Page 1 of 165
“NCLEX STYLE PRACTICE QUESTIONS BURNS
CHAPTER 25 BURNS 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX Style Practice Questions Burns, Med Surg - Burns NCLEX Review Questions,
Med Surg Exam 3 Burns Questions, Med Surg : Chapter 25 Burns
The nurse is reviewing the medication administration record (MAR) on a
patient with partial-thickness burns. Which medication is best for the nurse to
administer before scheduled wound debridement?
a. Ketorolac (Toradol)
b. Lorazepam (Ativan)
c. Gabapentin (Neurontin)
d. Hydromorphone (Dilaudid)
ANS: D
Opioid pain medications are the best choice for pain control. The other medications
are used as adjuvants to enhance the effects of opioids.
A young adult patient who is in the rehabilitation phase after having deep
partial-thickness face and neck burns has a nursing diagnosis of disturbed
body image. Which statement by the patient indicates that the problem is
resolving?
a. "I'm glad the scars are only temporary."
, Page 2 of 165
b. "I will avoid using a pillow, so my neck will be OK."
c. "I bet my boyfriend won't even want to look at me anymore."
d. "Do you think dark beige makeup foundation would cover this scar on my
cheek?"
ANS: D
The willingness to use strategies to enhance appearance is an indication that the
disturbed body image is resolving. Expressing feelings about the scars indicates a
willingness to discuss appearance, but not resolution of the problem. Because deep
partial-thickness burns leave permanent scars, a statement that the scars are
temporary indicates denial rather than resolution of the problem. Avoiding using a
pillow will help prevent contractures, but it does not address the problem of disturbed
body image
The nurse caring for a patient admitted with burns over 30% of the body
surface assesses that urine output has dramatically increased. Which action
by the nurse would best ensure adequate kidney function?
a. Continue to monitor the urine output.
b. Monitor for increased white blood cells (WBCs).
c. Assess that blisters and edema have subsided.
d. Prepare the patient for discharge from the burn unit.
ANS: A
The patient's urine output indicates that the patient is entering the acute phase of the
burn injury and moving on from the emergent stage. At the end of the emergent
phase, capillary permeability normalizes and the patient begins to diurese large
amounts of urine with a low specific gravity. Although this may occur at about 48
hours, it may be longer in some patients. Blisters and edema begin to resolve, but
this process requires more time. White blood cells may increase or decrease, based
on the patient's immune status and any infectious processes. The WBC count does
not indicate kidney function. The patient will likely remain in the burn unit during the
acute stage of burn injury
A patient with burns covering 40% total body surface area (TBSA) is in the
acute phase of burn treatment. Which snack would be best for the nurse to
offer to this patient?
a. Bananas
b. Orange gelatin
, Page 3 of 165
c. Vanilla milkshake
d. Whole grain bagel
ANS: C
A patient with a burn injury needs high protein and calorie food intake, and the
milkshake is the highest in these nutrients. The other choices are not as nutrient-
dense as the milkshake. Gelatin is likely high in sugar. The bagel is a good
carbohydrate choice, but low in protein. Bananas are a good source of potassium,
but are not high in protein and calories.
A patient has just arrived in the emergency department after an electrical burn
from exposure to a high-voltage current. What is the priority nursing
assessment?
a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light
ANS: C
All patients with electrical burns should be considered at risk for cervical spine injury,
and assessments of extremity movement will provide baseline data. The other
assessment data are also necessary but not as essential as determining the cervical
spine status
An employee spills industrial acids on both arms and legs at work. What is the
priority action that the occupational health nurse at the facility should take?
a. Remove nonadherent clothing and watch.
b. Apply an alkaline solution to the affected area.
c. Place cool compresses on the area of exposure.
d. Cover the affected area with dry, sterile dressings.
