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MEDSURG 2 FINAL EXAM NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
- The nurse assesses the wound of a client burned as a result of
stepping into the bath filled with hot water, which assessment finding of the burned areas on the tops of the feet does the nurse use as a basis to document a probable full-thickness burn?
THE CORRECT ANSWER: is (d) Thrombosed blood vessels
are visible beneath the skin surface
- Why are the manifestations of most types of shock the same
regardless of what specific events or conditions cause the shock to occur?
THE CORRECT ANSWER: is (D) The sympathetic nervous
system is triggered by any type of shock and initiates the stress response
- Which vital sign change in a client with hypovolemic shock
indicates to the nurse that the therapy is effective?
THE CORRECT ANSWER: is (A) Urine output increases
from 5 mL/hr to 25 mL/hr
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- Which newly admitted client does the nurse consider to be at
highest risk for development of sepsis?
THE CORRECT ANSWER: is (B) 68 year old woman 2 days
post-operative from bowel surgery
- 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?
THE CORRECT ANSWER: is (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 the groin to the knee. At what percent of total body surface area does the nurse calculate the injury using the rule of nines?
THE CORRECT ANSWER: is (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?
THE CORRECT ANSWER: is (B) Notify the Rapid Response
Team
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- 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?
THE CORRECT ANSWER: is (A) Assess the clients BP and
urine output
- A burned client newly arrived from an accident scene
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?
THE CORRECT ANSWER: is (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 to heal." What is the nurse's best response ?
THE CORRECT ANSWER: is (D) This tissue is no longer
living and as long as it is present, real healing can not occur
- Which statement made by the client who experienced burns
to the head and neck indicates positive adjustment to the injury?
THE CORRECT ANSWER: is (A) I am planning on cutting
the grass in the mornings when the sun isn't as strong
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- The client with a partial-thickness burn to the right arm is
prescribed mafenide acetate (Sulfamylon), a topical antimicrobial. Which intervention should the ED nurse implement when applying the medication?
THE CORRECT ANSWER: is (D) Premeditate the client
This medication causes pain or a burning sensation following its application; therefore, the client should be premedicated
- The nurse is discussing the application of silver nitrate, an
antimicrobial agent, to a client with a partial-thickness burn to the left-leg. Which information should the nurse teach the client when discussing how to apply this medication after discharge?
THE CORRECT ANSWER: is (C) Apply the silver nitrate to
the wound dressing every 2 hours Silver nitrate is used as a 0.5% solution in distilled water and should be applied to the bulky gauze dressing every 2 hours, and the dressing should be changed twice a day
- The client with a full-thickness burn over 38% of the body is
admitted to the burn unit 4 hours after the fire. The HCP writes an order for lactated ringers 450 mL/hour. Which interventions should the nurse implement? Select all that apply.
THE CORRECT ANSWER: is (B) Administer IV fluids as
prescribed, (C) Infuse the IV fluids via pump