Nur 410 Final Review UPDATED ACTUAL
Exam Questions and CORRECT Answers
Twelve hours after sustaining full-thickness burns to the chest and thighs a client who is nothing
by mouth (NPO) is complaining of severe thirst. The client's urinary output has been 60 mL/hr
for the past 10 hours. No bowel sounds are heard. What should the nurse do? - CORRECT
ANSWER -Moisten clients lips with wet 4x4
A client is admitted to the hospital with severe burns. What client response should the nurse
anticipate when caring for the client during the acute phase of burn recovery? - CORRECT
ANSWER -stable vitals
A school-aged child is admitted to the hospital with severe burns on the arms. Therapeutic
escharotomy is planned. What is the priority nursing action at this time? - CORRECT
ANSWER -monitoring radial pulses
A client with burns develops a wound infection. The nurse plans to teach the client that local
wound infections primarily are treated with what type of antibiotics? - CORRECT
ANSWER -topical
The nurse is caring for a client who sustained a partial-thickness burn to the lower leg accounting
for 5% of the total body surface area 1 day ago. Which primary short-term outcome established
by the nurse and client will be added to the care plan? - CORRECT ANSWER -pain will
remain a 2 or less on a scale of 0 to 10
A client is recovering from full-thickness burns and the nurse provides counseling on how to best
meet nutritional needs. When which foods are selected does the nurse identify that the client
understands the teaching? - CORRECT ANSWER -cheeseburger and malt
A client rescued from a burning building has partial- and full-thickness burns over 40% of the
body. Which is the initial physiologic change that the nurse can expect? - CORRECT
ANSWER -an increase in serum potassium
, A teenage girl who has sustained a partial-thickness burn on the face secondary to excessive
exposure to the sun states, "Prom night is only three weeks away. I will never be healed!" What
is the nurse's best response? - CORRECT ANSWER -recovery will take approximately
three weeks
A client who experienced extensive burns is receiving IV fluids to replace fluid loss. The nurse
should monitor for which initial sign of fluid overload? - CORRECT ANSWER -crackles
in the lungs
A school-aged child is brought to the emergency department with partial- and full-thickness
burns of the lower extremities. The practitioner writes multiple prescriptions. Which intervention
will the nurse complete first? - CORRECT ANSWER -Starting an intravenous line with a
large-bore catheter
A client who is being discharged with severe facial scarring from burns tells the nurse, "I've
saved some oxycodone, and when I get home I'm going to take all of them. Don't tell anyone."
What is the best response by the nurse? - CORRECT ANSWER -are you going to kill
yourself
A client with end-stage kidney disease says to the nurse, "I heard that it is inevitable that I will
need a kidney transplant. If so, which one of my kidneys will be removed?" Which is the best
response by the nurse? - CORRECT ANSWER -"Neither of your kidneys will be removed
unless they are infected."
The nurse is caring for client on peritoneal dialysis (PD). What action by the client indicates a
need for further teaching? - CORRECT ANSWER -The client cleans the catheter while
taking a bath
A nurse is caring for a client receiving continuous ambulatory peritoneal dialysis for chronic
kidney disease. The nurse should monitor the client for what complication? - CORRECT
ANSWER -hepatitis B
Exam Questions and CORRECT Answers
Twelve hours after sustaining full-thickness burns to the chest and thighs a client who is nothing
by mouth (NPO) is complaining of severe thirst. The client's urinary output has been 60 mL/hr
for the past 10 hours. No bowel sounds are heard. What should the nurse do? - CORRECT
ANSWER -Moisten clients lips with wet 4x4
A client is admitted to the hospital with severe burns. What client response should the nurse
anticipate when caring for the client during the acute phase of burn recovery? - CORRECT
ANSWER -stable vitals
A school-aged child is admitted to the hospital with severe burns on the arms. Therapeutic
escharotomy is planned. What is the priority nursing action at this time? - CORRECT
ANSWER -monitoring radial pulses
A client with burns develops a wound infection. The nurse plans to teach the client that local
wound infections primarily are treated with what type of antibiotics? - CORRECT
ANSWER -topical
The nurse is caring for a client who sustained a partial-thickness burn to the lower leg accounting
for 5% of the total body surface area 1 day ago. Which primary short-term outcome established
by the nurse and client will be added to the care plan? - CORRECT ANSWER -pain will
remain a 2 or less on a scale of 0 to 10
A client is recovering from full-thickness burns and the nurse provides counseling on how to best
meet nutritional needs. When which foods are selected does the nurse identify that the client
understands the teaching? - CORRECT ANSWER -cheeseburger and malt
A client rescued from a burning building has partial- and full-thickness burns over 40% of the
body. Which is the initial physiologic change that the nurse can expect? - CORRECT
ANSWER -an increase in serum potassium
, A teenage girl who has sustained a partial-thickness burn on the face secondary to excessive
exposure to the sun states, "Prom night is only three weeks away. I will never be healed!" What
is the nurse's best response? - CORRECT ANSWER -recovery will take approximately
three weeks
A client who experienced extensive burns is receiving IV fluids to replace fluid loss. The nurse
should monitor for which initial sign of fluid overload? - CORRECT ANSWER -crackles
in the lungs
A school-aged child is brought to the emergency department with partial- and full-thickness
burns of the lower extremities. The practitioner writes multiple prescriptions. Which intervention
will the nurse complete first? - CORRECT ANSWER -Starting an intravenous line with a
large-bore catheter
A client who is being discharged with severe facial scarring from burns tells the nurse, "I've
saved some oxycodone, and when I get home I'm going to take all of them. Don't tell anyone."
What is the best response by the nurse? - CORRECT ANSWER -are you going to kill
yourself
A client with end-stage kidney disease says to the nurse, "I heard that it is inevitable that I will
need a kidney transplant. If so, which one of my kidneys will be removed?" Which is the best
response by the nurse? - CORRECT ANSWER -"Neither of your kidneys will be removed
unless they are infected."
The nurse is caring for client on peritoneal dialysis (PD). What action by the client indicates a
need for further teaching? - CORRECT ANSWER -The client cleans the catheter while
taking a bath
A nurse is caring for a client receiving continuous ambulatory peritoneal dialysis for chronic
kidney disease. The nurse should monitor the client for what complication? - CORRECT
ANSWER -hepatitis B
