Question: A nurse is caring for a patient with second and third-degree burns on 36% of the body. Which actions are expected? (SELECT ALL THAT APPLY)
Answer Choices:\n\ninsert Foley catheter maintain room temperature at 62°F initiate enteral feedings via NG tube decrease protein intake initiate intravenous fluids
Answer:\ninsert Foley catheter, initiate enteral feedings via NG tube, initiate intravenous fluids
Question: The use of enzymatic agents to digest dead tissue is known as mechanical debridement.
Answer Choices:\n\nTrue False
Answer:\nFalse
Question: A patient with a GFR of 42 and a diagnosis of acute kidney disease is being seen by a nephrologist. This lab value is:
Answer Choices:\n\nprerenal renal postrenal
Answer:\nrenal
Question: A patient suffered burns involving his entire right leg. What is the approximate percentage of body surface area affected?
Answer Choices:\n\n9% 18% 36% 1%
Answer:\n18%
Question: Interpret the following ABG: pH 7.47, CO₂: 18 mm Hg, HCO₃⁻: 12 mEq/L
Answer Choices:\n\nrespiratory acidosis with partial compensation respiratory alkalosis with partial compensation metabolic acidosis with partial compensation metabolic alkalosis with partial compensation
Answer:\nrespiratory alkalosis with partial compensation
Question: A 52-year-old female with third-degree burns over 25% of her body develops respiratory distress two days later. Likely cause of respiratory decline:
Answer Choices:\n\ntracheal burns pneumonia acute respiratory distress syndrome pulmonary embolism
Answer:\nacute respiratory distress syndrome
Question: A 22-year-old male presented after contact with a steam pipe at work. Pain and hyperesthesia, weeping edema is noted. This burn is likely:
Answer Choices:\n\nfirst-degree second-degree third-degree fourth-degree
Answer:\nsecond-degree
Question: A 49 year-old man presents to the Emergency Department with burns to the face, hands, and arms. The most common causative agents of thermal burns include: (SELECT ALL THAT APPLY)
Answer Choices:\n\n☐ moist heat ☐ compressed gas ☐ fire ☐ electricity ☐ high doses of topical medications
Answer:\nfire, moist heat
Question: Ibuprofen is the medication of choice for pain control in renal disease.
Answer Choices:\n\nTrue False
Answer:\nFalse
Question: While performing wound care on a third-degree burn, the nurse notes a 5cm zone of stasis. The nurse understands that:
Answer Choices:\n\nthis represents irreversible tissue loss. this is a common finding after a wound graft surgery. it is likely that this tissue will be completely healed. the tissue in this zone is potentially salvageable.
Answer:\nthe tissue in this zone is potentially salvageable
Question: A therapeutic measure used to prevent hypertrophic scarring during burn rehab is:
Answer Choices:\n\napplying pressure garments repositioning every two hours passive range of motion application of water-based moisturizers
Answer:\napplying pressure garments
Question: A patient is admitted to intensive care post femur repair with blood loss. Urine output is 10 mL/hr. The nurse suspects AKI due to:
Answer Choices:\n\nbone infection post-renal causes renal causes prerenal causes
Answer:\nprerenal causes
Question: Interpret the following EKG (Lead II shown):
Answer Choices:\n\nSinus Arrhythmia Second Degree Type I, Wenckebach Second Degree, Type II, Mobitz II Junctional Rhythm
Answer:\nSecond Degree, Type II, Mobitz II
Question: A patient with AKI has BP 82/53 and urine output of 3,000 mL/day. Evidence of recovery phase includes:
Answer Choices:\n\nincrease in GFR increase in BUN and creatinine potassium level increasing to 5.9 increase in urine output to 3,500 mL/day
Answer:\nincrease in urine output to 3,500 mL/day
Question: A patient is brought to the ER with third-degree burns. A practical goal within the first 24 hours of injury would be:
Answer Choices:\n\nrestoration of plasma levels urine output of 30 mL/hr surgical debridement performed wound graft performed
Answer:\nrestoration of plasma levels
Question: A 32-year-old female is rescued from a burning building. The priority for this patient is:
Answer Choices:\n\nremove smoldering clothing from the body. ensure that the patient has a patent airway. initiate intravenous fluids. transporting the patient to a hospital with a burn unit.
Answer:\nensure that the patient has a patent airway