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1) A client has suffered a severe burn

Nursing

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1) A client has suffered a severe burn. Which statement is correct in regard to fluid status in burn victims?

Select one:

a. Fluid resuscitation should be avoided because fluid moves too rapidly into the cells in burn clients. 

b. Prolonged fluid restriction is needed for any burn victim because the body cannot absorb fluids very well. 

c. Fluid restriction is needed to replace fluid loss through evaporation and damage to the skin. 

d. Albumin levels will likely be elevated and fluid resuscitation is not needed. 

 

2) A nurse notes that a client has been diagnosed with presbycusis. Which of the following does the nurse expect in the client?

Select one:

a. Dizziness and vertigo 

b. Older individual with hearing loss 

c. A toddler with an impacted ear 

d. Redness and swelling of the external ear 

 

3) Which statement shows that the nurse correctly understands the metabolic needs of a burn victim?

Select one:

a. Basal metabolic rate of a burn victim is decreased. 

b. Burn victims are in a hypermetabolic state. 

c. Since the client is mostly resting, calorie need is decreased. 

d. Calories intake should be calculate based on physical activity of the burn victim. 

 

4) A nurse is caring for a client with a burn wound affecting 40% of the total body surface area. The nurse knows to be aware of fluid shifts from the intravascular to extravascular spaces. When is this shift happening at the greatest rate?

Select one:

a. 6 to 8 hours after the burn injury 

b. After 72 hours from the burn injury 

c. Within 30 minutes after the burn injury 

d. 1 to 2 hours after the burn injury 

 

5) A client presents with a burn wound that has produced only redness and no blistering. Which of the following burn depths classifications apply?

Select one:

a. Partial thickness - second degree burn 

b. Superficial - First degree burn 

c. Full thickness - 3rd degree burn 

d. Chemical burn 

 

6) A young client has suffered a severe burn wound affecting 12% of the total body surface area (TBSA). Which statement is correct in regard to the effect on the gastrointestinal tract?

Select one:

a. The client will increase the absorption of nutrients and water post-burn. 

b. All burn victims will have the gastrointestinal tract will absorb water but not food. 

c. With the postburn injury, the gastrointestinal tract completely shuts down. 

d. Following a burn, the client is at risk of developing gastrointestinal ulcers 

 

7) A client shows the nurse warts on his hands and asks what causes them. Which statement would be correct for the nurse to share?

Select one:

a. Warts are caused by the human papillomavirus 

b. Warts are signs of an autoimmune disorder 

c. Warts are caused by the herpes simplex virus 

d. Warts are caused by bacterial infections 

 

8) A client is worried about malignant melanoma, as several nevi are present. The client wants to know what should be looking for when examining the skin. Which statement is appropriate for the nurse to share?

Select one:

a. The skin around the mole should be examined for any changes which indicates skin cancer. 

b. A mole with varied coloring and shades of red or black have been linked to increased risk of skin cancer. 

c. Moles less than 6 mm in size have been linked to increased skin cancer. 

d. Symmetrical moles with clear borders are the most worrisome. 

 

 

9) An older woman, in her late 60s, complains of seeing with blurry vision and "cloudiness." What is the likely diagnosis?

Select one:

a. age-related macular degeneration 

b. cataracts 

c. glaucoma 

d. presyopia 

 

10) A client reports feeling dizzy. Which other condition must a clinician try to differentiate from the client's self-report of dizziness?

Select one:

a. nystagmus 

b. otitis media 

c. vertigo 

d. tinnitus 

 

11) Which of the following statements by a client may alert the clinician to a possible retinal detachment?

Select one:

a. "My vision gets blurrier at night." 

b. "I see a shadow across my eyes, which feels like a curtain closing" 

c. "I feel like I have something in my eye." 

d. "Bright lights hurt my eyes"

 

12) A client is diagnosed with contact dermatitis. Which of the following may the client have encountered?

a) Poison ivy

b) bee sting

c) Mosquito bite

d) Autoimmune reaction 

 

13) A client with advanced renal failure has the following report: "denies pruritus." Which is the correct interpretation for the nurse to make?

Select one:

a. The client is not experiencing itching. 

b. The client does not have skin pigmentation changes. 

c. The client does not have dry skin. 

d. The client does not have hives. 

 

14) A client's chart lists in the history section that the patient has experienced a meniscal tear. Which area of the body has been injured?

Select one:

a. elbow 

b. ankle 

c. shoulder 

d. knee 

 

15) A nurse is reviewing degenerative disorders of the musculoskeletal system. Which is the most common degenerative disorder of bone?

Select one:

a. Osteoporosis 

b. Rickets 

c. Rheumatoid arthritis 

d. Osteoarthritis 

 

16) A clinician wants to evaluate a patient for osteoporosis. Which is the best diagnostic test?

Select one:

a. Dual-energy x-ray absorptiometry (DEXA) scan 

b. X-ray 

c. Computed tomography (CT) scan 

d. Magnetic resonance imaging (MRI) 

 

17) A nurse reads on a client's chart the presence of degenerative disc disease. Where in the spinal column does the nurse know this is most likely to happen?

Select one:

a. Cervical 

b. Lumbosacral 

c. Thoracic T7-T12 

d. Thoracic T1-T6 

 

18) On an x-ray, a clinician notes osteophyte formation around the knee joint. Which is the correct interpretation?

Select one:

a. Healthy cartilage cells are the most likely cause of osteophyte formation 

b. Osteophyte formation is a normal part of a bone remodeling 

c. Too much synovial fluid caused the osteophyte formation 

d. Osteophyte formation occurs in osteoarthritis 

 

19) A client presents with what he feels is a strange complaint. He points to his lower leg and states that there is a strange bullseye rash there. Which is an appropriate follow-up question by the nurse?

Select one:

a. Do you have bed bugs? 

b. Did you come in contact with poison ivy? 

c. Have you been hiking in the woods? 

d. Did you get stung by a wasp? 

 

20) A clinician sees on a report that a client has suffered a Smith's fracture. Which area of the body should the clinician expect to evaluate?

Select one:

a. elbow 

b. wrist 

c. ankle 

d. hip