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NUR 265 Exam 3 – Shock & Burns (Ch. 26 & 37) |
Latest Fall 2025/2026 Update | Verified
Questions & Answers | Galen College of Nursing
Subject: Nursing (Shock and Burn Management)
Source: Galen College of Nursing - NUR 265 Exam 3
Format: Multiple-choice, Select-all-that-apply, and Calculation Questions
with Answers and Rationales
1. The registered nurse assigns a client who has an open burn
wound to a licensed practical nurse (LPN). Which instruction should
the nurse provide to the LPN when assigning this client?
A. "Administer the prescribed tetanus toxoid vaccine."
B. "Assess the client's wounds for signs of infection."
C. "Encourage the client to breathe deeply every hour."
D. "Wash your hands on entering the client's room."
Correct Answer: D. "Wash your hands on entering the client's
room."
Rationale:
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1. Infection can occur when microorganisms from another person or
from the environment are transferred to the client.
2. Although all the listed interventions can help reduce infection risk,
handwashing is the most effective single technique for preventing
infection transmission.
3. This foundational action must be reinforced as the top priority to
maintain a sterile field and protect the vulnerable client.
2. The nurse is caring for a client with an acute burn injury. Which
action should the nurse take to prevent infection by
autocontamination?
A. Use a disposable blood pressure cuff to avoid sharing with other
clients.
B. Change gloves between wound care on different parts of the client's body.
C. Use the closed method of burn wound management for all wound care.
D. Advocate for proper and consistent handwashing by all members of the
staff.
Correct Answer: B. Change gloves between wound care on
different parts of the client's body.
Rationale:
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1. Autocontamination is defined as the transfer of microorganisms from
one area to another area of the same client's body, which can infect a
previously uninfected area.
2. Changing gloves between caring for different wound sites directly
prevents the spread of pathogens from one body part to another.
3. While other measures are important for general infection control,
this action specifically targets the mechanism of autocontamination.
3. The nurse teaches burn prevention to a community group.
Which statement by a member of the group should cause the nurse the
greatest concern?
A. "I get my chimney swept every other year."
B. "My hot water heater is set at 120 degrees."
C. "Sometimes I wake up at night and smoke."
D. "I use a space heater when it gets below zero."
Correct Answer: C. "Sometimes I wake up at night and smoke."
Rationale:
1. House fires are a common cause of serious burn injuries and
fatalities.
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2. Smoking in bed, especially when drowsy or asleep, poses an
extremely high risk of starting a fire from a dropped cigarette or
embers.
3. While other practices have risks (like a chimney needing yearly
cleaning), smoking in bed represents an immediate and severe
danger to personal safety.
4. A nurse cares for a client who has facial burns. The client asks,
"Will I ever look the same?" How should the nurse respond?
A. "With reconstructive surgery, you can look the same."
B. "We can remove the scars with the use of a pressure dressing."
C. "You will not look exactly the same but cosmetic surgery will help."
D. "You shouldn't start worrying about your appearance right now."
Correct Answer: C. "You will not look exactly the same but
cosmetic surgery will help."
Rationale:
1. Clients often have unrealistic expectations about reconstructive
surgery, hoping to return to their pre-injury appearance.
2. The nurse must provide honest, accurate information while still
offering hope for improvement.
NUR 265 Exam 3 – Shock & Burns (Ch. 26 & 37) |
Latest Fall 2025/2026 Update | Verified
Questions & Answers | Galen College of Nursing
Subject: Nursing (Shock and Burn Management)
Source: Galen College of Nursing - NUR 265 Exam 3
Format: Multiple-choice, Select-all-that-apply, and Calculation Questions
with Answers and Rationales
1. The registered nurse assigns a client who has an open burn
wound to a licensed practical nurse (LPN). Which instruction should
the nurse provide to the LPN when assigning this client?
A. "Administer the prescribed tetanus toxoid vaccine."
B. "Assess the client's wounds for signs of infection."
C. "Encourage the client to breathe deeply every hour."
D. "Wash your hands on entering the client's room."
Correct Answer: D. "Wash your hands on entering the client's
room."
Rationale:
, 2|Page
1. Infection can occur when microorganisms from another person or
from the environment are transferred to the client.
2. Although all the listed interventions can help reduce infection risk,
handwashing is the most effective single technique for preventing
infection transmission.
3. This foundational action must be reinforced as the top priority to
maintain a sterile field and protect the vulnerable client.
2. The nurse is caring for a client with an acute burn injury. Which
action should the nurse take to prevent infection by
autocontamination?
A. Use a disposable blood pressure cuff to avoid sharing with other
clients.
B. Change gloves between wound care on different parts of the client's body.
C. Use the closed method of burn wound management for all wound care.
D. Advocate for proper and consistent handwashing by all members of the
staff.
Correct Answer: B. Change gloves between wound care on
different parts of the client's body.
Rationale:
, 3|Page
1. Autocontamination is defined as the transfer of microorganisms from
one area to another area of the same client's body, which can infect a
previously uninfected area.
2. Changing gloves between caring for different wound sites directly
prevents the spread of pathogens from one body part to another.
3. While other measures are important for general infection control,
this action specifically targets the mechanism of autocontamination.
3. The nurse teaches burn prevention to a community group.
Which statement by a member of the group should cause the nurse the
greatest concern?
A. "I get my chimney swept every other year."
B. "My hot water heater is set at 120 degrees."
C. "Sometimes I wake up at night and smoke."
D. "I use a space heater when it gets below zero."
Correct Answer: C. "Sometimes I wake up at night and smoke."
Rationale:
1. House fires are a common cause of serious burn injuries and
fatalities.
, 4|Page
2. Smoking in bed, especially when drowsy or asleep, poses an
extremely high risk of starting a fire from a dropped cigarette or
embers.
3. While other practices have risks (like a chimney needing yearly
cleaning), smoking in bed represents an immediate and severe
danger to personal safety.
4. A nurse cares for a client who has facial burns. The client asks,
"Will I ever look the same?" How should the nurse respond?
A. "With reconstructive surgery, you can look the same."
B. "We can remove the scars with the use of a pressure dressing."
C. "You will not look exactly the same but cosmetic surgery will help."
D. "You shouldn't start worrying about your appearance right now."
Correct Answer: C. "You will not look exactly the same but
cosmetic surgery will help."
Rationale:
1. Clients often have unrealistic expectations about reconstructive
surgery, hoping to return to their pre-injury appearance.
2. The nurse must provide honest, accurate information while still
offering hope for improvement.
