NSG 223 MEDSURG 2 FINAL EXAM 2025
NEWEST ACTUAL EXAM QUESTIONS
AND DETAILED CORRECT ANSWERS |
A+ GRADE
In which position does the nurse place the client
immediately after a rhytidectomy to promote venous return
and prevent swelling?
A. Fowler's
B. Lithotomy
C. Lateral Sims'
D. Trendelenburg Correct Answer A. Fowler's
The nurse assesses the wound of a client burned as a
result of stepping into a bathtub filled with very hot water.
Which assessment finding of the burned areas on the tops
of both feet does the nurse use as a basis to document a
probable full-thickness injury?
A. Most of the wounded area is red
B. The client reports that the area hurts when touched
C. The area does not blanch when firm pressure is applied
D. Thrombosed blood vessels are visible beneath the skin
surface Correct Answer D. Thrombosed blood vessels are
visible beneath the skin surface
,Which assessment does the nurse perform first on the
client just admitted after an electrical injury with contact
sites on the left hand and left foot?
A. Core body temperature
B. Electrocardiography
C. Depth of burn injury
D.Urine output Correct Answer B. Electrocardiography
The client who tripped while carrying an open kettle of hot
water received scald burns to the entire chest, the entire
anterior section of the right arm, the right half of the
abdomen and the anterior portion of the right leg from
groin to the knee. At what percentage of total body surface
area does the nurse calculate the injury using the rule of
nines?
A. 22% to 23%
B. 30% to 31%
C. 39% to 40%
D. 48% to 49% Correct Answer A. 22% to 23%
The client with burns to the head, neck and upper body
from a house fire starts drooling uncontrollably about 8
hours after the injury. What is the nurse's best first action?
A. Ensure that the client remains NPO
B. Notify the Rapid Response Team
C. Slow the IV infusion rate
D. Raise the head of the bed Correct Answer B. Notify the
Rapid Response Team
,The client with 45% burns has a hematocrit of 52% 10
hours after the burn injury and 6 hours after fluid
resuscitation was started. What is the nurse's best action?
A. Assess the client's blood pressure and urine output
B. Notify the physician or Rapid Response Team
C. Document the report as the only action
D. Increase the IV infusion rate Correct Answer A. Assess
the client's blood pressure and urine output
A burned client newly arrived from an accident scene is
prescribed 4 mg of morphine sulfate intravenously. What
is the most important reason the nurse administers the
analgesic to this client by the intravenous (IV) route?
A. The drug will be effective more quickly than if given IM
or subcutaneously
B. It is less likely to interfere with the client's breathing and
oxygenation
C. The danger of an overdose during fluid remobilization is
reduced
D. The client has delayed gastric emptying Correct
Answer C. The danger of an overdose during fluid
remobilization is reduced
The burn client asks the nurse not to remove the loosened
bits of skin and tissue during the dressing change, saying
"The more skin you take off, the longer it will take me to
heal." What is the nurse's best response?
, A. "Do you want some pain medication before I begin?"
B. "The only things I am removing are blocks of bacteria
growth, not skin."
C. "Don't worry, I have worked the burn unit for years and
know what I am doing."
D. "The tissue is no longer living and as long as it is
present, real healing cannot start." Correct Answer D. "The
tissue is no longer living and as long as it is present, real
healing cannot start."
Which statement made by the client who experienced
burns to the head and neck indicates positive adjustment
to the injury?
A. "I am planning on cutting the grass in the mornings
when the sun isn't as strong."
B. "I am working with my family so they can do all of the
chores I used to do."
C. " I hope the home care nurse can change my dressings
so that I do not have to look at my wounds."
D. "My wife and I have decided to go to movies instead of
baseball games so that people can't see me." Correct
Answer A. "I am planning on cutting the grass in the
mornings when the sun isn't as strong."
Why are the manifestations of most types of shock the
same regardless of what specific events or condition
caused the shock to occur?
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