5
FINALS AH3
6. Which patient is most appropriate for the burn unit charge nurse to assign to
a registered nurse (RN) who has floated from the hospital medical unit?
A. a patient who has 15% weight loss from admission and will need enteral
feedings
B. a patient who has thrice-daily durn debridements to partial-thickness facial
burns
C. A patient who just returned from having a cultured epithelial autograft to
the chest.
D. a patient who has blebs under an autograft on the thigh and has an
order for bleb aspiration
7. A 6 yo is admitted to the ED after being rescued from a pond after falling
through the ice while ice skating. Which of the following actions should the
nurse perform while rewarming the client?
A. massaging the clients skin surfaces to promote circulation
B. administering bronchodilators by nebulizer
C. assessing the client’s oral temperature
frequently D. ensuring continuous ECG
monitoring
8. The nurse is caring for a client experiencing cardiogenic shock caused by
systolic dysfunction after having MI. Which of the following prescriptions,
given by the health provider at bedside, should the nurse clarify?
A. preparation for ventricular assist device placement
B. supplemental oxygen via non-rebreather mask
, 5
C. intravenous dobutamine
D. one-liter bolus of intravenous normal saline
9. The nurse who is taking care of a client with burns is asked by a family
member why the client is losing so much weight. The client is currently in the
intermediate phase of recovery. Which of the ff would be the most
appropriate response by the nurse?
A. The client actually has not lost weight, but there has been a change in the
distribution of the client’s body fat
B. the client’s body has consumed the fat deposits for fuel, because the
client’s calorie intake is lower than normal
C. the client lost a lot of fluids while being treated in the emergency phase of
burn care
D. the client is on a calorie-restricted diet in order to divert energy to wound
healing
5. The nurse is caring for a client who is experiencing neurogenic shock after spinal
cord injury. The nurse has taught the client’s spouse about neurogenic shock. Which
of the ff statements by the client’s spouse requires follow-up?
A. My spouse may have difficulty maintaining normal body temperature
B. My spouse is receiving medicine to keep the blood pressure high enough
C. this type of shock causes the heart rate to be too slow
D. this type of shock causes excessive urine loss
6. The emergency department (ED) nurse receives a report that a seriously injured
patient involved in a motor vehicle crash is being transported to the facility with an
estimated arrival in 5 minutes. What should the nurse obtain in preparation for the
patient’s arrival?
A. A dopamine infusion
B. Lactated Ringer’s solution
C. a hypothermia blanket
D. two 16-gauge IV catheters
7. The nurse in the emergency room is caring for a client with multiple injuries who
has had an airway stabilized and is breathing on own. The ED nurse does not see
any active bleeding but should suspect internal hemorrhage based on which of the
following findings?
A. Absence of bruising at contusion sites
B. sudden diaphoresis
C. increased BP with narrowed pulse
pressure D. rapid pulse and delayed
capillary refill
8. The nurse is caring for a client with septic shock from a urinary tract infection
(UTI). Which of the following findings would indicate to the nurse that the client is
progressing to multiple organ dysfunction syndrome (MODS)?
A. Thrombocytopenia
B.pale skin color
, 5
C.hypertension
D.increased urine
output
FINALS AH3
6. Which patient is most appropriate for the burn unit charge nurse to assign to
a registered nurse (RN) who has floated from the hospital medical unit?
A. a patient who has 15% weight loss from admission and will need enteral
feedings
B. a patient who has thrice-daily durn debridements to partial-thickness facial
burns
C. A patient who just returned from having a cultured epithelial autograft to
the chest.
D. a patient who has blebs under an autograft on the thigh and has an
order for bleb aspiration
7. A 6 yo is admitted to the ED after being rescued from a pond after falling
through the ice while ice skating. Which of the following actions should the
nurse perform while rewarming the client?
A. massaging the clients skin surfaces to promote circulation
B. administering bronchodilators by nebulizer
C. assessing the client’s oral temperature
frequently D. ensuring continuous ECG
monitoring
8. The nurse is caring for a client experiencing cardiogenic shock caused by
systolic dysfunction after having MI. Which of the following prescriptions,
given by the health provider at bedside, should the nurse clarify?
A. preparation for ventricular assist device placement
B. supplemental oxygen via non-rebreather mask
, 5
C. intravenous dobutamine
D. one-liter bolus of intravenous normal saline
9. The nurse who is taking care of a client with burns is asked by a family
member why the client is losing so much weight. The client is currently in the
intermediate phase of recovery. Which of the ff would be the most
appropriate response by the nurse?
A. The client actually has not lost weight, but there has been a change in the
distribution of the client’s body fat
B. the client’s body has consumed the fat deposits for fuel, because the
client’s calorie intake is lower than normal
C. the client lost a lot of fluids while being treated in the emergency phase of
burn care
D. the client is on a calorie-restricted diet in order to divert energy to wound
healing
5. The nurse is caring for a client who is experiencing neurogenic shock after spinal
cord injury. The nurse has taught the client’s spouse about neurogenic shock. Which
of the ff statements by the client’s spouse requires follow-up?
A. My spouse may have difficulty maintaining normal body temperature
B. My spouse is receiving medicine to keep the blood pressure high enough
C. this type of shock causes the heart rate to be too slow
D. this type of shock causes excessive urine loss
6. The emergency department (ED) nurse receives a report that a seriously injured
patient involved in a motor vehicle crash is being transported to the facility with an
estimated arrival in 5 minutes. What should the nurse obtain in preparation for the
patient’s arrival?
A. A dopamine infusion
B. Lactated Ringer’s solution
C. a hypothermia blanket
D. two 16-gauge IV catheters
7. The nurse in the emergency room is caring for a client with multiple injuries who
has had an airway stabilized and is breathing on own. The ED nurse does not see
any active bleeding but should suspect internal hemorrhage based on which of the
following findings?
A. Absence of bruising at contusion sites
B. sudden diaphoresis
C. increased BP with narrowed pulse
pressure D. rapid pulse and delayed
capillary refill
8. The nurse is caring for a client with septic shock from a urinary tract infection
(UTI). Which of the following findings would indicate to the nurse that the client is
progressing to multiple organ dysfunction syndrome (MODS)?
A. Thrombocytopenia
B.pale skin color
, 5
C.hypertension
D.increased urine
output
