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NR 574 FINAL EXAM (CHAMBERLAIN) NEWEST 2026
ACTUAL EXAM TEST BANK| NR574 ACUTE CARE
PRACTICUM I FINAL EXAM REVIEW WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Jerome has 75% TBSA 2nd and 3rd degree burn injuries. He weighs 80
kilograms (kg). Based on the Parkland formula how much fluid should
Jerome receive in the first 8 hours?
a. 6 liters (L)
b. 18 L
c. 24 L
d. 12 L – Correct Answer - 12 L
Parkland formula is TBSA x weight x 4ml. Half of this is given in the
first 8 hours. 75 x 80 x 4= 24L/2= 12L.
Neal was involved in a house fire. He sustained burns to the head, neck,
face, chest, and bilateral upper extremities. Neal was intubated by EMS
before arrival. What are the AGACNP's priority diagnostic studies for
Neal?
a. Carboxyhemoglobin (CO) level & ABGs
b. Cyanide level & chest computed tomography (CT)
c. Complete blood count (CBC), prothrombin time (PT), & activated
partial thromboplastin time (aPTT)
d. Basic metabolic profile (BMP) & central venous pressure (CVP) –
Correct Answer - Carboxyhemoglobin (CO) level & ABGs
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Assessing Neal’s CO on arrival (before it starts to decrease) and ABGs
will provide critical baseline information needed to determine vent
settings, start fluids, administer bicarb (if needed), and how long to leave
on 100% Fio2.
Harleen sustained a 50% TBSA burn injury. The time of injury was 6
hours ago. The nurse reports that Harleen’s urine output has decreased to
10ml/hr for the last two hours. What is the most appropriate intervention
by the nurse practitioner?
a. Order furosemide 40mg intravenous (IV) x1
b. Transfuse 1 unit packed red blood cells
c. Provide 1L rapid bolus of lactated ringers (LR)
d. Start D5W at 250 milliliters/hour (ml/hr) – Correct Answer - Provide
1L rapid bolus of lactated ringers (LR)
Urine decrease in a burn injury in the first 24 hours is generally going to
be met with a fluid challenge. Burns require a large volume of fluids;
some require upwards of 30L of fluid in just the first 24 hours. Thermal
injury causes an overwhelming fluid shift with most intravascular fluid
shifting into the tissues and the third space. That fluid has to be replaced
quickly. Urine output, lactic, CVP, acidosis are all signs of change in
fluid status in a burn client.
Guiselle is an 18-year-old female who was admitted 8 hours ago after a
near-drowning incident. EMS reports that she fell into a swimming pool
at a party and was unable to swim. It was reported that a family member
rescued her from underwater after she had been submerged for
approximately 2 minutes. She arrived with oxygen at 5 Liters (L) via
nasal cannula. Now, Guiselle reports shortness of breath and
anxiousness. She has difficulty talking in complete sentences. Vital signs
are: Blood pressure 122/72; Heart rate 122; Respiratory rate 32; Oxygen
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saturation 88% on 5 L oxygen. What is the most likely underlying cause
of Guiselle's distress?
a. Viral pneumonia
b. Bacterial pneumonia
c. Pulmonary embolism
d. Adult respiratory distress syndrome (ARDS) – Correct Answer - d.
Adult respiratory distress syndrome (ARDS)
Although Guiselle is at risk for bacterial pneumonia due to near-
drowning, the onset of her distress was too quick to be caused by
bacterial pneumonia. Her shortness of breath and anxiousness are most
likely caused by direct irritation of the lung parenchyma that leads to
ARDS. ARDS is characterized by sudden non-cardiogenic pulmonary
edema, hypoxia, and respiratory failure.
