NRNP 6540 FINAL TEST EXAM QUESTIONS
WITH CORRECT ANSWERS NEW MODIFIED
TESTED AND APPROVED GRADED A+ WITH
RATIONALES
Mr. Edwards is 76 years old and received a burn on his leg when he dozed off and dropped
his cigarette. The nurse practitioner examines his leg for the degree of burn and classifies it as
second degree with some third degree in the center. Mr. Edwards asks what that means and
why it hurts so much. What is the best answer? Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less deep burn around the
sides.
2. It hurts because the nerve endings are exposed in the second-degree area.
3. It means that the burn is advancing and getting worse.
4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are exposed to the outside and
are stimulated. -- ANSWER--9. Answer: 1, 2
Page: 98
Feedback
1.
Deep dermal burns extend further into the dermis; third-degree burns involve the full dermis,
extending into the subcutaneous tissue.
2.
Page 1 of 138
,In these burns there is pain from exposed nerve endings, but by the second day, pain is often
described more as pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are characterized by blisters. The underlying
tissue is pink, moist, and hypersensitive to touch.
Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint about a growth on
her hand. She wants to have a biopsy done. The nurse practitioner asks the following
question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings? -- ANSWER--5. Answer: 3
Page: 97
Feedback
1.
An injury would not stimulate growth.
2.
A reaction to a detergent would more likely be a rash.
Page 2 of 138
,3.
Lesions that warrant biopsy are those that have changed, bleed, or are painful.
4.
The ability to put on her ring is not the problem.
A 60-year-old male enters the burn center for triage and treatment due to a burn he received
at a campfire. His left arm has an area that is erythematous and painful, and another area has
a blister. What does the nurse practitioner record as the degree of burn?
1. First degree
2. Second degree
3. First and second degree
4. Second and third degree -- ANSWER--6. Answer: 3
Page: 98
Feedback
1.
First-degree burns involving the epidermis are erythematous and painful but do not blister.
2.
Second-degree burns involve the dermis and are characterized by blisters.
3.
The patient presents with erythematous skin, painful with blisters, which indicates both first-
and second-degree burn areas.
4.
Page 3 of 138
, In third-degree burns there is no sensation when the wound is pinpricked.
The nurse practitioner is concerned with primary prevention strategies. How can the nurse
practitioner implement primary prevention strategies for an 80-year-old male patient who
smokes?
1. Review home fire safety protocols, including the proper use of smoke alarms, and
discuss smoking cessation.
2. Inform him that if he does not stop smoking, the nurse practitioner cannot see him
again.
3. Have a conference with his family about his smoking.
4. Plan a family meeting with the patient to discuss benefits of his smoking cessation. --
ANSWER--7. Answer: 1
Page: 115, 116
Feedback
1.
Primary prevention includes educational programs designed to educate the public on safety.
For example, the individual smoking in bed would hopefully benefit from smoking cessation
programs in the community, as well as instruction in safety precautions.
2.
Threatening refusal of care is not ethical.
3.
The patient is at risk, not the family.
Page 4 of 138
WITH CORRECT ANSWERS NEW MODIFIED
TESTED AND APPROVED GRADED A+ WITH
RATIONALES
Mr. Edwards is 76 years old and received a burn on his leg when he dozed off and dropped
his cigarette. The nurse practitioner examines his leg for the degree of burn and classifies it as
second degree with some third degree in the center. Mr. Edwards asks what that means and
why it hurts so much. What is the best answer? Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less deep burn around the
sides.
2. It hurts because the nerve endings are exposed in the second-degree area.
3. It means that the burn is advancing and getting worse.
4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are exposed to the outside and
are stimulated. -- ANSWER--9. Answer: 1, 2
Page: 98
Feedback
1.
Deep dermal burns extend further into the dermis; third-degree burns involve the full dermis,
extending into the subcutaneous tissue.
2.
Page 1 of 138
,In these burns there is pain from exposed nerve endings, but by the second day, pain is often
described more as pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are characterized by blisters. The underlying
tissue is pink, moist, and hypersensitive to touch.
Ms. Rose, 88 years old, comes to the nurse practitioner with a complaint about a growth on
her hand. She wants to have a biopsy done. The nurse practitioner asks the following
question:
1. Have you injured your hand recently?
2. Are you using a different detergent?
3. Has this growth changed, bled, or is it painful?
4. Has this growth made it difficult to put on your rings? -- ANSWER--5. Answer: 3
Page: 97
Feedback
1.
An injury would not stimulate growth.
2.
A reaction to a detergent would more likely be a rash.
Page 2 of 138
,3.
Lesions that warrant biopsy are those that have changed, bleed, or are painful.
4.
The ability to put on her ring is not the problem.
A 60-year-old male enters the burn center for triage and treatment due to a burn he received
at a campfire. His left arm has an area that is erythematous and painful, and another area has
a blister. What does the nurse practitioner record as the degree of burn?
1. First degree
2. Second degree
3. First and second degree
4. Second and third degree -- ANSWER--6. Answer: 3
Page: 98
Feedback
1.
First-degree burns involving the epidermis are erythematous and painful but do not blister.
2.
Second-degree burns involve the dermis and are characterized by blisters.
3.
The patient presents with erythematous skin, painful with blisters, which indicates both first-
and second-degree burn areas.
4.
Page 3 of 138
, In third-degree burns there is no sensation when the wound is pinpricked.
The nurse practitioner is concerned with primary prevention strategies. How can the nurse
practitioner implement primary prevention strategies for an 80-year-old male patient who
smokes?
1. Review home fire safety protocols, including the proper use of smoke alarms, and
discuss smoking cessation.
2. Inform him that if he does not stop smoking, the nurse practitioner cannot see him
again.
3. Have a conference with his family about his smoking.
4. Plan a family meeting with the patient to discuss benefits of his smoking cessation. --
ANSWER--7. Answer: 1
Page: 115, 116
Feedback
1.
Primary prevention includes educational programs designed to educate the public on safety.
For example, the individual smoking in bed would hopefully benefit from smoking cessation
programs in the community, as well as instruction in safety precautions.
2.
Threatening refusal of care is not ethical.
3.
The patient is at risk, not the family.
Page 4 of 138
