NURS MISC Acute Care EXAM questions with answers
2022
1. A client is being admitted to the hospital for treatment of acute cellulitis
of the lower left leg and asks the admitting nurse to explain what
cellulitis means. The nurse bases the response on the understanding
that cellulitis has which characteristic?
1. An inflammation of the epidermis only
2. A skin infection of the dermis and underlying hypodermis
3. An acute superficial infection of the dermis and lymphatics
4. An epidermal and lymphatic infection caused by Staphylococcus
2. A skin infection of the dermis and underlying hypodermis
3. The clinic nurse assesses the skin of a client with a diagnosis of psoriasis.
The nurse understands that which characteristic is associated with this
skin disorder?
1. Oily skin
2. Clear, thin nail beds
3. Redpurplish scaly lesions
4. Silverywhite scaly patches
4. Silverywhite scaly patches
4. The clinic nurse notes that the health care provider has documented a
diagnosis of herpes zoster (shingles) in the client's chart. Based on an
understanding of the cause of this disorder, the nurse determines that
this definitive diagnosis was made by which diagnostic test?
1. Patch test
2. Skin biopsy
3. Culture of the lesion
4. Wood's light examination
2 Culture of the lesion
2. A client calls the emergency department and tells the nurse that he
came directly into contact with poison ivy shrubs. The client tells the
nurse that he cannot see anything on the skin and asks the nurse what
to do. The nurse should make which response?
1. "Come to the emergency department."
2. "Apply calamine lotion immediately to the exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your
skin."
3. "Take a shower immediately, lathering and rinsing several times."
,NURS MISC Acute Care EXAM questions with answers
2022
5. A client returns to the clinic for followup treatment following a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy report
indicates that the lesion is a melanoma. The nurse understands that
melanoma has which characteristic?
1. Metastasis is rare.
2. It is encapsulated.
3. It is highly metastatic.
4. It is characterized by local invasion.
3. It is highly metastatic.
6. When assessing a lesion diagnosed as malignant melanoma, the
nurse most likely expects to note which finding?
1. An irregularly shaped lesion
2. A small papule with a dry, rough scale
3. A firm, nodular lesion topped with crust
4. A pearly papule with a central crater and a waxy border
1. An irregularly shaped lesion
7. A client arriving at the emergency department has experienced frostbite
to the right hand. Which finding would the nurse note on assessment of
the client's hand?
1. A pink, edematous hand
2. A fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
4. A white color to the skin, which is insensitive to touch
8. The evening nurse reviews the nursing documentation in a client's chart
and notes that the day nurse has documented that the client has a stage
II pressure ulcer in the sacral area. Which finding would the nurse expect
to note on assessment of the client's sacral area?
1. Intact skin
2. Fullthickness skin loss
3. Exposed bone, tendon, or muscle
4. Partialthickness skin loss of the dermis
4. Partialthickness skin loss of the dermis
9. An adult client was burned in an explosion. The burn initially affected the
client's entire face (anterior half of the head) and the upper half of the
anterior torso, and there were circumferential burns to the lower half of
both arms. The client's clothes caught on fire, and the client ran, causing
subsequent burn injuries to the posterior surface of the head and the
upper half of the posterior torso. Using the rule of nines,
,NURS MISC Acute Care EXAM questions with answers
2022
what would be the extent of the burn
injury? 1. 18%
2. 24%
3. 36%
4. 48%
3. 36%
10. The nurse is preparing to care for a burn client scheduled for an
escharotomy procedure being performed for a thirddegree
circumferential arm burn. The nurse understands that which finding is
the anticipated therapeutic outcome of the escharotomy?
1. Return of distal pulses
2. Brisk bleeding from the site
3. Decreasing edema formation
4. Formation of granulation tissue
1. Return of distal pulses
11. A client is undergoing fluid replacement after being burned on 20%
of her body 12 hours ago. The nursing assessment reveals a blood
pressure of 90/50 mm Hg, a pulse rate of 110 beats/minute, and a urine
output of 20 mL over the past hour. The nurse reports the findings to the
health care provider (HCP) and anticipates which prescription?
1. Transfusing 1 unit of packed red blood cells
2. Administering a diuretic to increase urine output
3. Increasing the amount of intravenous (IV) lactated Ringer's solution
administered per hour
4. Changing the IV lactated Ringer's solution to one that contains dextrose
in water
3. Increasing the amount of intravenous (IV) lactated Ringer's solution
administered per hour
12. The nurse is caring for a client who sustained superficial partial-
thickness burns on the anterior lower legs and anterior thorax. Which
finding does the nurse expect to note during the resuscitation/emergent
phase of the burn injury?
