The severity of each burn injury is determined by which of these factors?
A. Depth of the burn, weight of the patient
B. Presence of inhalation injury, depth of the burn
B. Presence of inhalation injury, depth of the burn
C. Amount of surface area of the body that is burned, gender of the patient
D. Gender of the patient, duration of the burn
What are complications of burns? SATA
A. Electrolyte imbalances
A. Electrolyte imbalances
B. Hypovolemia
B. Hypovolemia
C. Compartment syndrome
C. Compartment syndrome
E. Inhalation injury
D. Low hematocrit
E. Inhalation injury
The nurse is concerned about hyperkalemia in her acutely burned patient. Besides monitoring
the lab value, we should also look for the following on the EKG monitor. SATA
B. Widening QRS
A. Increased heart rate
D. Peaked T wave
B. Widening QRS
C. Flat P waves
D. Peaked T wave
The fluid resuscitation for electrical burns is higher than thermal.
True
True
False
Which of these nursing actions should be done first for a patient who has suttered an electrical
burn injury while working on a power line?
A. Cover the burns with a sterile dressing C. Connect to a cardiac monitor
B. Start two large bore IVs
C. Connect to a cardiac monitor
D. Assess level of consciousness
A patient is admitted with a thermal burn to the anterior trunk and both entire arms. Using
36
the Rule of Nines, the percentage of the burn is . Enter in numeric answer only
Using the ABA formula for fl uid resuscitation, the IV pump should be set to run at ml/hr for
the fi rst 8 hours on a 75kg patient with 50% second and third degreethermal burns. Enter in 468.8
numeric answer only rounding to one decimal (one tenth).
Using the ABA formula for fluid resuscitation, the IV pump should be set to run at ml/hr
in the first 8 hours on a 75kg client with 30% electrical burns. Enter in a numeric answer only 562.5
rounding to one decimal (one tenth).
Indications of inhalation injury include: SATA
A. Seared nasal hairs A. Seared nasal hairs
B. Hoarseness of voice B. Hoarseness of voice
C. Clear breath sounds D. Carbonaceous sputum
D. Carbonaceous sputum
The nurse assesses a patient in compensatory shock whose lungs have decompensated. What
clinical manifestations would the nurse expect to find? (SATA)
A. A heart rate >100 bpm
1/8
, B. Respirations <15 breaths/min
A. A heart rate >100 bpm
C. Crackles
C. Crackles
D. Change in level of consciousness
D. Change in level of consciousness
E. Compensatory respiratory acidosis
Which stage of shock encompasses the use of mechanical ventilation, presence of an altered
level of consciousness and profound acidosis?
A. Precompensatory B. Irreversible
B. Irreversible
C. Compensatory
D. Progressive
The stage of shock encompasses use of mechanical ventilation, altered consciousness
irreversible
and profound acidosis.
The stage of shock encompasses decreased urinary output, confusion and respiratory
compensatory
alkalosis.
The stage of shock involves metabolic acidosis, lethargy and rapid, shallow respirations. progressive
A patient is brought into the ED with extensive traumatic injuries. The paramedic reports that
the client has "shock." What are the etiologies of shock? (SATA)
A. Heart fails as ettective pump
A. Heart fails as ettective pump B. Blood volume decreases
B. Blood volume decreases C. Peripheral vascular dilation
C. Peripheral vascular dilation
D. Cerebral edema
Which of the following is the initial treatment for anaphylaxis?
A. Solumedrol
C. Epinephrine
B. Diphenhydramine
C. Epinephrine
D. Albuterol
What S&S would you see in a patient with anaphylactic shock? (SATA)
A. Nausea, vomiting A. Nausea, vomiting
B. Pruritus B. Pruritus
C. Hypertension E. Bronchospasms
D. Bradycardia
E. Bronchospasms
What S&S would you see in a patient with neurogenic shock? (SATA)
A. Vasodilation in lower extremities A. Vasodilation in lower extremities
B. Bradycardia B. Bradycardia
C. Hypotension C. Hypotension
D. Tachycardia
E. Vasoconstriction of peripheral arterioles
What S&S would you see in a patient with cardiogenic shock?
