Solved Question Answer Nursing Exam 2024
Below given solved question answer nursing exam MCQs provide you a different question answers on different topics of nursing related subjects with its explanation for the exams like ESIC ,RRB ,AIIMSÂ etc. and many more. MCQs are easy to understand and explanation of the MCQs is correspondent to the questions and up to the mark topic related doubts will be solved after reading explanations.
1. Ms. Rajni, 30-year-old female, suffered with deep partial thickness burns on the front and back of both legs, and anterior trunk. Calculate the burn area using the ‘rule of nine’
a. 27%
b. 36%
c. 45%
d. 54%
Ans. (d) 54%
Explanation: In the given patient, the burns had occurred over the front and back of the both legs, according to the Rule of nine, each complete leg occupies 18%, hence for the both legs it would be 36% and for the anterior trunk it covers 18%, hence the total burned area would be 36 + 18 = 54%
2. Which type of fluid should the nurse expect to prepare and administer as fluid resuscitation during the emergent phase of burn recovery?
a. Colloids
b. Crystalloids
c. Fresh-frozen plasma
d. Packed red blood cells
Ans. (b) Crystalloids
Explanation: The person undergone burn injury needs a priority action of fluid resuscitation rather than providing blood products, Hence the crystalloids such as Ringer’s lactate and NS should be administered for fluid resuscitation and the blood products like colloid are not appropriate for the fluid management.
3.The weight of Ms. Rajni is 63 kg using the Parkland Formula, the nurse calculates the total amount of Ringer’s Lactate that will be given over the next 24 hours is:
a. 13, 608 mL
b. 12200 mL
c. 8625 mL
d. 6789 mL
Ans. (a) 13, 608 mL
Explanation: Here the client’s weight is 63 kg, therefore, according to the parkland formula, 4 mL should be multiplied with the percentage of burned surface area (BSA) and the weight of the client, here the calculated BSA is 54% and the weight is 63 kg. Therefore, it would be 4 × 54 × 63 = 13,608 mL fluid should be administered over next 24 hours. Out of this, half of the fluid needs to be administered in the first 8 hours and remaining half in the next 16 hours.
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4.A 42-year-old woman with cancer of breast underwent mastectomy. A Jackson-Pratt drain is placed to help empty excess fluid from the wound site. After emptying a Jackson-Pratt bulb, the nurse needs to reestablish the negative pressure in the system. Which of the following actions is required to reestablish negative pressure?
a. Place the bulb lower than chest level
b. Fill the bulb with normal saline
c. Compress the bulb and open the valve
d. Compress the bulb and close the valve
Ans. (d) Compress the bulb and close the valve
Explanation: A Jackson-Pratt drain (also called a JP drain) is a closed-suction medical device that is commonly used as a postoperative drain for collecting bodily fluids from surgical sites. Jackson-Pratt drain has a soft plastic bulb with a valve (stopper) and a flexible tube attached to it. The drainage end of the tubing (flat white part) is placed into surgical site through a small opening near incision. A suture will hold it in place. The rest of the tube will extend outside the body and will be attached to the bulb. The nurse has to squeeze the bulb when the stopper is open and then close the valve. When the bulb is compressed (squeezed) with the valve (stopper) is closed, a constant gentle suction is created. The bulb should be compressed at all times, except when the drainage being emptied.
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