Finall Exam:l NRl 341/l NR341l (NEWl
2026/l 2027l Update)l Complexl Adultl
Healthl Guide|l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)l -Chamberlain
QUESTION
True/False:l Patientsl withl scoresl ofl 3l tol 8l arel usuallyl consideredl tol bel inl al comal onl
thel GCS
Answer:
True;l remember...ifl 8l intubate!
QUESTION
Burnl Injuriesl Overview:
Answer:
-l Canl resultl inl lossl ofl temperaturel regulation,l sweat,l andl sebaceousl glandl function,l andl
sensoryl andl organl functionl
-l Highestl morbidity;l burnsl coveringl >l 50%l ofl bodyl surfacel area,l inhalationl injuries
-l Commonl Occupationall Risks...tar,l chemicals,l steaml pipes,l andl powerl lines
QUESTION
Thermall Injury:
Answer:
-l Skinl damagedl byl contactl withl heat;l flame,l scaldingl liquids,l andl heatl sources
-l Severityl ofl injuries...dependsl onl durationl ofl contact,l temperaturel ofl agent,l amountl ofl
tissuesl exposed,l andl agel ofl pt.
,QUESTION
Chemicall Injury
Answer:
-l Methods:l contact,l inhalation,l ingestion,l orl infect
-l Severity:l typel andl volumel ofl agent,l durationl ofl contact,l concentrationl ofl agent
-l Types:l alkalis,l acids,l andl organicl compounds
QUESTION
Inhalationl Injury:
Answer:
-l Faciall burns
-l Sootl aroundl mouthl orl nosel andl inl sputum
-l Singedl nasall hairs
-l Changesl inl respiratoryl rate,l usel ofl accessoryl muscles,l intercostall orl sternall retractions,l
stridor,l andl hoarseness
-l Signsl ofl hypoxemia:l tachycardia,l dysrhythmias,l anxiety,l andl lethargy
-l Abnormall ABGs
-l Elevatedl carboxyhemoglobinl levelsl
-l Abovel glottis:l upperl airwaysl injuryl relatedl tol inhalationl inl heatl orl noxiousl
chemicals...airwayl obstructionl thatl mayl presentl withl hoarseness,l dryl cough,l laboredl
breathing,l difficultyl swallowing,l orl stridor
-l Blowl glottis:l extensivel damagel tol alveolil causedl byl smoke,l carbonaceousl sputum,l
wheezing
QUESTION
Broncoscopy
Answer:
-l Visuall examinationl ofl thel bronchi
QUESTION
Carbonl Monoxidel (CO)l Poisoningl Treatment:
,Answer:
QUESTION
Carbonl Monoxidel (cont.):
Answer:
-l Earlyl signsl ofl poisoning:l headache,l N/v,l andl unsteadyl gait
-l Treatment:l 100%l O2l administration,l hyperbaricl chamber
QUESTION
Electricall Injuries:
Answer:
-l Severel damagel throughl bodyl byl disruptingl nervel pathways
-l Highl vl lowl voltage:l Highl =l >l 1000l voltsl andl Lowl =l <l 1000l volts
-l Entryl andl exitl burnsl arel possible
-l Respiratory/cardiacl arrestl arel possible;l dysrhythmiasl
-l Bonesl mayl fracturel froml violentl musclel contractions
, -l REMEMBER:l ECGl isl mandatory...dysrhythmiasl arel commonl withl thisl typel ofl injuryl
(upl tol 24l hoursl afterl itl occurs)
QUESTION
Burnsl Assessment:
Answer:
-*Cardiovascularl Assessment*:l Hypovolemicl shockl isl al commonl causel ofl deathl inl thel
emergentl phasel inl patientsl withl seriousl injuries;l Monitorl vitall signs,l Monitorl cardiacl
status,l especiallyl inl casesl ofl electricall burnl injuries
-*Renal/Urinaryl Assessment*:l changesl relatedl tol cellularl debrisl &l decreasedl renall bloodl
flowl [Myoglobinl released;l damagel muscles],l Assessl lab;l Creatininel 1.2l tol 1.5l (don'tl
wantl >2),l Examinel urinel forl color/odor/presencel ofl particlesl orl foam.
-*Skinl Assessment*:l Datal collectedl [describel whatl youl see],l determinel sizel andl depthl
ofl injury,l determinel totall bodyl %l affected,l usel rulel ofl 9's.
QUESTION
Burnsl Rulel ofl 9s:
Answer:
Totall headl -l 9%l Twol Armsl 18%l Trunkl 36%l Perineuml 1%l Twol Legsl 36%l =l 100%
QUESTION
Burnsl Classification:
Answer:
-l 1stl degree-l superficiall layerl ofl thel skinl andl resultl inl reddening
-l 2ndl degreel -l blistersl onl skin;l superficiall isl epidermisl andl somel dermisl whichl healsl
inl 7-10l daysl &l deepl partiall thicknessl =l epidermisl andl mostl ofl dermisl isl lostl andl
healsl inl 2l -l 4l weeks
-l 3rdl degreel -l destroysl skinl downl tol fat.l Skinl appearsl pale,l dryl andl whitel orl charred.l
(lifel threatening)
-l 4thl degreel -l Deepl Full-Thicknessl -l Destructionl ofl alll layersl plusl muscles,l tendons,l
andl bones
2026/l 2027l Update)l Complexl Adultl
Healthl Guide|l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)l -Chamberlain
QUESTION
True/False:l Patientsl withl scoresl ofl 3l tol 8l arel usuallyl consideredl tol bel inl al comal onl
thel GCS
Answer:
True;l remember...ifl 8l intubate!
