Saunders NCLEX Review - Burns
Exam Questions & Answers (Grade
A+)
509. An adult client was burned in an explosion. The burn initially
affected the client's entire face (anterior half of the head) and the
upper half of the anterior torso, and there were circumferential
burns to the lower half of both arms. The client's clothes caught on
fire, and the client ran, causing subsequent burn injuries to the
posterior surface of the head and the upper half of the posterior
torso. Using the rule of nines, what would be the extent of the burn
injury?
1.18%
2.24%
3.36%
4.48% -
correct answer ✅3.36%
Rationale:Accordingtotheruleofnines,withtheinitialburn,theanterior
halfoftheheadequals4.5%,theupperhalfoftheanteriortorsoequals9%,
andthelowerhalfofbotharmsequals9%.Thesubsequentburnincludedt
heposteriorhalfofhead,equaling4.5%,andtheupperhalfofposteriorto
rso,equaling9%.Thistotals36%
, Saunders NCLEX Review - Burns
Exam Questions & Answers (Grade
A+)
510. The nurse is preparing to care for a burn client scheduled for
an escharotomy procedure being performed for a third-degree
circumferential arm burn. The nurse understands that which finding
is the anticipated therapeutic outcome of the escharotomy?
1.Return of distal pulses
2.Brisk bleeding from the site
3.Decreasing edema formation
4.Formation of granulation tissue -
correct answer ✅1.Return of distal pulses
Rationale:Escharotomiesareperformedtorelievethecompartmentsy
ndromethatcanoccurwhenedemaformsundernondistensibleeschari
nacircumferentialthird-
degreeburn.Escharotomiesareperformedthroughavasculareschartos
ubcutaneousfat.Althoughbleedingmayoccurfromthesite,itisconsider
edacomplicationratherthanananticipatedtherapeuticoutcome.Usual
ly,directpressurewithabulkydressingandelevationcontrolthebleeding
,butoccasionallyanarteryisdamagedandmayrequireligation.Escharot
omydoesnotaffecttheformationofedema.Formationofgranulationtis
sueisnottheintentofanescharotomy
Exam Questions & Answers (Grade
A+)
509. An adult client was burned in an explosion. The burn initially
affected the client's entire face (anterior half of the head) and the
upper half of the anterior torso, and there were circumferential
burns to the lower half of both arms. The client's clothes caught on
fire, and the client ran, causing subsequent burn injuries to the
posterior surface of the head and the upper half of the posterior
torso. Using the rule of nines, what would be the extent of the burn
injury?
1.18%
2.24%
3.36%
4.48% -
correct answer ✅3.36%
Rationale:Accordingtotheruleofnines,withtheinitialburn,theanterior
halfoftheheadequals4.5%,theupperhalfoftheanteriortorsoequals9%,
andthelowerhalfofbotharmsequals9%.Thesubsequentburnincludedt
heposteriorhalfofhead,equaling4.5%,andtheupperhalfofposteriorto
rso,equaling9%.Thistotals36%
, Saunders NCLEX Review - Burns
Exam Questions & Answers (Grade
A+)
510. The nurse is preparing to care for a burn client scheduled for
an escharotomy procedure being performed for a third-degree
circumferential arm burn. The nurse understands that which finding
is the anticipated therapeutic outcome of the escharotomy?
1.Return of distal pulses
2.Brisk bleeding from the site
3.Decreasing edema formation
4.Formation of granulation tissue -
correct answer ✅1.Return of distal pulses
Rationale:Escharotomiesareperformedtorelievethecompartmentsy
ndromethatcanoccurwhenedemaformsundernondistensibleeschari
nacircumferentialthird-
degreeburn.Escharotomiesareperformedthroughavasculareschartos
ubcutaneousfat.Althoughbleedingmayoccurfromthesite,itisconsider
edacomplicationratherthanananticipatedtherapeuticoutcome.Usual
ly,directpressurewithabulkydressingandelevationcontrolthebleeding
,butoccasionallyanarteryisdamagedandmayrequireligation.Escharot
omydoesnotaffecttheformationofedema.Formationofgranulationtis
sueisnottheintentofanescharotomy
