NUR 280 Exam 2 Questions And Correct
Answers 2024-2025
A nurse examine a client and find that the client is experiencing superficial burns. Which
medication does the nurse anticipate will be beneficial for this client?
a. intravenous fluids
b. analgesics
c. topical antibiotics
d. tetanus booster - Answer
Assessment During an assessment, the nurse observes that the client's wrist skin is
pearl-pink, wet, and blistered. The nurse further assesses and finds that the dermis is
exposed, highly tender, and painful due to scalds. What can the nurse infer based on
these findings?
a. The client has sustained full thickness burns
b. The client has superficial burns
c. The client has deep partial thickness burns
d. the client has superficial partial thickness burns
A nurse examining a child notices a characteristic gray discoloration over 30% TBSA. In
communicating with the child's parent, the nurse discovers that the child has
accidentally ingested toilet bowl cleaner. Which of the following injuries does the nurse
suspect the child has sustained?
a. electrical burns
b. thermal burns
c. chemical burns
d. radiation burns - Answer c. chemical burns
,which of the following zones has the most severe thermal damage to the skin?
a. zone of coagulation
b. zone of stasis
c. all of the above
d. zone of hyperemia - Answer a. zone of coagulation
During the care of a client who has sustained a thermal injury, a nurse recognizes that
this client is exhibiting signs and symptoms of hyperkalemia. Which is the priority
nursing intervention for this client?
a. Elevating the head of the client's bed immediately
b. Monitoring continuously through electrocardiogram
c. Administering oral fluids to the client frequently
d. Applying a topic antibiotic on the burn
Answer b. monitoring continuously through electrocardiogram
The emergency department nurse is caring for a client who has thermal burns on 30% of
the body. The nurse institutes which of the following nursing interventions to prevent the
risk of burn shock in the client?
a. ensuring adequate fluid resuscitation
b. applying silver nitrate ointment on the thermal burn
c. administering potassium supplements to the client
d. elevating the head of the client Answer a. ensuring adequate fluid resuscitation
Which of the following gene categories, when mutated, will impact the cell's ability to
encode for proteins involved in cell growth or regulation?
a. oncogenes
b. tumor supressor genes
c. mutator genes
d. carcinogens - Answer a. oncogenes
,To classify a tumor as either benign or malignant, you need to compare it with this:
A) tissue of origin
B) surrounding cells
C) other benign or malignant neoplasms
D) The Manual of Cancerous Tumors - Answer A) the tissue of origin
Which is not a mechanism of tumor spread?
A) local spread
B) direct extension
C) seeding
D) angiogenesis - Answer D) angiogenesis
Your aunt is told that she has breast carcinoma "in situ." What does this mean?
A) She has a malignant form of breast carcinoma
B) The breast carcinoma cannot be distinguished as benign or malignant
C) The breast carcinoma is only detectable by mammogram
D) The breast carcinoma is confined to the epithelium - Answer D) The breast carcinoma
is confined to the epithelium
Which of the following is NOT true regarding tumor grading?
A) Tumors are graded based on the TNM system
B) A high grade corresponds to a poor prognosis
C) Grading establishes the degree of cellular autonomy
D) Grade I indicates very atypical tissue growth - Answer B) The greater the grade, the
worse the prognosis
This systemic effect of malignancy is the result of chemical mediators being released
and the metabolism of energy by neoplastic cells:
, A) lymphadenopathy
B) fever
C) necrosis
D) cachexia - Answer D) cachexia
The process of angiogenesis, whereby tumors acquire new blood vessels, is stimulated
and controlled by tumor-released:
a. proteolytic enzymes
b. attachment factors
c. growth factors
d. procoagulants - Answer c. growth factors
Even though both grading and staging are involved in the classification of cancer and in
choosing a treatment plan, staging is used to determine the:
a. level of differentiation
b. tissue characteristics
c. extent of disease spread
d. number of mitoses - Answer c. extent of disease spread
This patient has been diagnosed with a benign lung tumor by lung biopsy and magnetic
resonance imaging. Which of the following curves and statements correctly describe
the properties of this patient's neoplasm?
The tumor will grow by expansion and is likely encapsulated.
a. if left untreated the patients tumor is likely to metastasize
b. the tumor is likely to infiltrate the lung tissue that presently surrounds it
c. the tumor will grow by expansion and is likely encapsulated
d. the cells that constitute the tumor are undifferentiated with atypical structures -
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