NUR 221 EXAM 3 NEWEST ACTUAL
EXAM 2025 QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED
ANSWERS) | A+GRADE
A patient who weighs 154 pounds has a burn injury that
covers 50% of body surface area. The nurse calculates
the intravenous (IV) fluid needs for the first 24 hours after
a burn injury using a standard fluid resuscitation formula.
The nurse plans to administer what amount of fluid in the
first 24 hours?
A. 2800 mL
B. 7000 mL
C. 14 L
D. 28 L Correct Answer C. 14 L
154 pounds/2.2 = 70 kg
4 ´ 70 kg ´ 50 = 14,000 mL, or 14 liters.
The nurse is caring for a patient who has circumferential
full-thickness burns of his forearm? What is the priority
intervention in the plan of care?
A. Keeping the extremity in a dependent position
B. Active and passive range of motion every hour
,C. Preparing for an escharotomy as a prophylactic
measure
D. Splinting the forearm Correct Answer B. Active and
passive range of motion every hour
The patient asks the nurse if the placement of the
autograft over a full-thickness burn will be the only surgical
intervention needed to close the wound. What is the
nurse's best response?
A. "Unfortunately, an autograft skin is a temporary graft
and a second surgery will be needed to close the wound."
B. "An autograft is a biological dressing that will eventually
be replaced by your body generating new tissue."
C. "Yes, an autograft will transfer your own skin from one
area of your body to cover the burn wound."
D. "Unfortunately, autografts frequently do not adhere well
to burn wounds and a xenograft will be necessary to close
the wound." Correct Answer C. "Yes, an autograft will
transfer your own skin from one area of your body to cover
the burn wound."
A patient admitted with severe burns to the face and
hands is showing signs of extreme agitation. The nurse
should explore the mechanism of burn injury possibly
related to what data noted in the patient's medical history?
A. Excessive alcohol use
B. Methamphetamine use
,C. Posttraumatic stress disorder
D. Subacute delirium Correct Answer B.
Methamphetamine use
The nurse is caring for patient who has been struck by
lightning. Because of the nature of the injury, the nurse
assesses the patient for which possible complication?
A. Central nervous system deficits
B. Contractures
C. Infection
D. Stress ulcers Correct Answer A. Central nervous
system deficits
The nurse is providing care to a patient with burns whose
care of plan care includes a prescription for opiates to be
given intramuscularly for pain. Why would the nurse
contact the primary care provider (PCP) to change the
order to intravenous administration?
A. Intramuscular injections cause additional skin
disruption.
B. Burn pain is so severe it requires relief by the fastest
route available.
C. Hypermetabolism limits effectiveness of medications
administered intramuscularly.
D. Tissue edema may interfere with drug absorption of
injectable routes. Correct Answer D. Tissue edema may
interfere with drug absorption of injectable routes
, When paramedics report singed hairs in the nose of a
burn patient, it is recommended that the patient be
intubated. What is the reasoning for the immediate
intubation?
A. Carbon monoxide poisoning always occurs when soot
is visible.
B. Inhalation injury above the glottis may cause significant
edema that obstructs the airway.
C. The patient will have a copious amount of mucus that
will need to be suctioned.
D. The singed hairs and soot in the nostrils will cause
dysfunction of cilia in the airways. Correct Answer B.
Inhalation injury above the glottis may cause significant
edema that obstructs the airway.
A patient with a 60% burn in the acute phase of treatment
develops a tense abdomen, decreasing urine output,
hypercapnia, and hypoxemia. Based on this assessment,
the nurse anticipates interventions to evaluate and treat
the patient for what complication?
A. Acute kidney injury
B. Acute respiratory distress syndrome
C. Intraabdominal hypertension
D. Disseminated intravascular coagulation disorder
Correct Answer C. Intraabdominal hypertension
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