NCLEX CRUSADE ACADEMY TEST - 9 IMMUNOLOGICAL DISORDERS PRT I

1. Which injection technique requires inserting the needle at a 15-degree angle between the epidermis and dermis?. Intramuscular injection. Intradermal injection. Subcutaneous injection. Z track injection.

2. Which medication is most commonly administered using the subcutaneous route?. Insulin. Morphine. Potassium chloride. Lidocaine IV.

3. Intramuscular injections are typically administered at which angle?. 15. 25. 45. 90.

4. Which intramuscular injection site is considered the safest for adults due to fewer major blood vessels and nerves?. Deltoid. Dorsogluteal. Ventrogluteal. Rectus femoris.

5. The Z track method is primarily used to: Increase medication absorption. Prevent medication leakage into subcutaneous tissue. Reduce injection pain. Decrease needle length.

6. Which medication administration method is commonly used for allergy testing?. Intramuscular. Intravenous. Intradermal. Subcutaneous.

7. In anaphylaxis, the first medication typically administered using an auto injector is: Diphenhydramine. Epinephrine. Prednisone. Albuterol.

8. What is the recommended adult epinephrine auto injector dose for anaphylaxis?. 0.05 mg. 0.15 mg. 0.3 mg. 1 mg.

9. After administering an epinephrine auto injector, what is the next priority action?. Allow the patient to rest. Call emergency medical services. Administer IV fluids. Give oral antihistamines.

10. In burn injuries, the greatest fluid shift occurs during which period?. Immediately after injury. First 24 hours. After 72 hours. After 1 week.

11. The Rule of Nines is used to estimate: Burn severity depth. Burn infection risk. Total body surface area burned. Pain level.

12. According to the Rule of Nines, each leg represents approximately: 9%. 18%. 27%. 36%.

13. Which burn type is characterized by destruction of the dermis and typically appears waxy and painless?. Superficial burn. Partial thickness burn. Full thickness burn. First degree burn.

14. A patient with singed nasal hairs, hoarse voice, and soot in the mouth likely has: Chemical burn. Carbon monoxide poisoning. Inhalation injury. Bronchitis.

15. Carbon monoxide binds to hemoglobin approximately how many times stronger than oxygen?. 10 times. 50 times. 100 times. 200 times.

16. What is the preferred fluid for burn resuscitation according to the Parkland formula?. Dextrose 5%. Lactated Ringers solution. Albumin. Half normal saline.

17. The Parkland formula for fluid resuscitation is: 2 mL weight TBSA. 3 mL weight TBSA. 4 mL weight TBSA. 6 mL weight TBSA.

18. According to the Parkland formula, what percentage of fluids is given within the first 8 hours?. 25%. 50%. 75%. 100%.

19. The best indicator of adequate fluid resuscitation in burn patients is: Blood pressure. Heart rate. Urine output. Respiratory rate.

20. A patient with burns completely encircling a limb is at risk for: Hypoglycemia. Compartment syndrome. Hypocalcemia. Bradycardia.

21. Which burn depth involves only the epidermis and is painful without blisters?. Superficial burn. Partial thickness burn. Full thickness burn. Fourth degree burn.

22. Which burn type involves both epidermis and dermis and typically produces blisters?. Superficial. Partial thickness. Full thickness. Deep tissue.

23. Which age groups are considered highIrisk in burn injuries?. Teenagers and adults. Adults only. Children under 4 and adults over 65. Athletes.

24. Which burn location requires immediate escalation of care due to airway risk?. Leg. Arm. Face and neck. Shoulder.

25. In the initial emergency response to burns, the nurse should: Apply ice immediately. Use cool water only. Apply ointment. Cover with butter.

26. When treating burn patients in the ICU, infection control should include: No precautions needed. Standard precautions only. Reverse isolation and sterile precautions. Droplet precautions only.

27. Burn patients are commonly placed in warm environments to prevent: Fever. Hypothermia. Hypertension. Hypoglycemia.

28. What type of nutrition is typically preferred for severe burn patients?. Oral feeding only. Enteral feeding via NG tube. Total parenteral nutrition only. No feeding for 48 hours.

29. Why is blood pressure not a reliable early indicator of burn resuscitation effectiveness?. It changes slowly. It is unstable and may remain normal despite hypoperfusion. It is difficult to measure. It always decreases immediately.

30. An expected early outcome after aggressive burn fluid resuscitation is: Weight loss. Weight gain. Dehydration. Electrolyte stability.