Hurst Study Practice Exam Guide Test.

Hurst Study Practice Exam Guide Test. A nurse arrives at the scene of a home fire along with local emergency medical services (EMS) to find a client lying in the front yard. Burns are noted to the face, neck and chest. In what order should the nurse care for this client at the scene? 1 Establish airway patency 2 Assess breathing 3 Administer 100% humidified oxygen 4 Soak burned area with cool water. 5 Remove restrictive objects 6 Start a large bore IV line 7 Cover the wound - CORRECT ANSWER 1,2,3,4,5,6,7 A client is admitted to the emergency department after sustaining burns to the chest and legs during a house fire. Which assessment should the nurse perform immediately? 1. Respiratory 2. Cardiac 3. Airway 4. Neurological - CORRECT ANSWER 3 Standard orders on the nurse's unit include an intravenous infusion of 0.45 NS 1000 mL with 20 mEq (20 mmol/L) potassium chloride to run at 100 mL per hour. This IV solution would be appropriate for which client diagnosis? 1. Addisonian crisis 2. Hypertension 3. Chronic renal failure 4. Cushing's disease 5. Hypokalemia - CORRECT ANSWER 4, 5 A nurse educator has completed an educational program on interpreting arterial blood gases (ABGs). The educator recognizes that education has been successful when a nurse selects which set of ABGs as metabolic acidosis? 1. pH - 7.32, PaCO2 - 48, HCO3 - 23 2. pH - 7.29, PaCO2 - 42, HCO3 - 19 3. pH - 7.5, PaCO2 - 30, HCO3 - 22 4. pH - 7.35, PaCO2 - 35, HCO3 - 26 - CORRECT ANSWER 2 The client has pustules on the arm from intravenous drug abuse. The microbiology laboratory informs the nurse that the client's cultures are growing methicillin-resistant Staphylococcus aureus (MRSA). Which action would the nurse take? 1. Implement droplet precautions immediately. 2. Inform the client to wear a mask when ambulating in the hall. 3. Instruct the client on the importance of hand hygiene. 4. Cover the pustules to prevent drainage. 5. Allow pustules to drain freely. - CORRECT ANSWER 3,4 An elderly, confused client with dehydration is admitted to the medical unit. Which intervention would be appropriate for the RN to delegate to the LPN? 1. Involve the client in care decision making. 2. Reinforce the teaching plan with the client's family. 3. Maintain fresh fluids at bedside. 4. Evaluate I & O for adequate fluid replacement. - CORRECT ANSWER 2