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NUR 221 EXAM 3 ACTUAL EXAM VERSION
1,2,3&4 WITH ALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+||LATEST AND
COMPLETE UPDATE 2026 WITH 100% VERIFIED
SOLUTIONS|| ASSURED PASS
A patient with a 60% burn in the acute phase of treatment develops a tense
abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this
assessment, the nurse anticipates interventions to evaluate and treat the patient for
what complication?
A. Acute kidney injury
B. Acute respiratory distress syndrome
C. Intraabdominal hypertension
D. Disseminated intravascular coagulation disorder - ANSWER: C.
Intraabdominal hypertension
An elderly individual from an assisted living facility (ALF) presents with severe
scald burns to the buttocks and back of the thighs. The caregiver from the ALF
accompanies the patient to the emergency department and states that the bath water
was "too hot" and that the "patient sat in the water too long." What should the
nurse do to best achieve an accurate history of the event?
A. Ask the caregiver at what temperature the water heater is set in the home.
B. Ask the caregiver to step out while examining the patient's burn injury.
C. Immediately contact the police to report the suspected elder abuse.
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D. Ask the caregiver to describe exactly how the injury occurred. - ANSWER: B.
Ask the caregiver to step out while examining the patient's burn injury
Why is silver is used as an ingredient in many burn dressings?
A. Stimulates tissue granulation.
B. Is effective against a wide spectrum of wound pathogens.
C. Provides topical pain relief.
D. Stimulates wound healing. - ANSWER: B. Is effective against a wide spectrum
of wound pathogens
The nurse understands that negative pressure wound therapy may be used in the
treatment of partial-thickness burn wounds to accomplish what outcome?
A. Maintain a closed wound system to decrease the risk of infection.
B. Remove excessive wound fluid and promote moist wound healing.
C. Increase patient mobility with large burn wounds.
D. Quantify wound drainage amount for more accurate output assessment. -
ANSWER: B. Remove excessive wound fluid and promote moist wound healing.
The nurse caring for a patient with an electrical injury understands that patients
with electrical injury are at a high risk for acute kidney injury secondary to what
related process?
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A. Hypervolemia from burn resuscitation
B. Increased incidence of ureteral stones
C. Nephrotoxic antibiotics for prevention of infection
D. Release of myoglobin from injured tissues - ANSWER: D. Release of
myoglobin from injured tissues
What is the priority nursing intervention for a patient who experienced a chemical
burn injury?
A. Remove the patient's clothes and flush the area with water.
B. Apply saline compresses.
C. Contact a poison control center for directions on neutralizing agents.
D. Remove all jewelry. - ANSWER: A. Remove the patient's clothes and flush the
area with water.
What is the most likely site to have a sheet graft applied?
A. Arm
B. Face
C. Leg
D. Chest - ANSWER: B. Face
The nurse is caring for a patient who has undergone skin grafting of the face and
arms for burn wound treatment. What is a primary nursing diagnosis for this
patient?
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A. Altered nutrition, less than body requirements
B. Body image disturbance
C. Decreased cardiac output
D. Fluid volume deficit - ANSWER: B. Body image disturbance
The nurse is assisting the patient who is recovering from moderate burns to select
foods from the menu that will promote wound healing. Which statement indicates
the nurse's knowledge of nutritional goals?
A. "Avoid foods that have saturated fats. Fats interfere with the ability of the burn
wound to heal."
B. "Choose foods that are high in protein, such as meat, eggs, and beans. These
help the burns to heal."
C. "It is important to choose foods like bread and pasta that are high in
carbohydrates. These foods will give you energy and help you to heal faster."
D. "Select foods that have lots of fiber, such as whole grains and fruits. These will
promote removal of toxins from the body that interfere with healing." - ANSWER:
B. "Choose foods that are high in protein, such as meat, eggs, and beans. These
help the burns to heal."
A burn patient in the rehabilitation phase of injury is increasingly anxious and
unable to sleep. The nurse should consult with the provider to further assess the
patient for what possible mental health condition?
