Nur 410 Final Review Questions with 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
A 6-year-old child is in the acute phase of nephrotic syndrome. The
mother asks the nurse about play activities for her child. What should the
nurse suggest? Correct Answer-stuffed animal
A client has refused to eat or drink for the past three days, is confused,
and hypotensive. The client's urinary output has dropped to less than 300
mL/day, and a diagnosis of kidney failure secondary to dehydration has
been made; 50% glucose and regular insulin have been prescribed. What
is the rationale for the ordered medications? Correct Answer-Prevent
cardiac arrest
A client has end-stage kidney disease and is receiving hemodialysis.
During dialysis the client complains of nausea and a headache and
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
A 6-year-old child is in the acute phase of nephrotic syndrome. The
mother asks the nurse about play activities for her child. What should the
nurse suggest? Correct Answer-stuffed animal
A client has refused to eat or drink for the past three days, is confused,
and hypotensive. The client's urinary output has dropped to less than 300
mL/day, and a diagnosis of kidney failure secondary to dehydration has
been made; 50% glucose and regular insulin have been prescribed. What
is the rationale for the ordered medications? Correct Answer-Prevent
cardiac arrest
A client has end-stage kidney disease and is receiving hemodialysis.
During dialysis the client complains of nausea and a headache and
