N316 Exam 3 2025 Questions and Answers
What would be the most beneficial treatment for superficial burns?
○ Treat pain?
what else can treat pain systemically? - ANS -- topical application of lotions, honey, aloe
vera, or antibiotic
ointment
- Analgesics
What is the appearance of deep partial thickness burns - ANS Looks similar to a superficial
partial-thickness burn (skin is wet, raw and
pink/cherry red and blanches with pressure), but skin color may appear more
mottled depending on the degree of blood flow to the area.
What primary treatment would be indicated for a patient with deep partial
thickness burns with a TBSA > 50%? - ANS Decrease pain and skin sensitivity to air with
morphine, sterile sheets, overbed
cradles
What is the biggest concern with burn patients - ANS hypovolemic shock
secondary to fluid loss
What treatment would be indicated for a patient that has experienced electrical
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, burns that has metabolic acidosis - ANS Electrical burn injury produces intense tissue
damage and cellular death, leading
to metabolic acidosis
○ Administration of sodium bicarbonate may be needed
What changes occur physiologically with thermal burns - ANS Evaporative loss of water
through burned tissue
- Decreases intravascular fluid volume, can lead to
hypovolemia (hypotensive, tachycardia, decreased urine output, tachypnea with
shallow respirations)
Which zone, in the skin, indicates the
greatest degree of burn? - ANS Zone of coagulation indicates the greatest degree of burn - it
is the core of the
wound with the greatest degree of irreversible tissue necrosis that occurs from
protein coagulation and cellular death
What teaching point decreases the incidence of scald burns - ANS Set water heater to no
more than 120 degrees Fahrenheit
What treatments are appropriate for a patient with chest burns that is breathing normally -
ANS topical agents and wound dressing, debridement, pain control, tetanus booster, IV fluid
resuscitation, antibiotic treatment.
Again, airway monitoring, administering oxygen elevating the head of the bed, IV fluids, pain
control, sepsis
What is Curling's ulcer and what treatment would prevent it - ANS It is an acute
gastroduodenal ulcer that occurs with the stress of severe injury -- it
may develop within 24 hours after a severe burn injury because of reduced GI
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
What would be the most beneficial treatment for superficial burns?
○ Treat pain?
what else can treat pain systemically? - ANS -- topical application of lotions, honey, aloe
vera, or antibiotic
ointment
- Analgesics
What is the appearance of deep partial thickness burns - ANS Looks similar to a superficial
partial-thickness burn (skin is wet, raw and
pink/cherry red and blanches with pressure), but skin color may appear more
mottled depending on the degree of blood flow to the area.
What primary treatment would be indicated for a patient with deep partial
thickness burns with a TBSA > 50%? - ANS Decrease pain and skin sensitivity to air with
morphine, sterile sheets, overbed
cradles
What is the biggest concern with burn patients - ANS hypovolemic shock
secondary to fluid loss
What treatment would be indicated for a patient that has experienced electrical
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, burns that has metabolic acidosis - ANS Electrical burn injury produces intense tissue
damage and cellular death, leading
to metabolic acidosis
○ Administration of sodium bicarbonate may be needed
What changes occur physiologically with thermal burns - ANS Evaporative loss of water
through burned tissue
- Decreases intravascular fluid volume, can lead to
hypovolemia (hypotensive, tachycardia, decreased urine output, tachypnea with
shallow respirations)
Which zone, in the skin, indicates the
greatest degree of burn? - ANS Zone of coagulation indicates the greatest degree of burn - it
is the core of the
wound with the greatest degree of irreversible tissue necrosis that occurs from
protein coagulation and cellular death
What teaching point decreases the incidence of scald burns - ANS Set water heater to no
more than 120 degrees Fahrenheit
What treatments are appropriate for a patient with chest burns that is breathing normally -
ANS topical agents and wound dressing, debridement, pain control, tetanus booster, IV fluid
resuscitation, antibiotic treatment.
Again, airway monitoring, administering oxygen elevating the head of the bed, IV fluids, pain
control, sepsis
What is Curling's ulcer and what treatment would prevent it - ANS It is an acute
gastroduodenal ulcer that occurs with the stress of severe injury -- it
may develop within 24 hours after a severe burn injury because of reduced GI
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
