A+ WITH 100% QUESTION AND ANSWERS
1. APnursePinPaPburnPtreatmentPcenterPisPcaringPforPaPclientPwhoPisPadmittedPwithPsev
erePburnsPtoPbothPlowerPextremitiesPandPisPpendingPanPescharotomy.PThePclient'sPspo
usePasksPthePnursePwhatPthePprocedurePentails.PWhichPofPthePfollowing
nursingPstatementsPisPappropriate?
a. "largePincisionsPwillPbePmadePinPthePescharPtoPimprovePcirculation"
b. "PIPcanPcallPthePdoctorPbackPherePifPyouPwantPmePto"
c. "aPpiecePofPskinPwillPbePremovedPandPgraftedPoverPthePburnedParea"
d. "deadPtissuePwillPbePsurgicallyPremoved"P-
Pa."largePincisionsPwillPbePmadePinPthePescharPtoPimprovePcirculation"
APnursePisPmonitoringPthePfluidPreplacementPofPaPclientPwhoPhasPsustainedPburns.PW
hichPofPthePfollowingPfluidsPisPusedPinPthePfirstP24PhoursPfollowingPaPburnPinjury?
a. 5%PdextrosePinPwater
b. 5%PdextrosePinPnormalPsaline
c. normalPsaline
d. lactatedPringersP-Pd.PlactatedPringers
APnursePisPcaringPforPaPclientPwhoPhasPfull-
thicknessPburnsPallPoverP75%PofPhisPbody.PWhichPofPthePfollowingPmethodsPisPappro
priatePtoPaccuratelyPmonitorPthePcardiovascularPsystem?
a. auscultatePcuffPbloodPpressure
b. palpatePpulsePpressure
c. obtainPaPcentralPvenousPpressure
d. monitorPthePpulmonaryParteryPpressureP-Pc.PobtainPaPcentralPvenousPpressure
4. APnursePisPassessingPthePdepthPandPextentPofPaPclientPwhoPhasPseverePburnsPtoPthePf
ace,Pneck,PandPupperPextremities.PWhichPofPthePfollowingPfactorsPisPthePfirstPpriorityP
whenPassessingPthePseverityPofPthePburn?
a. AgePofPthePclient
b. AssociatedPmedicalPhistory
c. LocationPofPthePburn
d. CausePofPthePburnP-Pd.PCausePofPthePburn
APclientParrivesPatPthePemergencyPdeptPfollowingPanPexplosionPatPthePchemicalPplan
t.PHePhasPdeepPpartialPandPfull-
thicknessPchemicalPburnsPoverPmorePthanP25P%PofPhisPbodyPsurfaceParea.PWhatPisPth
ePnurse'sPpriorityPintervention?
a. InitiatePfluidPresuscitation
b. MedicationPforPpain
c. AdministerPantibiotics
d. MaintainPaPpatentPairwayP-Pd.PMaintainPaPpatentPairway
APnursePisPcaringPforPaPclientPwhoPcamePthePemergencyPdeptPreportingPchestPpain.PT
hePproviderPsuspectsPaPmyocardialPinfarction.PWhilePwaitingPforPthePlaboratoryPtoPre
portPthePclient'sPtroponinPlevels,PthePclientPasksPwhatPthisPbloodPtestPwillPshow.
ThePnursePshouldPexplainPthatPtroponinPis
a. AnPenzymePthatPindicatesPdamagePtoPbrain,Pheart,PandPskeletalPmuscleP
tissues
, b. APproteinPwhosePlevelsPreflectPthePriskPforPcoronaryParteryPdisease
c. APheartPmusclePproteinPthatPappearsPinPthePbloodstreamPwhenPtherePisP
damagePtoPthePheart
d. APproteinPthatPhelpsPtransportPoxygenPthroughoutPthePbodyP-
Pc.PAPheartPmusclePproteinPthatPappearsPinPthePbloodstreamPwhenPtherePis
damagePtoPthePheart
APnursePisPassessingPaPclientPwhoPhasPdisseminatedPintravascularPcoagulationP(DIC
).PWhichPofPthePfollowingPshouldPthePnursePexpectPinPthePfindings?
a. ExcessivePthrombosisPandPbleeding
b. ProgressivePincreasePinPplateletPproduction
c. ImmediatePsodiumPandPfluidPretention
d. IncreasedPclottingPfactorsP-Pd.PIncreasedPclottingPfactors
APnursePisPaboutPtoPadministerPwarfarinP(Coumadin)PtoPaPclientPwhoPhasPatrialPfibrill
ation.PWhenPthePclientPasksPwhatPhisPmedicationPwillPdo,PwhichPofPthePfollowingPisP
anPappropriatePnursingPresponse?
a. ItPhelpsPconvertPatrialPfibrillationPtoPsinusPrhythm
b. IsPdissolvesPclotsPinPthePbloodstream
c. ItPslowsPthePresponsePofPthePventriclesPtoPthePfastPatrialPimpulses
d. ItPpreventsPstrokesPinPclientsPwhoPhavePatrialPfibrillationP-
Pd.PItPpreventsPstrokesPinPclientsPwhoPhavePatrialPfibrillation
APnursePinPaPcardiacPcarePunitPisPcaringPforPaPclientPwithPacutePheartPfailure.PWhichPo
fPthePfollowingPfindingsPshouldPthePnursePexpect?
a. DecreasedPbrainPnatriureticPpeptideP(BNP)
b. ElevatedPcentralPvenousPpressureP(CVP)
c. DecreasedPpulmonaryPpressure
d. IncreasesPurinaryPoutpuP-Pb.PElevatedPcentralPvenousPpressureP(CVP)
APclientPcomesPintoPthePEDPreportingPnauseaPandPvomitingPthatPworsensPwhenP lying
PdownPandPwithoutPreliefPfromPantacids.PThePproviderPsuspectsPacutePpancreatitis.PW
hichPofPthePfollowingPlabPtestPresultsPshouldPthePnursePexpectPtoPseePifPthePclientPhasPa
cutePpancreatitis?
a. DecreasedPWBC
b. IncreasedPserumPamylase
c. DecreasedPserumPlipase
d. IncreasedPserumPcalciumP-Pb.PIncreasedPserumPamylase
APnursePinPthePICUPisPcaringPforPaPclientPwhoPhasPacutePrespiratoryPdistressPsyndro
meP(ARDS)PandPisPreceivingPmechanicalPviaPanPendotrachealPtube.PThePproviderPpl
ansPtoPextubatePherPwithinPthePnextP24Phour.PWhichPofPthePfollowingPisPanPimportant
PcriterionPforPextubatingPthePclient?
a. AbilityPtoPcoughPeffectively
b. AdequatePtidalPvolumePwithoutPmanuallyPassistedPbreaths
c. NoPindicationPofPinfection
d. NoPneedPforPsupplementalPoxygenP-
Pb.PAdequatePtidalPvolumePwithoutPmanuallyPassistedPbreaths
12. APnursePisPcaringPforPaPclientPfollowingPaPCTPscanPwithPdyePwhoPsufferedPfromPan