ATIADVANCEDMEDSURGPROCTORED2023WITHGLASGOWCOM
ASCALEREALEXAM
1. Anurseinaburntreatmentcenteriscaringforaclientwhoisadmittedwithseverebur
nstobothlowerextremitiesandispendinganescharotomy.Theclient’s
spouseasksthenursewhattheprocedureentails.Whichofthefollowing
nursingstatementsisappropriate?
a. “largeincisionswillbemadeintheeschartoimprovecirculation”
b. “Icancallthedoctorbackhereifyouwantmeto”
c. “apieceofskinwillberemovedandgraftedovertheburnedarea”
d. “deadtissuewillbesurgicallyremoved”
2. Anurseismonitoringthefluidreplacementofaclientwhohassustainedburns.Which
ofthefollowingfluidsisusedinthefirst24hoursfollowingaburninjury?
a. 5%dextroseinwater
b. 5%dextroseinnormalsaline
c. normalsaline
d. lactatedringers
3. Anurseiscaringforaclientwhohasfull-
thicknessburnsallover75%ofhisbody.Whichofthefollowingmethodsisappropriatet
oaccuratelymonitorthecardiovascularsystem?
a. auscultatecuffbloodpressure
b. palpatepulsepressure
c. obtainacentralvenouspressure
d. monitorthepulmonaryarterypressure
4. Anurseisassessingthedepthandextentofaclientwhohassevereburnstotheface,nec
k,andupperextremities.Whichofthefollowingfactorsisthefirstprioritywhenassessin
gtheseverityoftheburn?
,a. Ageoftheclient
b. Associatedmedicalhistory
c. Locationoftheburn
d. Causeoftheburn
5. Aclientarrivesattheemergencydeptfollowinganexplosionatthechemicalplant.H
ehasdeeppartialandfull-
thicknesschemicalburnsovermorethan25%ofhisbodysurfacearea.Whatisthenurs
e’s priorityintervention?
a. Initiatefluidresuscitation
b. Medicationforpain
c. Administerantibiotics
,d. Maintainapatentairway
6. Anurseiscaringforaclientwhocametheemergencydeptreportingchestpain.Theprovi
dersuspectsamyocardialinfarction.Whilewaitingforthelaboratorytoreporttheclient’s
troponinlevels,theclientaskswhatthisbloodtestwillshow.
Thenurseshouldexplainthattroponinis
a. Anenzymethatindicatesdamagetobrain,heart,andskeletalmuscletissu
es
b. Aproteinwhoselevelsreflecttheriskforcoronaryarterydisease
c. Aheartmuscleproteinthatappearsinthebloodstreamwhenthereisdam
agetotheheart
d. Aproteinthathelpstransportoxygenthroughoutthebody
7. Anurseisassessingaclientwhohasdisseminatedintravascularcoagulation(DIC
).Whichofthefollowingshouldthenurseexpectinthefindings?
a. Excessivethrombosisandbleeding
b. Progressiveincreaseinplateletproduction
c. Immediatesodiumandfluidretention
d. Increasedclottingfactors
8. Anurseisabouttoadministerwarfarin(Coumadin)toaclientwhohasatrialfibrill
ation.Whentheclientaskswhathismedicationwilldo,whichofthefollowingisanapp
ropriatenursingresponse?
a. Ithelpsconvertatrialfibrillationtosinusrhythm
b. Isdissolvesclotsinthebloodstream
c. Itslowstheresponseoftheventriclestothefastatrialimpulses
d. Itpreventsstrokesinclientswhohaveatrialfibrillation
9. Anurseinacardiaccareunitiscaringforaclientwithacuteheartfailure.Whichofthefol
lowingfindingsshouldthenurseexpect?
