NUR 410 Med-Surg: Final Exam
Comprehensive Questions and Answers
100% Accuracy| Updated 2025.
Which IV solution should the nurse anticipate administering to a client who sustained severe burns?
A.
D5W (5% dextrose in water)
B.
Lactated Ringers solution
C.
D5 1/2 normal saline with 20 mEq of potassium chloride.
D.
Hespan
B.
Lactated Ringers solution
The nurse on the burn unit provides care for a client with a new autograft on the left elbow. Which
actions does the nurse take to improve skin graft outcomes? (select all that apply)
A.
Conduct range of motion exercises daily.
B.
Maintain gauze dressing over autograft for 3-5 days.
C.
Assist with incentive spirometry hourly while awake.
D.
Increase ambulation to tolerance.
E.
Immobilize the left arm.
B&E
,The nurse assesses a newly admitted client following a burn injury. Which assessment findings cause
the nurse to suspect inhalation injury? (Select all that apply)
Facial burns
Singed nasal hair
Hemoptysis
Heart rate 112 beats/min
Audible Stridor
Audible stridor
Facial burns
Singed nasal hair
A client admitted to the emergency room with burns covering 45% of the total body surface area
(TBSA) requires aggressive fluid resuscitation. What is the anticipated duration for fluid resuscitation
intervention?
.
12 hours
B.
24 hours
C.
48 hours
D.
72 hours
B.
24 hours
The clinic nurse instructs a client with partial-thickness burns of the thighs on how to clean and dress
the wounds. At the next visit, the nurse notes the wounds are dirty and not covered by dressings.
What actions does the nurse take?
A.
Inform the client the health care provider will not treat someone who is noncompliant.
,B.
Review the dressing change, using the teach-back method.
C.
Ask the client why she is not following the instructions.
D.
Describe the physiology of burn healing and infection processes.
B.
Review the dressing change, using the teach-back method.
The triage nurse assesses a client with burns on the right arm and leg. The client is crying with pain,
the burnt skin is red, and large wet blisters are present. Which depth of injury does the nurse
suspect?
A.
Full thickness burn
B.
Superficial partial thickness burn
C.
Superficial burn
D.
Deep partial thickness burn
B.
Superficial partial thickness burn
What pain medication should the nurse administer to a client with a 35% TBSA burn?
A.
Morphine IVP
B.
Fentanyl patch
C.
Ketorolac IVP
, D.
Morphine IM
A. Morphine IVP
While collecting a medical history on a client who experienced a severe burn, which statement by
the client's husband requires intervention?
A.
"She takes medication for menopause."
B.
"I think it has been at least 15 years since her last tetanus shot".
C.
"She smokes 1.5 packs of cigarettes a day."
D.
"She found out she has COPD about 2 years ago."
B. "I think it has been at least 15 years since her last tetanus shot".
A client has burns covering the anterior torso, anterior arms (bilateral), and anterior legs (bilateral).
What percentage of the total body surface area (BSA) does the nurse estimate is affected? (Record
your answer rounding to the nearest whole number.)
27 %
45 %
54 %
72 %
45 %
A client sustains major burns on the anterior thorax, head, and bilateral upper extremities following
a house fire. What is the initial
A.
Comprehensive Questions and Answers
100% Accuracy| Updated 2025.
Which IV solution should the nurse anticipate administering to a client who sustained severe burns?
A.
D5W (5% dextrose in water)
B.
Lactated Ringers solution
C.
D5 1/2 normal saline with 20 mEq of potassium chloride.
D.
Hespan
B.
Lactated Ringers solution
The nurse on the burn unit provides care for a client with a new autograft on the left elbow. Which
actions does the nurse take to improve skin graft outcomes? (select all that apply)
A.
Conduct range of motion exercises daily.
B.
Maintain gauze dressing over autograft for 3-5 days.
C.
Assist with incentive spirometry hourly while awake.
D.
Increase ambulation to tolerance.
E.
Immobilize the left arm.
B&E
,The nurse assesses a newly admitted client following a burn injury. Which assessment findings cause
the nurse to suspect inhalation injury? (Select all that apply)
Facial burns
Singed nasal hair
Hemoptysis
Heart rate 112 beats/min
Audible Stridor
Audible stridor
Facial burns
Singed nasal hair
A client admitted to the emergency room with burns covering 45% of the total body surface area
(TBSA) requires aggressive fluid resuscitation. What is the anticipated duration for fluid resuscitation
intervention?
.
12 hours
B.
24 hours
C.
48 hours
D.
72 hours
B.
24 hours
The clinic nurse instructs a client with partial-thickness burns of the thighs on how to clean and dress
the wounds. At the next visit, the nurse notes the wounds are dirty and not covered by dressings.
What actions does the nurse take?
A.
Inform the client the health care provider will not treat someone who is noncompliant.
,B.
Review the dressing change, using the teach-back method.
C.
Ask the client why she is not following the instructions.
D.
Describe the physiology of burn healing and infection processes.
B.
Review the dressing change, using the teach-back method.
The triage nurse assesses a client with burns on the right arm and leg. The client is crying with pain,
the burnt skin is red, and large wet blisters are present. Which depth of injury does the nurse
suspect?
A.
Full thickness burn
B.
Superficial partial thickness burn
C.
Superficial burn
D.
Deep partial thickness burn
B.
Superficial partial thickness burn
What pain medication should the nurse administer to a client with a 35% TBSA burn?
A.
Morphine IVP
B.
Fentanyl patch
C.
Ketorolac IVP
, D.
Morphine IM
A. Morphine IVP
While collecting a medical history on a client who experienced a severe burn, which statement by
the client's husband requires intervention?
A.
"She takes medication for menopause."
B.
"I think it has been at least 15 years since her last tetanus shot".
C.
"She smokes 1.5 packs of cigarettes a day."
D.
"She found out she has COPD about 2 years ago."
B. "I think it has been at least 15 years since her last tetanus shot".
A client has burns covering the anterior torso, anterior arms (bilateral), and anterior legs (bilateral).
What percentage of the total body surface area (BSA) does the nurse estimate is affected? (Record
your answer rounding to the nearest whole number.)
27 %
45 %
54 %
72 %
45 %
A client sustains major burns on the anterior thorax, head, and bilateral upper extremities following
a house fire. What is the initial
A.
