PN3 Exam 2 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Why would a patient go from an ETT to a trach? - CORRECT ANSWER - Long term
Safe use of the defibrillator? - CORRECT ANSWER - Clear!
What are the different types of pneumos? - CORRECT ANSWER - Pneumothorax - air
Tension Pneumo - air - one way
Hemathorax - blood in pleural space
Treatment for SVT? - CORRECT ANSWER - Adenosine, cardioversion is adenosine is
unsuccessful
6mg, 12mg, 6mg
Signs and Symptoms of Cor Pulmonale - CORRECT ANSWER - fainting, chest
pain/discomfort, feet/ankle swelling, cyanosis of lips/fingers, wheezing/coughing
Complication of high blood pressure
1st Degree Burn - CORRECT ANSWER - Superficial, only epidermis is involved - red in
color
2nd Degree Burn - CORRECT ANSWER - Partial Thickness - Epidermis & Dermis,
blistered, pink/red, wet/shiny, serous extradite, very painful (nerve endings are exposed)
Cherry Red
3rd Degree Burn - CORRECT ANSWER - Full Thickness - Fat/Muscle/Bone
Involvement, not painful as nerve endings are burned off
Dry yellow/white/black
, Tissue MUST be removed
Pain medication of choice for burns? - CORRECT ANSWER - Morphine
Skin grafting nursing interventions? - CORRECT ANSWER - ROM - prevent contractors,
no pillows (ear burns) - rolled towel behind next instead
Infection revention
If blebs/bubbles appear, notify MD/roll out with q-tip
How do you know when fluid resuscitation is successful? - CORRECT ANSWER - Urine
output >30mL/hr, CMP
BUN 7-20
Creatinine 0.5-1.2
Albumin 3.5-5.5
What is the Parkland formula? - CORRECT ANSWER - 4ml x wt in kg x BSA burned
What is the rule of nines? - CORRECT ANSWER -
How are the fluids given after applying the Parkland formula? - CORRECT ANSWER -
1/2 during 1st 8hrs, 1/4 during 2nd and 3rd 8hrs
Subtract EMS fluids from 1st 8
**From time of burn not arrival
What are the phases of burn healing and their key components? - CORRECT ANSWER -
Prehospital - SAFETY, stop burning process/airway/IV
Emergent - Resuscitation, 24-48hrs (max 72hrs), ends with fluid mobilization and diuresis -
Airway/hydrate/hypothermia/pain/infection prevention
Acute - Healing (end of emergent until all wounds are healed) 7-21 days - up to a year
Questions and CORRECT Answers
Why would a patient go from an ETT to a trach? - CORRECT ANSWER - Long term
Safe use of the defibrillator? - CORRECT ANSWER - Clear!
What are the different types of pneumos? - CORRECT ANSWER - Pneumothorax - air
Tension Pneumo - air - one way
Hemathorax - blood in pleural space
Treatment for SVT? - CORRECT ANSWER - Adenosine, cardioversion is adenosine is
unsuccessful
6mg, 12mg, 6mg
Signs and Symptoms of Cor Pulmonale - CORRECT ANSWER - fainting, chest
pain/discomfort, feet/ankle swelling, cyanosis of lips/fingers, wheezing/coughing
Complication of high blood pressure
1st Degree Burn - CORRECT ANSWER - Superficial, only epidermis is involved - red in
color
2nd Degree Burn - CORRECT ANSWER - Partial Thickness - Epidermis & Dermis,
blistered, pink/red, wet/shiny, serous extradite, very painful (nerve endings are exposed)
Cherry Red
3rd Degree Burn - CORRECT ANSWER - Full Thickness - Fat/Muscle/Bone
Involvement, not painful as nerve endings are burned off
Dry yellow/white/black
, Tissue MUST be removed
Pain medication of choice for burns? - CORRECT ANSWER - Morphine
Skin grafting nursing interventions? - CORRECT ANSWER - ROM - prevent contractors,
no pillows (ear burns) - rolled towel behind next instead
Infection revention
If blebs/bubbles appear, notify MD/roll out with q-tip
How do you know when fluid resuscitation is successful? - CORRECT ANSWER - Urine
output >30mL/hr, CMP
BUN 7-20
Creatinine 0.5-1.2
Albumin 3.5-5.5
What is the Parkland formula? - CORRECT ANSWER - 4ml x wt in kg x BSA burned
What is the rule of nines? - CORRECT ANSWER -
How are the fluids given after applying the Parkland formula? - CORRECT ANSWER -
1/2 during 1st 8hrs, 1/4 during 2nd and 3rd 8hrs
Subtract EMS fluids from 1st 8
**From time of burn not arrival
What are the phases of burn healing and their key components? - CORRECT ANSWER -
Prehospital - SAFETY, stop burning process/airway/IV
Emergent - Resuscitation, 24-48hrs (max 72hrs), ends with fluid mobilization and diuresis -
Airway/hydrate/hypothermia/pain/infection prevention
Acute - Healing (end of emergent until all wounds are healed) 7-21 days - up to a year