A. Elevated afterload, elevated preload, low cardiac output, tachycardia
A. Elevated afterload, elevated preload, low cardiac output, tachycardia
B. Low preload, low afterload, low cardiac output, bradycardia
C. Elevated preload, low afterload, elevated cardiac output, bradycardia
D. Increased afterload, increased preload, increased HR, decreased cardiac output
2/8
A. Depth of the burn, weight of the patient
B. Presence of inhalation injury, depth of the burn
B. Presence of inhalation injury, depth of the burn
C. Amount of surface area of the body that is burned, gender of the patient
D. Gender of the patient, duration of the burn
What are complications of burns? SATA
A. Electrolyte imbalances
A. Electrolyte imbalances
B. Hypovolemia
B. Hypovolemia
C. Compartment syndrome
C. Compartment syndrome
E. Inhalation injury
D. Low hematocrit
E. Inhalation injury
The nurse is concerned about hyperkalemia in her acutely burned patient. Besides monitoring
the lab value, we should also look for the following on the EKG monitor. SATA
B. Widening QRS
A. Increased heart rate
D. Peaked T wave
B. Widening QRS
C. Flat P waves
D. Peaked T wave
The fluid resuscitation for electrical burns is higher than thermal.
True
True
False
Which of these nursing actions should be done first for a patient who has suttered an electrical
burn injury while working on a power line?
A. Cover the burns with a sterile dressing C. Connect to a cardiac monitor
B. Start two large bore IVs
C. Connect to a cardiac monitor
D. Assess level of consciousness
A patient is admitted with a thermal burn to the anterior trunk and both entire arms. Using
36
the Rule of Nines, the percentage of the burn is . Enter in numeric answer only
Using the ABA formula for fl uid resuscitation, the IV pump should be set to run at ml/hr for
the fi rst 8 hours on a 75kg patient with 50% second and third degreethermal burns. Enter in 468.8
numeric answer only rounding to one decimal (one tenth).
Using the ABA formula for fluid resuscitation, the IV pump should be set to run at ml/hr
in the first 8 hours on a 75kg client with 30% electrical burns. Enter in a numeric answer only 562.5
rounding to one decimal (one tenth).
Indications of inhalation injury include: SATA
A. Seared nasal hairs A. Seared nasal hairs
B. Hoarseness of voice B. Hoarseness of voice
C. Clear breath sounds D. Carbonaceous sputum
D. Carbonaceous sputum
The nurse assesses a patient in compensatory shock whose lungs have decompensated. What
clinical manifestations would the nurse expect to find? (SATA)
A. A heart rate >100 bpm
1/8
, B. Respirations <15 breaths/min
A. A heart rate >100 bpm
C. Crackles
C. Crackles
D. Change in level of consciousness
D. Change in level of consciousness
E. Compensatory respiratory acidosis
Which stage of shock encompasses the use of mechanical ventilation, presence of an altered
level of consciousness and profound acidosis?
A. Precompensatory B. Irreversible
B. Irreversible
C. Compensatory
D. Progressive
The stage of shock encompasses use of mechanical ventilation, altered consciousness
irreversible
and profound acidosis.
The stage of shock encompasses decreased urinary output, confusion and respiratory
compensatory
alkalosis.
The stage of shock involves metabolic acidosis, lethargy and rapid, shallow respirations. progressive
A patient is brought into the ED with extensive traumatic injuries. The paramedic reports that
the client has "shock." What are the etiologies of shock? (SATA)
A. Heart fails as ettective pump
A. Heart fails as ettective pump B. Blood volume decreases
B. Blood volume decreases C. Peripheral vascular dilation
C. Peripheral vascular dilation
D. Cerebral edema
Which of the following is the initial treatment for anaphylaxis?
A. Solumedrol
C. Epinephrine
B. Diphenhydramine
C. Epinephrine
D. Albuterol
What S&S would you see in a patient with anaphylactic shock? (SATA)
A. Nausea, vomiting A. Nausea, vomiting
B. Pruritus B. Pruritus
C. Hypertension E. Bronchospasms
D. Bradycardia
E. Bronchospasms
What S&S would you see in a patient with neurogenic shock? (SATA)
A. Vasodilation in lower extremities A. Vasodilation in lower extremities
B. Bradycardia B. Bradycardia
C. Hypotension C. Hypotension
D. Tachycardia
E. Vasoconstriction of peripheral arterioles
What S&S would you see in a patient with cardiogenic shock?
A. Elevated afterload, elevated preload, low cardiac output, tachycardia
A. Elevated afterload, elevated preload, low cardiac output, tachycardia
B. Low preload, low afterload, low cardiac output, bradycardia
C. Elevated preload, low afterload, elevated cardiac output, bradycardia
D. Increased afterload, increased preload, increased HR, decreased cardiac output
2/8