QUESTION
Burnl Injuriesl Overview:
Answer:
-l Canl resultl inl lossl ofl temperaturel regulation,l sweat,l andl sebaceousl glandl function,l andl
sensoryl andl organl functionl
-l Highestl morbidity;l burnsl coveringl >l 50%l ofl bodyl surfacel area,l inhalationl injuries
-l Commonl Occupationall Risks...tar,l chemicals,l steaml pipes,l andl powerl lines
QUESTION
Thermall Injury:
Answer:
-l Skinl damagedl byl contactl withl heat;l flame,l scaldingl liquids,l andl heatl sources
-l Severityl ofl injuries...dependsl onl durationl ofl contact,l temperaturel ofl agent,l amountl ofl
tissuesl exposed,l andl agel ofl pt.
,QUESTION
Chemicall Injury
Answer:
-l Methods:l contact,l inhalation,l ingestion,l orl infect
-l Severity:l typel andl volumel ofl agent,l durationl ofl contact,l concentrationl ofl agent
-l Types:l alkalis,l acids,l andl organicl compounds
QUESTION
Inhalationl Injury:
Answer:
-l Faciall burns
-l Sootl aroundl mouthl orl nosel andl inl sputum
-l Singedl nasall hairs
-l Changesl inl respiratoryl rate,l usel ofl accessoryl muscles,l intercostall orl sternall retractions,l
stridor,l andl hoarseness
-l Signsl ofl hypoxemia:l tachycardia,l dysrhythmias,l anxiety,l andl lethargy
-l Abnormall ABGs
-l Elevatedl carboxyhemoglobinl levelsl
-l Abovel glottis:l upperl airwaysl injuryl relatedl tol inhalationl inl heatl orl noxiousl
chemicals...airwayl obstructionl thatl mayl presentl withl hoarseness,l dryl cough,l laboredl
breathing,l difficultyl swallowing,l orl stridor
-l Blowl glottis:l extensivel damagel tol alveolil causedl byl smoke,l carbonaceousl sputum,l
wheezing
QUESTION
Broncoscopy
Answer:
-l Visuall examinationl ofl thel bronchi
QUESTION
Carbonl Monoxidel (CO)l Poisoningl Treatment:
,Answer:
QUESTION
Carbonl Monoxidel (cont.):
Answer:
-l Earlyl signsl ofl poisoning:l headache,l N/v,l andl unsteadyl gait
-l Treatment:l 100%l O2l administration,l hyperbaricl chamber
QUESTION
Electricall Injuries:
Answer:
-l Severel damagel throughl bodyl byl disruptingl nervel pathways
-l Highl vl lowl voltage:l Highl =l >l 1000l voltsl andl Lowl =l <l 1000l volts
-l Entryl andl exitl burnsl arel possible
-l Respiratory/cardiacl arrestl arel possible;l dysrhythmiasl
-l Bonesl mayl fracturel froml violentl musclel contractions
, -l REMEMBER:l ECGl isl mandatory...dysrhythmiasl arel commonl withl thisl typel ofl injuryl
(upl tol 24l hoursl afterl itl occurs)
QUESTION
Burnsl Assessment:
Answer:
-*Cardiovascularl Assessment*:l Hypovolemicl shockl isl al commonl causel ofl deathl inl thel
emergentl phasel inl patientsl withl seriousl injuries;l Monitorl vitall signs,l Monitorl cardiacl
status,l especiallyl inl casesl ofl electricall burnl injuries
-*Renal/Urinaryl Assessment*:l changesl relatedl tol cellularl debrisl &l decreasedl renall bloodl
flowl [Myoglobinl released;l damagel muscles],l Assessl lab;l Creatininel 1.2l tol 1.5l (don'tl
wantl >2),l Examinel urinel forl color/odor/presencel ofl particlesl orl foam.
-*Skinl Assessment*:l Datal collectedl [describel whatl youl see],l determinel sizel andl depthl
ofl injury,l determinel totall bodyl %l affected,l usel rulel ofl 9's.
QUESTION
Burnsl Rulel ofl 9s:
Answer:
Totall headl -l 9%l Twol Armsl 18%l Trunkl 36%l Perineuml 1%l Twol Legsl 36%l =l 100%
QUESTION
Burnsl Classification:
Answer:
-l 1stl degree-l superficiall layerl ofl thel skinl andl resultl inl reddening
-l 2ndl degreel -l blistersl onl skin;l superficiall isl epidermisl andl somel dermisl whichl healsl
inl 7-10l daysl &l deepl partiall thicknessl =l epidermisl andl mostl ofl dermisl isl lostl andl
healsl inl 2l -l 4l weeks
-l 3rdl degreel -l destroysl skinl downl tol fat.l Skinl appearsl pale,l dryl andl whitel orl charred.l
(lifel threatening)
-l 4thl degreel -l Deepl Full-Thicknessl -l Destructionl ofl alll layersl plusl muscles,l tendons,l
andl bones
