NU 308 Burns UPDATED ACTUAL Exam
Questions and CORRECT Answers
Burn stats - CORRECT ANSWER - 2nd or 3rd cause of Accidental Death (with
falls/drowning) (MVA =1st)
5 Types of Burns - CORRECT ANSWER - 1. Thermal (scald (water/liq/grease) or flame)
2. Electricity (DEEP!)
3. Chemicals (wash 15 mins)
4. Cold
5. Radiation
Abuse - CORRECT ANSWER - 1. Immersion ("stocking glove")
2. Hot objects/cigs
Signs of Abuse - CORRECT ANSWER - 1. symmetrical
2. no splash marks
3. doesn't match story
4. object burns
5. progressive stages of healing
Function of skin - CORRECT ANSWER - 1. Protection
2. Thermoregulation
3 Factors to Assess Severity - CORRECT ANSWER - 1. % BSA
2. Depth
3. Location
,%BSA calculation based on age - CORRECT ANSWER - >2 yrs: -1% from head/trunk
and 0.5% added to each leg
<15 yrs: Lund/Browder charts
What is % BSA used to calculate? - CORRECT ANSWER - Fl maint. needs
Rule of 9's - CORRECT ANSWER - Head=9%
Chest=9%
Abd=9%
Back=9%
Buttocks=9%
Both arms=18% (4.5% front/back of ea)
R leg=18%
L leg=18%
Groin=1%
Depth of Burn - CORRECT ANSWER - 1. Superficial (epidermal/partial thickness)
1st degree
2. Deep Partial (inner dermal) 2nd degree
3. Full Thickness 3rd degree/4th degree
Superficial - CORRECT ANSWER - 1st degree (epidermal/partial)
-dry, pink/red, painful, blanches
-heals alone
Deep Partial - CORRECT ANSWER - 2nd degree (inner dermal)
-red/white, moist w/ blister, VERY painful, blanches SLOWLY, edema
-may req graft
, -25%=MAJOR
Full Thickness (3rd degree) - CORRECT ANSWER - 3rd degree (accessory structures
destroyed)
-dry/tough/leathery/waxy, white/black
-no pain, no blanching, no bld flow/nerves
-REQUIRES grafting
-10%=MAJOR
Full Thickness (4th degree) - CORRECT ANSWER - 4th degree (through fascia, sub cut,
muscle, bone)
-may require amputation
Factors which Determine Depth - CORRECT ANSWER - 1) Length of exposure
2) Intensity of heat
Location (high risk areas) - CORRECT ANSWER - 1. Head/neck (risk of inhalation)
2. face (cosmetic)
3. Perineal (infection)
4. Hands/feet (disability)
Other factors of Increased Severity - CORRECT ANSWER - 1. Age (<2 or elderly)
2. Cause (chem, elect, flame)
3. Resp Involvement
4. General health
5. Accompanying/additional injury/trauma
Signs of Resp Involvement with a burn
Questions and CORRECT Answers
Burn stats - CORRECT ANSWER - 2nd or 3rd cause of Accidental Death (with
falls/drowning) (MVA =1st)
5 Types of Burns - CORRECT ANSWER - 1. Thermal (scald (water/liq/grease) or flame)
2. Electricity (DEEP!)
3. Chemicals (wash 15 mins)
4. Cold
5. Radiation
Abuse - CORRECT ANSWER - 1. Immersion ("stocking glove")
2. Hot objects/cigs
Signs of Abuse - CORRECT ANSWER - 1. symmetrical
2. no splash marks
3. doesn't match story
4. object burns
5. progressive stages of healing
Function of skin - CORRECT ANSWER - 1. Protection
2. Thermoregulation
3 Factors to Assess Severity - CORRECT ANSWER - 1. % BSA
2. Depth
3. Location
,%BSA calculation based on age - CORRECT ANSWER - >2 yrs: -1% from head/trunk
and 0.5% added to each leg
<15 yrs: Lund/Browder charts
What is % BSA used to calculate? - CORRECT ANSWER - Fl maint. needs
Rule of 9's - CORRECT ANSWER - Head=9%
Chest=9%
Abd=9%
Back=9%
Buttocks=9%
Both arms=18% (4.5% front/back of ea)
R leg=18%
L leg=18%
Groin=1%
Depth of Burn - CORRECT ANSWER - 1. Superficial (epidermal/partial thickness)
1st degree
2. Deep Partial (inner dermal) 2nd degree
3. Full Thickness 3rd degree/4th degree
Superficial - CORRECT ANSWER - 1st degree (epidermal/partial)
-dry, pink/red, painful, blanches
-heals alone
Deep Partial - CORRECT ANSWER - 2nd degree (inner dermal)
-red/white, moist w/ blister, VERY painful, blanches SLOWLY, edema
-may req graft
, -25%=MAJOR
Full Thickness (3rd degree) - CORRECT ANSWER - 3rd degree (accessory structures
destroyed)
-dry/tough/leathery/waxy, white/black
-no pain, no blanching, no bld flow/nerves
-REQUIRES grafting
-10%=MAJOR
Full Thickness (4th degree) - CORRECT ANSWER - 4th degree (through fascia, sub cut,
muscle, bone)
-may require amputation
Factors which Determine Depth - CORRECT ANSWER - 1) Length of exposure
2) Intensity of heat
Location (high risk areas) - CORRECT ANSWER - 1. Head/neck (risk of inhalation)
2. face (cosmetic)
3. Perineal (infection)
4. Hands/feet (disability)
Other factors of Increased Severity - CORRECT ANSWER - 1. Age (<2 or elderly)
2. Cause (chem, elect, flame)
3. Resp Involvement
4. General health
5. Accompanying/additional injury/trauma
Signs of Resp Involvement with a burn
