Comprehensive Nursing and Surgical Care Burn, Trauma, and Preoperative Management Practice Exam

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• What is the first action for hypopharyngeal obstruction in PACU?
• Which TBSA assessment method is most accurate for children and why?
• What is the priority intervention in a severe case of ARDS?
• What is an expected finding for a fractured rib?
• Within how many hours should tranexamic acid be considered after injury?
• What is the priority action for a tension pneumothorax?
• What is the first sign of malignant hyperthermia?
• In resuscitation, which monitoring parameter besides urine output helps assess perfusion adequacy?
• What is the priority for a circumferential burn with decreased pulses?
• What are the essential components of informed consent for elective surgery?
• When would you perform an escharotomy on a circumferential burn?
• For a COPD patient who is hypoxemic with a PaO2 of 55, what should be done?
• Which single intervention most directly reduces aspiration risk in ventilated patients?
• Why is perioperative nutrition optimization important and what is a common plan for malnourished patients?
• Which action by healthcare staff helps prevent pathogen transmission to a ventilated patient?
• What best describes the initial respiratory support for hypercapnic respiratory failure?
• What is the recommended intraoperative perioperative glucose target for diabetic patients?
• What is the risk of crush injury and rhabdomyolysis, and how is it prevented?
• In ARDS management, which intervention is prioritized?
• Which airway management maneuver is the first step for hypopharyngeal obstruction in the PACU?
• Which positioning of the patient reduces aspiration risk and helps prevent VAP?
• What is the surgery classification for a hospice client undergoing spinal tumor reduction for pain?
• What is the initial management for a suspected tension pneumothorax in trauma?
• What does capnography measure in post-extubation monitoring?
• Which elements are typically required to validate informed consent?
• Which of the following is a core strategy to prevent ventilator-associated pneumonia?
• Which practice reduces the risk of ventilator-associated pneumonia?
• During management of pulmonary embolism, which laboratory value is used to monitor anticoagulation effect?
• In a patient with pulmonary embolism, which parameters should be monitored?
• What is the primary goal of preoperative teaching regarding incision splinting and leg exercises?
• Which factor increases the likelihood of requiring central venous access during surgery in trauma or burn patients?
• What are key considerations for analgesia in burn patients?
• What is the method to minimize hypertrophic scarring?
• In managing a closed drainage system, which documentation task supports patient assessment?
• When is the best time for preoperative teaching (incision splinting, leg exercises)?
• How can you prevent a spinal headache after spinal anesthesia?
• What is the purpose of deep breathing, coughing, and using an incentive spirometer post-op?
• How can hypertrophic scarring be prevented?
• If difficult airway is anticipated, what is an appropriate plan?
• Which practice focuses on improving mouth care to prevent VAP?
• In the acute burn phase with tachycardia, fever, and tachypnea, what is the first action?
• What is the therapeutic PTT range for heparin therapy?
• Are routine systemic antibiotics used prophylactically in burn care?
• Which agents are commonly included in multimodal analgesia?
• What is a complication unique to electrical burns and how is it managed?
• In burn patients, why are they at high risk for infection and how is it prevented?
• Which electrolyte abnormality is most common in the early phase after burns and why?
• How can a spinal headache be prevented after spinal anesthesia?
• In a 70 kg adult with 40% TBSA burn, using Parkland formula, how much lactated Ringer's should be given in the first 8 hours and what is the urine output target?
• The therapeutic range for warfarin is indicated by which INR value?
• List three early signs of inhalation injury that warrant early airway protection.
• Which statement best describes the timing of preoperative teaching for a patient undergoing an abdominal surgery?
• Which lab value is monitored to assess anticoagulation intensity in heparin therapy?
• When is restarting anticoagulation typically considered after surgery?
• What MAP should be maintained in the emergent phase?
• In an intubated patient with low oxygen saturation, what is the priority?
• How should a burn patient be managed in terms of fluid type and monitoring during resuscitation?
• What is the priority in burn discharge teaching?
• Which habit helps minimize introducing pathogens to the ventilator circuit?
• What does absent lung sounds after trauma indicate?
• Which condition best describes the emergency exception to informed consent?
• Which statement most accurately reflects imaging planning for suspected cervical spine injury?
• What is the priority intervention in the early stages of septic shock?
