2025 MED SURG CAPSTONE PROCTOR EXAM LATEST TEST BANK 80
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES/CAPSTONE MED SURG TEST BANK
(VERIFIED ANSWERS)
|ALREADY GRADED A+
,1. 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's spouse 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" - ANSWER-a."large incisions will be made in the eschar to
improve circulation"
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 - ANSWER-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 - ANSWER-c. obtain a central venous pressure
, 4. A nurse is assessing the depth and extent of a client who has severe burns to the face,
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 - ANSWER-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 - ANSWER-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 to report 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 muscle tissues
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
damage to the heart
d. A protein that helps transport oxygen throughout the body - ANSWER-c. A heart muscle protein that appears
in the bloodstream when there is
damage to the heart
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES/CAPSTONE MED SURG TEST BANK
(VERIFIED ANSWERS)
|ALREADY GRADED A+
,1. 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's spouse 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" - ANSWER-a."large incisions will be made in the eschar to
improve circulation"
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 - ANSWER-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 - ANSWER-c. obtain a central venous pressure
, 4. A nurse is assessing the depth and extent of a client who has severe burns to the face,
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 - ANSWER-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 - ANSWER-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 to report 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 muscle tissues
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
damage to the heart
d. A protein that helps transport oxygen throughout the body - ANSWER-c. A heart muscle protein that appears
in the bloodstream when there is
damage to the heart
