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NUR 417
NUR 417 Final Exam Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. A patient admitted with burns over 30% of the body surface 3
days ago has dramatically increased urine output today. How
would the nurse interpret this finding?
a. Diuresis indicates development of acute kidney injury.
b. Diuresis reflects normalizing capillary permeability.
c. Increased urine volume signals a likely urinary infection.
d. Increased urine volume requires increased calorie intake.: b.
Diuresis reflects normalizing capillary permeability.
A patient has just arrived in the emergency department after an
electrical burn from exposure to a high-voltage current. Which
assessment is the priority?
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a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light: c. Extremity movement
A patient arrives in the emergency department with facial and
chest burns caused by a house fire. Which action would the nurse
take first?
a. Auscultate for breath sounds.
b. Determine the extent and depth of the burns.
c. Give the prescribed hydromorphone (Dilaudid).
d. Infuse the prescribed lactated Ringer's solution.: a. Auscultate
for breath sounds.
A patient with extensive electrical burn injuries is admitted to the
emergency department. Which prescribed intervention would the
nurse implement first?
a. Assess pain level.
b. Place on heart monitor.
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c. Check potassium level.
d. Assess oral temperature.: b. Place on heart monitor.
The nurse is reviewing laboratory results for a patient who had a
large burn 48 hours ago. Which result requires priority action by
the nurse?
a. Hematocrit of 53%
b. Serum sodium of 147 mEq/L
c. Serum potassium of 6.1 mEq/L
d. Blood urea nitrogen of 37 mg/dL: c. Serum potassium of 6.1
mEq/L
Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a pH of 7.51, PaO2 of 82
mm Hg, PaCO2 of 26 mm Hg, and HCO3- of 23 mEq/L (23 mmol/L).
What change should the nurse anticipate to the ventilator settings?
a. Increase theFIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
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d. Decrease the respiratory rate.: d. Decrease the respiratory rate.
The nurse responding to a ventilator alarm finds the patient lying
in bed gasping and the endotracheal tube on the floor. Which
action would the nurse take next?
a. Activate the rapid response team.
b. Provide reassurance to the patient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.: d. Manually
ventilate the patient with 100% oxygen.
A patient is receiving mechanical ventilation with 15 cm H2O of
peak end-expiratory pressure (PEEP). Which action by the nurse
promotes patient safety?
a. Planning to suction the patient at least every 1 to 2 hours.
b. Using a closed-suction technique when suctioning is needed.
c. Changing the ventilator circuit tubing routinely every 48 hours.
NUR 417
NUR 417
NUR 417 Final Exam Care of Adult II |
Questions & Answers| Grade A | 100%
Correct | (NEW 2025/ 2026)
1. A patient admitted with burns over 30% of the body surface 3
days ago has dramatically increased urine output today. How
would the nurse interpret this finding?
a. Diuresis indicates development of acute kidney injury.
b. Diuresis reflects normalizing capillary permeability.
c. Increased urine volume signals a likely urinary infection.
d. Increased urine volume requires increased calorie intake.: b.
Diuresis reflects normalizing capillary permeability.
A patient has just arrived in the emergency department after an
electrical burn from exposure to a high-voltage current. Which
assessment is the priority?
NUR 417
, 2
NUR 417
a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light: c. Extremity movement
A patient arrives in the emergency department with facial and
chest burns caused by a house fire. Which action would the nurse
take first?
a. Auscultate for breath sounds.
b. Determine the extent and depth of the burns.
c. Give the prescribed hydromorphone (Dilaudid).
d. Infuse the prescribed lactated Ringer's solution.: a. Auscultate
for breath sounds.
A patient with extensive electrical burn injuries is admitted to the
emergency department. Which prescribed intervention would the
nurse implement first?
a. Assess pain level.
b. Place on heart monitor.
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NUR 417
c. Check potassium level.
d. Assess oral temperature.: b. Place on heart monitor.
The nurse is reviewing laboratory results for a patient who had a
large burn 48 hours ago. Which result requires priority action by
the nurse?
a. Hematocrit of 53%
b. Serum sodium of 147 mEq/L
c. Serum potassium of 6.1 mEq/L
d. Blood urea nitrogen of 37 mg/dL: c. Serum potassium of 6.1
mEq/L
Four hours after mechanical ventilation is initiated, a patient's
arterial blood gas (ABG) results include a pH of 7.51, PaO2 of 82
mm Hg, PaCO2 of 26 mm Hg, and HCO3- of 23 mEq/L (23 mmol/L).
What change should the nurse anticipate to the ventilator settings?
a. Increase theFIO2.
b. Increase the tidal volume.
c. Increase the respiratory rate.
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NUR 417
d. Decrease the respiratory rate.: d. Decrease the respiratory rate.
The nurse responding to a ventilator alarm finds the patient lying
in bed gasping and the endotracheal tube on the floor. Which
action would the nurse take next?
a. Activate the rapid response team.
b. Provide reassurance to the patient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.: d. Manually
ventilate the patient with 100% oxygen.
A patient is receiving mechanical ventilation with 15 cm H2O of
peak end-expiratory pressure (PEEP). Which action by the nurse
promotes patient safety?
a. Planning to suction the patient at least every 1 to 2 hours.
b. Using a closed-suction technique when suctioning is needed.
c. Changing the ventilator circuit tubing routinely every 48 hours.
NUR 417
