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Trauma Certified Registered Nurse (TCRN) – Burns – Comprehensive Study Notes and Exam Preparation Material

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This document covers burn injuries, including classification, assessment, fluid resuscitation, wound care, and complications such as infection and shock. It is designed to support TCRN exam preparation with high-yield content for emergency and trauma nursing care.

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1


TCRN - Burns


Alkaline


Penetrate tissue more deeply - Correct answer- More serious
chemical burns?


Irreversible injury/ Necrotic tissue


Less superficial. Vascular damage and inflammatory response


Peripheral and superficial area of burn (1st deg) - Correct
answer- Zone of coagulation




Zone of stasis




Zone if hyperemia


Onset of acute phase of burn injury


1

, 2


Caused by fluid shifting from interstitial space into the
vascular space


Partial thickness - greatest fluid loss occurs on day of injury


Full thickness - greatest fluid losses peak by day 4 post burn -
Correct answer- Diuresis


Partial thickness


First degree/superficial


Local pain, erythema no blister, dry, skin blanches - Correct
answer- Burn that affects epidermis only?


2nd degree


Superficial partial
Mottled, red, moist, blisters, painful




or deep partial - Correct answer- Burn that affects epidermis
and dermis?


Deep partial
2

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