Exam 3 Questions- NUR 413 Questions With Complete
Solutions
A 63-year-old patient is admitted with new onset fever; flulike
symptoms; blisters over her arms, chest, and neck; and red,
painful, oral mucous membranes. The patient should be further
evaluated for which possible non-burn injured skin disorder?
A. Graft versus host disease
B. Staphylococcal scalded skin syndrome
C. Toxic epidermal necrolysis
D. Necrotizing soft tissue infection Correct Answers C. Toxic
epidermal necrolysis
A 75 kg client who has sustained partial thickness burns over the
anterior trunk and both arms is receiving IV fluids. Which rates
of administration will the nurse anticipate for fluid resuscitation?
A. 500 ml/hr for the first 12 hours, 416 ml/hr for the next 12
hours
B. 675ml/hr for the first 8 hours, 338 ml/hr for the next 16 hours
C. 675ml/hr for the first 4 hours, 338 ml/hr for the next 20 hours
D. 400ml/hr for the first 8 hours, 247 ml/hr for the next 16 hours
Correct Answers B. 675ml/hr for the first 8 hours, 338 ml/hr
for the next 16 hours
A burn patient in the rehabilitation phase of injury is
increasingly anxious and unable to sleep. The nurse should
consult with the provider to further assess the patient for what
possible mental health condition?
A. Bipolar disorder
B. Suicidal intentions
C. Acute delirium
,D. Posttraumatic stress disorder Correct Answers D.
Posttraumatic stress disorder
A patient admitted with severe burns to the face and hands is
showing signs of extreme agitation. The nurse should explore
the mechanism of burn injury possibly related to what data noted
in the patient's medical history?
A. Excessive alcohol use
B. Methamphetamine use
C. Posttraumatic stress disorder
D. Subacute delirium Correct Answers B. Methamphetamine
use
A patient who weighs 154 pounds has a burn injury that covers
50% of body surface area. The nurse calculates the intravenous
(IV) fluid needs for the first 24 hours after a burn injury using a
standard fluid resuscitation formula. The nurse plans to
administer what amount of fluid in the first 24 hours?
A. 2800 mL
B. 7000 mL
C. 14 L
D. 28 L Correct Answers C. 14 L
A patient with a 60% burn in the acute phase of treatment
develops a tense abdomen, decreasing urine output, hypercapnia,
and hypoxemia. Based on this assessment, the nurse anticipates
interventions to evaluate and treat the patient for what
complication?
A. Acute kidney injury
B. Acute respiratory distress syndrome
C. Intraabdominal hypertension
, D. Disseminated intravascular coagulation disorder Correct
Answers C. Intraabdominal hypertension
After receiving the hand-off report from the day shift charge
nurse, which patient should the evening charge nurse assess
first?
A. A patient with bacterial meningitis on droplet precautions
B. A mechanically ventilated patient with a GCS of 6
C. A patient with meningitis complaining of photophobia
D. A patient with an intracranial pressure ICP of 20 mm Hg and
an oral temperature of 104° F Correct Answers D. A patient
with an intracranial pressure ICP of 20 mm Hg and an oral
temperature of 104° F
An autograft is used to optimally treat a partial- or full-thickness
wound that meets what criteria? (Select all that apply.)
A. Involves a joint.
B. Involves the face, hands, or feet.
C. Is infected.
D. Involves very large surface areas
E. Requires more than 2 weeks for healing. Correct Answers
A. Involves a joint.
B. Involves the face, hands, or feet.
E. Requires more than 2 weeks for healing.
BONUS QUESTION:
A nurse is assessing a patient with a burn injury. The wound has
a waxy appearance, is cherry red with some mottled pale areas
in the center, and has edema. Blisters are present, and the wound
shows sluggish blanching. The patient reports intense pain
around the edges of the wound but only pressure sensation in the
Solutions
A 63-year-old patient is admitted with new onset fever; flulike
symptoms; blisters over her arms, chest, and neck; and red,
painful, oral mucous membranes. The patient should be further
evaluated for which possible non-burn injured skin disorder?
A. Graft versus host disease
B. Staphylococcal scalded skin syndrome
C. Toxic epidermal necrolysis
D. Necrotizing soft tissue infection Correct Answers C. Toxic
epidermal necrolysis
A 75 kg client who has sustained partial thickness burns over the
anterior trunk and both arms is receiving IV fluids. Which rates
of administration will the nurse anticipate for fluid resuscitation?
A. 500 ml/hr for the first 12 hours, 416 ml/hr for the next 12
hours
B. 675ml/hr for the first 8 hours, 338 ml/hr for the next 16 hours
C. 675ml/hr for the first 4 hours, 338 ml/hr for the next 20 hours
D. 400ml/hr for the first 8 hours, 247 ml/hr for the next 16 hours
Correct Answers B. 675ml/hr for the first 8 hours, 338 ml/hr
for the next 16 hours
A burn patient in the rehabilitation phase of injury is
increasingly anxious and unable to sleep. The nurse should
consult with the provider to further assess the patient for what
possible mental health condition?
A. Bipolar disorder
B. Suicidal intentions
C. Acute delirium
,D. Posttraumatic stress disorder Correct Answers D.
Posttraumatic stress disorder
A patient admitted with severe burns to the face and hands is
showing signs of extreme agitation. The nurse should explore
the mechanism of burn injury possibly related to what data noted
in the patient's medical history?
A. Excessive alcohol use
B. Methamphetamine use
C. Posttraumatic stress disorder
D. Subacute delirium Correct Answers B. Methamphetamine
use
A patient who weighs 154 pounds has a burn injury that covers
50% of body surface area. The nurse calculates the intravenous
(IV) fluid needs for the first 24 hours after a burn injury using a
standard fluid resuscitation formula. The nurse plans to
administer what amount of fluid in the first 24 hours?
A. 2800 mL
B. 7000 mL
C. 14 L
D. 28 L Correct Answers C. 14 L
A patient with a 60% burn in the acute phase of treatment
develops a tense abdomen, decreasing urine output, hypercapnia,
and hypoxemia. Based on this assessment, the nurse anticipates
interventions to evaluate and treat the patient for what
complication?
A. Acute kidney injury
B. Acute respiratory distress syndrome
C. Intraabdominal hypertension
, D. Disseminated intravascular coagulation disorder Correct
Answers C. Intraabdominal hypertension
After receiving the hand-off report from the day shift charge
nurse, which patient should the evening charge nurse assess
first?
A. A patient with bacterial meningitis on droplet precautions
B. A mechanically ventilated patient with a GCS of 6
C. A patient with meningitis complaining of photophobia
D. A patient with an intracranial pressure ICP of 20 mm Hg and
an oral temperature of 104° F Correct Answers D. A patient
with an intracranial pressure ICP of 20 mm Hg and an oral
temperature of 104° F
An autograft is used to optimally treat a partial- or full-thickness
wound that meets what criteria? (Select all that apply.)
A. Involves a joint.
B. Involves the face, hands, or feet.
C. Is infected.
D. Involves very large surface areas
E. Requires more than 2 weeks for healing. Correct Answers
A. Involves a joint.
B. Involves the face, hands, or feet.
E. Requires more than 2 weeks for healing.
BONUS QUESTION:
A nurse is assessing a patient with a burn injury. The wound has
a waxy appearance, is cherry red with some mottled pale areas
in the center, and has edema. Blisters are present, and the wound
shows sluggish blanching. The patient reports intense pain
around the edges of the wound but only pressure sensation in the
