ADVANCED MED SURG PRINCIPLES
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Second degree burngs typically:
Answer: blister & cause mild edema
◉ Third degree (full thickness) burns destroy the:
Answer: epidermis & dermis & nerve fibers are damaged (no pain)
◉ Fourth degree burns extend below:
Answer: the skin damaging muscle & bone & appear black or
charred
◉ Total body surface area can be measured by using the:
Answer: rule of nines
◉ Burns that involve more than 40% of the total body suface or
inhalation injuries puts the client at:
Answer: greater risk for death
,◉ What is typical in the first 24 hours following a burn due to
massive fluid shifts into the interstitial space?
Answer: An elevation in hemoglobin & hematocrit, hyponatremia &
hyperkalemia
◉ Burns that damage more than 30% of the TBSA put the client at
risk for:
Answer: systemic complications (hypovolemia)
◉ As fluid shifts back into the intravascular compartment 48-72
hours following a burn, what levels decrease?
Answer: Hemoglobin and hematocrit, sodium & potassium all
decrease
◉ Signs of inhalation injury following a burn include:
Answer: Brassy cough, drooling, dysphagia, progressive hoarseness,
stridor & wheezing
◉ Following a major burn injury, the white blood cell count:
Answer: increases & then drops with a shift to the left (bandemia)
◉ Following a major burn injury, what acid base occcurs & what
levels drop?
, Answer: Metabolic acidosis occurs & albumin levels drop
◉ The risk for ulcers increase following a major burn (Curlings
ulcer) & what is used to prevent this complication?
Answer: Proton pump inhibitors
◉ Bowel sounds are typically absent following a major burn so what
should be avoided?
Answer: Oral feedings
◉ Abdominal compartment syndrome could follow a major burn &
manifests as:
Answer: oliguria & impaired ventilation
◉ What is the crystalloid of choice during fluid resuscitation?
Answer: Lactated Ringers
◉ Administer how much fluid in the first 8 hours during the
resuscitative phase of a major burn?
Answer: one half of the total amount
◉ Monitor peripheral pulses often since a diminished pulse may
signal:
ACTUAL PAPER 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ Second degree burngs typically:
Answer: blister & cause mild edema
◉ Third degree (full thickness) burns destroy the:
Answer: epidermis & dermis & nerve fibers are damaged (no pain)
◉ Fourth degree burns extend below:
Answer: the skin damaging muscle & bone & appear black or
charred
◉ Total body surface area can be measured by using the:
Answer: rule of nines
◉ Burns that involve more than 40% of the total body suface or
inhalation injuries puts the client at:
Answer: greater risk for death
,◉ What is typical in the first 24 hours following a burn due to
massive fluid shifts into the interstitial space?
Answer: An elevation in hemoglobin & hematocrit, hyponatremia &
hyperkalemia
◉ Burns that damage more than 30% of the TBSA put the client at
risk for:
Answer: systemic complications (hypovolemia)
◉ As fluid shifts back into the intravascular compartment 48-72
hours following a burn, what levels decrease?
Answer: Hemoglobin and hematocrit, sodium & potassium all
decrease
◉ Signs of inhalation injury following a burn include:
Answer: Brassy cough, drooling, dysphagia, progressive hoarseness,
stridor & wheezing
◉ Following a major burn injury, the white blood cell count:
Answer: increases & then drops with a shift to the left (bandemia)
◉ Following a major burn injury, what acid base occcurs & what
levels drop?
, Answer: Metabolic acidosis occurs & albumin levels drop
◉ The risk for ulcers increase following a major burn (Curlings
ulcer) & what is used to prevent this complication?
Answer: Proton pump inhibitors
◉ Bowel sounds are typically absent following a major burn so what
should be avoided?
Answer: Oral feedings
◉ Abdominal compartment syndrome could follow a major burn &
manifests as:
Answer: oliguria & impaired ventilation
◉ What is the crystalloid of choice during fluid resuscitation?
Answer: Lactated Ringers
◉ Administer how much fluid in the first 8 hours during the
resuscitative phase of a major burn?
Answer: one half of the total amount
◉ Monitor peripheral pulses often since a diminished pulse may
signal:
