Ohio Burn Care Specialist Certification Practice Exam Questions And Correct Answers (Verified Answers) Plus Rationales 2025|2026 Q&A | Instant Download Pdf

Ohio Burn Care Specialist Certification
Practice Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2025|2026 Q&A | Instant
Download Pdf


1. The most accurate method for assessing the total body surface area
(TBSA) burned in adults is:
A. Wallace Rule of Nines
B. Lund and Browder chart
C. Palmar method
D. Parkland formula
Rationale: The Lund and Browder chart adjusts for age and provides
a detailed, accurate estimation of TBSA in adults and children.

2. The initial fluid resuscitation formula commonly used in burn
management is:

, A. Brooke formula
B. Parkland formula
C. Evans formula
D. Modified Galveston formula
Rationale: The Parkland formula (4 mL × body weight in kg × %TBSA)
using Lactated Ringer’s is the standard for initial burn resuscitation.

3. According to the Parkland formula, half of the calculated fluid volume
should be given within:
A. The first 8 hours post-injury
B. The first 4 hours post-arrival
C. The first 12 hours post-burn
D. The first 24 hours post-admission
Rationale: Half of the calculated fluids are infused in the first 8 hours
from the time of injury to prevent hypovolemia.

4. The most common cause of death in major burn patients after the first
24 hours is:
A. Hypovolemia
B. Infection/sepsis
C. Acute renal failure
D. Pulmonary embolism
Rationale: Sepsis is the leading cause of mortality following initial
stabilization in burn patients.

,5. The fluid of choice for burn resuscitation in the first 24 hours is:
/i /i /i /i /i /i /i /i /i /i /i /i




A. Normal saline /i




B. Lactated Ringer’s solution /i /i




C. Dextrose 5% in water /i /i /i




D. Hypertonic saline /i




Rationale: Lactated Ringer’s is preferred because it closely matches
/i /i /i /i /i /i /i /i




extracellular fluid composition and prevents acidosis.
/i /i /i /i /i /i




6. Escharotomy is indicated when: /i /i /i




A. There is minor erythema
/i /i /i




B. The burn is partial-thickness
/i /i /i




C. Circulation is compromised due to circumferential full-
/i /i /i /i /i /i




thickness burns /i




D. Pain persists despite analgesia
/i /i /i




Rationale: Escharotomy relieves pressure and restores perfusion
/i /i /i /i /i /i




when circumferential eschar impedes circulation.
/i /i /i /i /i




7. The primary cause of airway compromise in a burn patient is:
/i /i /i /i /i /i /i /i /i /i




A. Carbon monoxide poisoning
/i /i




B. Hypovolemia
C. Inhalation injury /i




D. Laryngeal edema /i




Rationale: Inhalation injury leads to mucosal damage, edema, and
/i /i /i /i /i /i /i /i




obstruction—primary airway compromise cause.
/i /i /i /i

, 8. A carboxyhemoglobin level greater than 20% indicates:
/i /i /i /i /i /i




A. Cyanide toxicity /i




B. Carbon monoxide poisoning /i /i




C. Oxygen toxicity /i




D. Hypovolemic shock /i




Rationale: Elevated carboxyhemoglobin is diagnostic of CO
/i /i /i /i /i /i




/i poisoning, common in enclosed fire exposure.
/i /i /i /i /i




9. What is the primary sign of upper airway burn injury?
/i /i /i /i /i /i /i /i /i




A. Hoarseness
B. Bradycardia
C. Hypotension
D. Pallor
Rationale: Hoarseness and stridor indicate upper airway edema due
/i /i /i /i /i /i /i /i




/i to thermal or chemical injury.
/i /i /i /i




10. The first priority in burn management is:
/i /i /i /i /i /i




A. Airway management /i




B. Pain control /i




C. Fluid resuscitation
/i




D. Wound care /i




Rationale: Airway management always takes precedence because
/i /i /i /i /i /i




/i inhalation injuries can rapidly obstruct breathing.
/i /i /i /i /i