Try Naxlex NCLEX-RN (Free-Trial)

A 40-year-old male patient presents with partial-thickness burns affecting the anterior right arm, anterior trunk, and anterior right leg and anterior left leg. Based on the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

50%

40.5%

20.5%

30.5%

Answer and Explanation

The Correct Answer is B

A. 50%. This overestimates the TBSA based on the Rule of Nines.

B. 40.5%. Using the Rule of Nines:

Anterior right arm = 4.5%
Anterior trunk = 18%
Anterior right leg = 9%
Anterior left leg = 9%
Total TBSA = 4.5% + 18% + 9% + 9% = 40.5%

C. 20.5%. This underestimates the TBSA affected by burns.

D. 30.5%. This does not accurately reflect the total body surface area affected.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Infection. Infection is a major concern in burn patients due to loss of skin integrity, but airway compromise is the most immediate life-threatening risk.

B. Paralytic ileus. Burn patients may develop paralytic ileus due to stress response and fluid shifts, but this is not the highest priority compared to airway obstruction.

C. Airway obstruction. Burns involving the face, neck, and chest increase the risk of airway swelling and obstruction. The nurse should assess for signs of respiratory distress, stridor, or hoarseness and be prepared for early intubation if needed.

D. Fluid imbalance. Fluid shifts can cause hypovolemia and shock, making fluid resuscitation critical. However, airway management remains the highest priority, especially in burns affecting the upper airway.

A. “I should turn my toes inward when lying down.” B. “I can bend my hip more than 90 degrees when sitting in a chair.” C. “I should cross my legs when sitting to improve circulation." D. “I should use an abduction pillow between my legs while in bed."

Correct Answer is D

Explanation

A. “I should turn my toes inward when lying down.” Internal rotation of the hip increases the risk of dislocation and should be avoided.

B. “I can bend my hip more than 90 degrees when sitting in a chair.” Flexing the hip beyond 90 degrees increases dislocation risk and should be avoided.

C. “I should cross my legs when sitting to improve circulation." Crossing the legs can lead to hip adduction and dislocation. Instead, legs should remain apart.

D. “I should use an abduction pillow between my legs while in bed.” An abduction pillow keeps the legs in proper alignment and prevents dislocation by maintaining slight abduction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 40-year-old male patient presents with partial-thickness burns affecting the anterior right arm, anterior trunk, and anterior right leg and anterior left leg. Based on the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Correct Answer is C

Explanation

Which of the following statements by the patient indicates correct understanding of postoperative hip precautions?

Correct Answer is D

Explanation

A nurse is assessing a patient who reports persistent cough, night sweats, weight loss, and fatigue. The nurse suspects tuberculosis (TB). Which additional symptom would further support this diagnosis?

A 40-year-old male patient presents with partial-thickness burns affecting the anterior right arm, anterior trunk, and anterior right leg and anterior left leg. Based on the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

A nurse is reviewing the diagnostic test results of an older adult female client who is preoperative for a knee arthroplasty. The nurse should notify the surgeon of which of the following results?

A nurse is reviewing the medical record of a patient diagnosed with Stevens-Johnson Syndrome (SJS). Which of the following findings should the nurse identify as the most likely cause of this condition?

Which of the following actions should the nurse take immediately to prevent complications?

A nurse is providing discharge teaching to a caregiver about preventing pressure ulcers in a bedridden patient. Which statement by the caregiver indicates a need for further teaching?

Which of the following statements by the patient is correct regarding postoperative positioning after total hip arthroplasty?

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?