Final Exam: NR 574/ NR574 (Latest 2025/ 2026 Update) Acute Care Practicum I Test Bank| 450 Questions with Verified Answers| 100% Correct | Grade A – Chamberlain.

Final Exam: NR 574/ NR574 (Latest
2025/ 2026 Update) Acute Care
Practicum I Test Bank| 450 Questions
with Verified Answers| 100% Correct |
Grade A – Chamberlain.

Question:

Jerome has 75% TBSA 2nd and 3rd degree burn injuries. He weighs 80
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kilograms (kg). Based on the Parkland formula how much fluid should
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Jerome receive in the first 8 hours??
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Answer:

12 L
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Parkland formula is TBSA x weight x 4ml. Half of this is given in the first 8
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hours. 75 x 80 x 4= 24L/2= 12L.
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Question:

Neal was involved in a house fire. He sustained burns to the head, neck,
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face, chest, and bilateral upper extremities. Neal was intubated by EMS
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before arrival. What are the AGACNP's priority diagnostic studies for
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Neal??

Answer:
Carboxyhemoglobin (CO) level & ABGs i,- i,- i,- i,-

,Question:

Harleen sustained a 50% TBSA burn injury. The time of injury was 6 hours
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ago. The nurse reports that Harleen's urine output has decreased to
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10ml/hr for the last two hours. What is the most appropriate intervention
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by the nurse practitioner??
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Answer:
Provide 1L rapid bolus of lactated ringers (LR)
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Rationale: Urine decrease in a burn injury in the first 24 hours is generally
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going to be met with a fluid challenge. Burns require a large volume of
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fluids; some require upwards of 30L of fluid in just the first24 hours.
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Thermal injury causes an overwhelming fluid shift with most intravascular
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fluid shifting into the tissues and the third space. That fluid has to be
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replaced quickly. Urine output, lactic, CVP, acidosis are all signs of change
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in fluid status in a burn client.
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Question:

Hepatorenal syndrome (HRS)? i,- i,-




Answer:

functional form of renal failure that occurs primarily in pt with cirrhosis
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and ascites.
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,Question:
Type 1 hepatorenal syndrome is characterized by...?
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Answer:

-rapidly progressive renal impairment-doubling of initial serum Cr to
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greater than 2.5mg/dL over a period less than 2 weeks -without liver
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transplant prognosis is very poor i,- i,- i,- i,-




Question:
Type 2 hepatorenal syndrome is characterized by...?
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Answer:

moderate form of renal failure-serum Cr levels between 1.5 to 2.5
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mg/dLreduction in GFR with elevation in serum creatinine-associated with
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a more indolent course and improved survival compared to type 1
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Question:
Risk Factors of hepatorenal syndrome?
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Answer:

Dilutional hyponatremia Previous episodes of ascites Presence of
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esophageal varices Poor nutritional statusInfections such as spontaneous
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bacterial peritonitisSevere urinary sodium retention (urine sodium < 5
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milliequivalents/liter [mEq/L]) Large-volume paracentesis without albumin i,- i,- i,- i,- i,- i,-



replacementAcute alcoholic hepatitisLow mean arterial blood pressure i,- i,- i,- i,- i,- i,- i,-


(map <80 mm Hg)
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, Question:

subjective clinical presentation of hepatorenal syndrome?
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Answer:

Most clients with HRS have a known diagnosis of acute or chronic liver
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disease and present with nonspecific symptoms including:-dysgeusia
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(altered taste perception)-malaise
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-fatigue-decreased urine output. i,- i,-




Question:
objective clinical presentation of hepatorenal syndrome?
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Answer:

HRS has no characteristic physical exam findings.It is important to assess
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the client for stigmata of chronic liver disease including: -spider nevi-
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scleral icterus-lower extremity edema asterixis-abdominal distention-fluid
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wave-paraumbilical hernia-bruits. i,-




Question:
Diagnostic criteria in hepatorenal syndrome? i,- i,- i,- i,-




Answer:

1.cirrhosis with ascites 2.increase in Cr >0.3 mg/dL within 48 hrs or >50%
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increase from baseline within a7 day period 3.no response to a 2
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