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NUR 402 EXAM 1 Questions And All Verified Answers.
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A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the following questions would care coordinator ask when assessing for Impaired Physical Mobility, barriers to mobility? - Answer How many steps are there to your front door and in the house? The burn patient ...

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  • August 20, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
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NUR 402 EXAM 1 Questions And All
Verified Answers.
A 75 yr old pt. has been admitted to hospital for a right hip fracture. Which one of the following
questions would care coordinator ask when assessing for Impaired Physical Mobility, barriers to
mobility? - Answer How many steps are there to your front door and in the house?



The burn patient relates the following history of health problems. which one should alert the nurse to
the need for alteration of fluid resuscitation plan? - Answer Heart failure



The nurse is caring for a patient who is admitted to the ED with burns to the lower legs and hands.
During the initial management, what is the priority nursing care? - Answer Evaluate airway and
circulation



A nurse reviews the following data in the chart of a client with burn injuries: Admission Note Wound
Assessment 36 yr old female with bilateral leg burns, Bilateral leg burns present with a white and leather
like appearance. No blisters bleeding present. Patient denies pain. Based on the data provided, should
the nurse categorizes this client's injuries? - Answer Full thickness



A nurse is caring for a patient who has just ad an open reduction internal fixation of their right hip
fracture by a posterior approach. Which of the following activities, if observed by the nurse, would be
incorrect care for this patient? - Answer OOB to chair with raised seat cushion, legs crossed



A gardener presents to the occupational health nurse after being exposed to dry lime while fertilizing a
lawn. There are large, dry particles on the patient's right hand. What action would the occupational
health nurse prioritize next? - Answer Brush off particles off hand and clothes, and remove rings from
right hand.



A patient being evaluated for severe burns to the torso and upper extremities, with edema around
burned areas. How should the nurse describe the underlying cause for this assessment finding? - Answer
Inability of the damaged capillaries to maintain fluids in the cell walls

, A 78 yr old woman has been rescued from a burning kitchen where she was trapped. Which of the
following physical assessment findings would indicate that she is at risk for inhalation? - Answer
Bilateral wheezing, strider, hoarse voice



Which priority assessment should the nurse focus on during the emergency phase of the pt with an
electrical burn that occurred while seated at a chair while wielding a pipe and came in contact with
electrical wires, after ABCDE has been assessed? - Answer Assess urine output and color



which of the following statements would summarize the difference between triage in a mass casualty
and triage in the emergency room? - Answer Only emergency room triage treats the most serious
injuries first



The burn pt relates the following history of health problems. Which one should alert the need for
alteration of resuscitation plan? - Answer Heart Failure



A patient has been admitted for thermal burns. After ABCDE issue have been addressed which of the
following would be a priority for the nurse caring for this patient? - Answer Administration of tetanus
toxoid



An occupational health nurse has been notified that a worker has a flash burn to the left upper arm.
When she arrives the pt is moaning in pain. Which of the following would the nurse prioritize next? -
Answer Wrap a cool tap water soaked towels around the burn



A 55kg pt has a TBSA burn of 75% How much total fluid should the pt receive in the first 8 house? And
how much ml/hr should the nurse set the IV pump at for the remaining 16 hrs? - Answer 8250ml.

515.6ml



Which of the following pt has been triaged correctly in the emergency department? - Answer A pt with
blood pressure 90/50, heart rate 125, R 30 is seen emergently



A nurse has just received report on a 45 yr old pt. who was admitted earlier with a 40% thermal burn
and weighs 80kg is receiving IVF at hour 16 of their fluid resuscitation. When the nurse enters the room
she finds the IV pump is set at 200ml/hr. which of the following would be the best action by the nurse? -
Answer Assess urine output, VS figure how much pt has received for total intake and health care
provider

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