1|Page
NUR 235 CARDIOLOGY ACUTE CARE NURSING FINAL ACTUAL
EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
The burn client is drooling and having difficulty swallowing. What
is the nurses priority intervention? - ANSWER-Auscultate breath
sounds over the trachea and mainstem bronchi
Which information obtained during assessment ensures that the
clients respiratory efforts are currently adequate? - ANSWER-
Client's O2 SAT is 97%
Which statement made by the client indicates correct
understanding of rehabilitation after a burn injury? - ANSWER-"I
will be fully recovered when I can achieve the highest possible
functioning that I can."
What clinical manifestation indicates that an escharotomy is
needed on a circumferential extremity burn? - ANSWER-capillary
refill is slow in the digits and the distal pulse is absent
,2|Page
At what point after a burn injury should the nurse be most alert for
complications of hyperkalemia? - ANSWER-During fluid
resuscitation (when IV fluid is being administered)
A home care nurse visits an 82-year-old client. On entering the
home, the nurse finds the client has just dropped a pot of boiling
water on both legs. What actions should the nurse take firs? -
ANSWER-Remove clothing from affected area
Which client factors should alert the nurse to potential increased
complication with a burn injury? - ANSWER-The burn areas
include the hand and perineum (pt with burns to the hands may
experience contractures
When caring for a 28-year-old client newly admitted for burns
received in a house fire, the nurse would be most concerned by
which of the following? - ANSWER-Blood pressure of 90/68 (pts
who experience fires would most likely become hypovolemic- low
BP is one of the s/s)
,3|Page
A nurse is caring for a client who has experienced an electrical
burn injury with the entrance site on the left and the exit site on
the left foot. What is the priority assessment data to obtain from
this client upon admission? - ANSWER-Heart rate and rhythm
A newly admitted client has burns on both legs The burn areas
appear white and leather-like. No blisters or bleeding are present,
and the client states that he has little pain. The nurse will correctly
characterize this burn as - ANSWER-Full-thickness
A client is brought to the emergency department with burns over
40% of the body from an apartment fire. Which assessment
should take priority? - ANSWER-Respiratory status
Which of the following nursing diagnosis for a client with a burn
injury is the highest priority during the resuscitative phase? -
ANSWER-Ineffective airway clearance related to inhalation injury
The nurse is performing a primary burn assessment according to
the ABCs guideline. Which of the following indicates signs and
, 4|Page
symptoms of inhalation injury? (select all that apply) - ANSWER-
Progressive stridor
Progressive hoarseness
Singed nasal hair
The nurse is assessing a client for evidence of cardiovascular
changes associated with deep and full-thickness burns. Which of
the following would indicate cardiovascular changes as a result of
a serious burn? - ANSWER-Hypovolemia, slow capillary
circulation, and hyperviscosity are evident in the patient with deep
and full-thickness burns
A nurse is assessing electrocardiograph strip. The P and T waves
are regular and so are the QRS. The rate is 70 bpm. What type of
rhythm is is this? - ANSWER-normal sinus rhythm.
Before insertion of pacemaker the nurse should assess the clients
? - ANSWER-Support system
knowledge level
anxiety level
NUR 235 CARDIOLOGY ACUTE CARE NURSING FINAL ACTUAL
EXAM LATEST 2025 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
The burn client is drooling and having difficulty swallowing. What
is the nurses priority intervention? - ANSWER-Auscultate breath
sounds over the trachea and mainstem bronchi
Which information obtained during assessment ensures that the
clients respiratory efforts are currently adequate? - ANSWER-
Client's O2 SAT is 97%
Which statement made by the client indicates correct
understanding of rehabilitation after a burn injury? - ANSWER-"I
will be fully recovered when I can achieve the highest possible
functioning that I can."
What clinical manifestation indicates that an escharotomy is
needed on a circumferential extremity burn? - ANSWER-capillary
refill is slow in the digits and the distal pulse is absent
,2|Page
At what point after a burn injury should the nurse be most alert for
complications of hyperkalemia? - ANSWER-During fluid
resuscitation (when IV fluid is being administered)
A home care nurse visits an 82-year-old client. On entering the
home, the nurse finds the client has just dropped a pot of boiling
water on both legs. What actions should the nurse take firs? -
ANSWER-Remove clothing from affected area
Which client factors should alert the nurse to potential increased
complication with a burn injury? - ANSWER-The burn areas
include the hand and perineum (pt with burns to the hands may
experience contractures
When caring for a 28-year-old client newly admitted for burns
received in a house fire, the nurse would be most concerned by
which of the following? - ANSWER-Blood pressure of 90/68 (pts
who experience fires would most likely become hypovolemic- low
BP is one of the s/s)
,3|Page
A nurse is caring for a client who has experienced an electrical
burn injury with the entrance site on the left and the exit site on
the left foot. What is the priority assessment data to obtain from
this client upon admission? - ANSWER-Heart rate and rhythm
A newly admitted client has burns on both legs The burn areas
appear white and leather-like. No blisters or bleeding are present,
and the client states that he has little pain. The nurse will correctly
characterize this burn as - ANSWER-Full-thickness
A client is brought to the emergency department with burns over
40% of the body from an apartment fire. Which assessment
should take priority? - ANSWER-Respiratory status
Which of the following nursing diagnosis for a client with a burn
injury is the highest priority during the resuscitative phase? -
ANSWER-Ineffective airway clearance related to inhalation injury
The nurse is performing a primary burn assessment according to
the ABCs guideline. Which of the following indicates signs and
, 4|Page
symptoms of inhalation injury? (select all that apply) - ANSWER-
Progressive stridor
Progressive hoarseness
Singed nasal hair
The nurse is assessing a client for evidence of cardiovascular
changes associated with deep and full-thickness burns. Which of
the following would indicate cardiovascular changes as a result of
a serious burn? - ANSWER-Hypovolemia, slow capillary
circulation, and hyperviscosity are evident in the patient with deep
and full-thickness burns
A nurse is assessing electrocardiograph strip. The P and T waves
are regular and so are the QRS. The rate is 70 bpm. What type of
rhythm is is this? - ANSWER-normal sinus rhythm.
Before insertion of pacemaker the nurse should assess the clients
? - ANSWER-Support system
knowledge level
anxiety level