ANS: A
With chemical burns, the initial action is to remove the chemical from contact with the
skin as quickly as possible. Remove nonadherent clothing, shoes, watches, jewelry,
glasses, or contact lenses (if face was exposed). Flush chemical from wound and
surrounding area with copious amounts of saline solution or water. Covering the
affected area or placing cool compresses on the area will leave the chemical in
contact with the skin. Application of an alkaline solution is not recommended.
, Page 4 of 165
A patient who has burns on the arms, legs, and chest from a house fire has
become agitated and restless 8 hours after being admitted to the hospital.
Which action should the nurse take first?
a. Stay at the bedside and reassure the patient.
b. Administer the ordered morphine sulfate IV.
c. Assess orientation and level of consciousness.
d. Use pulse oximetry to check the oxygen saturation.
ANS: D
Agitation in a patient who may have suffered inhalation injury might indicate hypoxia,
and this should be assessed by the nurse first. Administration of morphine may be
indicated if the nurse determines that the agitation is caused by pain. Assessing level
of consciousness and orientation is also appropriate but not as essential as
determining whether the patient is hypoxemic. Reassurance is not helpful to reduce
agitation in a hypoxemic patient
A patient arrives in the emergency department with facial and chest burns
caused by a house fire. Which action should the nurse take first?
a. Auscultate the patient's lung sounds.
b. Determine the extent and depth of the burns.
c. Infuse the ordered lactated Ringer's solution.
d. Administer the ordered hydromorphone (Dilaudid).
ANS: A
A patient with facial and chest burns is at risk for inhalation injury, and assessment of
airway and breathing is the priority. The other actions will be completed after airway
management is assured.
A patient with extensive electrical burn injuries is admitted to the emergency
department. Which prescribed intervention should the nurse implement first?
a. Assess oral temperature.
b. Check a potassium level.
c. Place on cardiac monitor.
d. Assess for pain at contact points.
ANS: C
After an electrical burn, the patient is at risk for fatal dysrhythmias and should be
placed on a cardiac monitor. Assessing the oral temperature is not as important as
assessing for cardiac dysrhythmias. Checking the potassium level is important.
“NCLEX STYLE PRACTICE QUESTIONS BURNS
CHAPTER 25 BURNS 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NCLEX Style Practice Questions Burns, Med Surg - Burns NCLEX Review Questions,
Med Surg Exam 3 Burns Questions, Med Surg : Chapter 25 Burns
The nurse is reviewing the medication administration record (MAR) on a
patient with partial-thickness burns. Which medication is best for the nurse to
administer before scheduled wound debridement?
a. Ketorolac (Toradol)
b. Lorazepam (Ativan)
c. Gabapentin (Neurontin)
d. Hydromorphone (Dilaudid)
ANS: D
Opioid pain medications are the best choice for pain control. The other medications
are used as adjuvants to enhance the effects of opioids.
A young adult patient who is in the rehabilitation phase after having deep
partial-thickness face and neck burns has a nursing diagnosis of disturbed
body image. Which statement by the patient indicates that the problem is
resolving?
a. "I'm glad the scars are only temporary."
, Page 2 of 165
b. "I will avoid using a pillow, so my neck will be OK."
c. "I bet my boyfriend won't even want to look at me anymore."
d. "Do you think dark beige makeup foundation would cover this scar on my
cheek?"
ANS: D
The willingness to use strategies to enhance appearance is an indication that the
disturbed body image is resolving. Expressing feelings about the scars indicates a
willingness to discuss appearance, but not resolution of the problem. Because deep
partial-thickness burns leave permanent scars, a statement that the scars are
temporary indicates denial rather than resolution of the problem. Avoiding using a
pillow will help prevent contractures, but it does not address the problem of disturbed
body image
The nurse caring for a patient admitted with burns over 30% of the body
surface assesses that urine output has dramatically increased. Which action
by the nurse would best ensure adequate kidney function?
a. Continue to monitor the urine output.
b. Monitor for increased white blood cells (WBCs).
c. Assess that blisters and edema have subsided.
d. Prepare the patient for discharge from the burn unit.