A. Acute delirium
B. Posttraumatic stress disorder
NUR 221 EXAM 3 ACTUAL EXAM VERSION
1,2,3&4 WITH ALL QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+||LATEST AND
COMPLETE UPDATE 2026 WITH 100% VERIFIED
SOLUTIONS|| ASSURED PASS
A patient with a 60% burn in the acute phase of treatment develops a tense
abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this
assessment, the nurse anticipates interventions to evaluate and treat the patient for
what complication?
A. Acute kidney injury
B. Acute respiratory distress syndrome
C. Intraabdominal hypertension
D. Disseminated intravascular coagulation disorder - ANSWER: C.
Intraabdominal hypertension
An elderly individual from an assisted living facility (ALF) presents with severe
scald burns to the buttocks and back of the thighs. The caregiver from the ALF
accompanies the patient to the emergency department and states that the bath water
was "too hot" and that the "patient sat in the water too long." What should the
nurse do to best achieve an accurate history of the event?
A. Ask the caregiver at what temperature the water heater is set in the home.
B. Ask the caregiver to step out while examining the patient's burn injury.
C. Immediately contact the police to report the suspected elder abuse.
,2|Page
D. Ask the caregiver to describe exactly how the injury occurred. - ANSWER: B.
Ask the caregiver to step out while examining the patient's burn injury
Why is silver is used as an ingredient in many burn dressings?
A. Stimulates tissue granulation.
B. Is effective against a wide spectrum of wound pathogens.
C. Provides topical pain relief.
D. Stimulates wound healing. - ANSWER: B. Is effective against a wide spectrum
of wound pathogens
The nurse understands that negative pressure wound therapy may be used in the
treatment of partial-thickness burn wounds to accomplish what outcome?
A. Maintain a closed wound system to decrease the risk of infection.
B. Remove excessive wound fluid and promote moist wound healing.
C. Increase patient mobility with large burn wounds.
D. Quantify wound drainage amount for more accurate output assessment. -
ANSWER: B. Remove excessive wound fluid and promote moist wound healing.
The nurse caring for a patient with an electrical injury understands that patients
with electrical injury are at a high risk for acute kidney injury secondary to what
related process?
,3|Page
A. Hypervolemia from burn resuscitation
B. Increased incidence of ureteral stones
C. Nephrotoxic antibiotics for prevention of infection
D. Release of myoglobin from injured tissues - ANSWER: D. Release of
myoglobin from injured tissues
What is the priority nursing intervention for a patient who experienced a chemical
burn injury?
A. Remove the patient's clothes and flush the area with water.
B. Apply saline compresses.
C. Contact a poison control center for directions on neutralizing agents.
D. Remove all jewelry. - ANSWER: A. Remove the patient's clothes and flush the
area with water.
What is the most likely site to have a sheet graft applied?
A. Arm
B. Face
C. Leg
D. Chest - ANSWER: B. Face
The nurse is caring for a patient who has undergone skin grafting of the face and
arms for burn wound treatment. What is a primary nursing diagnosis for this
patient?
, 4|Page
A. Altered nutrition, less than body requirements
B. Body image disturbance
C. Decreased cardiac output
D. Fluid volume deficit - ANSWER: B. Body image disturbance
The nurse is assisting the patient who is recovering from moderate burns to select
foods from the menu that will promote wound healing. Which statement indicates
the nurse's knowledge of nutritional goals?
A. "Avoid foods that have saturated fats. Fats interfere with the ability of the burn
wound to heal."
B. "Choose foods that are high in protein, such as meat, eggs, and beans. These
help the burns to heal."
C. "It is important to choose foods like bread and pasta that are high in
carbohydrates. These foods will give you energy and help you to heal faster."
D. "Select foods that have lots of fiber, such as whole grains and fruits. These will
promote removal of toxins from the body that interfere with healing." - ANSWER:
B. "Choose foods that are high in protein, such as meat, eggs, and beans. These
help the burns to heal."
A burn patient in the rehabilitation phase of injury is increasingly anxious and
unable to sleep. The nurse should consult with the provider to further assess the
patient for what possible mental health condition?
A. Acute delirium
B. Posttraumatic stress disorder
