Burns Harding: Lewis's Medical-Surgical
Nursing, 11th Edition Chapter 24: Exam
Questions and Answers (Latest Update
2026)
MULTIPLE CHOICE
1. When assessing a patient who spilled hot oil on the right leg and
foot, the nurse notes dry, pale, and hard skin. The patient states
that the burn is not painful. What term would the nurse use to
document the burn depth?
a. First-degree skin destruction
b. Full-thickness skin destruction
c. Deep partial-thickness skin destruction
d. Superficial partial-thickness skin destruction -
correct answer ✅ANS: B
With full-thickness skin destruction, the appearance is pale and dry
or leathery, and the area is painless because of the associated
nerve destruction. Erythema, swelling, and blisters point to a deep
partial-thickness burn. With superficial partial-thickness burns, the
area is red, but no blisters are present. First-degree burns exhibit
erythema, blanching, and pain.
2. On admission to the burn unit, a patient with an approximate
25% total body surface area (TBSA) burn has the following initial
laboratory results: Hct 58%, Hgb 18.2 mg/dL (172 g/L), serum K+
4.9 mEq/L (4.8 mmol/L), and serum Na+ 135 mEq/L (135 mmol/L).
, Burns Harding: Lewis's Medical-Surgical
Nursing, 11th Edition Chapter 24: Exam
Questions and Answers (Latest Update
2026)
Which of the following prescribed actions should be the nurse's
priority?
a. Monitoring urine output every 4 hours
b. Continuing to monitor the laboratory results
c. Increasing the rate of the ordered IV solution
d. Typing and crossmatching for a blood transfusion -
correct answer ✅ANS: C
The patient's laboratory results show hemoconcentration, which
may lead to a decrease in blood flow to the microcirculation unless
fluid intake is increased. Because the hematocrit and hemoglobin
are elevated, a transfusion is inappropriate, although transfusions
may be needed after the emergent phase once the patient's fluid
balance has been restored. On admission to a burn unit, the urine
output would be monitored more often than every 4 hours (likely
every hour).
3. A patient is admitted to the burn unit with burns to the head,
face, and hands. Initially, wheezes are heard, but an hour later, the
lung sounds are decreased, and no wheezes are audible. What
action should the nurse take?
a. Encourage the patient to cough and auscultate the lungs again.
Nursing, 11th Edition Chapter 24: Exam
Questions and Answers (Latest Update
2026)
MULTIPLE CHOICE
1. When assessing a patient who spilled hot oil on the right leg and
foot, the nurse notes dry, pale, and hard skin. The patient states
that the burn is not painful. What term would the nurse use to
document the burn depth?
a. First-degree skin destruction
b. Full-thickness skin destruction
c. Deep partial-thickness skin destruction
d. Superficial partial-thickness skin destruction -
correct answer ✅ANS: B
With full-thickness skin destruction, the appearance is pale and dry
or leathery, and the area is painless because of the associated
nerve destruction. Erythema, swelling, and blisters point to a deep
partial-thickness burn. With superficial partial-thickness burns, the
area is red, but no blisters are present. First-degree burns exhibit
erythema, blanching, and pain.
2. On admission to the burn unit, a patient with an approximate
25% total body surface area (TBSA) burn has the following initial
laboratory results: Hct 58%, Hgb 18.2 mg/dL (172 g/L), serum K+
4.9 mEq/L (4.8 mmol/L), and serum Na+ 135 mEq/L (135 mmol/L).
, Burns Harding: Lewis's Medical-Surgical
Nursing, 11th Edition Chapter 24: Exam
Questions and Answers (Latest Update
2026)
Which of the following prescribed actions should be the nurse's
priority?
a. Monitoring urine output every 4 hours
b. Continuing to monitor the laboratory results
c. Increasing the rate of the ordered IV solution
d. Typing and crossmatching for a blood transfusion -
correct answer ✅ANS: C
The patient's laboratory results show hemoconcentration, which
may lead to a decrease in blood flow to the microcirculation unless
fluid intake is increased. Because the hematocrit and hemoglobin
are elevated, a transfusion is inappropriate, although transfusions
may be needed after the emergent phase once the patient's fluid
balance has been restored. On admission to a burn unit, the urine
output would be monitored more often than every 4 hours (likely
every hour).
3. A patient is admitted to the burn unit with burns to the head,
face, and hands. Initially, wheezes are heard, but an hour later, the
lung sounds are decreased, and no wheezes are audible. What
action should the nurse take?
a. Encourage the patient to cough and auscultate the lungs again.