1. Decreased heart rate
2. Increased urinary output
3. Increased blood pressure
4. Elevated hematocrit levels
4. Elevated hematocrit levels
13. The nurse is administering fluids intravenously as prescribed
to a client who sustained superficial partialthickness burn injuries
of the back and legs. In
, NURS MISC Acute Care EXAM questions with answers
2022
evaluating the adequacy of fluid resuscitation, the nurse understands
that which assessment would provide the most reliable indicator for
determining the adequacy?
1. Vital signs
2. Urine output
3. Mental status
4. Peripheral pulses
2. Urine output
14. The nurse is caring for a client following an autograft and grafting
to a burn wound on the right knee. What would the nurse anticipate to
be prescribed for the client?
1. Outofbed activities
2. Bathroom privileges
3. Immobilization of the affected leg
4. Placing the affected leg in a dependent position
3. Immobilization of the affected leg
15. The health education nurse provides instructions to a group of
clients regarding measures that will assist in preventing skin cancer.
Which instructions should the nurse provide? Select all that apply.
1. Sunscreen should be applied every 8 hours.
2. Use sunscreen when participating in outdoor activities.
3. Wear a hat, opaque clothing, and sunglasses when in the sun.
4. Avoid sun exposure in the late afternoon and early evening hours.
5. Examine your body monthly for any lesions that may be suspicious.
o 2. Use sunscreen when participating in outdoor activities.
o 3. Wear a hat, opaque clothing, and sunglasses when in the sun.
o 5. Examine your body monthly for any lesions that may be suspicious.
16. The community health nurse is visiting a homeless shelter and is
assessing the clients in the shelter for the presence of scabies. Which
assessment finding should the nurse expect to note if scabies is
present?
1. Brownred macules with scales
2. Pustules on the trunk of the body
3. White patches noted on the elbows and knees
4. Multiple straight or wavy threadlike lines underneath the skin
4. Multiple straight or wavy threadlike lines underneath the skin
17. The nurse in the ambulatory care unit is providing home care
instructions to a client
2022
1. A client is being admitted to the hospital for treatment of acute cellulitis
of the lower left leg and asks the admitting nurse to explain what
cellulitis means. The nurse bases the response on the understanding
that cellulitis has which characteristic?
1. An inflammation of the epidermis only
2. A skin infection of the dermis and underlying hypodermis
3. An acute superficial infection of the dermis and lymphatics
4. An epidermal and lymphatic infection caused by Staphylococcus
2. A skin infection of the dermis and underlying hypodermis
3. The clinic nurse assesses the skin of a client with a diagnosis of psoriasis.
The nurse understands that which characteristic is associated with this
skin disorder?
1. Oily skin
2. Clear, thin nail beds
3. Redpurplish scaly lesions
4. Silverywhite scaly patches
4. Silverywhite scaly patches
4. The clinic nurse notes that the health care provider has documented a
diagnosis of herpes zoster (shingles) in the client's chart. Based on an
understanding of the cause of this disorder, the nurse determines that
this definitive diagnosis was made by which diagnostic test?
1. Patch test
2. Skin biopsy
3. Culture of the lesion
4. Wood's light examination
2 Culture of the lesion
2. A client calls the emergency department and tells the nurse that he
came directly into contact with poison ivy shrubs. The client tells the
nurse that he cannot see anything on the skin and asks the nurse what
to do. The nurse should make which response?
1. "Come to the emergency department."
2. "Apply calamine lotion immediately to the exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your
skin."
3. "Take a shower immediately, lathering and rinsing several times."
,NURS MISC Acute Care EXAM questions with answers
2022
5. A client returns to the clinic for followup treatment following a skin
biopsy of a suspicious lesion performed 1 week ago. The biopsy report
indicates that the lesion is a melanoma. The nurse understands that
melanoma has which characteristic?
1. Metastasis is rare.
2. It is encapsulated.
3. It is highly metastatic.
4. It is characterized by local invasion.
3. It is highly metastatic.
6. When assessing a lesion diagnosed as malignant melanoma, the
nurse most likely expects to note which finding?
1. An irregularly shaped lesion
2. A small papule with a dry, rough scale
3. A firm, nodular lesion topped with crust
4. A pearly papule with a central crater and a waxy border
1. An irregularly shaped lesion
7. A client arriving at the emergency department has experienced frostbite
to the right hand. Which finding would the nurse note on assessment of
the client's hand?
