2015
Best Exam Guide LATEST 2025
The nurse administering albuterol (Proventil) via a metered-dose
inhaler (MDI)to a client who has a history of coronary artery disease
is now in congestive heart failure. What side effects will be
particularly important to observe for when the client takes the
medication?
,a.Tremors and central nervous system stimulation
b. Tachycardia and chest discomfort
c.Development of oral candidiasis
d.An increase in blood pressure
A nurse in a burn treatment center is caring for a client who is
admitted with severe burns to both lower extremities and is pending
an escharotomy. The client’sspouse asks the nurse what the procedure
entails. Which of the following
nursing statements is appropriate?
a.“large incisions will be made in the eschar to improve circulation”
b.“ I can call the doctor back here if you want me to”
c.“a piece of skin will be removed and grafted over the burned area”
d.“dead tissue will be surgically removed”
A nurse is monitoring the fluid replacement of a client who has
sustained burns.
Which of the following fluids is used in the first 24 hours following a
burn injury?
a.5% dextrose in water
b.5% dextrose in normal saline
c.normal saline
d.lactated ringers
A nurse is caring for a client who has full-thickness burns all
over 75% of his body. Which of the following methods is
appropriate to accurately monitor the cardiovascular system?
,a.auscultate cuff blood pressure
b.palpate pulse pressure
c.obtain a central venous pressure
d.monitor the pulmonary artery pressure
A nurse is assessing the depth and extent of a client who has severe
burns to theface, neck, and upper extremities. Which of the following
factors is the first priority when assessing the severity of the burn?
a.Age of the client
b.Associated medical history
c.Location of the burn
d.Cause of the burn
A client arrives at the emergency dept following an explosion at
the chemical plant. He has deep partial and full-thickness chemical
burns over more than 25 %of his body surface area. What is the
nurse’s priority intervention?
a.Initiate fluid resuscitation
b.Medication for pain
c.Administer antibiotics
d.Maintain a patent airway
A nurse is caring for a client who came the emergency dept reporting
chest pain.
The provider suspects a myocardial infarction. While waiting for the
laboratory toreport the client’s troponin levels, the client asks what
this blood test will show.
The nurse should explain that troponin is
, a.An enzyme that indicates damage to brain, heart, and
skeletal muscletissues
b.A protein whose levels reflect the risk for coronary artery disease
c.A heart muscle protein that appears in the bloodstream when
there is