NUR 2755 MDC4 EXAMINATION TEST
COMPLETE STUDY GUIDE WITH SOLVED
Q&A 2026
◉ Classification of Burns
Answer: Minor
Moderate
Major
◉ Minor Burns
Answer: <10% partial thickness <2% full thickness
◉ Moderate Burn
Answer: 15-25% partial thickness, 2-10% Full thickness
◉ Major Burn
Answer: >25% partial thickness full thickness >10%, any burns on
face, ears, eyes, hands, feet, perineum, electrical, inhalation, pt over
60yrs old, cardiac, pulmonary or other metabolic disorders
◉ 3 tissue types involved in burns
,Answer: epidermis
dermis
subcanteneous tissue
◉ Vascular changes with burns initial
Answer: vasoconstriction causing necrosis and deeper injuries
◉ Fluid Shift Burns
Answer: Dilated vessels near burn, puts fluid into interstitial space
edema
2st 12-36hrs
◉ Fluid and electrolyte imbalance Burns
Answer: hypovolemia, metabalic acidosis, hyperkalemia
hyponatremia
◉ Fluid remobilization Burns
Answer: 24 hrs after injury
fluids go back where they should be
hypokalemia
hemodilution
anemia
, ◉ Cardiac changes with burns
Answer: increased HR
Decreased cardiac output for 36 hours, improves with fluid
resuscitation
◉ Pulmonary changes Burns
Answer: damage due to superheated air, steam, toxic fumes, smoke
inhalation injury causes edema in mouth and throat
lung injuries-leaking capilaries and fluid shifts
◉ GI changes Burns
Answer: decreased GI movement due to decreased CO
Stress response decreases GI motility can cause paralytic ileus
stress/curling ulcer within 24 hrs of injury due to decrease in gastric
mucosa
◉ Metabolic changes due to burns
Answer: increased catecholamines-stress response increase heat
and water loss means more need for calories 2-3x peaks 4-12 days
after injury
increased core body temperature
increased ADH, aldosterone and cortisol
COMPLETE STUDY GUIDE WITH SOLVED
Q&A 2026
◉ Classification of Burns
Answer: Minor
Moderate
Major
◉ Minor Burns
Answer: <10% partial thickness <2% full thickness
◉ Moderate Burn
Answer: 15-25% partial thickness, 2-10% Full thickness
◉ Major Burn
Answer: >25% partial thickness full thickness >10%, any burns on
face, ears, eyes, hands, feet, perineum, electrical, inhalation, pt over
60yrs old, cardiac, pulmonary or other metabolic disorders
◉ 3 tissue types involved in burns
,Answer: epidermis
dermis
subcanteneous tissue
◉ Vascular changes with burns initial
Answer: vasoconstriction causing necrosis and deeper injuries
◉ Fluid Shift Burns
Answer: Dilated vessels near burn, puts fluid into interstitial space
edema
2st 12-36hrs
◉ Fluid and electrolyte imbalance Burns
Answer: hypovolemia, metabalic acidosis, hyperkalemia
hyponatremia
◉ Fluid remobilization Burns
Answer: 24 hrs after injury
fluids go back where they should be
hypokalemia
hemodilution
anemia
, ◉ Cardiac changes with burns
Answer: increased HR
Decreased cardiac output for 36 hours, improves with fluid
resuscitation
◉ Pulmonary changes Burns
Answer: damage due to superheated air, steam, toxic fumes, smoke
inhalation injury causes edema in mouth and throat
lung injuries-leaking capilaries and fluid shifts
◉ GI changes Burns
Answer: decreased GI movement due to decreased CO
Stress response decreases GI motility can cause paralytic ileus
stress/curling ulcer within 24 hrs of injury due to decrease in gastric
mucosa
◉ Metabolic changes due to burns
Answer: increased catecholamines-stress response increase heat
and water loss means more need for calories 2-3x peaks 4-12 days
after injury
increased core body temperature
increased ADH, aldosterone and cortisol
