Exam 3 (Chapter 62 – Management of Patients with Burn Injury)
–2025-2026 Complete Nursing Study Guide with Detailed Notes,
Key Concepts, and Practice Questions with Correct
Answers||Already Graded A+
1. The nurse is caring for a patient who sustained a full-thickness burn
to his arm when he was scalded with boiling water. How did the nurse
determine that the patient's burns are full-thickness burns?
a. Classification by the appearance of blisters
b. Identification by the destruction of the dermis and epidermis
c. Not associated with edema formation
d. Usually very painful because of exposed nerve endings. - Answer-B
2. The nurse is caring for a patient who has sustained severe burns to
50% of the body. The nurse is aware that fluid shifts during the first
week of the acute phase of a burn injury cause massive cell
destruction. What should the nurse report immediately when
reviewing
laboratory studies?
a. Hypernatremia
b. Hypokalemia
c. Hyperkalemia
d. Hypercalcemia. - Answer-C
3. What laboratory value observed by the nurse is unexpected during
the fluid remobilization phase of a major burn?
a. Hematocrit level of 45%
b. A pH of 7.20, PaO2 of 38 mm Hg, and
bicarbonate level of 15 mEq/L
c. Serum potassium level of 3.2 mEq/L
d. Serum sodium level of 140 mEq/L – Answer-D
pg. 1
, 4. The nurse is caring for a patient who sustained a major burn. What
serious gastrointestinal disturbance should the nurse monitor for that
frequently occurs with a major burn?
a. Diverticulitis
b. Hematemesis
c. Paralytic ileus
d. Ulcerative colitis - Answer-C
5. A person suffers leg burns from spilled charcoal lighter fluid. A
family member extinguishes the flames. While waiting for an
ambulance, what should the burned person do?
a. Have someone assist him into a bath of cool water, where he can
wait for emergency personnel.
b. Lie down, have someone cover him with a blanket, and cover his
legs with petroleum jelly.
c. Remove his burned pants so that the air can help cool the wound.
d. Sit in a chair, elevate his legs, and have someone cut his pants off
around the burned area. - Answer-A
6. The nurse in the emergency department receives a patient who
sustained a severe burn injury. What is the priority action by the nurse
in this situation?
a. Establish a patent airway.
b. Insert an indwelling catheter.
c. Replace fluids.
d. Administer pain medication. - Answer-A
7. A sample consensus formula for fluid replacement recommends
that a balanced salt solution be administered in the first 24 hours of a
burn in the range of 2 to 4 mL/kg/% of burn, with 50% of the total
given in the first 8 hours postburn. A 176-lb (80-kg) man with a 30%
pg. 2
–2025-2026 Complete Nursing Study Guide with Detailed Notes,
Key Concepts, and Practice Questions with Correct
Answers||Already Graded A+
1. The nurse is caring for a patient who sustained a full-thickness burn
to his arm when he was scalded with boiling water. How did the nurse
determine that the patient's burns are full-thickness burns?
a. Classification by the appearance of blisters
b. Identification by the destruction of the dermis and epidermis
c. Not associated with edema formation
d. Usually very painful because of exposed nerve endings. - Answer-B
2. The nurse is caring for a patient who has sustained severe burns to
50% of the body. The nurse is aware that fluid shifts during the first
week of the acute phase of a burn injury cause massive cell
destruction. What should the nurse report immediately when
reviewing
laboratory studies?
a. Hypernatremia
b. Hypokalemia
c. Hyperkalemia
d. Hypercalcemia. - Answer-C
3. What laboratory value observed by the nurse is unexpected during
the fluid remobilization phase of a major burn?
a. Hematocrit level of 45%
b. A pH of 7.20, PaO2 of 38 mm Hg, and
bicarbonate level of 15 mEq/L
c. Serum potassium level of 3.2 mEq/L
d. Serum sodium level of 140 mEq/L – Answer-D
pg. 1
, 4. The nurse is caring for a patient who sustained a major burn. What
serious gastrointestinal disturbance should the nurse monitor for that
frequently occurs with a major burn?
a. Diverticulitis
b. Hematemesis
c. Paralytic ileus
d. Ulcerative colitis - Answer-C
5. A person suffers leg burns from spilled charcoal lighter fluid. A
family member extinguishes the flames. While waiting for an
ambulance, what should the burned person do?
a. Have someone assist him into a bath of cool water, where he can
wait for emergency personnel.
b. Lie down, have someone cover him with a blanket, and cover his
legs with petroleum jelly.
c. Remove his burned pants so that the air can help cool the wound.
d. Sit in a chair, elevate his legs, and have someone cut his pants off
around the burned area. - Answer-A
6. The nurse in the emergency department receives a patient who
sustained a severe burn injury. What is the priority action by the nurse
in this situation?
a. Establish a patent airway.
b. Insert an indwelling catheter.
c. Replace fluids.
d. Administer pain medication. - Answer-A
7. A sample consensus formula for fluid replacement recommends
that a balanced salt solution be administered in the first 24 hours of a
burn in the range of 2 to 4 mL/kg/% of burn, with 50% of the total
given in the first 8 hours postburn. A 176-lb (80-kg) man with a 30%
pg. 2
