NUR401 Exam Questions with Answers
What are the 4 methods of heat loss - ✔✔1. conduction
2. convection
3. evaporation
4. radiation
Define conduction heat loss - ✔✔Heat transfer from body to a cooler surface by direct contact
Provide an example of conduction heat loss - ✔✔Newborn losing body heat by being placed on
a metal changing table.
Define convection heat loss - ✔✔heat transfer from the body to moving liquid or air
Provide an example of convection heat loss - ✔✔fan
Define evaporation heat loss - ✔✔Sweat vaporized at the skin surface
Provide an example of evaporation heat loss - ✔✔sweat transferred to the air
Define radiation heat loss - ✔✔heat transfer via electromagnetic rays
Provide an example of radiation heat loss - ✔✔UV light from sunshine
If a client presents to the emergency department with hypothermia, what assessment findings
might the nurse anticipate? (hint: 7) - ✔✔Decreased metabolic rate, hypotension, bradycardia
or irregular heart rhythm, irregular respiratory rate, shivering, decreased urinary output, and
increase in blood viscosity
, What interventions will the nurse implement for clients with frostbite? (Hint: 6 plus a side note)
- ✔✔1. Rewarm frostbitten areas in warm circulating water
2. DO NOT rub or massage
3. Patient on bedrest
4. Administer analgesia and anti-inflammatory agents
5. Whirlpool therapy to clean the client's skin
6. Debridement of necrotic tissue
Side Note: Necrotized areas may require amputation
What is the priority nurse action for client's that are unresponsive, pulseless, and apneic? -
✔✔1. First, start CPR and apply O2 and defibrillator
2. shock/defibrillate if necessary
3. Get IV access
4. Continue CPR, provide shock if necessary
5. Provide epinephrine Q3-5 minutes
What assessment findings might the nurse anticipate in a patient presenting with a high fever?
(hint: 8) - ✔✔1. flushing
2. warm skin
3. increased metabolic rate
4. tachycardia
5. tachypnea
6. increased need for fluids
7. fatigue/malaise (weakness)
8. changes in mental status, unresponsiveness
What are the 4 methods of heat loss - ✔✔1. conduction
2. convection
3. evaporation
4. radiation
Define conduction heat loss - ✔✔Heat transfer from body to a cooler surface by direct contact
Provide an example of conduction heat loss - ✔✔Newborn losing body heat by being placed on
a metal changing table.
Define convection heat loss - ✔✔heat transfer from the body to moving liquid or air
Provide an example of convection heat loss - ✔✔fan
Define evaporation heat loss - ✔✔Sweat vaporized at the skin surface
Provide an example of evaporation heat loss - ✔✔sweat transferred to the air
Define radiation heat loss - ✔✔heat transfer via electromagnetic rays
Provide an example of radiation heat loss - ✔✔UV light from sunshine
If a client presents to the emergency department with hypothermia, what assessment findings
might the nurse anticipate? (hint: 7) - ✔✔Decreased metabolic rate, hypotension, bradycardia
or irregular heart rhythm, irregular respiratory rate, shivering, decreased urinary output, and
increase in blood viscosity
, What interventions will the nurse implement for clients with frostbite? (Hint: 6 plus a side note)
- ✔✔1. Rewarm frostbitten areas in warm circulating water
2. DO NOT rub or massage
3. Patient on bedrest
4. Administer analgesia and anti-inflammatory agents
5. Whirlpool therapy to clean the client's skin
6. Debridement of necrotic tissue
Side Note: Necrotized areas may require amputation
What is the priority nurse action for client's that are unresponsive, pulseless, and apneic? -
✔✔1. First, start CPR and apply O2 and defibrillator
2. shock/defibrillate if necessary
3. Get IV access
4. Continue CPR, provide shock if necessary
5. Provide epinephrine Q3-5 minutes
What assessment findings might the nurse anticipate in a patient presenting with a high fever?
(hint: 8) - ✔✔1. flushing
2. warm skin
3. increased metabolic rate
4. tachycardia
5. tachypnea
6. increased need for fluids
7. fatigue/malaise (weakness)
8. changes in mental status, unresponsiveness
