Chapter 55 Test Bank Burns Exam
Questions with Verified Answers
____ 2. The nurse is caring for a patient with burns covering the entire surface of both
arms and the anterior
trunk. Approximately what percentage of the patient's body surface area has been
affected?
a. 18%
b. 27%
c. 36%
d. 45% - Answer-c
____ 3. The nurse is caring for a patient in the initial phase of treatment for a partial-
thickness burn. The patient
has been stabilized, with blood pressure 140/88 mm Hg, pulse 78 beats/min,
respirations 22 breaths/min, and
temperature 97.4°F (36.3°C). Which new assessment finding should be immediately
communicated to the
health care provider (HCP)?
a. Report of increasing pain
b. Temperature 99°F (37.2°C)
c. Serum-filled blister formation
d. Blood pressure 122/74 mm Hg - Answer-d
___ 4. The nurse is caring for a patient who is 2 days post-inhalation burn injury from a
house fire. Which outcome best indicates that nursing interventions for impaired gas
exchange have been effective?
a. PaCO2 is 56 mm Hg.
b. The patient is afebrile.
c. The patient is alert and oriented.
d. Peripheral pulses are present and strong - Answer-c
____ 5. A patient is having a surgical procedure done to promote peripheral tissue
perfusion in an extremity
with full-thickness circumferential burns. What term should the nurse use to document
this procedure?
a. Excision
b. Skin graft
c. Débridement
d. Escharotomy - Answer-d
_ 6. The nurse is caring for a patient who is receiving fluid replacement after being
burned on 37% of the
, body. Nursing assessment reveals a blood pressure of 80/60 mm Hg, heart rate of 120
beats/min, and urine
output of 10 mL over the past hour. After reporting these findings, which order should
the nurse expect to be
prescribed for this patient?
a. Discontinue the IV fluid infusion.
b. Change the IV fluid to dextrose and water.
c. Increase the amount of IV fluid administered per hour.
d. Decrease the amount of IV fluid administered per hour. - Answer-c
____ 7. The nurse is providing wound care to a patient's skin graft donor sites used for
burn treatment. For
which type of wound is this nurse providing care?
a. Skin tear
b. Full thickness
c. Split thickness
d. Partial thickness - Answer-d
___ 8. The nurse is caring for a patient admitted to the burn unit with burns to 45% of
the body. After 3 days,
the nurse notes that the patient's temperature is newly elevated at 100.2°F (37.9°C),
and the patient exhibits
new-onset agitation and confusion. What should the nurse do first?
a. Increase oral fluids to 3000 mL/day.
b. Notify the registered nurse (RN) or primary care provider.
c. Monitor the patient for further changes in mental status.
d. Administer a prn dose of acetaminophen (Tylenol) for the fever. - Answer-b
__ 9. A patient is admitted to the emergency department with chemical burns to the
chest and abdomen. The
RN immediately begins a sterile saline lavage. What should the licensed practical nurse
(LPN) do to assist during this procedure?
a. Apply a neutralizing agent.
b. Apply ice to the burned area.
c. Remove the patient's clothing.
d. Prepare intravenous morphine for administration by the RN. - Answer-c
____ 10. The nurse is caring for a patient 3 days following a split-thickness burn injury
from a fire. Which observation indicates that nursing interventions to promote cardiac
output have been effective?
a. Blood pressure is 128/66 mmHg.
b. Radial pulses are thready at 112/min.
c. Urine output is 1050 mL in 24 hours.
d. Patient weight is 4 pounds less than admission weight. - Answer-a
Questions with Verified Answers
____ 2. The nurse is caring for a patient with burns covering the entire surface of both
arms and the anterior
trunk. Approximately what percentage of the patient's body surface area has been
affected?
a. 18%
b. 27%
c. 36%
d. 45% - Answer-c
____ 3. The nurse is caring for a patient in the initial phase of treatment for a partial-
thickness burn. The patient
has been stabilized, with blood pressure 140/88 mm Hg, pulse 78 beats/min,
respirations 22 breaths/min, and
temperature 97.4°F (36.3°C). Which new assessment finding should be immediately
communicated to the
health care provider (HCP)?
a. Report of increasing pain
b. Temperature 99°F (37.2°C)
c. Serum-filled blister formation
d. Blood pressure 122/74 mm Hg - Answer-d
___ 4. The nurse is caring for a patient who is 2 days post-inhalation burn injury from a
house fire. Which outcome best indicates that nursing interventions for impaired gas
exchange have been effective?
a. PaCO2 is 56 mm Hg.
b. The patient is afebrile.
c. The patient is alert and oriented.
d. Peripheral pulses are present and strong - Answer-c
____ 5. A patient is having a surgical procedure done to promote peripheral tissue
perfusion in an extremity
with full-thickness circumferential burns. What term should the nurse use to document
this procedure?
a. Excision
b. Skin graft
c. Débridement
d. Escharotomy - Answer-d
_ 6. The nurse is caring for a patient who is receiving fluid replacement after being
burned on 37% of the
, body. Nursing assessment reveals a blood pressure of 80/60 mm Hg, heart rate of 120
beats/min, and urine
output of 10 mL over the past hour. After reporting these findings, which order should
the nurse expect to be
prescribed for this patient?
a. Discontinue the IV fluid infusion.
b. Change the IV fluid to dextrose and water.
c. Increase the amount of IV fluid administered per hour.
d. Decrease the amount of IV fluid administered per hour. - Answer-c
____ 7. The nurse is providing wound care to a patient's skin graft donor sites used for
burn treatment. For
which type of wound is this nurse providing care?
a. Skin tear
b. Full thickness
c. Split thickness
d. Partial thickness - Answer-d
___ 8. The nurse is caring for a patient admitted to the burn unit with burns to 45% of
the body. After 3 days,
the nurse notes that the patient's temperature is newly elevated at 100.2°F (37.9°C),
and the patient exhibits
new-onset agitation and confusion. What should the nurse do first?
a. Increase oral fluids to 3000 mL/day.
b. Notify the registered nurse (RN) or primary care provider.
c. Monitor the patient for further changes in mental status.
d. Administer a prn dose of acetaminophen (Tylenol) for the fever. - Answer-b
__ 9. A patient is admitted to the emergency department with chemical burns to the
chest and abdomen. The
RN immediately begins a sterile saline lavage. What should the licensed practical nurse
(LPN) do to assist during this procedure?
a. Apply a neutralizing agent.
b. Apply ice to the burned area.
c. Remove the patient's clothing.
d. Prepare intravenous morphine for administration by the RN. - Answer-c
____ 10. The nurse is caring for a patient 3 days following a split-thickness burn injury
from a fire. Which observation indicates that nursing interventions to promote cardiac
output have been effective?
a. Blood pressure is 128/66 mmHg.
b. Radial pulses are thready at 112/min.
c. Urine output is 1050 mL in 24 hours.
d. Patient weight is 4 pounds less than admission weight. - Answer-a
