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Exam Review

ATI Medical Surgical integ/burns Exam

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Total Questions : 40

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Question 1:

A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

Answer and Explanation

A
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Question 2:

A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

Answer and Explanation

A
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Question 3:

A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion? (Select all that apply)

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing?

Answer and Explanation

A
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Question 5:

A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2).

Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 6:

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority report to the provider?

Answer and Explanation

A
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Question 7:

A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

Answer and Explanation

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Question 8:

A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "0.8mL" mL

Explanation

The amount to be administered = desired dose/ dose at hand X quantity of the solution

= 100/250 x 2

= 0.8 mL


A
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Question 9:

A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms Which of the following is the priority action the nurse should take?

Answer and Explanation

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Question 10:

A nurse is preparing to start an IV infusion of lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fl over the first 24 hr. How many mL/hr should the nurse set the pump to infuse for the first 8 hr? Round the answer to the nearest whole nun Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: "325mL\/hr" mL

Explanation

In burns, half the total fluids required within 24 hours should be given within 8 hours and the other half distributed over the remaining 16 hours to prevent hypovolemic shock and electrolyte imbalance.

Therefore, half the fluid that should be given within 8 hours is 5200/2= 2600

We will use the formula: drip rate= total volume of fluid to be administered/total duration

= 2600/8

=325 mL/hr


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