Retake Exam 2025 –
100% Real Actual
Exam with Verified
Questions & Correct
Answers [Graded A+]
A nurse in a burn treatment center is caring for a client who is admitted
with severe burns to both lower extremities and is scheduled for an
escharotomy. The client's spouse asks the nurse what the procedure
entails. Which of the following nursing statements is appropriate?
a. Large incisions will be made in the eschar to improve
circulation b. I can call the doctor back here if you want me to
c. A piece of skin will be removed and grafted over the burned
area d. Dead tissue will be surgically removed - ANS✔✔---A
,A nurse is monitoring the fluid replacement of a client who has sustained
burns. Which of the following fluids is used in the first 24 hours following
a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers - ANS✔✔---D
A nurse is caring for a client who has full-thickness burns all over 75%
of his body. Which of the following methods is appropriate to accurately
monitor the cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure - ANS✔✔---C
A nurse is assessing the depth and extent of a client who has severe
burns to the face, neck, and upper extremities. Which of the following
factors is the first priority when assessing the severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn - ANS✔✔---D
A client arrives at the emergency dept following an explosion at the
chemical plant. He has deep partial and full-thickness chemical burns
over more than 25 % of his body surface area. What is the nurse's priority
intervention?
a. Initiate fluid resuscitation
b. Medication for pain
c. Administer antibiotics
, d. Maintain a patent airway - ANS✔✔---D
A nurse is caring for a client who came the emergency dept reporting
chest pain. The provider suspects a myocardial infarction. While waiting
for the laboratory to report the client's troponin levels, the client asks what
this blood test will show. The nurse should explain that troponin is
a. An enzyme that indicates damage to brain, heart, and
skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream when
there is
damage to the heart
d. A protein that helps transport oxygen throughout the body
- ANS✔✔---C
A nurse is assessing a client who has disseminated intravascular
coagulation (DIC). Which of the following should the nurse expect in
the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factor - ANS✔✔---D
A nurse is about to administer warfarin (Coumadin) to a client who has
atrial fibrillation. When the client asks what his medication will do, which
of the following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus
rhythm b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses