lOMoAR cPSD| 22830792
12/5/2023lOM oARcPSD| 22830792
NCLEX QUESTION WITH
100% CORRECT
ANSWERS(100-BURN-FLUID)
1. The newly admitted client has burns on both legs. The burned areas appear
white and leather-like. No blisters or bleeding are present, and the client states
that he or she has little pain. How should this injury be categorized?
A. Superficial
B. Partial-thickness superficial
C. Partial-thickness
deep
D. Full thickness
2. The newly admitted client has a large burned area on the right arm.The
burned area appears red, has blisters, and is very painful. How should this
injury be categorized?
A. Superficial
B. Partial-thickness superficial
C. Partial-thickness deep
D. Full thickness
3. The burned client newly arrived from an accident scene is prescribed to
receive 4 mg of morphine sulfate by IV push. What is the most important reason
to administer the opioid analgesic to this client by theintravenous route?
, lOMoAR cPSD| 22830792
A. The medication will be effective more quickly than if given
intramuscularly.
B. It is less likely to interfere with the client’s breathing and
oxygenation. C. The danger of an overdose during fluid remobilization
is reduced.
D. The client delayed gastric emptying.
, lOMoAR cPSD| 22830792
4. Which vitamin deficiency is most likely to be a long-term
consequence of a full-thickness burn injury?
A. Vitamin A
B. Vitamin B
C. Vitamin C
D. Vitamin
D
5. Which client factors should alert the nurse to potential increased
complications with a burn injury?
A. The client is a 26-year-old male.
B. The client has had a burn injury in the past.
C. The burned areas include the hands and perineum.
D. The burn took place in an open field and ignited the client’s clothing.
6. The burned client is ordered to receive intravenous cimetidine, an H2
histamine blocking agent, during the emergent phase. When the client’sfamily
asks why this drug is being given, what is the nurse’s best response?
A. “To increase the urine output and prevent kidney damage.”
B. “To stimulate intestinal movement and prevent abdominal
bloating.” C. “To decrease hydrochloric acid production in the stomach
and prevent ulcers.”
D. “To inhibit loss of fluid from the circulatory system and
prevent hypovolemic shock.”
7. At what point after a burn injury should the nurse be most alert forthe
complication of hypokalemia?
, lOMoAR cPSD| 22830792
A. Immediately following the injury
B. During the fluid shift
C. During fluid remobilization
D. During the late acute phase
8. What clinical manifestation should alert the nurse to possible carbon
monoxide poisoning in a client who experienced a burn injury during a house
fire?
A. Pulse oximetry reading of 80%
B. Expiratory stridor and nasal flaring
C. Cherry red color to the mucous membranes
D. Presence of carbonaceous particles in the sputum
9. What clinical manifestation indicates that an escharotomy is needed on a
circumferential extremity burn?
A. The burn is full thickness rather than partial thickness.
B. The client is unable to fully pronate and supinate the
extremity.
C. Capillary refill is slow in the digits and the distalpulse is
absent.
D. The client cannot distinguish the sensation of sharp versus dull in the
extremity.
10. What additional laboratory test should be performed on any African
American client who sustains a serious burn injury?
A. Total protein
B. Tissue type antigens
C. Prostate-specific antigen
12/5/2023lOM oARcPSD| 22830792
NCLEX QUESTION WITH
100% CORRECT
ANSWERS(100-BURN-FLUID)
1. The newly admitted client has burns on both legs. The burned areas appear
white and leather-like. No blisters or bleeding are present, and the client states
that he or she has little pain. How should this injury be categorized?
A. Superficial
B. Partial-thickness superficial
C. Partial-thickness
deep
D. Full thickness
2. The newly admitted client has a large burned area on the right arm.The
burned area appears red, has blisters, and is very painful. How should this
injury be categorized?
A. Superficial
B. Partial-thickness superficial
C. Partial-thickness deep
D. Full thickness
3. The burned client newly arrived from an accident scene is prescribed to
receive 4 mg of morphine sulfate by IV push. What is the most important reason
to administer the opioid analgesic to this client by theintravenous route?
, lOMoAR cPSD| 22830792
A. The medication will be effective more quickly than if given
intramuscularly.
B. It is less likely to interfere with the client’s breathing and
oxygenation. C. The danger of an overdose during fluid remobilization
is reduced.
D. The client delayed gastric emptying.
, lOMoAR cPSD| 22830792
4. Which vitamin deficiency is most likely to be a long-term
consequence of a full-thickness burn injury?
A. Vitamin A
B. Vitamin B
C. Vitamin C
D. Vitamin
D
5. Which client factors should alert the nurse to potential increased
complications with a burn injury?
A. The client is a 26-year-old male.
B. The client has had a burn injury in the past.
C. The burned areas include the hands and perineum.
D. The burn took place in an open field and ignited the client’s clothing.
6. The burned client is ordered to receive intravenous cimetidine, an H2
histamine blocking agent, during the emergent phase. When the client’sfamily
asks why this drug is being given, what is the nurse’s best response?
A. “To increase the urine output and prevent kidney damage.”
B. “To stimulate intestinal movement and prevent abdominal
bloating.” C. “To decrease hydrochloric acid production in the stomach
and prevent ulcers.”
D. “To inhibit loss of fluid from the circulatory system and
prevent hypovolemic shock.”
7. At what point after a burn injury should the nurse be most alert forthe
complication of hypokalemia?
, lOMoAR cPSD| 22830792
A. Immediately following the injury
B. During the fluid shift
C. During fluid remobilization
D. During the late acute phase
8. What clinical manifestation should alert the nurse to possible carbon
monoxide poisoning in a client who experienced a burn injury during a house
fire?
A. Pulse oximetry reading of 80%
B. Expiratory stridor and nasal flaring
C. Cherry red color to the mucous membranes
D. Presence of carbonaceous particles in the sputum
9. What clinical manifestation indicates that an escharotomy is needed on a
circumferential extremity burn?
A. The burn is full thickness rather than partial thickness.
B. The client is unable to fully pronate and supinate the
extremity.
C. Capillary refill is slow in the digits and the distalpulse is
absent.
D. The client cannot distinguish the sensation of sharp versus dull in the
extremity.
10. What additional laboratory test should be performed on any African
American client who sustains a serious burn injury?
A. Total protein
B. Tissue type antigens
C. Prostate-specific antigen
