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Chapter 36

NCLEX-PN Review Questions

NCLEX-PN Review Questions

This activity contains 10 questions.

	A nurse is caring for a child who has a superficial burn. The nurse should recognize that which of the following is the expected predominant manifestation of a superficial burn in a child?   Blister formation Loss of skin Pain Significant tissue damage

	A child has suffered a partial-thickness second-degree burn injury of the face and neck. Which of the following is crucial for the nurse to monitor?   Reassure the client that it is not painful Administer pain medication Maintain an airway Use imagery to relieve the pain of the treatment

	A nurse is caring for a client who suffered an electrical burn injury from household current. What is the best method to measure the total body surface affected by the burn?   Rule of nines Rule of sixes Rule of tens Rule of sevens

	A nurse should assess a client with a burn injury for ineffective thermoregulation, which occurs primarily as a result of which of the following?   Major blood loss from injured tissue Oxygen level is below 95% A large wound area on the body Evaporation of fluid from loss of protective skin

	The nurse is aware that a client experiencing septic shock normally undergoes two phases of signs and systems. Which of the following indicates phase one?   Cold, clammy extremities, normal temperature normal BP, pulse and urine output Pulmonary edema and distended (swollen) neck veins Hypotension, bradycardia, oliguria

	A nurse who is caring for a burn client has an oxygen saturation of below 82%. What should be the desired oxygen saturation of a client suffering with burns?   O2 saturation will remain below 95%. O2 saturation will remain above 95%. O2 saturation will remain above 99%. O2 saturation will remain below 80%.

	The nurse is caring for a client with severe amount of fluid loss due to a fall. Which of the following type of shock is the client experiencing?   Hypovolemic shock Septic shock Cardiogenic shock Anaphylactic shock

	A client is brought to the EC with partial-thickness burns on the face and neck that resulted from an explosion in an auto garage. The nurse is aware besides maintaining an airway, which of the following is critical in the care of this patient?   Starting to accept what has happened Maintaining a good attitude Maintain infection precautions Maintenance of social relationships

	A client was brought to the emergency department after experiencing a blow to the head from a car crash. Which of the following can result from receiving a trauma to the head?   Encephalitis Increased intracranial pressure Obstructed airway Gastritis

	When a verbal telephone consent is obtained, one nurse must document it in the chart.    True  False

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