NUR 185 Exam 2 Practice Test 2026/2027 | Hondros College |
Complete Questions, Correct Answers & Detailed Rationales
SECTION I — BURNS: ASSESSMENT, CLASSIFICATION & EMERGENCY
CARE
1. A patient sustains a burn involving only the epidermis. How should
the nurse classify this injury?
A. Superficial
B. Full-thickness
C. Deep partial-thickness
D. Fourth-degree
Answer: A. Superficial
Rationale: A superficial burn affects only the epidermis. It is typically
red, painful, and dry without blister formation.
2. Which finding is most characteristic of a superficial partial-thickness
burn?
A. Dry, leathery skin
B. Blisters and significant pain
C. Charred muscle tissue
D. Complete destruction of nerve endings
Answer: B. Blisters and significant pain
,Rationale: Partial-thickness burns involve the epidermis and part of the
dermis. Blistering, moisture, redness, and considerable pain are
common.
3. Which finding is most consistent with a full-thickness burn?
A. Moist red skin with intact sensation
B. Blistering with severe pain
C. Leathery, waxy, or charred appearance
D. Mild erythema only
Answer: C. Leathery, waxy, or charred appearance
Rationale: Full-thickness burns destroy the epidermis and entire
dermis. The skin may appear white, brown, black, leathery, or charred,
and sensation can be reduced because nerve endings are destroyed.
4. Which assessment finding requires the nurse's immediate attention
in a patient with facial burns?
A. Pain rated 7/10
B. Singed nasal hairs
C. Hoarse voice
D. Blisters on the arm
Answer: C. Hoarse voice
Rationale: Hoarseness can indicate airway edema from an inhalation
injury. Airway swelling can progress rapidly and requires immediate
assessment and intervention.
,5. The nurse suspects carbon monoxide poisoning after a house fire.
Which symptom is most concerning?
A. Headache
B. Nausea
C. Confusion
D. Dry skin
Answer: C. Confusion
Rationale: Carbon monoxide prevents oxygen from being effectively
delivered to tissues. Neurologic changes such as confusion indicate
significant tissue hypoxia.
6. Which intervention is the priority for a patient rescued from a
burning building who has soot around the mouth and increasing
hoarseness?
A. Apply topical antimicrobial cream
B. Assess airway and prepare for airway management
C. Begin range-of-motion exercises
D. Apply compression garments
Answer: B. Assess airway and prepare for airway management
Rationale: Inhalation injury can cause rapidly progressive airway
edema. Airway assessment and protection take priority over wound
care.
, 7. The nurse uses the Rule of Nines to estimate burn size in an adult.
What percentage is assigned to one entire leg?
A. 9%
B. 18%
C. 27%
D. 36%
Answer: B. 18%
Rationale: In adults, each entire leg represents approximately 18% of
total body surface area (TBSA).
8. According to the adult Rule of Nines, the anterior trunk represents
approximately:
A. 9%
B. 18%
C. 27%
D. 36%
Answer: B. 18%
Rationale: The anterior trunk accounts for approximately 18% of adult
TBSA.
9. According to the adult Rule of Nines, the head and neck account for
approximately:
A. 4.5%
B. 9%
Complete Questions, Correct Answers & Detailed Rationales
SECTION I — BURNS: ASSESSMENT, CLASSIFICATION & EMERGENCY
CARE
1. A patient sustains a burn involving only the epidermis. How should
the nurse classify this injury?
A. Superficial
B. Full-thickness
C. Deep partial-thickness
D. Fourth-degree
Answer: A. Superficial
Rationale: A superficial burn affects only the epidermis. It is typically
red, painful, and dry without blister formation.
2. Which finding is most characteristic of a superficial partial-thickness
burn?
A. Dry, leathery skin
B. Blisters and significant pain
C. Charred muscle tissue
D. Complete destruction of nerve endings
Answer: B. Blisters and significant pain
,Rationale: Partial-thickness burns involve the epidermis and part of the
dermis. Blistering, moisture, redness, and considerable pain are
common.
3. Which finding is most consistent with a full-thickness burn?
A. Moist red skin with intact sensation
B. Blistering with severe pain
C. Leathery, waxy, or charred appearance
D. Mild erythema only
Answer: C. Leathery, waxy, or charred appearance
Rationale: Full-thickness burns destroy the epidermis and entire
dermis. The skin may appear white, brown, black, leathery, or charred,
and sensation can be reduced because nerve endings are destroyed.
4. Which assessment finding requires the nurse's immediate attention
in a patient with facial burns?
A. Pain rated 7/10
B. Singed nasal hairs
C. Hoarse voice
D. Blisters on the arm
Answer: C. Hoarse voice
Rationale: Hoarseness can indicate airway edema from an inhalation
injury. Airway swelling can progress rapidly and requires immediate
assessment and intervention.
,5. The nurse suspects carbon monoxide poisoning after a house fire.
Which symptom is most concerning?
A. Headache
B. Nausea
C. Confusion
D. Dry skin
Answer: C. Confusion
Rationale: Carbon monoxide prevents oxygen from being effectively
delivered to tissues. Neurologic changes such as confusion indicate
significant tissue hypoxia.
6. Which intervention is the priority for a patient rescued from a
burning building who has soot around the mouth and increasing
hoarseness?
A. Apply topical antimicrobial cream
B. Assess airway and prepare for airway management
C. Begin range-of-motion exercises
D. Apply compression garments
Answer: B. Assess airway and prepare for airway management
Rationale: Inhalation injury can cause rapidly progressive airway
edema. Airway assessment and protection take priority over wound
care.
, 7. The nurse uses the Rule of Nines to estimate burn size in an adult.
What percentage is assigned to one entire leg?
A. 9%
B. 18%
C. 27%
D. 36%
Answer: B. 18%
Rationale: In adults, each entire leg represents approximately 18% of
total body surface area (TBSA).
8. According to the adult Rule of Nines, the anterior trunk represents
approximately:
A. 9%
B. 18%
C. 27%
D. 36%
Answer: B. 18%
Rationale: The anterior trunk accounts for approximately 18% of adult
TBSA.
9. According to the adult Rule of Nines, the head and neck account for
approximately:
A. 4.5%
B. 9%
