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    Exam Review

    1. A nurse is providing education to a community group about burn prevention. Which of the following is an example of a first-degree burn?
      A)
      Blackened dead skin.
      B)
      Blistering from flames.
      C)
      Excessive scarring.
      D)
      A sunburn.
    2. What is the purpose of using a cap with a one-way valve in a tracheostomy?
      A)
      To prevent infection in the tracheostomy site.
      B)
      To provide additional oxygen to the patient.
      C)
      To facilitate speech and improve communication.
      D)
      To assist with suctioning secretions from the tracheostomy tube.
    3. A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines, the nurse should document burns to which percentage of the client's total body surface area (TBSA)?
      A)
      54 percent.
      B)
      9 percent.
      C)
      36 percent.
      D)
      18 percent.
    4. A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?
      A)
      Assign assistive personnel to keep his room neat and clean.
      B)
      Rotate nursing staff so he can have varied interactions.
      C)
      Talk with the client during wound care.
      D)
      Keep family members aware of his condition.
    Page 1 of 13

    Exam Review

    1. Which of the following is a potential complication of invasive pressure monitoring?
      A)
      Decreased heart rate.
      B)
      Infection at the insertion site.
      C)
      Elevated body temperature.
      D)
      Increased blood pressure.
    2. Contractures after a burn injury are reversible.
      A)
      True.
      B)
      False.
      C)
      Sometimes reversible with physical therapy.
      D)
      Reversible only in minor cases.
    3. Which of the following are sensitive indicators of heart function and fluid volume status?
      A)
      Pulmonary artery diastolic pressure.
      B)
      Pulmonary artery wedge pressure.
      C)
      Both A and B.
      D)
      None of the above.
    4. A nurse is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
      A)
      Limit each suction pass to 25 seconds.
      B)
      Perform suctioning for up to four passes.
      C)
      Apply suction to the catheter when advancing it into the trachea.
      D)
      Preoxygenate the client with 100% oxygen for up to 3 minutes.
    Page 2 of 13

    Exam Review

    1. A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
      A)
      Insert an indwelling urinary catheter.
      B)
      Draw blood for a complete blood cell (CBC) count.
      C)
      Administer intravenous pain medication.
      D)
      Inspect the mouth for signs of inhalation injuries.
    2. What are the potential consequences of ignoring an alarm on an arterial line monitoring system?
      A)
      Temporary discomfort.
      B)
      Temporarily alleviates alarm fatigue.
      C)
      Injury or death.
      D)
      Improved patient outcomes.
    3. A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
      A)
      Hemodynamic status.
      B)
      Intracranial pressure.
      C)
      Spinal cord perfusion.
      D)
      Renal function.
    4. What is a potential complication of frequent non-invasive blood pressure cycling using a cuff in patients with vulnerable skin?
      A)
      Reduced risk of infection.
      B)
      Improved blood circulation.
      C)
      Decreased blood pressure.
      D)
      Skin breakdown.
    Page 3 of 13

    Exam Review

    1. A nurse is caring for a client during the fluid resuscitation phase of burn management. Which of the following is the best method for assessing the results of the fluid resuscitation?
      A)
      Urine output is greater than 0.5 mL/kg/hr.
      B)
      Breath sounds are clear bilaterally.
      C)
      Heart rate is 122/min.
      D)
      Serum hemoglobin is 14 gm/dL
    2. What is a benefit of an arterial line?
      A)
      Continuous monitoring of blood pressure.
      B)
      Decreased risk of infection.
      C)
      Improved oxygenation.
      D)
      Measures pulmonary wedge pressure.
    3. Which of the following represents the burn percentage for the anterior and posterior of both arms using the Rule of Nines?
      A)
      9%.
      B)
      12%.
      C)
      18%.
      D)
      36%.
    4. What method is used as final confirmation of the proper placement of an endotracheal tube?
      A)
      Pulse oximetry.
      B)
      Blood gas analysis.
      C)
      Stethoscope auscultation of bilateral breath sounds.
      D)
      A colorimetric capnography device to detect end-tidal CO2.
    Page 4 of 13

    Exam Review

    1. A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
      A)
      Infection.
      B)
      Fluid imbalance.
      C)
      Paralytic ileus.
      D)
      Airway obstruction.
    2. Which of the following statements is true about smoke inhalation injuries?
      A)
      Smoke inhalation injuries only affect the skin.
      B)
      Airway compromise and pulmonary edema can quickly develop.
      C)
      Smoke inhalation injuries are not associated with any immediate complications.
      D)
      Smoke inhalation injuries are only seen in patients with pre-existing respiratory conditions.
    3. What is the benefit of using an arterial line for titrating IV blood pressure medications?
      A)
      Reduces the risk of infection associated with repeated blood pressure cuff inflations.
      B)
      Provides a direct, accurate, and continuous measurement of blood pressure.
      C)
      Allows the patient to be transferred to a lower acuity of care with less monitoring.
      D)
      Increases the accuracy of non-invasive blood pressure measurements.
    4. A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?
      A)
      Electrical burns typically are minor.
      B)
      Electrical burns commonly cause reddened or purplish skin without blistering.
      C)
      Electrical burns usually cause much more skin damage than what can be seen on your skin.
      D)
      Electrical burns can have small amounts of skin damage, but more extensive damage beneath the skin.
    Page 5 of 13

    Exam Review

    1. Which of the following statements is true about burns?
      A)
      Most burns are preventable.
      B)
      Burns are always caused by fire.
      C)
      Burns are not preventable.
      D)
      Burns are only severe if they cover a large area of the body.
    2. The flush for an arterial line should always be infused using a pressure bag.
      A)
      True.
      B)
      False.
      C)
      It depends on the situation.
      D)
      Only if the doctor orders it that way.
    3. A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?
      A)
      A piece of healthy skin will be removed from an unburned area and grafted over the burned area.
      B)
      Dead tissue will be non-surgically removed.
      C)
      Large incisions will be made in the eschar to improve circulation.
      D)
      This procedure involves placing the client into a shower and removing the dead tissue.
    4. Which of the following is a primary purpose of hemodynamic monitoring?
      A)
      To measure respiratory rate and lung function.
      B)
      To evaluate kidney function and urine output.
      C)
      To assess the functioning of the cardiovascular system.
      D)
      To assess acid-base levels in the blood.
    Page 6 of 13