ANS: A
The patient's urine output indicates that the patient is entering the acute phase of the
burn injury and moving on from the emergent stage. At the end of the emergent
phase, capillary permeability normalizes and the patient begins to diurese large
amounts of urine with a low specific gravity. Although this may occur at about 48
hours, it may be longer in some patients. Blisters and edema begin to resolve, but
this process requires more time. White blood cells may increase or decrease, based
on the patient's immune status and any infectious processes. The WBC count does
not indicate kidney function. The patient will likely remain in the burn unit during the
acute stage of burn injury
A patient with burns covering 40% total body surface area (TBSA) is in the
acute phase of burn treatment. Which snack would be best for the nurse to
offer to this patient?
a. Bananas
b. Orange gelatin
, Page 3 of 165
c. Vanilla milkshake
d. Whole grain bagel
ANS: C
A patient with a burn injury needs high protein and calorie food intake, and the
milkshake is the highest in these nutrients. The other choices are not as nutrient-
dense as the milkshake. Gelatin is likely high in sugar. The bagel is a good
carbohydrate choice, but low in protein. Bananas are a good source of potassium,
but are not high in protein and calories.
A patient has just arrived in the emergency department after an electrical burn
from exposure to a high-voltage current. What is the priority nursing
assessment?
a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light
ANS: C
All patients with electrical burns should be considered at risk for cervical spine injury,
and assessments of extremity movement will provide baseline data. The other
assessment data are also necessary but not as essential as determining the cervical
spine status
An employee spills industrial acids on both arms and legs at work. What is the
priority action that the occupational health nurse at the facility should take?
a. Remove nonadherent clothing and watch.
b. Apply an alkaline solution to the affected area.
c. Place cool compresses on the area of exposure.
d. Cover the affected area with dry, sterile dressings.
ANS: A
With chemical burns, the initial action is to remove the chemical from contact with the
skin as quickly as possible. Remove nonadherent clothing, shoes, watches, jewelry,
glasses, or contact lenses (if face was exposed). Flush chemical from wound and
surrounding area with copious amounts of saline solution or water. Covering the
affected area or placing cool compresses on the area will leave the chemical in
contact with the skin. Application of an alkaline solution is not recommended.
, Page 4 of 165
A patient who has burns on the arms, legs, and chest from a house fire has
become agitated and restless 8 hours after being admitted to the hospital.
Which action should the nurse take first?
a. Stay at the bedside and reassure the patient.
b. Administer the ordered morphine sulfate IV.
c. Assess orientation and level of consciousness.
d. Use pulse oximetry to check the oxygen saturation.
ANS: D
Agitation in a patient who may have suffered inhalation injury might indicate hypoxia,
and this should be assessed by the nurse first. Administration of morphine may be
indicated if the nurse determines that the agitation is caused by pain. Assessing level
of consciousness and orientation is also appropriate but not as essential as
determining whether the patient is hypoxemic. Reassurance is not helpful to reduce
agitation in a hypoxemic patient
A patient arrives in the emergency department with facial and chest burns
caused by a house fire. Which action should the nurse take first?
a. Auscultate the patient's lung sounds.
b. Determine the extent and depth of the burns.
c. Infuse the ordered lactated Ringer's solution.
d. Administer the ordered hydromorphone (Dilaudid).
ANS: A
A patient with facial and chest burns is at risk for inhalation injury, and assessment of
airway and breathing is the priority. The other actions will be completed after airway
management is assured.
A patient with extensive electrical burn injuries is admitted to the emergency
department. Which prescribed intervention should the nurse implement first?
a. Assess oral temperature.
b. Check a potassium level.
c. Place on cardiac monitor.
d. Assess for pain at contact points.
ANS: C
After an electrical burn, the patient is at risk for fatal dysrhythmias and should be
placed on a cardiac monitor. Assessing the oral temperature is not as important as
assessing for cardiac dysrhythmias. Checking the potassium level is important.
