Complex Care Exam 2-Burns Questions
with Verified Answers
Blood pooling in the capillary bed and arterial blood pressure too low to support
perfusion of vital organs cause:
A. Acute respiratory distress syndrome (ARDS).
B. Disseminated intravascular coagulation (DIC).
C. Increased cerebral perfusion pressure.
D. Multisystem organ failure and/or dysfunction. - Answer-D. Multisystem organ failure
and/or dysfunction.
Large volume crystalloid solution to treat hypovolemia can be accomplished with which
of the following infusions? (Select all that apply.)
A. 5% dextrose
B. Albumin
C. Lactated Ringer's (LR)
D. Normal saline - Answer-C. Lactated Ringer's (LR)
D. Normal saline
A patient has sustained deep partial-thickness and full-thickness burns over 60% of her
body. Shortly after admission, her blood pressure drops rapidly to a systolic pressure of
70 mmHg. You know this is primarily due to:
A. Carbon monoxide poisoning.
B. Extreme pain.
C. Hypovolemic shock.
D. Sepsis. - Answer-C. Hypovolemic shock.
Your patient weighs 60 kg and has a 40% TBSA burn injury. Fluid resuscitation orders
are for 4 mL/kg/% burn of a lactated Ringer's solution. What volume will be infused
during the first 8 hours?
A. 2400 mL
B. 3600 mL
C. 4800 mL
D. 9600 mL - Answer-C. 4800 mL
A temporary wound cover composed of a graft of skin transplanted from another
human, living or dead, is called a(n):
A. Alloderm.
B. Allograft.
C. Biobrane.
D. Xenograft. - Answer-B. Allograft.
A major complication of an electrical burn injury is acute kidney injury caused by:
A. Excessive fluid resuscitation.
, B. The catabolic effect of the electrical current through the kidneys.
C. The direct effects of the electrical current as it traverses the intima of the kidney.
D. The release of myoglobin that can cause acute kidney injury. - Answer-D. The
release of myoglobin that can cause acute kidney injury.
The most crucial phase of treatment in burn care is during the:
A. Acute phase.
B. Emergent phase.
C. Rehabilitative phase.
D. Resuscitative phase. - Answer-D. Resuscitative phase.
Ischemia to the gastrointestinal system may be caused by redistribution of blood to the
brain and heart. The potential physiological effect of this is:
A. Anemia.
B. Ascites.
C. Ileus.
D. Hepatic failure. - Answer-C. Ileus.
All burn patients are at increased risk for acute respiratory distress syndrome (ARDS)
due to:
A. Carboxyhemoglobinemia.
B. A decrease in cardiac output.
C. Increased capillary permeability.
D. Myoglobinemia. - Answer-C. Increased capillary permeability.
A hallmark finding suggesting burn injury below the glottis is:
A. Hoarseness.
B. Red or flushed cheeks.
C. Singed nasal hairs.
D. Soot particles in lung secretions. - Answer-D. Soot particles in lung secretions.
Which of the following are common complications of burn patients? (Select all that
apply.)
A. Hypometabolism
B. Immunosuppression
C. Paralytic ileus
D. Stress ulcer - Answer-B. Immunosuppression
C. Paralytic ileus
D. Stress ulcer
Which of the following statements is correct regarding burn classification? (Select all
that apply.)
A. Deep partial-thickness injuries involve destruction of epidermis and most of the
dermis.
B. Full-thickness burns involve all layers of the skin down to the bone.
C. Partial-thickness burns involve injury to the dermal layer.
with Verified Answers
Blood pooling in the capillary bed and arterial blood pressure too low to support
perfusion of vital organs cause:
A. Acute respiratory distress syndrome (ARDS).
B. Disseminated intravascular coagulation (DIC).
C. Increased cerebral perfusion pressure.
D. Multisystem organ failure and/or dysfunction. - Answer-D. Multisystem organ failure
and/or dysfunction.
Large volume crystalloid solution to treat hypovolemia can be accomplished with which
of the following infusions? (Select all that apply.)
A. 5% dextrose
B. Albumin
C. Lactated Ringer's (LR)
D. Normal saline - Answer-C. Lactated Ringer's (LR)
D. Normal saline
A patient has sustained deep partial-thickness and full-thickness burns over 60% of her
body. Shortly after admission, her blood pressure drops rapidly to a systolic pressure of
70 mmHg. You know this is primarily due to:
A. Carbon monoxide poisoning.
B. Extreme pain.
C. Hypovolemic shock.
D. Sepsis. - Answer-C. Hypovolemic shock.
Your patient weighs 60 kg and has a 40% TBSA burn injury. Fluid resuscitation orders
are for 4 mL/kg/% burn of a lactated Ringer's solution. What volume will be infused
during the first 8 hours?
A. 2400 mL
B. 3600 mL
C. 4800 mL
D. 9600 mL - Answer-C. 4800 mL
A temporary wound cover composed of a graft of skin transplanted from another
human, living or dead, is called a(n):
A. Alloderm.
B. Allograft.
C. Biobrane.
D. Xenograft. - Answer-B. Allograft.
A major complication of an electrical burn injury is acute kidney injury caused by:
A. Excessive fluid resuscitation.
, B. The catabolic effect of the electrical current through the kidneys.
C. The direct effects of the electrical current as it traverses the intima of the kidney.
D. The release of myoglobin that can cause acute kidney injury. - Answer-D. The
release of myoglobin that can cause acute kidney injury.
The most crucial phase of treatment in burn care is during the:
A. Acute phase.
B. Emergent phase.
C. Rehabilitative phase.
D. Resuscitative phase. - Answer-D. Resuscitative phase.
Ischemia to the gastrointestinal system may be caused by redistribution of blood to the
brain and heart. The potential physiological effect of this is:
A. Anemia.
B. Ascites.
C. Ileus.
D. Hepatic failure. - Answer-C. Ileus.
All burn patients are at increased risk for acute respiratory distress syndrome (ARDS)
due to:
A. Carboxyhemoglobinemia.
B. A decrease in cardiac output.
C. Increased capillary permeability.
D. Myoglobinemia. - Answer-C. Increased capillary permeability.
A hallmark finding suggesting burn injury below the glottis is:
A. Hoarseness.
B. Red or flushed cheeks.
C. Singed nasal hairs.
D. Soot particles in lung secretions. - Answer-D. Soot particles in lung secretions.
Which of the following are common complications of burn patients? (Select all that
apply.)
A. Hypometabolism
B. Immunosuppression
C. Paralytic ileus
D. Stress ulcer - Answer-B. Immunosuppression
C. Paralytic ileus
D. Stress ulcer
Which of the following statements is correct regarding burn classification? (Select all
that apply.)
A. Deep partial-thickness injuries involve destruction of epidermis and most of the
dermis.
B. Full-thickness burns involve all layers of the skin down to the bone.
C. Partial-thickness burns involve injury to the dermal layer.
