading to a decrease in the ability of the hemoglobin to carry oxygen to the body."
C. "Carbon monoxide poisoning leads to a hyperoxygenated state, which causes
hypercapnia."
D. "Carbon monoxide binds to the hemoglobin of the red blood cell and prevents the
transport of carbon dioxide out of the blood, which leads to poisoning." - Answers :B. "In
this condition, carbon monoxide binds to the hemoglobin of the red blood cell leading to
a decrease in the ability of the hemoglobin to carry oxygen to the body."
A patient experienced a full-thickness burn 72 hours ago. The patient's vital signs are
within normal limits and urinary output is 50 mL/hr. This is known as what phase of burn
management?
A. Emergent
B. Acute
C. Rehabilitative - Answers :B. Acute
This phase starts when capillary permeability has returned to normal and the patient's
vitals are within normal limits and ends with wound closure. The phase after this is
rehabilitative.
What are some patient priorities during the emergent phase of burn management?
A. Fluid volume
B. Respiratory status
C. Psychosocial
D. Wound closure
E. Nutrition - Answers :A. Fluid volume
B. Respiratory status
During the emergent phase of burn management, you would expect the following lab
values:
A. Low sodium, low potassium, high glucose, low hematocrit
