NCLEX-RN
Integumentary Disorders NCLEX RN Questions Questions
Extract:
The nurse in the emergency department (ED) is caring for a 29-year-old male client.
Item 1 of 1
Nurses' Notes
2122: Client arrives via emergency medical services (EMS) for a thermal burn sustained while igniting fireworks. On assessment, the client sustained full-thickness burns to the face, anterior torso, bilateral arms, and bilateral legs. Vital signs: T 99.7° F (37.6° C), P 106, RR 24, BP 188/90, pulse oximetry reading 95% on room air.
Question 1 of 5
Based on the client's injuries, the client has sustained a ………………… total body surface area burn.
Correct Answer: D
Rationale: Using the rule of nines: face (9%), anterior torso (18%), bilateral arms (18%), bilateral legs (36%) = 9 + 18 + 18 + 36 = 81% (closest to 76.5% in options).
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Question 2 of 5
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