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PN3 EXAM 2 GUIDE| VERIFIED SOLUTION

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PN3 EXAM 2 GUIDE| VERIFIED SOLUTION 1. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center? a. Level I-located within remote areas and provides advanced life support with resource capabilities b. Level II- located within community hospitals and provides care to most injured clients c. Level III- located in rural communities and provides only basic care to clients d. Level IV-located in large teaching hospitals and provides a full continuum of trauma care for all clients 2. A nurse is field-triaging clients after an industrial accident. Which client condition would the nurse triage with a red tag? a. Dislocated right hip and open fracture b. Large contusion to the forehead and bloody nose c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath 3. An emergency department charge nurse notes and increase in sick calls and bickering among the staff after a week with multiple trauma incidents. What action should the nurse take? a. Organize a pizza party for each shift b. Remind the staff of the facility’s sick-leave policy c. Arrange for critical incident stress debriefing d. Talk individually with staff members 4. The nurse is concerned about developing post-traumatic stress disorder after working for several years in the emergency department. Which of the following should the nurse do to ensure this disorder does not manifest? (SATA) a. Eat well-balanced meals b. Drink water c. Take breaks when needed d. Do not work more than 12 hours per day e. Ingest at least one alcoholic drink every evening 5. A nurse is triaging clients in the emergency department. Which client would the nurse classify as “non-urgent?” a. A 44-year old with chest pain and diaphoresis b. A 50-year old with chest trauma and absent breath sounds c. A 62-year old with a simple fracture of the left arm d. A 79 year old with a temperature of 104F (40C) 6. A client presents to the Emergency Department with 30% total body surface area (TBSA) burns. The client weighs 176lbs. Use the Parkland Formula (4ml) to calculate the hourly rate for the first 8 hours. a. 600ml/hr b. 1200ml/hr c. 1760ml/hr d. 2670ml/hr 7. A client is being evaluated in the emergency department following 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 this client’s burn as being: a. 36% b. 45% c. 54% d. 72% 8. A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support? a. Assign assistive personnel to keep his room neat and clean b. Rotate nursing staff so he can have varied interactions c. Talk with the client during wound care d. Keep family members aware of his condition 9. You are providing care to Mary a 22-year old female who received burns to much of head and anterior neck. As the nurse, you understand that Mary should be positioned in which of the following positions to prevent contractures of the head and neck? a. Hyperextension with no pillow b. Flexion and promoting side-to-side movement of the head c. Hyperextension with neck brace d. Flexion and supine

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