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The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. What should the nurse do when applying the bandage?
- A. Use sterile material.
- B. Leave the toes exposed.
- C. Bandage the extremity tightly.
- D. Bend the knee after bandaging.
Correct Answer: B
Rationale: The tips of the toes should remain exposed to assess circulation.
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The nurse is attempting to control bleeding in a patient with a profusely bleeding scalp wound. What is the most effective initial treatment of this bleeding?
- A. Elevate the head.
- B. Apply direct pressure.
- C. Apply an ice pack.
- D. Apply indirect pressure.
Correct Answer: B
Rationale: The most effective general treatment of bleeding is to apply direct pressure.
The nurse arrives on the scene of a fire. What is the first thing the nurse will do for a burn victim?
- A. Apply dressings.
- B. Cover with a blanket.
- C. Cool the burn immediately.
- D. Apply topical ointment.
Correct Answer: C
Rationale: The burn should be cooled immediately to stop the burning process.
When assessing the adult victim for pulselessness the CPR rescuer should palpate the most reliable and accessible pulse. Which pulse will be palpated?
- A. Radial
- B. Brachial
- C. Carotid
- D. Femoral
Correct Answer: C
Rationale: When assessing the adult victim for pulselessness, the most reliable and accessible pulse is the carotid.
When assessing a patient who has suffered a burn injury the nurse classifies the burn as a deep partial-thickness burn. What is this observation most likely based upon?
- A. Painful reddened skin
- B. Charred skin with milky-white areas
- C. Erythema and blisters
- D. Erythema pain and swelling
Correct Answer: C
Rationale: With deep partial-thickness burns, blister formation may be seen with erythema.
A burn patient is brought into the emergency department with the following burns: half of the front torso entire left arm and front of left leg. The nurse should record that the patient has a __% burn.
- A. 27
- B. 25
- C. 50
- D. 43
Correct Answer: A
Rationale: Half of the front torso = 9, entire left arm = 9, front of the left leg = 9.