Burns Nursing – Burns NCLEX Questions, Practice Answers & Nursing Care Exam Review

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A 58 year old female patient 63%
has superficial partial-thickness Anterior head and neck (4.5%), front and back of the left arm
burns to the anterior head and (9%), front of the right arm (4.5%), posterior trunk (18%), front
neck, front and back of the left and back of the right leg (18%), back of the left leg (9%) which
arm, front of the right arm, equals 63%.
posterior trunk, front and back
of the right leg, and back of the
left leg. Using the Rule of
Nines, calculate the total body
surface area percentage that is
burned?

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a 65 year old male Pt has - acute kidney injury
experienced full thickness - dysrhythmias
electrical burns on the legs and - bone fractures
arms. As the nurse you know - iceberg effect
this patient is at risk for what
medical complications?




An 80-kg patient with burns 600 mL; The Parkland formula states that patients should
over 30% of total body surface receive 4 mL/kg/%TBSA burned during the first 24 hours. Half
area (TBSA) is admitted to the of the total volume is given in the first 8 hours and then the last
burn unit. Using the Parkland half is given over 16 hours: 4 ´ 80 ´ 30 = 9600 mL total volume;
formula of 4 mL/kg/%TBSA, 9600/2 = 4800 mL in the first 8 hours; 4800 mL/8 hr = 600 mL/hr.
what is the IV infusion rate
(mL/hour) for lactated Ringer's
solution that the nurse will
administer during the first 8
hours?

the adequacy to determine a - urine output
patients fluid replacement is - blood pressure
determined by? - heart rate




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The adult client was burned as c. anterior head = 4.5%, upper half of anterior torso = 9%, lower
a result of an explosion. The half of both arms is 9%, posterior head 4.5%, upper half of
burn initially affected the posterior torso 9%, total 36%
client's entire face (anterior half
of the head) and the upper half
of the anterior torso, and there
were circumferential burns to
the lower half of both arms. The
client's clothes caught on fire,
and the client ran, causing
subsequent burn injuries to the
posterior surface of the head
and the upper half of the
posterior torso. Using the rule
of nines, what would be the
extent of the burn injury?
a. 18%
b. 24%
c. 36%
d. 48%

after assessing an airway a patient in severe pain as pain is a physiological need
patient what type of patient
would be the next priority




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After receiving report on a Increase the temperature to a minimum of 85'F. Patients with
patient receiving treatment for severe burns can NOT regulate their temperature and are at risk
severe burns, you perform your for hypothermia. The room temperature should be a minimum
head-to-toe assessment. On of 85'F.
arrival to the patient's room you
note the room temperature to
be 75'F. You will:

921 mL/hr....First calculate the total amount of fluid needed with
Anterior head and neck (4.5%),
the formula: Total Amount of LR = 4 mL x BSA % x pt's weight in
front and back of the left arm
kg. The pt's weight 63 kg. BSA percentage: 58.5%...Front and
(9%), front of the right arm
back of right and left leg (36%), front of right arm (4.5%),
(4.5%), posterior trunk (18%),
anterior trunk (18%) which equals 58.5%. ......4 x 58.5 x 63 = 14,742
front and back of the right leg
mL......Remember during the FIRST 8 hours 1/2 of the solution is
(18%), back of the left leg (9%)
infused, which will be 14,742 divided by 2 = 7371 mL......Hourly
which equals 63%.
Rate: 7371 divide by 8 equals 921 mL/hr

Appearance of 1st degree erythema, blanching on pressure, pain and mild swelling, no
superficial partial thickness vesicles or blisters. after 24 hrs blisters could appear
burn

appearance of 2nd degree fluid filled vesicles that are red, shiny, wet. severe pain cause by
partial thickness burn nerve damage. mild to moderate edema

dry waxy white leathery or hard skin. visible thrombose vessels.
appearance of 3rd degree full
insensitivity to pain d/t nerve damage. possible involvement of
thickness burns
muscle, tendons, and bones




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