Burns (Practice Mode)- Rnpedia

38 Questions | By Rnpedia | Updated: Mar 22, 2022 | Attempts: 4914

Questions

Settings

Mark the letter of the letter of choice then click on the next button. Answers will be revealed after each questions. Good luck!

Questions and Answers

1.

The newly admitted client has a large burned area on the right arm. The burned area appears red, has blisters, and is very painful. How should this injury be categorized?
- A.
  
  Superficial
- B.
  
  Partial-thickness superficial
- C.
  
  Partial-thickness deep
- D.
  
  Full thickness
2.

The burned client newly arrived from an accident scene is prescribed to receive 4 mg of morphine sulfate by IV push. What is the most important reason to administer the opioid analgesic to this client by the intravenous route?
- A.
  
  The medication will be effective more quickly than if given intramuscularly.
- B.
  
  It is less likely to interfere with the client’s breathing and oxygenation.
- C.
  
  The danger of an overdose during fluid remobilization is reduced.
- D.
  
  The client delayed gastric emptying.
3.

Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?
- A.
  
  Vitamin A
- B.
  
  Vitamin B
- C.
  
  Vitamin C
- D.
  
  Vitamin D
4.

Which client factors should alert the nurse to potential increased complications with a burn injury?
- A.
  
  The client is a 26-year-old male.
- B.
  
  The client has had a burn injury in the past.
- C.
  
  The burned areas include the hands and perineum.
- D.
  
  The burn took place in an open field and ignited the client's clothing.
5.

The burned client is ordered to receive intravenous cimetidine, an H2 histamine blocking agent, during the emergent phase. When the client's family asks why this drug is being given, what is the nurse’s best response?
- A.
  
  “To increase the urine output and prevent kidney damage.”
- B.
  
  “To stimulate intestinal movement and prevent abdominal bloating.”
- C.
  
  “To decrease hydrochloric acid production in the stomach and prevent ulcers.”
- D.
  
  “To inhibit loss of fluid from the circulatory system and prevent hypovolemic shock.”
6.

At what point after a burn injury should the nurse be most alert for the complication of hypokalemia?
- A.
  
  Immediately following the injury
- B.
  
  During the fluid shift
- C.
  
  During fluid remobilization
- D.
  
  During the late acute phase
7.

What clinical manifestation should alert the nurse to possible carbon monoxide poisoning in a client who experienced a burn injury during a house fire?
- A.
  
  Pulse oximetry reading of 80%
- B.
  
  Expiratory stridor and nasal flaring
- C.
  
  Cherry red color to the mucous membranes
- D.
  
  Presence of carbonaceous particles in the sputum
8.

What clinical manifestation indicates that an escharotomy is needed on a circumferential extremity burn?
- A.
  
  The burn is full thickness rather than partial thickness.
- B.
  
  The client is unable to fully pronate and supinate the extremity.
- C.
  
  Capillary refill is slow in the digits and the distal pulse is absent.
- D.
  
  The client cannot distinguish the sensation of sharp versus dull in the extremity.
9.

What additional laboratory test should be performed on any African American client who sustains a serious burn injury?
- A.
  
  Total protein
- B.
  
  Tissue type antigens
- C.
  
  Prostate specific antigen
- D.
  
  Hemoglobin S electrophoresis
10.

Which type of fluid should the nurse expect to prepare and administer as fluid resuscitation during the emergent phase of burn recovery?
- A.
  
  Colloids
- B.
  
  Crystalloids
- C.
  
  Fresh-frozen plasma
- D.
  
  Packed red blood cells
11.

The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse’s best first action?
- A.
  
  Administer oxygen.
- B.
  
  Loosen the dressing.
- C.
  
  Notify the emergency team.
- D.
  
  Document the observation as the only action.
12.

The client who experienced an inhalation injury 6 hours ago has been wheezing. When the client is assessed, wheezes are no longer heard. What is the nurse’s best action?
- A.
  
  Raise the head of the bed.
- B.
  
  Notify the emergency team.
- C.
  
  Loosen the dressings on the chest.
- D.
  
  Document the findings as the only action.
13.

Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse’s best action?
- A.
  
  Notify the emergency team.
- B.
  
  Document the finding as the only action.
- C.
  
  Ask the client if anyone in her family has diabetes mellitus.
- D.
  
  Slow the intravenous infusion of dextrose 5% in Ringer's lactate.
14.

On admission to the emergency department the burned client's blood pressure is 90/60, with an apical pulse rate of 122. These findings are an expected result of what thermal injury–related response?
- A.
  
  Fluid shift
- B.
  
  Intense pain
- C.
  
  Hemorrhage
- D.
  
  Carbon monoxide poisoning
15.

Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. What is the nurse’s best action?
- A.
  
  Reposition the client onto the right side.
- B.
  
  Document the finding as the only action.
- C.
  
  Notify the emergency team.
- D.
  
  Increase the IV flow rate.
16.

Which clinical manifestation indicates that the burned client is moving into the fluid remobilization phase of recovery?
- A.
  
  Increased urine output, decreased urine specific gravity
- B.
  
  Increased peripheral edema, decreased blood pressure
- C.
  
  Decreased peripheral pulses, slow capillary refill
- D.
  
  Decreased serum sodium level, increased hematocrit
17.

What is the priority nursing diagnosis during the first 24 hours for a client with full-thickness chemical burns on the anterior neck, chest, and all surfaces of the left arm?
- A.
  
  Risk for Ineffective Breathing Pattern
- B.
  
  Decreased Tissue Perfusion
- C.
  
  Risk for Disuse Syndrome
- D.
  
  Disturbed Body Image
18.

The client has experienced an electrical injury, with the entrance site on the left hand and the exit site on the left foot. What are the priority assessment data to obtain from this client on admission?
- A.
  
  Airway patency
- B.
  
  Heart rate and rhythm
- C.
  
  Orientation to time, place, and person
- D.
  
  Current range of motion in all extremities
19.

In assessing the client's potential for an inhalation injury as a result of a flame burn, what is the most important question to ask the client on admission?
- A.
  
  “Are you a smoker?”
- B.
  
  “When was your last chest x-ray?”
- C.
  
  “Have you ever had asthma or any other lung problem?”
- D.
  
  “In what exact place or space were you when you were burned?”
20.

Which information obtained by assessment ensures that the client's respiratory efforts are currently adequate?
- A.
  
  The client is able to talk.
- B.
  
  The client is alert and oriented.
- C.
  
  The client's oxygen saturation is 97%.
- D.
  
  The client's chest movements are uninhibited
21.

Which information obtained by assessment ensures that the client's respiratory efforts are currently adequate?
- A.
  
  The client is able to talk.
- B.
  
  The client is alert and oriented.
- C.
  
  The client's oxygen saturation is 97%.
- D.
  
  The client's chest movements are uninhibited
22.

The burned client's family ask at what point the client will no longer be at increased risk for infection. What is the nurse’s best response?
- A.
  
  “When fluid remobilization has started.”
- B.
  
  “When the burn wounds are closed.”
- C.
  
  “When IV fluids are discontinued.”
- D.
  
  “When body weight is normal.”
23.

The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?
- A.
  
  Seasonal asthma
- B.
  
  Hepatitis B 10 years ago
- C.
  
  Myocardial infarction 1 year ago
- D.
  
  Kidney stones within the last 6 month
24.

The burned client on admission is drooling and having difficulty swallowing. What is the nurse’s best first action?
- A.
  
  Assess level of consciousness and pupillary reactions.
- B.
  
  Ask the client at what time food or liquid was last consumed.
- C.
  
  Auscultate breath sounds over the trachea and mainstem bronchi.
- D.
  
  Measure abdominal girth and auscultate bowel sounds in all four quadrants.
25.

Which intervention is most important for the nurse to use to prevent infection by cross-contamination in the client who has open burn wounds?
- A.
  
  Handwashing on entering the client's room
- B.
  
  Encouraging the client to cough and deep breathe
- C.
  
  Administering the prescribed tetanus toxoid vaccine
- D.
  
  Changing gloves between cleansing different burn areas