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AH3 - EXAM 2 QUESTIONS WITH 100%
CORRECT ANSWERS!!
a nurse is caring for a child who has electrical burns on
the lower arms and hands. which of the following
findings indicate the child is experiencing a complication
of the injury?
a. dark urine
b. 2+ radial pulses
c. respiratory rate of 20/min
d. minimal pain - .....ANSWER ...✔✔ A (dark urine
can be an indication of myoglobinuria)
a nurse is providing bag-mask ventilation for a client
with an oropharyngeal airway in place. which of the
following is a contraindication to placement of an
oropharyngeal airway? SATA
a. a client who is not breathing
b. a client who has a gag reflex
c. a client who is breathing
d. a client with a palate fracture
e. a client who is unconscious - .....ANSWER ...✔✔ B
and D
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which of the following IV solutions is most likely to be
infused rapidly to resuscitate an adult who is in
hypovolemia shock due to a GI bleed?
a. dextrose 2.5% and water
b. dextrose 5% and lactated ringer's soluction
c. 0.45% NaCl
d. 0.9% NaCl - .....ANSWER ...✔✔ D
a nurse is collecting data from a toddler who has major
burns and suspected septic shock. which of the following
findings indicate the toddler is experiencing septic
shock? SATA
a. increased body temperature
b. altered sensorium
c. rapid capillary refill
d. decreased urine output
e. chills - .....ANSWER ...✔✔ A, B, D, E
a nurse is assessing a client who has a gunshot wound to
the chest. the nurse should identify that which of the
following findings are manifestations of a
pneumothorax? SATA
a. tachypnea
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b. deviation of the trachea
c. bradycardia
d. decreased use of accessory muscles
e. subcutaneous emphysema - .....ANSWER ...✔✔ A,
B, E
(they can experience tachypnea due to hypoxia and
respiratory distress, which are caused by the injury)
a nurse is caring for a client in hypovolemic shock after
a GI bleed. the nurse knows that which of the following
indicates fluid replacement therapy has been effective?
a. the mean arterial blood pressure is over 65 mmHg
b. heart rate of > 100/min
c. urine output is greater than 30ml per hour
d. respiratory rate is between 12 and 20 breaths per
minute - .....ANSWER ...✔✔ C
a nurse is caring for a child who adheres to a
vegetarian diet and has sustained superficial partial-
thickness burns. the nurse should recommend which of the
following food choices due to the high protein content?
a. medium baked potato
b. wheat bagel with 1 tbsp of apricot jam
c. large orange
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d. 1/2 cup of peanut butter with apple slices -
.....ANSWER ...✔✔ D
a nurse is planning care for a client who has deep
partial-thickness thermal burns over 40% of his total
body surface and is in the acute phase of burn injury.
which of the following interventions should the nurse
include in the plan?
a. use clean technique to provide wound care
b. initiate range-of-motion exercises
c. place the client on a low-protein diet
d. maintain the client on bed rest - .....ANSWER ...✔✔
B (maintains mobility and prevents contractures)
A nurse is providing an educational program for a
group of occupational health nurses working in chemical
facilities. Which of the following would the nurse include
as the priority in the case of a chemical burn?
A. Applying antimicrobial ointment
B. Administering tetanus prophylaxis
C. Covering the area with a sterile dressing
D. Rinsing the area with copious amounts of water -
.....ANSWER ...✔✔ D (The priority for any chemical
burn is to immediately drench the area with running
AH3 - EXAM 2 QUESTIONS WITH 100%
CORRECT ANSWERS!!
a nurse is caring for a child who has electrical burns on
the lower arms and hands. which of the following
findings indicate the child is experiencing a complication
of the injury?
a. dark urine
b. 2+ radial pulses
c. respiratory rate of 20/min
d. minimal pain - .....ANSWER ...✔✔ A (dark urine
can be an indication of myoglobinuria)
a nurse is providing bag-mask ventilation for a client
with an oropharyngeal airway in place. which of the
following is a contraindication to placement of an
oropharyngeal airway? SATA
a. a client who is not breathing
b. a client who has a gag reflex
c. a client who is breathing
d. a client with a palate fracture
e. a client who is unconscious - .....ANSWER ...✔✔ B
and D
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which of the following IV solutions is most likely to be
infused rapidly to resuscitate an adult who is in
hypovolemia shock due to a GI bleed?
a. dextrose 2.5% and water
b. dextrose 5% and lactated ringer's soluction
c. 0.45% NaCl
d. 0.9% NaCl - .....ANSWER ...✔✔ D
a nurse is collecting data from a toddler who has major
burns and suspected septic shock. which of the following
findings indicate the toddler is experiencing septic
shock? SATA
a. increased body temperature
b. altered sensorium
c. rapid capillary refill
d. decreased urine output
e. chills - .....ANSWER ...✔✔ A, B, D, E
a nurse is assessing a client who has a gunshot wound to
the chest. the nurse should identify that which of the
following findings are manifestations of a
pneumothorax? SATA
a. tachypnea
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b. deviation of the trachea
c. bradycardia
d. decreased use of accessory muscles
e. subcutaneous emphysema - .....ANSWER ...✔✔ A,
B, E
(they can experience tachypnea due to hypoxia and
respiratory distress, which are caused by the injury)
a nurse is caring for a client in hypovolemic shock after
a GI bleed. the nurse knows that which of the following
indicates fluid replacement therapy has been effective?
a. the mean arterial blood pressure is over 65 mmHg
b. heart rate of > 100/min
c. urine output is greater than 30ml per hour
d. respiratory rate is between 12 and 20 breaths per
minute - .....ANSWER ...✔✔ C
a nurse is caring for a child who adheres to a
vegetarian diet and has sustained superficial partial-
thickness burns. the nurse should recommend which of the
following food choices due to the high protein content?
a. medium baked potato
b. wheat bagel with 1 tbsp of apricot jam
c. large orange
, 4|Page
d. 1/2 cup of peanut butter with apple slices -
.....ANSWER ...✔✔ D
a nurse is planning care for a client who has deep
partial-thickness thermal burns over 40% of his total
body surface and is in the acute phase of burn injury.
which of the following interventions should the nurse
include in the plan?
a. use clean technique to provide wound care
b. initiate range-of-motion exercises
c. place the client on a low-protein diet
d. maintain the client on bed rest - .....ANSWER ...✔✔
B (maintains mobility and prevents contractures)
A nurse is providing an educational program for a
group of occupational health nurses working in chemical
facilities. Which of the following would the nurse include
as the priority in the case of a chemical burn?
A. Applying antimicrobial ointment
B. Administering tetanus prophylaxis
C. Covering the area with a sterile dressing
D. Rinsing the area with copious amounts of water -
.....ANSWER ...✔✔ D (The priority for any chemical
burn is to immediately drench the area with running
