PN3 Exam 2 Review
1. The nurse is assessing a client's burn for the zones of injury. Which of the following will
the nurse NOT assess in the client at this time?
- Zone of Eschar
2. Which of the following will the nurse most likely assess in a client diagnosed with a
second-degree burn?
- Pain and blisters
3. The nurse, caring for a client with severe burns, realizes that the client's care will
progress through specific periods of treatment EXCEPT:
- stabilization
4. A client who has experienced a burn is in the emergent phase of treatment that usually
occurs during which of the following periods?
- 24 to 48 hours
5. A client is beginning the initial treatment of a major burn in the emergency room. Which
of the following interventions would NOT be completed?
- Giving oral medications for pain management
6. The formula used to calculate the volume of IV fluid required for fluid resuscitation of a
client receiving care in the first 24 hours after a burn is
- 2 to 4 mL of lactated Ringer's solution x weight(KG) x burn %
*Parkland Formula*
, 7. A client is being evaluated in the emergency department following a burn injury at
home. The client has second and third degree burns to the right and left arms, back, and
both posterior legs. Using the rule of nines, the nurse would calculate the client's burn
as being:
- 54%
8. The nurse is assessing a client diagnosed with second and third degree burns. Which of
the following assessment signs would NOT need to be reported by the nurse?
- Urine output of 30 mL in the first hour
9. The nurse is initiating care for a client diagnosed with burns to the chest, back, neck,
and face. For this client, which of the following nursing diagnoses would receive the
highest priority?
- Ineffective airway clearance
10. A client is recovering from a skin graft to her right arm. Which of following nursing
interventions would not be indicated for this client?
- Encourage exercise of the right arm
11. A client diagnosed with major burn is being prescribed medication for pain. The nurse
realized that the drug of choice for this client will be?
- morphine sulfate
12. The goals of management during the emergent period after a burn include which of the
following? *(Select all that apply)*
- -Airway management
-Aseptic Technique
-Emotional Support
1. The nurse is assessing a client's burn for the zones of injury. Which of the following will
the nurse NOT assess in the client at this time?
- Zone of Eschar
2. Which of the following will the nurse most likely assess in a client diagnosed with a
second-degree burn?
- Pain and blisters
3. The nurse, caring for a client with severe burns, realizes that the client's care will
progress through specific periods of treatment EXCEPT:
- stabilization
4. A client who has experienced a burn is in the emergent phase of treatment that usually
occurs during which of the following periods?
- 24 to 48 hours
5. A client is beginning the initial treatment of a major burn in the emergency room. Which
of the following interventions would NOT be completed?
- Giving oral medications for pain management
6. The formula used to calculate the volume of IV fluid required for fluid resuscitation of a
client receiving care in the first 24 hours after a burn is
- 2 to 4 mL of lactated Ringer's solution x weight(KG) x burn %
*Parkland Formula*
, 7. A client is being evaluated in the emergency department following a burn injury at
home. The client has second and third degree burns to the right and left arms, back, and
both posterior legs. Using the rule of nines, the nurse would calculate the client's burn
as being:
- 54%
8. The nurse is assessing a client diagnosed with second and third degree burns. Which of
the following assessment signs would NOT need to be reported by the nurse?
- Urine output of 30 mL in the first hour
9. The nurse is initiating care for a client diagnosed with burns to the chest, back, neck,
and face. For this client, which of the following nursing diagnoses would receive the
highest priority?
- Ineffective airway clearance
10. A client is recovering from a skin graft to her right arm. Which of following nursing
interventions would not be indicated for this client?
- Encourage exercise of the right arm
11. A client diagnosed with major burn is being prescribed medication for pain. The nurse
realized that the drug of choice for this client will be?
- morphine sulfate
12. The goals of management during the emergent period after a burn include which of the
following? *(Select all that apply)*
- -Airway management
-Aseptic Technique
-Emotional Support
