NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck
burn tells the nurse, "I'm sorry that I'm still alive. My life will never be normal again." Which
response by the nurse is best?
a. "Most people recover after a burn and feel satisfied with their lives."
b. "It's true that your life may be different. What concerns you the most?"
c. "Why do you feel that way? It will get better as your recovery progresses."
d. "It is really too early to know how much your life will be changed by the burn." - CORRECT
ANSWERS ANS: B
This response acknowledges the patient's feelings and asks for more assessment data that will
help in developing an appropriate plan of care to assist the patient with the emotional response
to the burn injury. The other statements are accurate but do not acknowledge the anxiety and
depression that the patient is expressing.
DIF: Cognitive Level: Apply (application)
An 80-kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn
unit. Using the Parkland formula of 4 mL/kg/%TBSA, what is the IV infusion rate (mL/hour) for
lactated Ringer's solution that the nurse will give during the first 8 hours? - CORRECT
ANSWERS ANS:
600 mL
The Parkland formula states that patients should receive 4 mL/kg/%TBSA burned during the
first 24 hours. Half of the total volume is given in the first 8 hours and then the remaining half is
given over 16 hours: 4 80 30 = 9600 mL total volume; 9600/2 = 4800 mL in the first 8 hours;
4800 mL/8 hr = 600 mL/hr.
DIF: Cognitive Level: Apply (application)
,NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
The nurse estimates the extent of a burn using the rule of nines for a patient who has been
admitted with deep partial-thickness burns of the anterior trunk and the entire left arm. What
percentage of the patient's total body surface area (TBSA) has been injured? - CORRECT
ANSWERS ANS:
27%
When using the rule of nines, the anterior trunk is considered to cover 18% of the patient's
body and the anterior (4.5%) and posterior (4.5%) left arm equals 9%.
DIF: Cognitive Level: Understand (comprehension)
In which order will the nurse take these actions when doing a dressing change for a partial-
thickness burn wound on a patient's chest? (Put a comma and a space between each answer
choice [A, B, C, D, E].)
a. Apply sterile gauze dressing.
b. Document wound appearance.
c. Apply silver sulfadiazine cream.
d. Give IV fentanyl (Sublimaze).
e. Clean wound with saline-soaked gauze. - CORRECT ANSWERS ANS:
D, E, C, A, B
Because partial-thickness burns are very painful, the nurse's first action should be to give pain
medications. The wound will then be cleaned, antibacterial cream applied, and covered with a
new sterile dressing. The last action should be to document the appearance of the wound.
DIF: Cognitive Level: Analyze (analysis)
,NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
During the primary assessment of a victim of a motor vehicle collision, the nurse determines
that the patient has an unobstructed airway. Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient's respiratory effort.
c. Check the patient's level of consciousness.
d. Examine the patient for any external bleeding. - CORRECT ANSWERS ANS: B
Even with a patent airway, patients can have other problems that compromise ventilation, so
the next action is to assess the patient's breathing. The other actions are also part of the initial
survey but assessment of breathing should be done immediately after assessing for airway
patency.
DIF: Cognitive Level: Apply (application)
During the primary survey of a patient with severe leg trauma, the nurse observes that the
patient's left pedal and posterior tibial pulses are absent and the entire leg is swollen. Which
action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with a large-bore IV line. - CORRECT ANSWERS ANS:
D
The assessment data indicate that the patient may have arterial trauma and hemorrhage. When
a possibly life-threatening injury is found during the primary survey, the nurse should
immediately start interventions before proceeding with the survey. Although a complete blood
count is indicated, administration of IV fluids should be started first. Completion of the primary
survey and further assessment should be completed after the IV fluids are initiated.
DIF: Cognitive Level: Analyze (analysis)
, NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
After the return of spontaneous circulation following the resuscitation of a patient who had a
cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse include in the
plan of care?
a. Initiate cooling per protocol.
b. Avoid the use of sedative drugs.
c. Check mental status every 15 minutes.
d. Rewarm if temperature is below 91° F (32.8° C). - CORRECT ANSWERS ANS: A
When therapeutic hypothermia is used postresuscitation, external cooling devices or cold
normal saline infusions are used to rapidly lower body temperature to 89.6° F to 93.2° F (32° C
to 34° C). Because hypothermia will decrease brain activity, assessing mental status every 15
minutes is not done at this stage. Sedative drugs are given during therapeutic hypothermia.
DIF: Cognitive Level: Apply (application)
A patient who is unconscious after a fall from a ladder is transported to the emergency
department by emergency medical personnel. During the primary survey of the patient, the
nurse should
a. obtain a complete set of vital signs.
b. obtain a Glasgow Coma Scale score.
c. attach an electrocardiogram monitor.
d. ask about chronic medical conditions. - CORRECT ANSWERS ANS: B
The Glasgow Coma Scale is included when assessing for disability during the primary survey.
The other information is part of the secondary survey.
