©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
NUR 402 EXAM 1 Questions With Correct
Answers
A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the following
questions would care coordinator ask when assessing for Impaired Physical Mobility, barriers to
mobility? - answer✔How many steps are there to your front door and in the house?
The burn patient relates the following history of health problems. which one should alert the
nurse to the need for alteration of fluid resuscitation plan? - answer✔Heart failure
The nurse is caring for a patient who is admitted to the ED with burns to the lower legs and
hands. During the initial management, what is the priority nursing care? - answer✔Evaluate
airway and circulation
A nurse reviews the following data in the chart of a client with burn injuries: Admission Note
Wound Assessment 36 yr old female with bilateral leg burns, Bilateral leg burns present with a
white and leather like appearance. No blisters bleeding present. Patient denies pain. Based on the
data provided, should the nurse categorizes this client's injuries? - answer✔Full thickness
A nurse is caring for a patient who has just ad an open reduction internal fixation of their right
hip fracture by a posterior approach. Which of the following activities, if observed by the nurse,
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
would be incorrect care for this patient? - answer✔OOB to chair with raised seat cushion, legs
crossed
A gardener presents to the occupational health nurse after being exposed to dry lime while
fertilizing a lawn. There are large, dry particles on the patient's right hand. What action would
the occupational health nurse prioritize next? - answer✔Brush off particles off hand and clothes,
and remove rings from right hand.
A patient being evaluated for severe burns to the torso and upper extremities, with edema around
burned areas. How should the nurse describe the underlying cause for this assessment finding? -
answer✔Inability of the damaged capillaries to maintain fluids in the cell walls
A 78 yr old woman has been rescued from a burning kitchen where she was trapped. Which of
the following physical assessment findings would indicate that she is at risk for inhalation? -
answer✔Bilateral wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the emergency phase of the pt with
an electrical burn that occurred while seated at a chair while wielding a pipe and came in contact
with electrical wires, after ABCDE has been assessed? - answer✔Assess urine output and color
which of the following statements would summarize the difference between triage in a mass
casualty and triage in the emergency room? - answer✔Only emergency room triage treats the
most serious injuries first
10/10/2024 11:44 AM
NUR 402 EXAM 1 Questions With Correct
Answers
A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the following
questions would care coordinator ask when assessing for Impaired Physical Mobility, barriers to
mobility? - answer✔How many steps are there to your front door and in the house?
The burn patient relates the following history of health problems. which one should alert the
nurse to the need for alteration of fluid resuscitation plan? - answer✔Heart failure
The nurse is caring for a patient who is admitted to the ED with burns to the lower legs and
hands. During the initial management, what is the priority nursing care? - answer✔Evaluate
airway and circulation
A nurse reviews the following data in the chart of a client with burn injuries: Admission Note
Wound Assessment 36 yr old female with bilateral leg burns, Bilateral leg burns present with a
white and leather like appearance. No blisters bleeding present. Patient denies pain. Based on the
data provided, should the nurse categorizes this client's injuries? - answer✔Full thickness
A nurse is caring for a patient who has just ad an open reduction internal fixation of their right
hip fracture by a posterior approach. Which of the following activities, if observed by the nurse,
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
would be incorrect care for this patient? - answer✔OOB to chair with raised seat cushion, legs
crossed
A gardener presents to the occupational health nurse after being exposed to dry lime while
fertilizing a lawn. There are large, dry particles on the patient's right hand. What action would
the occupational health nurse prioritize next? - answer✔Brush off particles off hand and clothes,
and remove rings from right hand.
A patient being evaluated for severe burns to the torso and upper extremities, with edema around
burned areas. How should the nurse describe the underlying cause for this assessment finding? -
answer✔Inability of the damaged capillaries to maintain fluids in the cell walls
A 78 yr old woman has been rescued from a burning kitchen where she was trapped. Which of
the following physical assessment findings would indicate that she is at risk for inhalation? -
answer✔Bilateral wheezing, strider, hoarse voice
Which priority assessment should the nurse focus on during the emergency phase of the pt with
an electrical burn that occurred while seated at a chair while wielding a pipe and came in contact
with electrical wires, after ABCDE has been assessed? - answer✔Assess urine output and color
which of the following statements would summarize the difference between triage in a mass
casualty and triage in the emergency room? - answer✔Only emergency room triage treats the
most serious injuries first