LaVelle was brought to the emergency department by EMS. He arrived
on a backboard with a cervical collar in place. LaVelle was found
submerged in a pool by a family member; the circumstances surrounding
the event are unknown. The family reports that LaVelle is a good
swimmer and often swims in the home pool alone. You note that his
breaths are shallow and slow. He is minimally conscious and does not
answer questions or follow commands. Pupils are 2 mm and slow to
react. Vital signs are Blood pressure 98/42; Heart rate 138; Respiratory
rate 10; Oxygen saturation 88 on 100% non-rebreather mask. What is
the AGACNP's most appropriate action for LaVelle?
a. Intubation and mechanical ventilation
b. Head CT
c. 1 L fluid bolus of normal saline (NS)
d. Cervical spine x-rays – Correct Answer - a. Intubation and mechanical
ventilation
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LaVelle is unable to protect his airway. He is lethargic, in shock, and
hypoxic. He requires emergent intubation to protect his airway. Without
airway support, total respiratory collapse may occur, which may lead to
cardiopulmonary arrest. ABCs are always the priority.
Which of the following genetic markers are used to diagnose CML?
a. Philadelphia chromosome
b. M protein
c. Auer rods
d. SMLG – Correct Answer - a. Philadelphia chromosome
The detection of the Philadelphia chromosome is used for diagnosing
CML. In addition, the BCR/ABL fusion gene is used to monitor the
disease and response to therapy. Auer rods are present in AML. The M
protein is a monoclonal immunoglobulin produced in plasma cell
disorders such as multiple myeloma. Extremely low levels of SMLG
along with kappa or lambda light chains are characteristic of CLL.
A 13-year-old boy is brought to the emergency department after falling
from his bicycle. He presents with a large, painfully swollen knee;
aspiration shows gross hemarthrosis. On further questioning, the client's
parents say that he bruises easily and has frequent nosebleeds. His
maternal uncle had similar bleeding difficulties. Which of the following
laboratory studies should prompt the AGACNP to suspect the presence
of hemophilia?
a. Normal platelet count, prolonged aPTT, normal PT
b. Decreased platelet count, normal aPTT, normal PT
c. Normal platelet count, elevated aPTT, elevated aPTT
d. Decreased platelet count, prolonged aPTT, prolonged PT – Correct
Answer - Normal platelet count, prolonged aPTT, normal PT
NR 574 FINAL EXAM (CHAMBERLAIN) NEWEST 2026
ACTUAL EXAM TEST BANK| NR574 ACUTE CARE
PRACTICUM I FINAL EXAM REVIEW WITH
COMPLETE 450 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Jerome has 75% TBSA 2nd and 3rd degree burn injuries. He weighs 80
kilograms (kg). Based on the Parkland formula how much fluid should
Jerome receive in the first 8 hours?
a. 6 liters (L)
b. 18 L
c. 24 L
d. 12 L – Correct Answer - 12 L
Parkland formula is TBSA x weight x 4ml. Half of this is given in the
first 8 hours. 75 x 80 x 4= 24L/2= 12L.
Neal was involved in a house fire. He sustained burns to the head, neck,
face, chest, and bilateral upper extremities. Neal was intubated by EMS
before arrival. What are the AGACNP's priority diagnostic studies for
Neal?
a. Carboxyhemoglobin (CO) level & ABGs
b. Cyanide level & chest computed tomography (CT)
c. Complete blood count (CBC), prothrombin time (PT), & activated
partial thromboplastin time (aPTT)
d. Basic metabolic profile (BMP) & central venous pressure (CVP) –
Correct Answer - Carboxyhemoglobin (CO) level & ABGs
,2|Page
Assessing Neal’s CO on arrival (before it starts to decrease) and ABGs
will provide critical baseline information needed to determine vent
settings, start fluids, administer bicarb (if needed), and how long to leave
on 100% Fio2.
Harleen sustained a 50% TBSA burn injury. The time of injury was 6
hours ago. The nurse reports that Harleen’s urine output has decreased to
10ml/hr for the last two hours. What is the most appropriate intervention
by the nurse practitioner?
a. Order furosemide 40mg intravenous (IV) x1
b. Transfuse 1 unit packed red blood cells
c. Provide 1L rapid bolus of lactated ringers (LR)
d. Start D5W at 250 milliliters/hour (ml/hr) – Correct Answer - Provide
1L rapid bolus of lactated ringers (LR)
Urine decrease in a burn injury in the first 24 hours is generally going to
be met with a fluid challenge. Burns require a large volume of fluids;
some require upwards of 30L of fluid in just the first 24 hours. Thermal
injury causes an overwhelming fluid shift with most intravascular fluid
shifting into the tissues and the third space. That fluid has to be replaced
quickly. Urine output, lactic, CVP, acidosis are all signs of change in
fluid status in a burn client.
