PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
1. 1. A nurse in a burn treatment center is caring for a client who is
admitted with severe burns to both lower extremities and is
pending an escharotomy. The client's spouse asks the nurse what
the procedure entails. Which of the following nursing statements is
appropriate?
a. "large incisions will be made in the eschar to improve circulation"
b. " I can call the doctor back here if you want me to"
c. "a piece of skin will be removed and grafted over the burned area"
d. "dead tissue will be surgically removed": a. "large incisions will be made in the
eschar to improve circulation"
2. 2. A nurse is monitoring the fluid replacement of a client who has
sustained burns. Which of the following fluids is used in the first
24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers: d. lactated ringers
3. 3. A nurse is caring for a client who has full-thickness burns all
over 75% of his body. Which of the following methods is appropriate
to accurately monitor the cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure: c. obtain a central venous pressure
4. 4. A nurse is assessing the depth and extent of a client who has
severe burns to the face, neck, and upper extremities. Which of
the following factors is the first priority when assessing the
severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn: d. Cause of the burn
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
5. 5. A client arrives at the emergency dept following an explosion at
the chemi- cal plant. He has deep partial and full-thickness chemical
burns over more than
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
25 % of his body surface area. What is the nurse's priority
intervention?
a. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
d. Maintain a patent airway: d. Maintain a patent airway
6. 6. A nurse is caring for a client who came the emergency dept
reporting chest pain. The provider suspects a myocardial infarction.
While waiting for the laboratory to report the client's troponin levels,
the client asks what this blood test will show. The nurse should
explain that troponin is
a.An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream
when there is damage to the heart
d. A protein that helps transport oxygen throughout the body: c. A heart
muscle protein that appears in the bloodstream when there is damage to the heart
7. 7. A nurse is assessing a client who has disseminated
intravascular coagula- tion (DIC). Which of the following should the
nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors: d. Increased clotting factors
8. 8. A nurse is about to administer warfarin (Coumadin) to a
client who has atrial fibrillation. When the client asks what his
medication will do, which of the following is an appropriate nursing
response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
d. It prevents strokes in clients who have atrial fibrillation: d. It prevents
strokes in clients who have atrial fibrillation
9. 9. A nurse in a cardiac care unit is caring for a client with acute
heart failure. Which of the following findings should the nurse
expect?
a. Decreased brain natriuretic peptide (BNP)
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
1. 1. A nurse in a burn treatment center is caring for a client who is
admitted with severe burns to both lower extremities and is
pending an escharotomy. The client's spouse asks the nurse what
the procedure entails. Which of the following nursing statements is
appropriate?
a. "large incisions will be made in the eschar to improve circulation"
b. " I can call the doctor back here if you want me to"
c. "a piece of skin will be removed and grafted over the burned area"
d. "dead tissue will be surgically removed": a. "large incisions will be made in the
eschar to improve circulation"
2. 2. A nurse is monitoring the fluid replacement of a client who has
sustained burns. Which of the following fluids is used in the first
24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers: d. lactated ringers
3. 3. A nurse is caring for a client who has full-thickness burns all
over 75% of his body. Which of the following methods is appropriate
to accurately monitor the cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure: c. obtain a central venous pressure
4. 4. A nurse is assessing the depth and extent of a client who has
severe burns to the face, neck, and upper extremities. Which of
the following factors is the first priority when assessing the
severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn: d. Cause of the burn
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
5. 5. A client arrives at the emergency dept following an explosion at
the chemi- cal plant. He has deep partial and full-thickness chemical
burns over more than
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
25 % of his body surface area. What is the nurse's priority
intervention?
a. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
d. Maintain a patent airway: d. Maintain a patent airway
6. 6. A nurse is caring for a client who came the emergency dept
reporting chest pain. The provider suspects a myocardial infarction.
While waiting for the laboratory to report the client's troponin levels,
the client asks what this blood test will show. The nurse should
explain that troponin is
a.An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream
when there is damage to the heart
d. A protein that helps transport oxygen throughout the body: c. A heart
muscle protein that appears in the bloodstream when there is damage to the heart
7. 7. A nurse is assessing a client who has disseminated
intravascular coagula- tion (DIC). Which of the following should the
nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors: d. Increased clotting factors
8. 8. A nurse is about to administer warfarin (Coumadin) to a
client who has atrial fibrillation. When the client asks what his
medication will do, which of the following is an appropriate nursing
response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
, PROCTOR STUDY N480 EXAM ASSESSMENT WITH WELL
ELABORATED AND DETAILED ANSWERS.ALL REQUIRED TO PASS
d. It prevents strokes in clients who have atrial fibrillation: d. It prevents
strokes in clients who have atrial fibrillation
9. 9. A nurse in a cardiac care unit is caring for a client with acute
heart failure. Which of the following findings should the nurse
expect?
a. Decreased brain natriuretic peptide (BNP)
