• NUR 445 EXAM 09/20/2026
NUR 445 EXAM 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A nurse is planning care for an adult client who sustained severe burn injuries. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A. Limit visitors in the client's room
B. Encourage fresh vegetables in the diet
P 1
, • NUR 445 EXAM 09/20/2026
C. Increase protein intake
D. Instruct the client to consume 2,000 calories/day
E. Restrict fresh flowers in the room - Correct Answer :ANS: A, C, E
Rationale: Limit visitors and ensure ill individuals do not visit the client, to decrease the risk of infection. Some
facilities restrict consumption of fresh vegetables due to the presence of bacteria on the surface and the
increased risk for infection. The client should increase protein consumption, which promotes wound healing and
prevents tissue breakdown. The client should consume up to 5,000 calories/day because caloric needs double or
triple beginning 4-12 days following the burn. Flowers should not be in the client's room due to the bacteria they
carry, which increases the risk for infection (pg. 507 CMS book)
A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm. How
should the nurse document the percentage of the client's body that sustained burns?
A. 9%
B. 18%
C. 27%
D. 36% - Correct Answer :ANS: C. 27%
Rationale: According to the rule of nines, the posterior trunk, anterior trunk, and legs each make up 18% of the
total body surface. The head, neck, and arms each make up 9% of total body surface, and the perineum makes
up 1%. In this case, the client received burns to the back (18%) and one arm (9%), totaling 27% of the body.
The client who tripped while carrying an open kettle of hot water received scald burns to the entire chest, the
entire anterior section of the right arm, the right half of the abdomen, and the anterior portion of the right leg
from the groin to the knee. At what percentage of total body surface area does the nurse calculate the injury
using the rule of nines?
A. 22%-23%
B. 30%-31%
C. 39%-40%
D. 48%-49% - Correct Answer :ANS: A. 22%-23%
P 2
, • NUR 445 EXAM 09/20/2026
Rationale: The anterior thorax, which includes the chest and abdomen, is 18% of the total body surface area.
Therefore, the entire chest and half of the abdomen would be 13.5%. The anterior right area adds another 4.5%,
bringing the total to 18%. The anterior section of the right thigh adds another 4.5%, bringing the total body
surface area involved in this injury to approximately 22% to 23%. (pg. 523, Physiological Integrity)
A patient is admitted with second- and third-degree burns covering the face, entire right upper extremity, and
the anterior trunk area. Using the rule of nines, what should the nurse calculate the extent of these burns as
being?
A. 18%
B. 22.5%
C. 27%
D. 36% - Correct Answer :ANS: B. 22.5%
Rationale: Using the rule of nines, for these second- and third-degree burns, the face encompasses 4.5% of the
body area, the entire right arm encompasses 9% of the body area, and the entire anterior trunk encompasses 18%
of the body area. Since the patient has burns on only the right side of the anterior trunk, the nurse would assess
that burn as encompassing half of the 18% or 9%. Therefore, adding the three areas together (4.5 + 9 + 9), the
nurse would correctly calculate the extent of this patient's burns to cover approximately 22.5% of the total body
surface area.
An adult client was burned in a car fire. The client sustained a circumferential burn to the right arm, the anterior
torso, and half of the anterior face. What percent of the body was burned using the rule of nines?
A. 15.75%
B. 27%
C. 29.25%
D. 31.5% - Correct Answer :ANS: D. 31.5%
Rationale: R arm = 4.5%(anterior) + 4.5%(posterior) = 9% whole arm. Anterior Torso = 18. Anterior Face: 4.5%. To
get the answer: 9+18+4.5 = 31.5%
P 3
, • NUR 445 EXAM 09/20/2026
58-year-old female patient has superficial partial-thickness burns to the anterior head and neck, front and back
of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg.
Using the Rule of Nines, calculate the total body surface area percentage that is burned?
A. 63%
B. 81%
C. 72%
D. 54% - Correct Answer :ANS: A. 63%
Rationale: Anterior head and neck (4.5%), front and back of the left arm (9%), front of the right arm (4.5%),
posterior trunk (18%), front and back of the right leg (18%), back of the left leg (9%) which equals 63%.
A patient receives a medication as prescribed but develops an unexpected harmful response. Which term best
describes this situation?
A. Drug tolerance B. Adverse drug reaction C. Drug-drug interaction D. Idiosyncratic effect - Correct Answer
:Answer: B — Adverse drug reaction
Rationale: An adverse drug reaction is a harmful reaction caused by a medication even when the medication is
taken correctly. An idiosyncratic effect is specifically an unusual or unexpected response. A drug-drug interaction
occurs when one medication affects another, while tolerance occurs when the body becomes accustomed to a
medication and requires more to produce the same effect.
The nurse is reviewing medication-related concepts with a student. Which statements demonstrate correct
understanding? Select all that apply.
A. "An antagonist decreases the action of another drug." B. "A synergistic effect occurs when two drugs
produce a stronger combined effect." C. "Tolerance means the patient has developed an allergic reaction." D. "A
toxic effect can occur when a medication builds up to harmful levels." E. "An idiosyncratic effect is always
predictable." F. "A teratogenic substance can harm a developing fetus." - Correct Answer :Answers: A, B, D, F
Rationale:
• A: Correct. An antagonist blocks or decreases another drug/substance's action.
• B: Correct. Synergism means combined drugs produce a stronger effect.
• D: Correct. Toxic effects occur when medication reaches harmful levels.
• F: Correct. Teratogenic substances can cause birth defects or fetal harm.
• C: Incorrect. Tolerance is decreased response over time, not an allergy.
• E: Incorrect. Idiosyncratic effects are unusual/unexpected responses.
