Exam 2 NUR 2755 MDC IV Exam 2 2025-2026
Most Recent Version Comprehensive 65
Questions and Verified Answers Accurate
Solutions Already Graded A+ Get it 100% Correct
*1,000 mL/hr*
Use Parkland Formula:
4mL x TBSA% x kg
4mL x 55% x (160/2.2) = 16,000 divided by 2 = 8,000 mL in the first 8 hours...8,000mL/8
hr = 1,000mL/hr - CORRECT ANSWER: TBSA 55%, Wt 160 lbs, what is the initial IV
rate if the client arrived immediately after the injurt?
1000 mL/hr
800 mL/hr
750 mL/hr
1200 mL/hr
*Diminished breath sounds*
▪ also asymmetry
paradoxical chest movement = flail chest (when pt inhales the good side goes out and
the bad side goes in, like a see saw)*
fever = sepsis
,decrease urinary output = a good measure of perfusion/kidneys (ideally 30 mL/hr;
formula = 0.5/kg/hr) - CORRECT ANSWER: Clinical manifestation of a Pneumothorax
include
Fever
Paradoxical chest movement
Diminished breath sounds
Decrease urinary output
0.9% NS - CORRECT ANSWER: Which IV fluid is the best choice for a patient in
hypovolemic shock?
0.45% Sodium Chloride
0.9% NS
Dextrose 10%
Lactated Ringers
27%
half of the front torso (9%) + entire R arm (9%) + back of R leg (9%) - CORRECT
ANSWER: Calculate the TBSA: Burn to half of the front torso, entire right arm, back of
right leg
36 (4.5+4.5+9+9+9) - CORRECT ANSWER: Rule of 9's: Left arm, left leg, and upper
chest
9
27
18
, 36
A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC - CORRECT ANSWER:
Which patient is at the lowest risk for developing ARDS?
A client following coronary artery bypass graft surgery
A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC
A client who experienced a near-drowning incident in freshwater
A client who is experiencing acute pancreatitis and vomiting
A patient who just extubated themselves - CORRECT ANSWER: Which patient should
be seen first?
An intubated patient with a flail chest
A patient with rib fractures asking for pain meds
A patient who just extubated themselves
A patient with a fracture and weak distal pulses
A. 24-year-old male admitted with blunt chest trauma and aspiration - CORRECT
ANSWER: Which patient is at greatest risk of developing acute respiratory distress
syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
Angioedema (this would be in burns or anaphylactic shock)
Most Recent Version Comprehensive 65
Questions and Verified Answers Accurate
Solutions Already Graded A+ Get it 100% Correct
*1,000 mL/hr*
Use Parkland Formula:
4mL x TBSA% x kg
4mL x 55% x (160/2.2) = 16,000 divided by 2 = 8,000 mL in the first 8 hours...8,000mL/8
hr = 1,000mL/hr - CORRECT ANSWER: TBSA 55%, Wt 160 lbs, what is the initial IV
rate if the client arrived immediately after the injurt?
1000 mL/hr
800 mL/hr
750 mL/hr
1200 mL/hr
*Diminished breath sounds*
▪ also asymmetry
paradoxical chest movement = flail chest (when pt inhales the good side goes out and
the bad side goes in, like a see saw)*
fever = sepsis
,decrease urinary output = a good measure of perfusion/kidneys (ideally 30 mL/hr;
formula = 0.5/kg/hr) - CORRECT ANSWER: Clinical manifestation of a Pneumothorax
include
Fever
Paradoxical chest movement
Diminished breath sounds
Decrease urinary output
0.9% NS - CORRECT ANSWER: Which IV fluid is the best choice for a patient in
hypovolemic shock?
0.45% Sodium Chloride
0.9% NS
Dextrose 10%
Lactated Ringers
27%
half of the front torso (9%) + entire R arm (9%) + back of R leg (9%) - CORRECT
ANSWER: Calculate the TBSA: Burn to half of the front torso, entire right arm, back of
right leg
36 (4.5+4.5+9+9+9) - CORRECT ANSWER: Rule of 9's: Left arm, left leg, and upper
chest
9
27
18
, 36
A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC - CORRECT ANSWER:
Which patient is at the lowest risk for developing ARDS?
A client following coronary artery bypass graft surgery
A client who has a hemoglobin of 10.1 mg/dL post 1 unit PRBC
A client who experienced a near-drowning incident in freshwater
A client who is experiencing acute pancreatitis and vomiting
A patient who just extubated themselves - CORRECT ANSWER: Which patient should
be seen first?
An intubated patient with a flail chest
A patient with rib fractures asking for pain meds
A patient who just extubated themselves
A patient with a fracture and weak distal pulses
A. 24-year-old male admitted with blunt chest trauma and aspiration - CORRECT
ANSWER: Which patient is at greatest risk of developing acute respiratory distress
syndrome (ARDS)?
A. 24-year-old male admitted with blunt chest trauma and aspiration
B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis
C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells
D. 82-year-old female on antibiotics for pneumonia
Angioedema (this would be in burns or anaphylactic shock)
