MEDSURG FINAL EXAM WITH
ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED
ANSWERS ALREADY GRADED A+
GUARANTEED PASS
A client in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood
gases drawn. Upon analysis of the client's laboratory studies, the nurse will expect the results to indicate
what findings?
A. Hyperkalemia, hyponatremia, elevated hematocrit
B. Hypokalemia, hypernatremia, decreased hematocrit
C. Hyperkalemia, hypernatremia, decreased hematocrit
D. Hypokalemia, hyponatremia, elevated hematocrit
ANS: A
A client has experienced an electrical burn and has developed thick eschar over the burn site. Which of
the following topical antibacterial agents will the nurse expect the health care provider to order for the
wound?
A. Silver sulfadiazine 1% (Silvadene) water-soluble cream
B. Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream C. Silver nitrate 0.5% aqueous solution
D. Acticoat
ANS: B
An occupational health nurse is called to the floor of a factory where a worker has sustained a flash burn
to the right arm. The nurse arrives and the flames have been extinguished. The next step is to "cool the
burn." How should the nurse cool the burn?
A. Apply ice to the site of the burn for 5 to 10 minutes.
B. Wrap the client's affected extremity in ice until help arrives.
C. Apply an oil-based substance to the burned area until help arrives.
D. Wrap cool towels around the affected extremity intermittently.
ANS: D
,An emergency department nurse has just admitted a client with a burn. What characteristic of the burn
will primarily determine whether the client experiences a systemic response to this injury?
A. The length of time since the burn
B. The location of burned skin surfaces
C. The source of the burn
D. The total body surface area (TBSA) affected by the burn
ANS: D
A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now
showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How
should the client's change in status be best understood?
A. The client is likely experiencing a delayed onset of respiratory complications
B. The client has likely developed a systemic infection
C. The client's respiratory complications are likely related to psychosocial stress
D. The client is likely experiencing an anaphylactic reaction to a medication
ANS: A
A client has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of
the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority
concern when planning this client's care?
A. Fluid status
B. Risk of infection
C. Nutritional status
D. Psychosocial coping
ANS: A
The nurse is providing education to a client that is scheduled for mechanical débridement of a wound.
The nurse knows that mechanical débridement involves which element?
A. A spontaneous separation of dead tissue from the viable tissue
B. Removal of eschar until the point of pain and bleeding occurs
C. Shaving of burned skin layers until bleeding, viable tissue is revealed
D. Early closure of the wound
ANS: B
A client with a partial-thickness burn injury had a xenograft applied 2 weeks ago. The nurse notices that
the xenograft is separating from the burn wound. What is the nurse's most appropriate intervention?
A. Reinforce the xenograft dressing with another piece of Biobrane.
,B. Remove the xenograft dressing and apply a new dressing.
C. Trim away the separated xenograft.
D. Notify the health care provider for further emergency-related orders.
ANS: C
An emergency department nurse learns from the paramedics that the team is transporting a client who
has suffered injury from a scald from a hot kettle. What variables will the nurse consider when
determining the depth of burn?
A. The causative agent
B. The client's pre-injury health status
C. The client's prognosis for recovery
D. The circumstances of the accident
ANS: A
A nurse is caring for a client who has sustained a deep partial-thickness burn injury. In prioritizing the
nursing diagnoses for the plan of care, the nurse will give the highest priority to what nursing diagnosis?
A. Activity intolerance
B. Anxiety
C. Ineffective coping
D. Acute pain
ANS: D
A triage nurse in the emergency department (ED) receives a phone call from a frantic parent who saw
their 4-year-old child tip a pot of boiling water onto themselves. The parent has called an ambulance.
What should the nurse in the ED receiving the call instruct the parent to do?
A. Cover the burn with ice and secure with a towel.
B. Apply butter to the area that is burned.
C. Immerse the child in a cool bath.
D. Avoid touching the burned area under any circumstances.
ANS: C
A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment.
How often should the nurse instruct the client to wear this garment?
A. 4 to 6 hours a day for 6 months
B. During waking hours for 2 to 3 months after the injury
C. Continuously
D. At night while sleeping for a year after the injury
ANS: C
, A client is brought to the ED by paramedics, who report that the client has partial-thickness burns on the
chest and legs. The client has also suffered smoke inhalation. What is the priority in the care of a client
who has been burned and suffered smoke inhalation?
A. Pain
B. Fluid balance
C. Anxiety and fear
D. Airway management
ANS: D
A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the
nurse should monitor for evidence of what alteration in laboratory values?
A. Sodium deficit
B. Decreased prothrombin time (PT)
C. Potassium deficit
D. Decreased hematocrit
ANS: A
A nurse is developing a care plan for a client with a partial-thickness burn, and determines that an
appropriate goal is to maintain position of joints in alignment. What is the best rationale for this
intervention?
A. To prevent neuropathies
B. To prevent wound breakdown
C. To prevent contractures
D. To prevent heterotopic ossification
ANS: C
A client's burns have required a homograft. During the nurse's most recent assessment, the nurse
observes that the graft is newly covered with purulent exudate. What is the nurse's most appropriate
response?
A. Perform mechanical débridement to remove the exudate and prevent further infection.
B. Inform the primary care provider promptly because the graft may need to be removed.
C. Perform range-of-motion exercises to increase perfusion to the graft site and facilitate healing.
D. Document this finding as an expected phase of graft healing.
ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED
ANSWERS ALREADY GRADED A+
GUARANTEED PASS
A client in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood
gases drawn. Upon analysis of the client's laboratory studies, the nurse will expect the results to indicate
what findings?
