AH3 Exam 3 Questions Answered 100%
A 30 year old female patient has deep partial thickness burns on the front and back of
the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg.
Use the Parkland Burn Formula: What is the flow rate during the FIRST 8 hours (mL/hr)
based on the total you calculated?
A. 921 mL/hr
B. 938 mL/hr
C. 158 mL/hr
D. 789 mL/hr - ANSWER-A. 921 mL/hr
A 58 year old female patient has superficial partial-thickness burns to the anterior head
and neck, front and back of the left arm, front of the right arm, posterior trunk, front and
back of the right leg, and back of the left leg. Using the Rule of Nines, calculate the total
body surface area percentage that is burned?
A. 63%
B. 81%
C. 72%
D. 54% - ANSWER-A. 63%
A 65 year old male patient has experienced full-thickness electrical burns on the legs
and arms. As the nurse you know this patient is at risk for the following: Select all that
apply:
A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
D. Hypernatremia
E. Bone fractures
F. Fluid volume overload - ANSWER-A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
E. Bone fractures
A patient arrives to the ER due to experiencing burns while in an enclosed warehouse.
Which assessment findings below demonstrate the patient may have experienced an
inhalation injury?
A. Carbonaceous sputum
B. Hair singeing on the head and nose
C. Lhermitte's Sign
D. Bright red lips
E. Hoarse voice
F. Tachycardia - ANSWER-A. Carbonaceous sputum
B. Hair singeing on the head and nose
D. Bright red lips
, E. Hoarse voice
F. Tachycardia
A patient arrives to the ER with full-thickness burns on the front and back of the torso
and neck. The patient has no spinal injuries but is disoriented and coughing up black
sooty sputum. Vital signs are: oxygen saturation 63%, heart rate 145, blood pressure
80/56, and respiratory rate 39. As the nurse you will:
A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
C. Prep the patient for fasciotomy.
D. Prep the patient for intubation.
E. Place a pillow under the patient's neck.
F. Obtain IV access at two sites.
G. Restrict fluids. - ANSWER-A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
D. Prep the patient for intubation.
F. Obtain IV access at two sites.
A patient experienced a full-thickness burn 72 hours ago. The patient's vital signs are
within normal limits and urinary output is 50 mL/hr. This is known as what phase of burn
management?
A. Emergent
B. Acute
C. Rehabilitative - ANSWER-B. Acute
This phase starts when capillary permeability has returned to normal and the patient's
vitals are within normal limits and ends with wound closure. The phase after this is
rehabilitative.
A patient has a burn on the back of the torso that is extremely red and painful but no
blisters are present. When you pressed on the skin it blanches. You document this as a:
A. 1st degree (superficial) burn
B. 2nd degree (partial-thickness) burn
C. 3rd degree (full-thickness) burn
D. 4th degree (deep full-thickness) burn - ANSWER-A. 1st degree (superficial) burn
A patient has an emergency escharotomy performed on the right leg. The patient has
full-thickness circumferential burns on the leg. Which finding below demonstrates the
procedure was successful?
A. The patient can move the extremity.
B. The right foot's capillary refill is less than 2 seconds.
C. The patient reports a new sensation of extreme pain.
A 30 year old female patient has deep partial thickness burns on the front and back of
the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg.
Use the Parkland Burn Formula: What is the flow rate during the FIRST 8 hours (mL/hr)
based on the total you calculated?
A. 921 mL/hr
B. 938 mL/hr
C. 158 mL/hr
D. 789 mL/hr - ANSWER-A. 921 mL/hr
A 58 year old female patient has superficial partial-thickness burns to the anterior head
and neck, front and back of the left arm, front of the right arm, posterior trunk, front and
back of the right leg, and back of the left leg. Using the Rule of Nines, calculate the total
body surface area percentage that is burned?
A. 63%
B. 81%
C. 72%
D. 54% - ANSWER-A. 63%
A 65 year old male patient has experienced full-thickness electrical burns on the legs
and arms. As the nurse you know this patient is at risk for the following: Select all that
apply:
A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
D. Hypernatremia
E. Bone fractures
F. Fluid volume overload - ANSWER-A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
E. Bone fractures
A patient arrives to the ER due to experiencing burns while in an enclosed warehouse.
Which assessment findings below demonstrate the patient may have experienced an
inhalation injury?
A. Carbonaceous sputum
B. Hair singeing on the head and nose
C. Lhermitte's Sign
D. Bright red lips
E. Hoarse voice
F. Tachycardia - ANSWER-A. Carbonaceous sputum
B. Hair singeing on the head and nose
D. Bright red lips
, E. Hoarse voice
F. Tachycardia
A patient arrives to the ER with full-thickness burns on the front and back of the torso
and neck. The patient has no spinal injuries but is disoriented and coughing up black
sooty sputum. Vital signs are: oxygen saturation 63%, heart rate 145, blood pressure
80/56, and respiratory rate 39. As the nurse you will:
A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
C. Prep the patient for fasciotomy.
D. Prep the patient for intubation.
E. Place a pillow under the patient's neck.
F. Obtain IV access at two sites.
G. Restrict fluids. - ANSWER-A. Place the patient in High Fowler's positon.
B. Prep the patient for escharotomy.
D. Prep the patient for intubation.
F. Obtain IV access at two sites.
A patient experienced a full-thickness burn 72 hours ago. The patient's vital signs are
within normal limits and urinary output is 50 mL/hr. This is known as what phase of burn
management?
A. Emergent
B. Acute
C. Rehabilitative - ANSWER-B. Acute
This phase starts when capillary permeability has returned to normal and the patient's
vitals are within normal limits and ends with wound closure. The phase after this is
rehabilitative.
A patient has a burn on the back of the torso that is extremely red and painful but no
blisters are present. When you pressed on the skin it blanches. You document this as a:
A. 1st degree (superficial) burn
B. 2nd degree (partial-thickness) burn
C. 3rd degree (full-thickness) burn
D. 4th degree (deep full-thickness) burn - ANSWER-A. 1st degree (superficial) burn
A patient has an emergency escharotomy performed on the right leg. The patient has
full-thickness circumferential burns on the leg. Which finding below demonstrates the
procedure was successful?
A. The patient can move the extremity.
B. The right foot's capillary refill is less than 2 seconds.
C. The patient reports a new sensation of extreme pain.
