NUR 313 HESI Practice Questions and Correct Answers
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Course
NUR 313
Institution
NUR 313
Which intervention would the nurse use for a client with full-thickness burns to the chest and anterior right arm? Select all that apply. One, some, or all responses may be correct.
Monitoring vital signs
Cutting off the clothing
Inserting a urinary catheter
Removing the client's jewelry
Estab...
NUR 313 HESI Practice Questions and
Correct Answers
Which intervention would the nurse use for a client with full-thickness burns to the chest
and anterior right arm? Select all that apply. One, some, or all responses may be
correct.
Monitoring vital signs
Cutting off the clothing
Inserting a urinary catheter
Removing the client's jewelry
Establishing an intravenous line ✅Monitoring vital signs
Cutting off the clothing
Inserting a urinary catheter
Removing the client's jewelry
Establishing an intravenous line
Which recommendations would the nurse include in a client's discharge instructions
regarding a home skincare program for psoriasis?
"Shower twice a day with mild soap and warm water."
"Soak the affected areas in hot water on a daily basis."
"Apply an alcohol free, moisturizing lotion several times a day."
"Cover affected areas when in contact with others." ✅"Apply an alcohol free,
moisturizing lotion several times a day."
Which action would be the nurse's first priority when receiving a client with major burns?
Assessing airway patency
Checking the client from head to toe
,Administering oxygen as needed
Elevating the extremities if no fractures are noticed ✅Assessing airway patency
The registered nurse is teaching a student nurse about the use of a suction pump in
negative-pressure wound therapy. Which statement by the student nurse indicates the
need for further teaching?
"The wound site should be monitored at least every 2 hours."
"This treatment is used mostly for areas of skin cancer."
"The foam dressing should be changed every 48 to 72 hours."
"A continuous low-negative pressure should be maintained." ✅"This treatment is used
mostly for areas of skin cancer."
Which client has second-degree burns?
Waxy white, dark-brown appearance
Redness, pain, minimal edema
Moist blebs, blisters, severe pain
Dry, leather eschar, absence of pain ✅Moist blebs, blisters, severe pain
A client admitted with a burn injury has erythema and mild swelling. Which type of burn
would the nurse suspect? ✅First-degree burn
The nurse reviews the assessment findings of four clients with burns. Which client's
findings are consistent with chemical burns?
Cardiac arrest
Minimal to absent pain
Paralysis
Hoarseness ✅Paralysis
Which wound care is given to a client with severe burn injuries during the acute phase?
Assess extent and depth of burns.
Provide daily shower and wound care.
,Remove dead and contaminated tissue.
Assess the wound daily and adjust the dressing. ✅Assess the wound daily and adjust
the dressing.
A client is admitted for treatment of partial- and full-thickness burns of the entire right
lower leg extremity and the anterior portion of the right upper arm. The nurse performs
an immediate appraisal of the percentage of body surface area burned using the rule of
nines. What percentage of body surface area does the nurse determine is affected?
Record your answer as a whole number. ________% ✅The entire right lower extremity
is 18%; the anterior portion of the right upper extremity is 4.5%. 18 + 4.5 = 22.5
The nurse uses the rule of nines to estimate the percentage of the burn surface area
(BSA) on a client who has burns covering the entire surface of both arms, the posterior
trunk, the genitals, and the entire left leg. What is the percentage of burn injury for this
client? Record your answer as a whole number. ________% ✅Each arm accounts for
9%; the posterior torso is 18% and the entire left leg is 18%. The genitals account for
1%. 9 + 9 + 18 + 18 + 1 = 55%.
Which condition would the nurse question using a negative-pressure wound treatment
device?
Chronic ulcer
Upper thigh wound
Hip wound with slight bleeding
Treated osteomyelitis within the vicinity of the wound ✅Hip wound with slight bleeding
Which clinical findings would the nurse expect to observe in a client with a diagnosis of
psoriasis? Select all that apply. One, some, or all responses may be correct.
Scaly lesions
Pruritic pustules
Reddened papules
Multiple petechiae
Erythematous macules ✅Scaly lesions
Reddened papules
, Which medications used for the treatment of plaque psoriasis will the nurse administer
subcutaneously? Select all that apply. One, some, or all responses may be correct.
Alefacept
Infliximab
Etanercept
Adalimumab
Ustekinumab ✅Etanercept
Adalimumab
Ustekinumab
Arrange the steps of applying negative pressure wound therapy in order of
implementation. ✅1.) Clean the wound.
2.) Cut the foam dressing to the dimensions of the wound.
3.) Apply a large occlusive dressing.
4.) Make a small hole in the occlusive dressing over the foam dressing near the tubing
attachment
5.) Connect the tubing to a pump.
The client who sustained a burn asks, "What is the difference between my full-thickness
and deep partial-thickness burns?" Which information will the nurse share with the
client? ✅Full-thickness burns extend into the subcutaneous tissue; deep partial-
thickness burns extend through the epidermis and involve only part of the dermis.
The nurse identifies silvery scales on a client's elbows and knees. Which finding in the
client's history will help the nurse identify the origin of this rash? ✅Stress in recent
months?
Which statement is correct regarding negative pressure wound therapy? Select all that
apply. One, some, or all responses may be correct.
A suction pump is used.
Necrotizing infections are treated.
Oxygen is administered under high pressure.
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