Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which action will the nurse take first for a patient with a suspected inhala- tion injury?
A. Obtain an arterial blood gas.
B. Initiate cervical stabilization.
C. Assess for tachypnea.
D. Apply 100% oxygen.
Answer: D. Apply 100% oxygen.
Q2: Which intervention would the nurse expect to be taken to improve gas exchange in a patient
with full-thickness burns to the chest wall who has been intubated? Select all that apply.
One, some, or all answers may be correct.
A. Infusion of a lactated Ringer solution
B. Administration of diuretics
C. Infusion of an electrolyte solution
D. Increased ventilatory pressures
E. Chest escharotomy
Answer: D. Increased ventilatory pressures
Q3: A patient with a burn of 20% total body surface area (TBSA) or greater is at risk for which
complication?
A. Inhalation injury
B. Cardiac arrhythmia
C. Escharotomy
D. Burn shock
Answer: D. Burn shock
Q4: The patient with a burn of 20% or greater TBSA is at risk for burn shock. Burn shock,
inadequate cellular perfusion, and hypovolemia are three complications of large-surface
burns. Which change after a burn injury contributes to the development of edema? Select all
that apply. One, some, or all answers may be correct.
A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
C. Increased plasma colloid osmotic pressure
D. Decreased arteriolar vasodilation
E. Release of histamine and prostaglandins
Answer: A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
E. Release of histamine and prostaglandins
, Q5: Which change after a burn injury contributes to the development of edema? Select all that
apply. One, some, or all answers may be correct.
A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
C. Increased plasma colloid osmotic pressure
D. Decreased arteriolar vasodilation
E. Release of histamine and prostaglandins
Answer: A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
E. Release of histamine and prostaglandins
Q6: Which hemodynamic change would increase the risk of pulmonary edema in a patient
receiving fluid resuscitation for a burn injury?
A. Increased pulmonary vascular resistance
B. Decreased systemic vascular resistance
C. Decreased fluid resuscitation
D. Increased cardiac output
Answer: A. Increased pulmonary vascular resistance
Q7: Which priority action will the nurse take when caring for a burn wound in the emergency
phase?
A. Apply a topical antimicrobial.
B. Cover with a clean, dry dressing.
C. Prevent hyperthermia.
D. Administer tetanus prophylaxis.
Answer: B. Cover with a clean, dry dressing.
Q8: Which laboratory test will the nurse monitor to establish a nutritional base- line for a patient
with severe burns?
A. Albumin
B. Blood urea nitrogen
C. Creatinine
D. Urine myoglobin
Answer: A. Albumin
Q1: Which action will the nurse take first for a patient with a suspected inhala- tion injury?
A. Obtain an arterial blood gas.
B. Initiate cervical stabilization.
C. Assess for tachypnea.
D. Apply 100% oxygen.
Answer: D. Apply 100% oxygen.
Q2: Which intervention would the nurse expect to be taken to improve gas exchange in a patient
with full-thickness burns to the chest wall who has been intubated? Select all that apply.
One, some, or all answers may be correct.
A. Infusion of a lactated Ringer solution
B. Administration of diuretics
C. Infusion of an electrolyte solution
D. Increased ventilatory pressures
E. Chest escharotomy
Answer: D. Increased ventilatory pressures
Q3: A patient with a burn of 20% total body surface area (TBSA) or greater is at risk for which
complication?
A. Inhalation injury
B. Cardiac arrhythmia
C. Escharotomy
D. Burn shock
Answer: D. Burn shock
Q4: The patient with a burn of 20% or greater TBSA is at risk for burn shock. Burn shock,
inadequate cellular perfusion, and hypovolemia are three complications of large-surface
burns. Which change after a burn injury contributes to the development of edema? Select all
that apply. One, some, or all answers may be correct.
A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
C. Increased plasma colloid osmotic pressure
D. Decreased arteriolar vasodilation
E. Release of histamine and prostaglandins
Answer: A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
E. Release of histamine and prostaglandins
, Q5: Which change after a burn injury contributes to the development of edema? Select all that
apply. One, some, or all answers may be correct.
A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
C. Increased plasma colloid osmotic pressure
D. Decreased arteriolar vasodilation
E. Release of histamine and prostaglandins
Answer: A. Increased capillary pressure
B. Negative interstitial hydrostatic pressure
E. Release of histamine and prostaglandins
Q6: Which hemodynamic change would increase the risk of pulmonary edema in a patient
receiving fluid resuscitation for a burn injury?
A. Increased pulmonary vascular resistance
B. Decreased systemic vascular resistance
C. Decreased fluid resuscitation
D. Increased cardiac output
Answer: A. Increased pulmonary vascular resistance
Q7: Which priority action will the nurse take when caring for a burn wound in the emergency
phase?
A. Apply a topical antimicrobial.
B. Cover with a clean, dry dressing.
C. Prevent hyperthermia.
D. Administer tetanus prophylaxis.
Answer: B. Cover with a clean, dry dressing.
Q8: Which laboratory test will the nurse monitor to establish a nutritional base- line for a patient
with severe burns?
A. Albumin
B. Blood urea nitrogen
C. Creatinine
D. Urine myoglobin
Answer: A. Albumin
