Critical Care Final Exam questions
well answered
A client has sustained burns to the anterior and posterior surfaces of both arms, and the entire
anterior surface of the right leg. Using the rule of nines, the nurse determines that the total
burn surface area (TBSA) is? - ANS ✔✔27
The nurse is participating in the care of a client who has second and third degree burns on an
estimated 40% of the skin surface. The client weighs 165 pounds. Using Parkland's formula, the
nurse anticipates administration of approximately ___ mL of IV fluid during the first eight hours.
(4ml(kg)(%)) - ANS ✔✔6,000
When teaching the chemistry department about treatment of chemical burns, the nurse
explains that - ANS ✔✔Blisters should always be broken
The nurse is assisting with emergency care at the scene for a victim who has burns to the lower
extremities. After confirming airway status and breathing status, the next priority is - ANS
✔✔Establishing peripheral IV access
The nurse is assessing a client with full thickness burns of the left leg. The left pedal pulse is not
palpable and cannot be located with a Doppler device. Which action is the next priority? - ANS
✔✔Immediately notifying the physician of assessment findings
A client is receiving hydrotherapy treatment for a deep partial thickness burn. What is
considered a priority intervention prior to this treatment? - ANS ✔✔Medicate client with pain
meds at least 30 minutes prior to start of therapy
A client has suffered an electrocution burn. When dark concentrated urine is noted the nurse
anticipates an order for - ANS ✔✔Increasing IV fluid rate
, A client is brought to ED by family following exposure to automobile exhaust in a closed garage.
The client is lethargic, has flushed skin color, is breathing spontaneously at 12. The initial nursing
priority for this client is - ANS ✔✔100% O2 non-rebreather mask
A burn client has had a meshed, split thickness skin graft applied to the upper arm, over the
inner antecubital joint. Immediate postoperative nursing interventions for the arm following this
grafting procedure would include - ANS ✔✔Elevate the extremity above the level of the heart
The nurse is admitting a client who has sustained burn injuries following a suicide bombing in a
crowded mall. The client has facial burns and is wheezing. This client is at greatest initial risk for
- ANS ✔✔Airway obstruction
While working with the trauma team, the nurse is guided by the understanding that the major
goal during the primary survey of a trauma victim is - ANS ✔✔Identify and treat life-threatening
injuries
An assault victim is brought to ED following a bar fight. Assessment reveals bleeding gums
where several teeth are missing, and moderate bleeding from facial, back and chest injuries.
After clearing the airway, the next intervention would be to - ANS ✔✔Apply a cervical collar to
stabilize the neck area
One hour following insertion of a pleural chest tube (CT) for treatment of pneumothorax for a
chest stab wound, the nurse notes a small amount of new serous red drainage in the fluid
collection chamber. The nurse correctly - ANS ✔✔Closely monitor
A nurse is assisting with disaster triage at the scene of a bridge collapse. Assessment of victim
reveals lethargy, respiratory rate of 24, and pulse rate of 118. When asked to squeeze the
nurse's hand, the victim is unable to do so. Using mass casualty triage guidelines, the victim
should receive a - ANS ✔✔Red tag for immediate transportation
well answered
A client has sustained burns to the anterior and posterior surfaces of both arms, and the entire
anterior surface of the right leg. Using the rule of nines, the nurse determines that the total
burn surface area (TBSA) is? - ANS ✔✔27
The nurse is participating in the care of a client who has second and third degree burns on an
estimated 40% of the skin surface. The client weighs 165 pounds. Using Parkland's formula, the
nurse anticipates administration of approximately ___ mL of IV fluid during the first eight hours.
(4ml(kg)(%)) - ANS ✔✔6,000
When teaching the chemistry department about treatment of chemical burns, the nurse
explains that - ANS ✔✔Blisters should always be broken
The nurse is assisting with emergency care at the scene for a victim who has burns to the lower
extremities. After confirming airway status and breathing status, the next priority is - ANS
✔✔Establishing peripheral IV access
The nurse is assessing a client with full thickness burns of the left leg. The left pedal pulse is not
palpable and cannot be located with a Doppler device. Which action is the next priority? - ANS
✔✔Immediately notifying the physician of assessment findings
A client is receiving hydrotherapy treatment for a deep partial thickness burn. What is
considered a priority intervention prior to this treatment? - ANS ✔✔Medicate client with pain
meds at least 30 minutes prior to start of therapy
A client has suffered an electrocution burn. When dark concentrated urine is noted the nurse
anticipates an order for - ANS ✔✔Increasing IV fluid rate
, A client is brought to ED by family following exposure to automobile exhaust in a closed garage.
The client is lethargic, has flushed skin color, is breathing spontaneously at 12. The initial nursing
priority for this client is - ANS ✔✔100% O2 non-rebreather mask
A burn client has had a meshed, split thickness skin graft applied to the upper arm, over the
inner antecubital joint. Immediate postoperative nursing interventions for the arm following this
grafting procedure would include - ANS ✔✔Elevate the extremity above the level of the heart
The nurse is admitting a client who has sustained burn injuries following a suicide bombing in a
crowded mall. The client has facial burns and is wheezing. This client is at greatest initial risk for
- ANS ✔✔Airway obstruction
While working with the trauma team, the nurse is guided by the understanding that the major
goal during the primary survey of a trauma victim is - ANS ✔✔Identify and treat life-threatening
injuries
An assault victim is brought to ED following a bar fight. Assessment reveals bleeding gums
where several teeth are missing, and moderate bleeding from facial, back and chest injuries.
After clearing the airway, the next intervention would be to - ANS ✔✔Apply a cervical collar to
stabilize the neck area
One hour following insertion of a pleural chest tube (CT) for treatment of pneumothorax for a
chest stab wound, the nurse notes a small amount of new serous red drainage in the fluid
collection chamber. The nurse correctly - ANS ✔✔Closely monitor
A nurse is assisting with disaster triage at the scene of a bridge collapse. Assessment of victim
reveals lethargy, respiratory rate of 24, and pulse rate of 118. When asked to squeeze the
nurse's hand, the victim is unable to do so. Using mass casualty triage guidelines, the victim
should receive a - ANS ✔✔Red tag for immediate transportation