P 4
NUR 445 EXAM 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE
OF NURSING
A nurse is planning care for an adult client who sustained severe burn injuries. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply)
A. Limit visitors in the client's room
B. Encourage fresh vegetables in the diet
P 1
, • NUR 445 EXAM 09/20/2026
C. Increase protein intake
D. Instruct the client to consume 2,000 calories/day
E. Restrict fresh flowers in the room - Correct Answer :ANS: A, C, E
Rationale: Limit visitors and ensure ill individuals do not visit the client, to decrease the risk of infection. Some
facilities restrict consumption of fresh vegetables due to the presence of bacteria on the surface and the
increased risk for infection. The client should increase protein consumption, which promotes wound healing and
prevents tissue breakdown. The client should consume up to 5,000 calories/day because caloric needs double or
triple beginning 4-12 days following the burn. Flowers should not be in the client's room due to the bacteria they
carry, which increases the risk for infection (pg. 507 CMS book)
A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm. How
should the nurse document the percentage of the client's body that sustained burns?
A. 9%
B. 18%
C. 27%
D. 36% - Correct Answer :ANS: C. 27%
Rationale: According to the rule of nines, the posterior trunk, anterior trunk, and legs each make up 18% of the
total body surface. The head, neck, and arms each make up 9% of total body surface, and the perineum makes
up 1%. In this case, the client received burns to the back (18%) and one arm (9%), totaling 27% of the body.
The client who tripped while carrying an open kettle of hot water received scald burns to the entire chest, the
entire anterior section of the right arm, the right half of the abdomen, and the anterior portion of the right leg
from the groin to the knee. At what percentage of total body surface area does the nurse calculate the injury
using the rule of nines?
A. 22%-23%
B. 30%-31%
C. 39%-40%
D. 48%-49% - Correct Answer :ANS: A. 22%-23%
P 2
, • NUR 445 EXAM 09/20/2026
Rationale: The anterior thorax, which includes the chest and abdomen, is 18% of the total body surface area.
Therefore, the entire chest and half of the abdomen would be 13.5%. The anterior right area adds another 4.5%,
bringing the total to 18%. The anterior section of the right thigh adds another 4.5%, bringing the total body
surface area involved in this injury to approximately 22% to 23%. (pg. 523, Physiological Integrity)
A patient is admitted with second- and third-degree burns covering the face, entire right upper extremity, and
the anterior trunk area. Using the rule of nines, what should the nurse calculate the extent of these burns as
being?
A. 18%
B. 22.5%
C. 27%
D. 36% - Correct Answer :ANS: B. 22.5%
Rationale: Using the rule of nines, for these second- and third-degree burns, the face encompasses 4.5% of the
body area, the entire right arm encompasses 9% of the body area, and the entire anterior trunk encompasses 18%
of the body area. Since the patient has burns on only the right side of the anterior trunk, the nurse would assess
that burn as encompassing half of the 18% or 9%. Therefore, adding the three areas together (4.5 + 9 + 9), the
nurse would correctly calculate the extent of this patient's burns to cover approximately 22.5% of the total body
surface area.
An adult client was burned in a car fire. The client sustained a circumferential burn to the right arm, the anterior
torso, and half of the anterior face. What percent of the body was burned using the rule of nines?
A. 15.75%
B. 27%
C. 29.25%
D. 31.5% - Correct Answer :ANS: D. 31.5%
Rationale: R arm = 4.5%(anterior) + 4.5%(posterior) = 9% whole arm. Anterior Torso = 18. Anterior Face: 4.5%. To
get the answer: 9+18+4.5 = 31.5%
P 3
, • NUR 445 EXAM 09/20/2026
58-year-old female patient has superficial partial-thickness burns to the anterior head and neck, front and back
of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg.
Using the Rule of Nines, calculate the total body surface area percentage that is burned?
A. 63%
B. 81%
C. 72%
D. 54% - Correct Answer :ANS: A. 63%
Rationale: Anterior head and neck (4.5%), front and back of the left arm (9%), front of the right arm (4.5%),
posterior trunk (18%), front and back of the right leg (18%), back of the left leg (9%) which equals 63%.
A patient receives a medication as prescribed but develops an unexpected harmful response. Which term best
describes this situation?
A. Drug tolerance B. Adverse drug reaction C. Drug-drug interaction D. Idiosyncratic effect - Correct Answer
:Answer: B — Adverse drug reaction
Rationale: An adverse drug reaction is a harmful reaction caused by a medication even when the medication is
taken correctly. An idiosyncratic effect is specifically an unusual or unexpected response. A drug-drug interaction
occurs when one medication affects another, while tolerance occurs when the body becomes accustomed to a
medication and requires more to produce the same effect.
The nurse is reviewing medication-related concepts with a student. Which statements demonstrate correct
understanding? Select all that apply.
A. "An antagonist decreases the action of another drug." B. "A synergistic effect occurs when two drugs
produce a stronger combined effect." C. "Tolerance means the patient has developed an allergic reaction." D. "A
toxic effect can occur when a medication builds up to harmful levels." E. "An idiosyncratic effect is always
predictable." F. "A teratogenic substance can harm a developing fetus." - Correct Answer :Answers: A, B, D, F
Rationale:
• A: Correct. An antagonist blocks or decreases another drug/substance's action.
• B: Correct. Synergism means combined drugs produce a stronger effect.
• D: Correct. Toxic effects occur when medication reaches harmful levels.
• F: Correct. Teratogenic substances can cause birth defects or fetal harm.
• C: Incorrect. Tolerance is decreased response over time, not an allergy.
• E: Incorrect. Idiosyncratic effects are unusual/unexpected responses.
P 4
