NUR 235 CARDIOLOGY ACUTE CARE
NURSING FINAL ACTUAL EXAM
NEWEST 2025 COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is caring for a client who is 2 days post
inhalation burn injury from a house fire. Which outcome
best indicates that nurse interventions for impaired gas
exchange have been effective? **impaired gas exchange
causes confusion** Correct Answer The client is alert and
oriented
A client who is admitted after a thermal burn injury has the
following: BP 70/40, HR 140, R 25. He denies pain when
asked. During the assessment the nurse has difficulty
locating an apical pulse. What action should the nurse
take? **pt experiencing hypovolemic shock*** Correct
Answer Begin IV fluids
A client is brought to the urgent care center with partial-
thickness and full-thickness burns. Which immediate
nursing intervention are appropriate for this client? (select
all that apply) Correct Answer Administer oxygen
Begin IV infusion of lactated ringers
Administer tetanus injection
,Administer pain medication
The nurse is conducting a focused assessment of the
gastrointestinal system of a client with a burn injury. The
nurse should assess the client for: Correct Answer
Curlings ulcer
Which of the following clients with burns would most likely
require an endotracheal or tracheostomy tube? Correct
Answer Thermal burns to the head, face and airway
resulting in hypoxia
A client has a burn encircling the left thigh from a
motorcycle accident. When the nurse enters the room
during rounds, the client appears anxious and reports a
funny feeling in the left foot. What should the nurse do
first? Correct Answer Check the circulatory status in the
foot and report changes
A client is having a surgical procedure done to promote
peripheral tissue perfusion in an extremity with full-
thickness circumferential burns. What term should the
nurse use to document the procedure? Correct Answer
Escharotomy
The nurse is caring for a client with severe burns who is
receiving fluid resuscitation. Which of the following
parameters indicate that the client is responding to the
fluid resuscitation? Correct Answer Urine output of
30mL/hr
,The nurse is assessing an 80-year-old client who has
scald burns on the hands and both forearms. The
percentage of burn areas less than 5%. What should the
nurse do first? Correct Answer Clean the wounds with
tepid water
A parent of a child with a full-thickness burn asked why the
nurse keeps spreading the white cream on the child's
burns. The nurse explains that the cream is mafenide
(Sulfamylon) which is being applied to the burn area for
which reason? Correct Answer Topical antibiotic that
inhibits infection
A patient is experiencing occasional premature atrial
contractions accompanied by palpitations that resolve
spontaneously without treatment what instruction should
the nurse include in teaching plan? Minimize or abstain
caffeine consumption
Nurse identifies the clients rhythm to be SVT what med
should the nurse anticipate to administer? Correct Answer
Cardizem
A client Is experiencing sinus bradycardia with
hypotension and dizziness which medication should the
nurse anticipate administering? Correct Answer Atropine
Client with tachycardia is experiencing clinical
manifestations. Which manifestation requires immediate
attention ? Correct Answer Mid-sternal chest pain
, Nurse observes prominent U wave what should the nurse
do? Correct Answer Review electrolyte lab levels —- U
waves can be caused by hypokalemia
The clinical manifestations likely assessed in a client with
complete heart block would include? Correct Answer
Syncope and slow ventricular rate
When caring for client who has sustained MI the nurse
notes 8 pvc's on cardiac monitor the client is receiving IV
infusion of D5W and oxygen 2 L per min the nurse first
course of action should be to? Correct Answer Notify
physician immediately
A client has developed atrial fibrillation with a ventricular
rate of 150 bpm a nurse assess client for? Correct Answer
Hypotension and dizziness
A client is having frequent premature ventricular
contractions what should the nurse put in priority to
assess? Correct Answer Blood pressure and peripheral
perfusion
A nurse is viewing cardiac monitor and the patient goes
into ventricular tachycardia the patients is awake, alert and
has good skin color the nurse should prepare for? Correct
Answer Administration of amiodarone intravenously
When auscultating a patients apical pulse the nurse
notices some abnormal beats. These are: Correct Answer