DIF: Cognitive Level: Apply (application)
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck
burn tells the nurse, "I'm sorry that I'm still alive. My life will never be normal again." Which
response by the nurse is best?
a. "Most people recover after a burn and feel satisfied with their lives."
b. "It's true that your life may be different. What concerns you the most?"
c. "Why do you feel that way? It will get better as your recovery progresses."
d. "It is really too early to know how much your life will be changed by the burn." - CORRECT
ANSWERS ANS: B
This response acknowledges the patient's feelings and asks for more assessment data that will
help in developing an appropriate plan of care to assist the patient with the emotional response
to the burn injury. The other statements are accurate but do not acknowledge the anxiety and
depression that the patient is expressing.
DIF: Cognitive Level: Apply (application)
An 80-kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn
unit. Using the Parkland formula of 4 mL/kg/%TBSA, what is the IV infusion rate (mL/hour) for
lactated Ringer's solution that the nurse will give during the first 8 hours? - CORRECT
ANSWERS ANS:
600 mL
The Parkland formula states that patients should receive 4 mL/kg/%TBSA burned during the
first 24 hours. Half of the total volume is given in the first 8 hours and then the remaining half is
given over 16 hours: 4 80 30 = 9600 mL total volume; 9600/2 = 4800 mL in the first 8 hours;
4800 mL/8 hr = 600 mL/hr.
DIF: Cognitive Level: Apply (application)
,NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
The nurse estimates the extent of a burn using the rule of nines for a patient who has been
admitted with deep partial-thickness burns of the anterior trunk and the entire left arm. What
percentage of the patient's total body surface area (TBSA) has been injured? - CORRECT
ANSWERS ANS:
27%
When using the rule of nines, the anterior trunk is considered to cover 18% of the patient's
body and the anterior (4.5%) and posterior (4.5%) left arm equals 9%.
DIF: Cognitive Level: Understand (comprehension)
In which order will the nurse take these actions when doing a dressing change for a partial-
thickness burn wound on a patient's chest? (Put a comma and a space between each answer
choice [A, B, C, D, E].)
a. Apply sterile gauze dressing.
b. Document wound appearance.
c. Apply silver sulfadiazine cream.
d. Give IV fentanyl (Sublimaze).
e. Clean wound with saline-soaked gauze. - CORRECT ANSWERS ANS:
D, E, C, A, B
Because partial-thickness burns are very painful, the nurse's first action should be to give pain
medications. The wound will then be cleaned, antibacterial cream applied, and covered with a
new sterile dressing. The last action should be to document the appearance of the wound.
DIF: Cognitive Level: Analyze (analysis)
,NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
During the primary assessment of a victim of a motor vehicle collision, the nurse determines
that the patient has an unobstructed airway. Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient's respiratory effort.
c. Check the patient's level of consciousness.
d. Examine the patient for any external bleeding. - CORRECT ANSWERS ANS: B
Even with a patent airway, patients can have other problems that compromise ventilation, so
the next action is to assess the patient's breathing. The other actions are also part of the initial
survey but assessment of breathing should be done immediately after assessing for airway
patency.
DIF: Cognitive Level: Apply (application)
During the primary survey of a patient with severe leg trauma, the nurse observes that the
patient's left pedal and posterior tibial pulses are absent and the entire leg is swollen. Which
action will the nurse take next?
a. Send blood to the lab for a complete blood count.
b. Assess further for a cause of the decreased circulation.
c. Finish the airway, breathing, circulation, disability survey.
d. Start normal saline fluid infusion with a large-bore IV line. - CORRECT ANSWERS ANS:
D
The assessment data indicate that the patient may have arterial trauma and hemorrhage. When
a possibly life-threatening injury is found during the primary survey, the nurse should
immediately start interventions before proceeding with the survey. Although a complete blood
count is indicated, administration of IV fluids should be started first. Completion of the primary
survey and further assessment should be completed after the IV fluids are initiated.
DIF: Cognitive Level: Analyze (analysis)
, NUR417 EXAM 3 QUESTIONS AND ANSWERS UPDATED
2025/2026 A COMPLETE SOLUTION WITH 100% CORRECT
VERIFIED/DETAILED ANSWERS GRADED A+ FOR SUCCESS
After the return of spontaneous circulation following the resuscitation of a patient who had a
cardiac arrest, therapeutic hypothermia is ordered. Which action will the nurse include in the
plan of care?
a. Initiate cooling per protocol.
b. Avoid the use of sedative drugs.
c. Check mental status every 15 minutes.
d. Rewarm if temperature is below 91° F (32.8° C). - CORRECT ANSWERS ANS: A
When therapeutic hypothermia is used postresuscitation, external cooling devices or cold
normal saline infusions are used to rapidly lower body temperature to 89.6° F to 93.2° F (32° C
to 34° C). Because hypothermia will decrease brain activity, assessing mental status every 15
minutes is not done at this stage. Sedative drugs are given during therapeutic hypothermia.
DIF: Cognitive Level: Apply (application)
A patient who is unconscious after a fall from a ladder is transported to the emergency
department by emergency medical personnel. During the primary survey of the patient, the
nurse should
a. obtain a complete set of vital signs.
b. obtain a Glasgow Coma Scale score.
c. attach an electrocardiogram monitor.
d. ask about chronic medical conditions. - CORRECT ANSWERS ANS: B
The Glasgow Coma Scale is included when assessing for disability during the primary survey.
The other information is part of the secondary survey.
DIF: Cognitive Level: Apply (application)