Guiselle is an 18-year-old female who was admitted 8 hours ago after a
near-drowning incident. EMS reports that she fell into a swimming pool
at a party and was unable to swim. It was reported that a family member
rescued her from underwater after she had been submerged for
approximately 2 minutes. She arrived with oxygen at 5 Liters (L) via
nasal cannula. Now, Guiselle reports shortness of breath and
anxiousness. She has difficulty talking in complete sentences. Vital signs
are: Blood pressure 122/72; Heart rate 122; Respiratory rate 32; Oxygen
,3|Page
saturation 88% on 5 L oxygen. What is the most likely underlying cause
of Guiselle's distress?
a. Viral pneumonia
b. Bacterial pneumonia
c. Pulmonary embolism
d. Adult respiratory distress syndrome (ARDS) – Correct Answer - d.
Adult respiratory distress syndrome (ARDS)
Although Guiselle is at risk for bacterial pneumonia due to near-
drowning, the onset of her distress was too quick to be caused by
bacterial pneumonia. Her shortness of breath and anxiousness are most
likely caused by direct irritation of the lung parenchyma that leads to
ARDS. ARDS is characterized by sudden non-cardiogenic pulmonary
edema, hypoxia, and respiratory failure.
LaVelle was brought to the emergency department by EMS. He arrived
on a backboard with a cervical collar in place. LaVelle was found
submerged in a pool by a family member; the circumstances surrounding
the event are unknown. The family reports that LaVelle is a good
swimmer and often swims in the home pool alone. You note that his
breaths are shallow and slow. He is minimally conscious and does not
answer questions or follow commands. Pupils are 2 mm and slow to
react. Vital signs are Blood pressure 98/42; Heart rate 138; Respiratory
rate 10; Oxygen saturation 88 on 100% non-rebreather mask. What is
the AGACNP's most appropriate action for LaVelle?
a. Intubation and mechanical ventilation
b. Head CT
c. 1 L fluid bolus of normal saline (NS)
d. Cervical spine x-rays – Correct Answer - a. Intubation and mechanical
ventilation
, 4|Page
LaVelle is unable to protect his airway. He is lethargic, in shock, and
hypoxic. He requires emergent intubation to protect his airway. Without
airway support, total respiratory collapse may occur, which may lead to
cardiopulmonary arrest. ABCs are always the priority.
Which of the following genetic markers are used to diagnose CML?
a. Philadelphia chromosome
b. M protein
c. Auer rods
d. SMLG – Correct Answer - a. Philadelphia chromosome
The detection of the Philadelphia chromosome is used for diagnosing
CML. In addition, the BCR/ABL fusion gene is used to monitor the
disease and response to therapy. Auer rods are present in AML. The M
protein is a monoclonal immunoglobulin produced in plasma cell
disorders such as multiple myeloma. Extremely low levels of SMLG
along with kappa or lambda light chains are characteristic of CLL.
A 13-year-old boy is brought to the emergency department after falling
from his bicycle. He presents with a large, painfully swollen knee;
aspiration shows gross hemarthrosis. On further questioning, the client's
parents say that he bruises easily and has frequent nosebleeds. His
maternal uncle had similar bleeding difficulties. Which of the following
laboratory studies should prompt the AGACNP to suspect the presence
of hemophilia?
a. Normal platelet count, prolonged aPTT, normal PT
b. Decreased platelet count, normal aPTT, normal PT
c. Normal platelet count, elevated aPTT, elevated aPTT
d. Decreased platelet count, prolonged aPTT, prolonged PT – Correct
Answer - Normal platelet count, prolonged aPTT, normal PT
