A nurse is caring for a client who has full-thickness burns covering 63% of her body and smoke inhalation. Which of the following nursing actions is top priority? - Answer-Monitor respiratory status
A nurse is planning care for a client who has deep partial thickness and full thickness thermal b...
ATI Burn Exam Questions with Verified
Answers
A nurse is caring for a client who has full-thickness burns covering 63% of her body and
smoke inhalation. Which of the following nursing actions is top priority? - Answer-
Monitor respiratory status
A nurse is planning care for a client who has deep partial thickness and full thickness
thermal burns over 40% of his total body surface and is in the acute phase of burn
injury. Which of the following interventions should the nurse include in the plan? -
Answer-Initiate range of motion exercises
A nurse is caring for an adolescent client who has burn wounds on her face and hands.
Which of the following statements by the client indicates that she has adapted to her
changed body image? - Answer-"May I go with my family to the visitor's lounge?"
A nurse is evaluating the laboratory values of a client who is in the resuscitation phase
following a major burn. Which of the following laboratory findings should the nurse
expect? - Answer-Sodium 132 mEq/L
A nurse is caring for a client who has burn injuries on his trunk. The nurse is explaining
what to expect from the prescribe Hydro therapy. Which of the following statements by
the client indicates an understanding of the teaching? - Answer-"I will be on a special
shower table."
A nurse is assessing a client who sustained superficial partial thickness and deep partial
thickness burns 72 hours ago. Which of the following findings should the nurse report to
the provider? - Answer-Temperature of 39.1 degrees Celsius (102.4 F)
A nurse is teaching a client who has extensive deep partial- and full- thickness burns
and requires a topical antimicrobial medication. The goal of this medication therapy is to
reduce which of the following outcomes? - Answer-Bacterial growth
A nurse in an emergency department is assessing a client who has extensive burns,
including on her face. Which of the following assessments should the nurse perform
first? - Answer-Characteristics of the cough and sputum
A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be
applied to her burn wounds. The nurse should evaluate the client for which of the
following laboratory findings? - Answer-Leukopenia
The nurse is caring for a client with a severe burn who is scheduled for an autographed
to be placed on the lower extremity. The nurse creates a postoperative plan of care for
, the client and should include which intervention in the plan? - Answer-Elevate and
immobilize the grafted extremity
Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding
requires the need for follow up by the nurse? - Answer-White blood cell count of 3000
mm³
A burn client is receiving treatments of topical mafenide acetate to the side of injury.
The nurse monitors the client, knowing that which finding indicates that a systemic
affect has occurred? - Answer-hyperventilation
Silver sulfadiazine is prescribed for a client with a partial thickness burn, and the nurse
provides teaching about the medication. Which statement made by the client indicates a
need for further teaching about the treatments? - Answer-"the medication is likely to
cause stinging every time it is applied."
The camp nurse asked the children preparing to swim in the lake if they have a plied
sunscreen. The nurse remind the children that chemical sunscreens are most effective
when applied at which times? - Answer-At least 30 minutes before exposure to the sun
A client is brought to the emergency department with partial thickness burns to his face,
neck, arms, and chest after trying to put out a car fire. The nurse should implement
which nursing actions for this client? Select all that apply - Answer--assess for airway
patency
-administer oxygen as prescribed
-elevate extremities if no fractures are present
An adult client was burned in an explosion. The burn initially affected the clients entire
face (anterior half of the head) and the upper half of the anterior torso, and there were
circumferential burns to the lower half of both arms. The clients clothes caught on fire,
and the client ran, causing subsequent burn injuries to the posterior surface of the head
and the upper half of the posterior torso. Using the rule of nines, what would be the
extent of the burn injury? - Answer-36%
The nurse is preparing to care for a burn client scheduled for an escharotomy procedure
being performed for a third degree circumferential arm burn. The nurse understands
that which finding is the anticipated therapeutic outcome of the escharotomy? - Answer-
return of distal pulses
The nurse is caring for a client who sustained superficial partial thickness burns on the
anterior lower legs and anterior thorax. Which findings as a nurse expect to note during
the resuscitation/emergent phase of the burn injury? - Answer-Elevated hematocrit
levels
The nurse is administering fluids intravenously as prescribed for a client who sustained
superficial partial thickness burn injury of the back and legs. In evaluating the adequacy
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