, a. Decreasedbrainnatriureticpeptide(BNP)
b. Elevatedcentralvenouspressure(CVP)
c. Decreasedpulmonarypressure
d. Increasesurinaryoutput
10. AclientcomesintotheEDreportingnauseaandvomitingthatworsenswhenlyingdo
wnandwithoutrelieffromantacids.Theprovidersuspectsacutepancreatitis.Whichoft
hefollowinglabtestresultsshouldthenurseexpecttoseeiftheclienthasacutepancreatit
is?
a. DecreasedWBC
ASCALEREALEXAM
1. Anurseinaburntreatmentcenteriscaringforaclientwhoisadmittedwithseverebur
nstobothlowerextremitiesandispendinganescharotomy.Theclient’s
spouseasksthenursewhattheprocedureentails.Whichofthefollowing
nursingstatementsisappropriate?
a. “largeincisionswillbemadeintheeschartoimprovecirculation”
b. “Icancallthedoctorbackhereifyouwantmeto”
c. “apieceofskinwillberemovedandgraftedovertheburnedarea”
d. “deadtissuewillbesurgicallyremoved”
2. Anurseismonitoringthefluidreplacementofaclientwhohassustainedburns.Which
ofthefollowingfluidsisusedinthefirst24hoursfollowingaburninjury?
a. 5%dextroseinwater
b. 5%dextroseinnormalsaline
c. normalsaline
d. lactatedringers
3. Anurseiscaringforaclientwhohasfull-
thicknessburnsallover75%ofhisbody.Whichofthefollowingmethodsisappropriatet
oaccuratelymonitorthecardiovascularsystem?
a. auscultatecuffbloodpressure
b. palpatepulsepressure
c. obtainacentralvenouspressure
d. monitorthepulmonaryarterypressure
4. Anurseisassessingthedepthandextentofaclientwhohassevereburnstotheface,nec
k,andupperextremities.Whichofthefollowingfactorsisthefirstprioritywhenassessin
gtheseverityoftheburn?
,a. Ageoftheclient
b. Associatedmedicalhistory
c. Locationoftheburn
d. Causeoftheburn
5. Aclientarrivesattheemergencydeptfollowinganexplosionatthechemicalplant.H
ehasdeeppartialandfull-
thicknesschemicalburnsovermorethan25%ofhisbodysurfacearea.Whatisthenurs
e’s priorityintervention?
a. Initiatefluidresuscitation
b. Medicationforpain
c. Administerantibiotics
,d. Maintainapatentairway
6. Anurseiscaringforaclientwhocametheemergencydeptreportingchestpain.Theprovi
dersuspectsamyocardialinfarction.Whilewaitingforthelaboratorytoreporttheclient’s
troponinlevels,theclientaskswhatthisbloodtestwillshow.
Thenurseshouldexplainthattroponinis
a. Anenzymethatindicatesdamagetobrain,heart,andskeletalmuscletissu
es
b. Aproteinwhoselevelsreflecttheriskforcoronaryarterydisease
c. Aheartmuscleproteinthatappearsinthebloodstreamwhenthereisdam
agetotheheart
d. Aproteinthathelpstransportoxygenthroughoutthebody
7. Anurseisassessingaclientwhohasdisseminatedintravascularcoagulation(DIC
).Whichofthefollowingshouldthenurseexpectinthefindings?
a. Excessivethrombosisandbleeding
b. Progressiveincreaseinplateletproduction
c. Immediatesodiumandfluidretention
d. Increasedclottingfactors
8. Anurseisabouttoadministerwarfarin(Coumadin)toaclientwhohasatrialfibrill
ation.Whentheclientaskswhathismedicationwilldo,whichofthefollowingisanapp
ropriatenursingresponse?
a. Ithelpsconvertatrialfibrillationtosinusrhythm
b. Isdissolvesclotsinthebloodstream
c. Itslowstheresponseoftheventriclestothefastatrialimpulses
d. Itpreventsstrokesinclientswhohaveatrialfibrillation
9. Anurseinacardiaccareunitiscaringforaclientwithacuteheartfailure.Whichofthefol
lowingfindingsshouldthenurseexpect?
, a. Decreasedbrainnatriureticpeptide(BNP)
b. Elevatedcentralvenouspressure(CVP)
c. Decreasedpulmonarypressure
d. Increasesurinaryoutput
10. AclientcomesintotheEDreportingnauseaandvomitingthatworsenswhenlyingdo
wnandwithoutrelieffromantacids.Theprovidersuspectsacutepancreatitis.Whichoft
hefollowinglabtestresultsshouldthenurseexpecttoseeiftheclienthasacutepancreatit
is?
a. DecreasedWBC