ectopic beats
NURSING FINAL ACTUAL EXAM
NEWEST 2025 COMPLETE 180
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is caring for a client who is 2 days post
inhalation burn injury from a house fire. Which outcome
best indicates that nurse interventions for impaired gas
exchange have been effective? **impaired gas exchange
causes confusion** Correct Answer The client is alert and
oriented
A client who is admitted after a thermal burn injury has the
following: BP 70/40, HR 140, R 25. He denies pain when
asked. During the assessment the nurse has difficulty
locating an apical pulse. What action should the nurse
take? **pt experiencing hypovolemic shock*** Correct
Answer Begin IV fluids
A client is brought to the urgent care center with partial-
thickness and full-thickness burns. Which immediate
nursing intervention are appropriate for this client? (select
all that apply) Correct Answer Administer oxygen
Begin IV infusion of lactated ringers
Administer tetanus injection
,Administer pain medication
The nurse is conducting a focused assessment of the
gastrointestinal system of a client with a burn injury. The
nurse should assess the client for: Correct Answer
Curlings ulcer
Which of the following clients with burns would most likely
require an endotracheal or tracheostomy tube? Correct
Answer Thermal burns to the head, face and airway
resulting in hypoxia
A client has a burn encircling the left thigh from a
motorcycle accident. When the nurse enters the room
during rounds, the client appears anxious and reports a
funny feeling in the left foot. What should the nurse do
first? Correct Answer Check the circulatory status in the
foot and report changes
A client is having a surgical procedure done to promote
peripheral tissue perfusion in an extremity with full-
thickness circumferential burns. What term should the
nurse use to document the procedure? Correct Answer
Escharotomy
The nurse is caring for a client with severe burns who is
receiving fluid resuscitation. Which of the following
parameters indicate that the client is responding to the
fluid resuscitation? Correct Answer Urine output of
30mL/hr
,The nurse is assessing an 80-year-old client who has
scald burns on the hands and both forearms. The
percentage of burn areas less than 5%. What should the
nurse do first? Correct Answer Clean the wounds with
tepid water
A parent of a child with a full-thickness burn asked why the
nurse keeps spreading the white cream on the child's
burns. The nurse explains that the cream is mafenide
(Sulfamylon) which is being applied to the burn area for
which reason? Correct Answer Topical antibiotic that
inhibits infection
A patient is experiencing occasional premature atrial
contractions accompanied by palpitations that resolve
spontaneously without treatment what instruction should
the nurse include in teaching plan? Minimize or abstain
caffeine consumption
Nurse identifies the clients rhythm to be SVT what med
should the nurse anticipate to administer? Correct Answer
Cardizem
A client Is experiencing sinus bradycardia with
hypotension and dizziness which medication should the
nurse anticipate administering? Correct Answer Atropine
Client with tachycardia is experiencing clinical
manifestations. Which manifestation requires immediate
attention ? Correct Answer Mid-sternal chest pain
, Nurse observes prominent U wave what should the nurse
do? Correct Answer Review electrolyte lab levels —- U
waves can be caused by hypokalemia
The clinical manifestations likely assessed in a client with
complete heart block would include? Correct Answer
Syncope and slow ventricular rate
When caring for client who has sustained MI the nurse
notes 8 pvc's on cardiac monitor the client is receiving IV
infusion of D5W and oxygen 2 L per min the nurse first
course of action should be to? Correct Answer Notify
physician immediately
A client has developed atrial fibrillation with a ventricular
rate of 150 bpm a nurse assess client for? Correct Answer
Hypotension and dizziness
A client is having frequent premature ventricular
contractions what should the nurse put in priority to
assess? Correct Answer Blood pressure and peripheral
perfusion
A nurse is viewing cardiac monitor and the patient goes
into ventricular tachycardia the patients is awake, alert and
has good skin color the nurse should prepare for? Correct
Answer Administration of amiodarone intravenously
When auscultating a patients apical pulse the nurse
notices some abnormal beats. These are: Correct Answer
ectopic beats