A. Hyperkalemia, hyponatremia, elevated hematocrit
B. Hypokalemia, hypernatremia, decreased hematocrit
C. Hyperkalemia, hypernatremia, decreased hematocrit
D. Hypokalemia, hyponatremia, elevated hematocrit
ANS: A
A client has experienced an electrical burn and has developed thick eschar over the burn site. Which of
the following topical antibacterial agents will the nurse expect the health care provider to order for the
wound?
A. Silver sulfadiazine 1% (Silvadene) water-soluble cream
B. Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream C. Silver nitrate 0.5% aqueous solution
D. Acticoat
ANS: B
An occupational health nurse is called to the floor of a factory where a worker has sustained a flash burn
to the right arm. The nurse arrives and the flames have been extinguished. The next step is to "cool the
burn." How should the nurse cool the burn?
A. Apply ice to the site of the burn for 5 to 10 minutes.
B. Wrap the client's affected extremity in ice until help arrives.
C. Apply an oil-based substance to the burned area until help arrives.
D. Wrap cool towels around the affected extremity intermittently.
ANS: D
,An emergency department nurse has just admitted a client with a burn. What characteristic of the burn
will primarily determine whether the client experiences a systemic response to this injury?
A. The length of time since the burn
B. The location of burned skin surfaces
C. The source of the burn
D. The total body surface area (TBSA) affected by the burn
ANS: D
A nurse on a burn unit is caring for a client who experienced burn injuries 2 days ago. The client is now
showing signs and symptoms of airway obstruction, despite appearing stable since admitted. How
should the client's change in status be best understood?
A. The client is likely experiencing a delayed onset of respiratory complications
B. The client has likely developed a systemic infection
C. The client's respiratory complications are likely related to psychosocial stress
D. The client is likely experiencing an anaphylactic reaction to a medication
ANS: A
A client has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of
the body. After ensuring cardiopulmonary stability, what would be the nurse's immediate, priority
concern when planning this client's care?
A. Fluid status
B. Risk of infection
C. Nutritional status
D. Psychosocial coping
ANS: A
The nurse is providing education to a client that is scheduled for mechanical débridement of a wound.
The nurse knows that mechanical débridement involves which element?
A. A spontaneous separation of dead tissue from the viable tissue
B. Removal of eschar until the point of pain and bleeding occurs
C. Shaving of burned skin layers until bleeding, viable tissue is revealed
D. Early closure of the wound
ANS: B
A client with a partial-thickness burn injury had a xenograft applied 2 weeks ago. The nurse notices that
the xenograft is separating from the burn wound. What is the nurse's most appropriate intervention?
A. Reinforce the xenograft dressing with another piece of Biobrane.
,B. Remove the xenograft dressing and apply a new dressing.
C. Trim away the separated xenograft.
D. Notify the health care provider for further emergency-related orders.
ANS: C
An emergency department nurse learns from the paramedics that the team is transporting a client who
has suffered injury from a scald from a hot kettle. What variables will the nurse consider when
determining the depth of burn?
A. The causative agent
B. The client's pre-injury health status
C. The client's prognosis for recovery
D. The circumstances of the accident
ANS: A
A nurse is caring for a client who has sustained a deep partial-thickness burn injury. In prioritizing the
nursing diagnoses for the plan of care, the nurse will give the highest priority to what nursing diagnosis?
A. Activity intolerance
B. Anxiety
C. Ineffective coping
D. Acute pain
ANS: D
A triage nurse in the emergency department (ED) receives a phone call from a frantic parent who saw
their 4-year-old child tip a pot of boiling water onto themselves. The parent has called an ambulance.
What should the nurse in the ED receiving the call instruct the parent to do?
A. Cover the burn with ice and secure with a towel.
B. Apply butter to the area that is burned.
C. Immerse the child in a cool bath.
D. Avoid touching the burned area under any circumstances.
ANS: C
A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment.
How often should the nurse instruct the client to wear this garment?
A. 4 to 6 hours a day for 6 months
B. During waking hours for 2 to 3 months after the injury
C. Continuously
D. At night while sleeping for a year after the injury
ANS: C
, A client is brought to the ED by paramedics, who report that the client has partial-thickness burns on the
chest and legs. The client has also suffered smoke inhalation. What is the priority in the care of a client
who has been burned and suffered smoke inhalation?
A. Pain
B. Fluid balance
C. Anxiety and fear
D. Airway management
ANS: D
A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the
nurse should monitor for evidence of what alteration in laboratory values?
A. Sodium deficit
B. Decreased prothrombin time (PT)
C. Potassium deficit
D. Decreased hematocrit
ANS: A
A nurse is developing a care plan for a client with a partial-thickness burn, and determines that an
appropriate goal is to maintain position of joints in alignment. What is the best rationale for this
intervention?
A. To prevent neuropathies
B. To prevent wound breakdown
C. To prevent contractures
D. To prevent heterotopic ossification
ANS: C
A client's burns have required a homograft. During the nurse's most recent assessment, the nurse
observes that the graft is newly covered with purulent exudate. What is the nurse's most appropriate
response?
A. Perform mechanical débridement to remove the exudate and prevent further infection.
B. Inform the primary care provider promptly because the graft may need to be removed.
C. Perform range-of-motion exercises to increase perfusion to the graft site and facilitate healing.
D. Document this finding as an expected phase of graft healing.
