EXAM 2025 ACTUAL EXAM
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
A client has a burn encircling the left thigh from a
motorcycle accident. When the nurse enters the
room during rounds, the client appears anxious and
reports a funny feeling in the left foot. What should
the nurse do first? - ....ANSWER...Check the
circulatory status in the foot and report changes
A client is having a surgical procedure done to
promote peripheral tissue perfusion in an extremity
with full-thickness circumferential burns. What term
should the nurse use to document the procedure? -
....ANSWER...Escharotomy
The nurse is caring for a client with severe burns
who is receiving fluid resuscitation. Which of the
,following parameters indicate that the client is
responding to the fluid resuscitation? -
....ANSWER...Urine output of 30mL/hr
The nurse is assessing an 80-year-old client who
has scald burns on the hands and both forearms.
The percentage of burn areas less than 5%. What
should the nurse do first? - ....ANSWER...Clean the
wounds with tepid water
A parent of a child with a full-thickness burn asked
why the nurse keeps spreading the white cream on
the child's burns. The nurse explains that the cream
is mafenide (Sulfamylon) which is being applied to
the burn area for which reason? -
....ANSWER...Topical antibiotic that inhibits infection
A client returns from the operating room with a
partial-thickness skin graft on the left arm. The
donor tissue was taken from the left hip. In planning
immediate postoperative care, which intervention
should the nurse include? (select all that apply) -
....ANSWER...Elevate the left arm and provide
complete rest of grafted area
Administer pain medication every 4 hours as
ordered for pain at donor site
,Monitor pulse in left arm every 4 hours
A nurse is evaluating nutrition for burn client. Which
statement best describes nutritional needs? -
....ANSWER...Hypermetabolic state after a burn injury
leads to poor healing
A nurse is reviewing the lab results of a client who
was burned 24 hours ago. Which laboratory results
should the nurse report immediately to the health
care provider? - ....ANSWER...Serum potassium of 6.6
**almost fatal level**
Which statement made by the client with facial burns
who has be prescribed to wear a facial mask
pressure garment indicates correct understanding of
the purpose for this treatment? - ....ANSWER..."My
facial scars should be less severe with the use of
this mask."
What statement by the client indicates the need for
further discussion regarding the outcome of
allografting? - ....ANSWER..."Because the graft is my
own skin, there is no chance it won't take." (incorrect
statement)
, Which intervention is most important for the nurse
to use to prevent by CROSS-contamination in the
client with open brown wounds? - ....ANSWER...Hand
washing upon entering client's room
The nurse is caring for a client with an acute burn
injury. Which action should the nurse take to prevent
infection by AUTO-contamination? ***contamination
from self*** - ....ANSWER...Change gloves between
wound care on different parts of the client's body
The burn client is drooling and having difficulty
swallowing. What is the nurses priority intervention?
- ....ANSWER...Auscultate breath sounds over the
trachea and mainstem bronchi
Which information obtained during assessment
ensures that the clients respiratory efforts are
currently adequate? - ....ANSWER...Client's O2 SAT is
97%
Which statement made by the client indicates correct
understanding of rehabilitation after a burn injury? -