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NURSING>NUR 2243CMedsurge 2 Final Exam And Answers Latest Updated
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Medsurge 2 Final.NAME: Junie Sara DATE: 03/23/2020
1. An employee spills industrial acid on both arms and legs at work. What is the priority
action that the occupational health nurse at the facility should take?
A. Remove nonadherent clothing and watch.
B. Apply an alkaline solution to the affected area.
C. Place cool compresses on the area of exposure.
D. Cover the affected area with dry, sterile dressings.
2. A patient who has burns on the arms, legs, and chest from a house fire has become agitated
and restless 8 hours after being admitted to the hospital. Which action should the nurse
take first?
A. Stay at the bedside and reassure the patient.
B. Administer the ordered morphine sulfate IV.
C. Assess orientation and level of consciousness.
D. Use pulse oximetry to check the oxygen saturation.
3. A patient arrives in the emergency department with facial and chest burns caused by a house
fire. Which action should the nurse take first?
A. Auscultate the patient’s lung sounds.
B. Determine the extent and depth of the burns.
C. Infuse the ordered lactated Ringer’s solution.
D. Administer the ordered hydromorphone (Dilaudid).
4. A patient with extensive electrical burn injuries is admitted to the emergency department.
Which prescribed intervention should the nurse implement first?
A. Assess oral temperature.
B. Check a potassium level.
C. Place on cardiac monitor.
D. Assess for pain at contact points.
5. A patient who was found unconscious in a burning house is brought to the emergency
department by ambulance. The nurse notes that the patient’s skin color is bright red.
Which action should the nurse take first?
A. Insert two large-bore IV lines.
B. Check the patient’s orientation.
C. Assess for singed nasal hair and dark oral mucous membranes.
D. Place the patient on 100% oxygen using a non-rebreather mask.
6. The nurse is reviewing laboratory results on a patient who had a large burn 48 hours
ago. Which result requires priority action by the nurse?
A. Hematocrit 53%
B. Serum sodium 147 mEq/L
C. Serum potassium 6.1 mEq/L
D. Blood urea nitrogen 37 mg/dL
,Medsurge 2 Final.
7. The charge nurse observes the following actions being taken by a new nurse on the burn
unit. Which action by the new nurse would require an intervention by the charge nurse?
A. The new nurse uses clean latex gloves when applying antibacterial cream to a
burn wound.
B. The new nurse obtains burn cultures when the patient has a temperature of 95.2° F
(35.1° C).
C. The new nurse administers PRN fentanyl (Sublimaze) IV to a patient 5 minutes before
a dressing change.
D. The new nurse calls the health care provider for a possible insulin order when a
nondiabetic patient’s serum glucose is elevated.
8. Which nursing action is a priority for a patient who has suffered a burn injury while
working on an electrical power line?
A. Obtain the blood pressure.
B. Stabilize the cervical spine.
C. Assess for the contact points.
D. Check alertness and orientation.
9. Which action will the nurse include in the plan of care for a patient in the rehabilitation phase
after a burn injury to the right arm and chest?
A. Keep the right arm in a position of comfort.
B. Avoid the use of sustained-release narcotics.
C. Teach about the purpose of tetanus immunization.
D. Apply water-based cream to burned areas frequently.
10. A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck
burn tells the nurse, “I’m sorry that I’m still alive. My life will never be normal again.”
Which response by the nurse is best?
A. “Most people recover after a burn and feel satisfied with their lives.”
B. “It’s true that your life may be different. What concerns you the most?”
C. “It is really too early to know how much your life will be changed by the burn.”
D. “Why do you feel that way? You will be able to adapt as your recovery progresses.”
11. A 45 year old female patient has superficial partial thickness burns on
the posterior head and neck, front of the left arm, front and back of the
right arm, posterior trunk, front and back of the left leg, and back of right
leg. The patient weighs 91 kg. Use the Parkland Burn Formula to calculate
the total amount of Lactated Ringers that will be given over the next 24
hours?
A. 22,932 mL
B. 26,208 mL
C. 16,380 mL
, Medsurge 2 Final.
D. 12,238 mL
12. A 30 year old female patient has deep partial thickness burns on the
back of the right arm, posterior trunk, front of the left leg, anterior head
and neck, and perineum. The patient weighs 150 lbs. Use the Parkland Burn
Formula to calculate the total amount of Lactated Ringers that will be given
over the next 24 hours?
o A. 14,960 mL
o B. 12,512 mL
o C. 10,064 mL
o D. 16,896 mL
13. A 30 year old female patient has deep partial thickness burns on the
front and back of the right and left leg, front of right arm, and anterior
trunk. The patient weighs 63 kg. Use the Parkland Burn Formula: What is the
flow rate during the FIRST 8 hours (mL/hr) based on the total you
calculated?
o A. 921 mL/hr
o B. 938 mL/hr
o C. 158 mL/hr
o D. 789 mL/hr
14. A 59 year old male patient has full thickness burns on both of the
legs on the back, front and back of the trunk, both arms on the front and
back, and front and back of the head and neck. The patient weighs 186
lbs. Use the Parkland Burn Formula: You've already infused fluids during
the first 8 hours. Now what will you set the flow rate during the next 16
hours (mL/hr) based on the total you calculated?
o A. 563 mL/hr
o B. 854 mL/hr
o C. 289 mL/hr
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