1. A pink, edematous hand
2. A fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
4. A white color to the skin, which is insensitive to touch
8. The evening nurse reviews the nursing documentation in a client's chart
and notes that the day nurse has documented that the client has a stage
II pressure ulcer in the sacral area. Which finding would the nurse expect
to note on assessment of the client's sacral area?
1. Intact skin
2. Fullthickness skin loss
3. Exposed bone, tendon, or muscle
4. Partialthickness skin loss of the dermis
4. Partialthickness skin loss of the dermis
9. An adult client was burned in an explosion. The burn initially affected the
client's entire face (anterior half of the head) and the upper half of the
anterior torso, and there were circumferential burns to the lower half of
both arms. The client's clothes caught on fire, and the client ran, causing
subsequent burn injuries to the posterior surface of the head and the
upper half of the posterior torso. Using the rule of nines,
,NURS MISC Acute Care EXAM questions with answers
2022
what would be the extent of the burn
injury? 1. 18%
2. 24%
3. 36%
4. 48%
3. 36%
10. The nurse is preparing to care for a burn client scheduled for an
escharotomy procedure being performed for a thirddegree
circumferential arm burn. The nurse understands that which finding is
the anticipated therapeutic outcome of the escharotomy?
1. Return of distal pulses
2. Brisk bleeding from the site
3. Decreasing edema formation
4. Formation of granulation tissue
1. Return of distal pulses
11. A client is undergoing fluid replacement after being burned on 20%
of her body 12 hours ago. The nursing assessment reveals a blood
pressure of 90/50 mm Hg, a pulse rate of 110 beats/minute, and a urine
output of 20 mL over the past hour. The nurse reports the findings to the
health care provider (HCP) and anticipates which prescription?
1. Transfusing 1 unit of packed red blood cells
2. Administering a diuretic to increase urine output
3. Increasing the amount of intravenous (IV) lactated Ringer's solution
administered per hour
4. Changing the IV lactated Ringer's solution to one that contains dextrose
in water
3. Increasing the amount of intravenous (IV) lactated Ringer's solution
administered per hour
12. The nurse is caring for a client who sustained superficial partial-
thickness burns on the anterior lower legs and anterior thorax. Which
finding does the nurse expect to note during the resuscitation/emergent
phase of the burn injury?
1. Decreased heart rate
2. Increased urinary output
3. Increased blood pressure
4. Elevated hematocrit levels
4. Elevated hematocrit levels
13. The nurse is administering fluids intravenously as prescribed
to a client who sustained superficial partialthickness burn injuries
of the back and legs. In
, NURS MISC Acute Care EXAM questions with answers
2022
evaluating the adequacy of fluid resuscitation, the nurse understands
that which assessment would provide the most reliable indicator for
determining the adequacy?
1. Vital signs
2. Urine output
3. Mental status
4. Peripheral pulses
2. Urine output
14. The nurse is caring for a client following an autograft and grafting
to a burn wound on the right knee. What would the nurse anticipate to
be prescribed for the client?
1. Outofbed activities
2. Bathroom privileges
3. Immobilization of the affected leg
4. Placing the affected leg in a dependent position
3. Immobilization of the affected leg
15. The health education nurse provides instructions to a group of
clients regarding measures that will assist in preventing skin cancer.
Which instructions should the nurse provide? Select all that apply.
1. Sunscreen should be applied every 8 hours.
2. Use sunscreen when participating in outdoor activities.
3. Wear a hat, opaque clothing, and sunglasses when in the sun.
4. Avoid sun exposure in the late afternoon and early evening hours.
5. Examine your body monthly for any lesions that may be suspicious.
o 2. Use sunscreen when participating in outdoor activities.
o 3. Wear a hat, opaque clothing, and sunglasses when in the sun.
o 5. Examine your body monthly for any lesions that may be suspicious.
16. The community health nurse is visiting a homeless shelter and is
assessing the clients in the shelter for the presence of scabies. Which
assessment finding should the nurse expect to note if scabies is
present?
1. Brownred macules with scales
2. Pustules on the trunk of the body
3. White patches noted on the elbows and knees
4. Multiple straight or wavy threadlike lines underneath the skin
4. Multiple straight or wavy threadlike lines underneath the skin
17. The nurse in the ambulatory care unit is providing home care
instructions to a client