• Which postoperative risk should be closely monitored after administration of succinylcholine?
• In circumferential full-thickness limb burns, escharotomy primarily aims to relieve which issue?
• Which finding would most strongly support right lower lobe pneumonia in a clinical assessment?
• What is the treatment for flail chest after intubation?
• What is the recommended timing for initiating enteral nutrition in severe burns and typical daily caloric and protein targets?
• Which of the following is essential in preoperative airway management for suspected cervical spine injury?
• In electrical burn injuries, which parameter is used to monitor renal function?
• For a perforated gastric ulcer, what is the recommended timing for surgical intervention?
• Before airway management in suspected cervical spine injury, which is essential?
• An assessment finding for pneumothorax?
• Which posture is recommended to reduce spinal headache risk after spinal anesthesia?
• Which intraoperative monitoring is particularly important for burn/trauma patients experiencing fluid shifts?
• In smokers undergoing surgery, which postoperative complication is of particular concern due to impaired oxygenation?
• In blunt chest trauma, which parameter should be monitored most closely?
• Which signs best indicate right lower lobe pneumonia?
• What is the most effective measure to prevent wound dehiscence after surgery?
• How is ASA physical status classification used in preoperative planning?
• Which fracture scenario requires urgent surgical consultation and possible fixation?
• What is the rationale for multimodal analgesia in the perioperative period?
• Which statement best conveys a patient’s understanding when giving informed consent?
• How should a patient with suspected spinal injury be transported to maintain spinal precautions?
• Which combination strongly indicates wound infection?
• Which measure should be consistently performed to lower VAP risk?
• If a patient with a chest burn due to boiling liquid requires immediate first aid, which action is appropriate?
• When is the best time to provide teaching to a patient scheduled for an open hemicolectomy?
• What perioperative considerations are especially important in elderly patients?
• In a hypotensive trauma patient, tracheal deviation most strongly suggests which condition?
• What is the first intervention when pneumothorax is suspected?
• Which of the following best describes the criteria for legally valid informed consent?
• What are the primary strategies for DVT prophylaxis in surgical patients?
• Which goals indicate the emergent phase burn goals have been met?
• When selecting dressings for burn wounds, which considerations are most important?
• If a pot of boiling water spills on a child’s chest, what is the immediate first-aid action?
• Which option helps reduce pathogen load as part of VAP prevention?
• How would you determine timing for excision and grafting in burn wounds?
• When heavy blood loss is anticipated, what should be arranged beforehand?
• What is the first action if a patient failed to discontinue aspirin before surgery?
• Name two topical antimicrobial agents used for burn wounds and one advantage or limitation of each.
• What infection prevention measures are essential in the perioperative setting?
• What is the therapeutic INR value for warfarin therapy?
• If a chest tube water seal chamber shows continuous bubbling, what is the recommended action for the nurse?
• What is the priority in management of a smoke inhalation burn?
• Why is intraoperative warming important and which methods are used?
• For aspiration pneumonia, which referrals are indicated?
• Which intraoperative transfusion threshold applies to stable adults?
• Which postoperative measures most effectively prevent atelectasis in a patient who is reluctant to ambulate?
• A patient has a family history of anesthesia fever. This history indicates an increased risk for which condition?
• What outcome is most associated with preoperative education about anesthesia and postoperative recovery?
• What is the priority in high blood loss surgery?
• The initial sign to monitor for malignant hyperthermia in patients receiving anesthesia is which?
• How is intraoperative blood loss estimated?
• True or False: Silver sulfadiazine accelerates epithelialization in deep partial-thickness burns.
• What should be done if an 11-year-old needs emergency surgery and parents are unavailable?
• How can ventilator-associated pneumonia be prevented?
• What is the role and timing of tranexamic acid in trauma care?
• In a burn patient with smoke inhalation, what is the priority in management?
• What is the difference between type and screen and crossmatch in blood banking?
• Which measure helps reduce scarring after a burn injury?
• To promote healing in a closed drainage system, which action is appropriate?
• Which nonpharmacologic strategy should be included in burn pain management when IV analgesics are insufficient?
• For a deep partial-thickness burn with severe pain despite IV analgesics, which non-pharmacologic interventions are recommended?
• Which timing best describes urgent surgical intervention for a perforated gastric ulcer?
• Which statement best describes the indications for early wound excision and grafting?
