NR 341 Exam III Recommended to know Questions With
Complete Solutions
% TBSA Correct Answers percent of total body surface area
(burns)
9%
A 24-year-old client was burned at a bonfire and sustained deep
partial
thickness burns to the anterior portion of the left arm, superficial
partial
thickness burns to the upper anterior portion of the left leg, and
superficial
burns to the left side of the face and neck. What is the client's
TBSA? Correct Answers 13.5%
A client arrives to the emergency department after a motor
vehicle
accident (MVA) with airbag deployment. Which assessment
finding must the trauma learn act open first? Correct Answers
The client does not speak and is excessively drooling from the
mouth (Emergent!)
A client arrives to the emergency department with thermal burns
to the left arm and shoulder as a result of being in a house fire.
Which client clinical finding requires immediate intervention?
Correct Answers Presence of stridor and coughing
A client has a 20% TBSA deep-partial thickness burn to the
right side of the chest and the entire right arm. Which
assessment would be the most important for the nurse to
, complete? Correct Answers Assessing for the presence of
eschar
A client is admitted to the trauma unit after sustaining injuries at
a
construction site. Which assessment finding should the trauma
team consider their first priority to address? Correct Answers
The client's inability to swallow
A client is admitted with a basilar skull fracture. Which of the
following expected findings might the nurse assess in this
client? Correct Answers Cerebral spinal fluid leak from the
nose (rhinorrhea)
A client is brought to an emergency department with signs of
stroke. The nurse caring for the client anticipates which
diagnostic test to be completed STAT upon the client's arrival to
the hospital? Correct Answers A Computerized Tomography
(CT) scan
A client is receiving thrombolytic therapy (tPA) for an ischemic
stroke. Which finding by the client would require immediate
intervention by the nurse? Correct Answers The client is no
longer able to open the eyes to verbal command
A client remains hospitalized with a pneumothorax after a chest
tube
insertion. Which assessment finding indicates that chest tube
therapy has been
effective? Correct Answers Client is able to inhale 500 ml with
an incentive spirometer
Complete Solutions
% TBSA Correct Answers percent of total body surface area
(burns)
9%
A 24-year-old client was burned at a bonfire and sustained deep
partial
thickness burns to the anterior portion of the left arm, superficial
partial
thickness burns to the upper anterior portion of the left leg, and
superficial
burns to the left side of the face and neck. What is the client's
TBSA? Correct Answers 13.5%
A client arrives to the emergency department after a motor
vehicle
accident (MVA) with airbag deployment. Which assessment
finding must the trauma learn act open first? Correct Answers
The client does not speak and is excessively drooling from the
mouth (Emergent!)
A client arrives to the emergency department with thermal burns
to the left arm and shoulder as a result of being in a house fire.
Which client clinical finding requires immediate intervention?
Correct Answers Presence of stridor and coughing
A client has a 20% TBSA deep-partial thickness burn to the
right side of the chest and the entire right arm. Which
assessment would be the most important for the nurse to
, complete? Correct Answers Assessing for the presence of
eschar
A client is admitted to the trauma unit after sustaining injuries at
a
construction site. Which assessment finding should the trauma
team consider their first priority to address? Correct Answers
The client's inability to swallow
A client is admitted with a basilar skull fracture. Which of the
following expected findings might the nurse assess in this
client? Correct Answers Cerebral spinal fluid leak from the
nose (rhinorrhea)
A client is brought to an emergency department with signs of
stroke. The nurse caring for the client anticipates which
diagnostic test to be completed STAT upon the client's arrival to
the hospital? Correct Answers A Computerized Tomography
(CT) scan
A client is receiving thrombolytic therapy (tPA) for an ischemic
stroke. Which finding by the client would require immediate
intervention by the nurse? Correct Answers The client is no
longer able to open the eyes to verbal command
A client remains hospitalized with a pneumothorax after a chest
tube
insertion. Which assessment finding indicates that chest tube
therapy has been
effective? Correct Answers Client is able to inhale 500 ml with
an incentive spirometer
