NUR417 LATEST EXAM 1
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
A patient is brought to the ED by paramedics, who report that the patient has
partial-thickness burns on the chest and legs. The patient has also suffered
smoke inhalation. What is the priority in the care of a patient who has been
burned and suffered smoke inhalation?
A) Pain
B) Fluid balance
C) Anxiety and fear
D) Airway management
A+ TEST BANK 1
, NUR417 LATEST EXAM
Ans: D
Feedback:
Systemic threats from a burn are the greatest threat to life. The ABCs of all
trauma care apply during the early postburn period. While all options should be
addressed, pain, fluid balance, and anxiety and fear do not take precedence
over airway management.
A patient is admitted to the burn center with burns over his head, neck, chest,
back, and left arm and hand after an explosion and fire in his garage. On
admission to the unit, you auscultate wheezes throughout the lung fields. On
reassessment, you notice that the wheezes are gone and the breath sounds are
greatly diminished. Which of the following actions is the most appropriate next
step?
a. place the pt in high fowler's position
b. encourage the pt to cough and auscultate the lungs again
c. document the results and continue to monitor the pt's progress
d. anticipate the need for endotracheal intubation and notify the physician
d. Anticipate the need for endotracheal intubation, and notify the physician.
Inhalation injury results in exposure of respiratory tract to intense heat or flames
with inhalation of noxious chemicals, smoke, or carbon monoxide. You should
anticipate the need for intubation.
A+ TEST BANK 2
, NUR417 LATEST EXAM
The client arrives at the emergency department following a burn injury that
occurred in the basement at home and an inhalation injury is suspected. Which
of the following would the nurse anticipate to be prescribed for the client?
a. 100% oxygen via an aerosol mask
b. Oxygen via nasal cannula at 15L/min
c. Oxygen via nasal cannula at 10L/min
d. 100% oxygen via a tight fitting, non rebreather face mask
ANS:D
If an inhalation injury is suspected in a client with a burn injury, the nurse would
anticipate that 100% oxygen via a tight-fitting, non-rebreather face mask would
be prescribed. Therefore, the correct answer is d.
Inhalation injury can cause damage to the respiratory tract and can lead to
respiratory distress, hypoxemia, and carbon monoxide poisoning. Providing
supplemental oxygen is critical to ensure adequate tissue oxygenation and
reduce the risk of complications.
A patient has been admitted to a burn intensive care unit with extensive full-
thickness burns over 25% of the body. After ensuring cardiopulmonary stability,
what would be the nurse's immediate, priority concern when planning this
patient's care?
A) Fluid status
B) Risk of infection
C) Nutritional status
D) Psychosocial coping
Ans: A
A+ TEST BANK 3
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Feedback:
During the early phase of burn care, the nurse is most concerned with fluid
resuscitation, to correct large-volume fluid loss through the damaged skin.
Infection control and early nutritional support are important, but fluid
resuscitation is an immediate priority. Coping is a higher priority later in the
recovery period.
A patient with severe burns is admitted to the intensive care unit to stabilize and
begin fluid resuscitation before transport to the burn center. The nurse should
monitor the patient closely for what signs of the onset of burn shock?
A) Confusion
B) High fever
C) Decreased blood pressure
D) Sudden agitation
Ans: C
Feedback:
As fluid loss continues and vascular volume decreases, cardiac output continues
to decrease and the blood pressure drops, marking the onset of burn shock.
Shock and the accompanying hemodynamic changes are not normally
accompanied by confusion, fever, or agitation.
A patient's burns are estimated at 36% of total body surface area; fluid
resuscitation has been ordered in the emergency department. After establishing
intravenous access, the nurse should anticipate the administration of what fluid?
A) 0.45% NaCl with 20 mEq/L KCl
B) 0.45% NaCl with 40 mEq/L KCl
C) Normal saline
D) Lactated Ringer's
Ans: D
A+ TEST BANK 4