NURS 405 B ATI questions for Final questions with
correct answers
A nurse working in a provider's office is assessing a client who has a
severe sunburn. Which of the following is the proper classification of
this burn?
A. Superficial
B. Superficial partial-thickness
C. Deep partial-thickness
D. Full thickness Correct Answer-A
A nurse is caring for a client who has sustained burns to 35% of his total
body surface area. Of this total, 20% are full-thickness burns on the
arms, face, neck and shoulders. The client's voice is hoarse, and he has a
brassy cough. These findings are indicative of which of the following?
A. Pulmonary edema
B. Bacterial pneumonia
C. Inhalation injury
D. Carbon monoxide poisoning Correct Answer-C
A nurse is caring for a client who was admitted 24 hrs ago with a deep
partial-thickness and full-thickness burns to 40% of his body. Which of
the following are expected findings in this client? (select all that apply)
,A. Hypertension
B. Bradycardia
C. Hyperkalemia
D. Hyponatremia
E. Decreased hematocrit Correct Answer-C, D
A nurse is preparing to administer fentanyl (sublimaze) to a client who
was admitted 24 hr ago with deep partial-thickness and full-thickness
burns over 60% of his body. The nurse should plan to use which of the
following routes to administer the medication?
A. Subcutaneous
B. Intramuscular
C. Intravenous
D. Transdermal Correct Answer-C
A nurse is planning care for a client who has burn injuries. Which of the
following interventions should be included in the plan of care? (select all
that apply)
A. Use standard precautions when performing wound care
B. Encourage fresh vegetables in the diet
C. Increase protein intake
D. Instruct client to consume 3000 calories daily
E. Restrict fresh flowers in room Correct Answer-A, C, E
, A nurse is caring for a client who was recently admitted to the
emergency department following a head-on motor vehicle crash. The
client is unresponsive, has spontaneous respirations of 22/min, and a
laceration on his forehead that is bleeding. Which of the following is the
priority nursing action at this time?
A. Keep neck stabilized
B. Insert nasogastric tube
C. Monitor pulse and blood pressure frequently
D. Establish IV access and start fluid replacement Correct Answer-A
A nurse is caring for a client who has just been admitted following
surgical evacuation of a subdural hematoma. Which of the following is
the priority assessment?
A. Gaslow Coma Scale
B. Cranial nerve function
C. Oxygen saturation
D. Pupillary response Correct Answer-C
A nurse is caring for a client who has a closed-head injury with ICP
readings range from 16 to 22 mm Hg. Which of the following actions
should the nurse take to decrease the potential for raising the client's
ICP? (select all that apply)
correct answers
A nurse working in a provider's office is assessing a client who has a
severe sunburn. Which of the following is the proper classification of
this burn?
A. Superficial
B. Superficial partial-thickness
C. Deep partial-thickness
D. Full thickness Correct Answer-A
A nurse is caring for a client who has sustained burns to 35% of his total
body surface area. Of this total, 20% are full-thickness burns on the
arms, face, neck and shoulders. The client's voice is hoarse, and he has a
brassy cough. These findings are indicative of which of the following?
A. Pulmonary edema
B. Bacterial pneumonia
C. Inhalation injury
D. Carbon monoxide poisoning Correct Answer-C
A nurse is caring for a client who was admitted 24 hrs ago with a deep
partial-thickness and full-thickness burns to 40% of his body. Which of
the following are expected findings in this client? (select all that apply)
,A. Hypertension
B. Bradycardia
C. Hyperkalemia
D. Hyponatremia
E. Decreased hematocrit Correct Answer-C, D
A nurse is preparing to administer fentanyl (sublimaze) to a client who
was admitted 24 hr ago with deep partial-thickness and full-thickness
burns over 60% of his body. The nurse should plan to use which of the
following routes to administer the medication?
A. Subcutaneous
B. Intramuscular
C. Intravenous
D. Transdermal Correct Answer-C
A nurse is planning care for a client who has burn injuries. Which of the
following interventions should be included in the plan of care? (select all
that apply)
A. Use standard precautions when performing wound care
B. Encourage fresh vegetables in the diet
C. Increase protein intake
D. Instruct client to consume 3000 calories daily
E. Restrict fresh flowers in room Correct Answer-A, C, E
, A nurse is caring for a client who was recently admitted to the
emergency department following a head-on motor vehicle crash. The
client is unresponsive, has spontaneous respirations of 22/min, and a
laceration on his forehead that is bleeding. Which of the following is the
priority nursing action at this time?
A. Keep neck stabilized
B. Insert nasogastric tube
C. Monitor pulse and blood pressure frequently
D. Establish IV access and start fluid replacement Correct Answer-A
A nurse is caring for a client who has just been admitted following
surgical evacuation of a subdural hematoma. Which of the following is
the priority assessment?
A. Gaslow Coma Scale
B. Cranial nerve function
C. Oxygen saturation
D. Pupillary response Correct Answer-C
A nurse is caring for a client who has a closed-head injury with ICP
readings range from 16 to 22 mm Hg. Which of the following actions
should the nurse take to decrease the potential for raising the client's
ICP? (select all that apply)
