Quiz: NCLEX Questions On Burn Injury Nursing Management
- 1.Which finding is characteristic during the emergent period after a deep full thickness burn injury?
- A.
Blood pressure of 170/100 mm Hg
- B.
Foul-smelling discharge from wound
- C.
Pain at site of injury
- D.
Urine output of 10 mL/hr
- 2.Which is the priority nursing diagnosis during the first 24 hours for a client with chemical burns to the legs and arms that are red in color. edematous. and without pain?
- A.
Decreased Tissue Perfusion
- B.
Disturbed Body Image
- C.
Risk for Disuse Syndrome
- D.
Risk for Ineffective Breathing Pattern
- 3.Which laboratory result. obtained on a client 24 hours post-burn injury. will the nurse report to the physician immediately?
- A.
Arterial pH. 7.32
- B.
Hematocrit. 52%
- C.
Serum potassium.7.5 mmol/L (mEq/L)
- D.
Serum sodium. 131 mmol/L (mEq/L)
- 4.Which nursing intervention is likely to be most helpful in providing adequate nutrition while the client is recovering from a thermal burn injury?
- A.
Allowing the client to eat whenever he or she wants
- B.
Beginning parenteral nutrition high in calories
- C.
Limiting calories to 3000 kcal/day
- D.
Providing a low-protein. high-fat diet
- 5.Which statement best exemplifies the client’s understanding of rehabilitation after a full-thickness burn injury?
- A.
“I am fully recovered when all the wounds are closed.”
- B.
“I will eventually be able to perform all my former activities.”
- C.
“My goal is to achieve the highest level of functioning that I can.”
- D.
“There is never full recovery from a major burn injury.”
- 6.Which statement indicates that a client with facial burns understands the need to wear a facial pressure garment?
- A.
“My facial scars should be less severe with the use of this mask.”
- B.
“The mask will help protect my skin from sun damage.”
- C.
“This treatment will help prevent infection.”
- D.
“Using this mask will prevent scars from being permanent.”
- 7.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.
- 8.During the acute phase. the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations. Which manifestation indicates that the client is having an adverse reaction to this topical agent?
- A.
Increased wound pain 30 to 40 minutes after drug application
- B.
Presence of small. pale pink bumps in the wound beds
- C.
Decreased white blood cell count
- D.
Increased serum creatinine level
- 9.Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery?
- A.
Changing gloves between wound care on different parts of the client’s body.
- B.
Avoiding sharing equipment such as blood pressure cuffs between clients.
- C.
Using the closed method of burn wound management.
- D.
Using proper and consistent handwashing.
- 10.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
Questions: 70 | Attempts: 51247 | Last updated: Jul 28, 2020
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