• A high-pressure ventilator alarm most likely indicates which issue?
• What urine output target should be achieved in the emergent phase?
• Which clinical combination is most consistent with compensatory shock?
• Which findings are typical of neurogenic shock?
• For hemorrhagic shock with suspected pelvic fracture, what is the initial resuscitation approach?
• Which actions constitute the priority interventions for a suspected pulmonary embolism?
• Within ATLS, what do the letters A through E stand for during the primary survey?
• Which components are essential in a preoperative airway assessment?
• Which parameter is most critical for immediate stability assessment in blunt chest trauma?
• In intravenous drug users presenting with fever and productive cough, which diagnoses are likely?
• Who can provide surrogate consent when a patient cannot consent?
• Which ratio is used in the massive transfusion protocol for hemorrhagic shock?
• Which statement is true regarding DVT prophylaxis in the setting of bleeding risk?
• For malnourished patients, what is the preferred route for preoperative nutrition?
• What should be monitored in electrical burn cases?
• Which intervention is recommended to prevent ventilator-associated pneumonia?
• What post-op complication may occur if a patient refuses to ambulate?
• Which practice is considered an essential infection-control measure to prevent VAP?
• Which measure is a mouth-care-focused intervention to prevent VAP?
• What is the primary goal of early resuscitation in burn patients?
• When should perioperative antibiotic prophylaxis be given for most procedures?
• What is the post-op priority in PACU?
• During the emergent phase, which goals should be met?
• How should postanesthesia airway compromise be monitored after extubation?
• What is a key sign indicating need for escharotomy in a circumferential limb burn?
• To prevent contractures in burn patients, which intervention is advised?
• What is the primary renal complication associated with crush injury–related rhabdomyolysis?
• Which measure helps prevent intraoperative hypothermia?
• Which preoperative laboratory tests are commonly obtained for major surgery?
• Which practice helps prevent ventilator-associated pneumonia by maintaining oral hygiene?
• How does smoking cessation impact perioperative outcomes and recommended duration of abstinence?
• Tracheal deviation with hypotension indicates which condition?
• In a patient presenting with sudden dyspnea and chest symptoms, which diagnosis is most likely?
• What is the role of physical therapy and pressure garments in burn rehabilitation?
• Which findings are typical of compensatory shock?
• Which statement correctly identifies the therapeutic range for warfarin anticoagulation as reflected by INR?
• In chemical burns, which is the most critical initial management step?
• What is the difference between ATLS primary survey and secondary survey?
• What action should be taken if post-op urine output is 10 mL/hr?
• Which nursing action should be performed before touching or caring for a ventilated patient to prevent VAP?
• For a 70 kg adult burn patient, what is the urine output target per hour during resuscitation?
• Which statement best differentiates neurogenic shock from hypovolemic shock in trauma?
• Which finding suggests a potentially difficult airway?
• Which statement about the Lund-Browder chart is true?
• Absent breath sounds on one side after trauma most likely indicates which condition?
• Which fracture scenario most clearly necessitates urgent surgical consultation?
• Which ventilation strategy is used to manage flail chest after securing the airway?
• How should perioperative anticoagulants be managed?
• Which finding during anesthesia planning indicates a malignant hyperthermia risk?
• Which burn depth is typically painless due to nerve destruction?
• In blunt trauma, which bedside tool is most useful for rapid detection of intra-abdominal bleeding?
• What is the therapeutic INR range for warfarin therapy?
• What is considered the most important postoperative complication in patients who smoke?
• What is the typical metabolic state after a major burn and how does it influence nutrition planning?
• How can burn contractures be prevented?
• Which action is commonly driven by nursing staff to prevent VAP?
• What are the core principles of wound care to prevent infection in burns?
• What is the TBSA for half front torso, entire arm, and front of leg?
• Which practice is primarily aimed at reducing oral bacterial load to prevent VAP?
• What does continuous bubbling in the water seal chamber indicate?
• What are the characteristics of a third-degree burn?
• What is the most indicative sign of wound infection?
• The hospice patient undergoing a spinal tumor reduction for symptom relief is classified as which type of surgical procedure?
• When an ABG shows hypercapnia, what is the first intervention?
• What is the first action for post-op wound dehiscence with evisceration?
• In the ATLS primary survey, what does Disability assessment involve?