NURSES EXAM 2 TEST BANK ACTUAL 2026/2027 PRACTICE
QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE
EXAM APPROVED QUESTIONS WITH WELL ELABORATED
ANSWERS AND DETAILED RATIONALES (100% CORRECT
VERIFIED SOLUTIONS) LATEST UPDATED VERSION 2026
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1. A burn area in which the epidermis and part of the dermis is
destroyed is classified as:
A. Superficial partial-thickness
B. First-degree
C. Deep partial-thickness
D. Full-thickness
Correct Answer: C. Deep partial-thickness
Rationale: Deep partial-thickness burns involve destruction of the
epidermis and part of the dermis. Superficial partial-thickness burns
involve only the epidermis. First-degree burns are limited to the
epidermis. Full-thickness burns destroy the epidermis, entire dermis,
and sometimes subcutaneous tissue.
,2. A typical source of infection in burn areas is:
A. Microbes surviving in the hair follicles in the burn area
B. Opportunistic virus in digestive tract
C. Circulating blood bringing microbes to the burn wound
D. The skin grafts
Correct Answer: A. Microbes surviving in the hair follicles in the
burn area
Rationale: Microbes residing in hair follicles and sweat glands within
the burn area can survive the initial thermal injury and serve as a
reservoir for infection. These microorganisms proliferate in the
devitalized tissue, leading to wound infection and sepsis.
3. A large burn area predisposes to decreased blood pressure because:
A. Vasoconstriction occurs in the burn area
B. Fluid and protein shift out of the blood
C. The heart is damaged by toxic materials from the burn
D. Bleeding occurs under the burn surface
Correct Answer: B. Fluid and protein shift out of the blood
,Rationale: Major burns cause increased capillary permeability,
allowing fluid and protein to leak from the intravascular
compartment into the interstitial space. This fluid shift results in
hypovolemia, decreased cardiac output, and hypotension.
Vasoconstriction does not occur in the burn area; rather, vessels are
damaged and leak.
4. Hypermetabolism is common with major burns because of (Select
all that apply):
A. Recurrent stress response
B. Demand for tissue repair
C. Blood loss
D. Increased heat loss from the burn wound
E. Inability to consume oral nutrition
Correct Answer: A, B, D
Rationale: Major burns trigger a hypermetabolic state due to the
recurrent stress response from pain and anxiety, the massive demand
for tissue repair and protein synthesis, and increased heat loss
through the damaged skin barrier. Blood loss and inability to
consume oral nutrition may contribute to metabolic derangements
but are not primary causes of hypermetabolism.
, 5. A burn affecting only the epidermis, appearing red, dry, and
painful without blisters, typically healing in 3-6 days is classified as:
A. Superficial (First-Degree) Burn
B. Partial-Thickness (Second-Degree) Burn
C. Full-Thickness (Third-Degree) Burn
D. Deep Partial-Thickness Burn
Correct Answer: A. Superficial (First-Degree) Burn
Rationale: First-degree burns involve only the epidermal layer. They
present with erythema, pain, and dryness without blister formation.
Healing occurs within 3-6 days without scarring because the basal
layer of the epidermis remains intact and can regenerate.
6. A burn involving the epidermis, the entire dermis, and sometimes
subcutaneous fat/muscle; appearing white, brown, black, or charred
and painless at the site is classified as:
A. Superficial (First-Degree) Burn
B. Partial-Thickness (Second-Degree) Burn
C. Full-Thickness (Third-Degree) Burn
D. Deep Partial-Thickness Burn
Correct Answer: C. Full-Thickness (Third-Degree) Burn