Exam with Questions and Correct
Answers 2025
Overview ,of ,Burn ,Injuries:
A ,nurse ,is ,caring ,for ,a ,patient ,who ,spilled ,boiling ,soup ,on ,her ,legs. ,Which ,type
,of ,burn ,will ,the ,nurse ,see?
Thermal
Electrical
Chemical
Smoke ,inhalation ,- ,CORRECT ,ANSWER-Thermal
Thermal ,burns ,are ,caused ,by ,flame, ,flash, ,scald, ,or ,contact ,with ,hot ,objects
,(such ,as ,boiling ,soup).
Question ,2 ,of ,6
A ,family ,member ,of ,a ,patient ,with ,a ,severe ,facial ,burn ,asks ,the ,nurse ,why ,the
,patient's ,face ,is ,swollen. ,Which ,statement ,made ,by ,the ,nurse ,is ,appropriate?
"Swelling ,is ,an ,expected ,inflammatory ,response ,of ,the ,body ,to ,a ,burn ,injury."
"Swelling ,occurs ,when ,a ,person ,is ,allergic ,to ,the ,substance ,that ,caused ,the
,burn."
"Moderate ,swelling ,is ,an ,expected ,side ,effect ,of ,the ,pain ,medications ,we ,are
,giving."
"Some ,swelling ,is ,expected ,during ,treatment ,because ,the ,patient ,has ,been
,lying ,down ,and ,resting." ,- ,CORRECT ,ANSWER-"Swelling ,is ,an ,expected
,inflammatory ,response ,of ,the ,body ,to ,a ,burn ,injury."
Swelling ,is ,expected ,after ,a ,burn ,injury ,because ,of ,increased ,capillary
,permeability, ,which ,results ,in ,leakage ,of ,fluids ,and ,electrolytes ,into ,the
,interstitium.
Question ,3 ,of ,6
A ,student ,nurse ,is ,caring ,for ,a ,patient ,with ,severe ,thermal ,burns. ,Which
,statement ,made ,by ,the ,student ,nurse ,to ,the ,charge ,nurse ,indicates ,that
,additional ,teaching ,is ,needed?
"I ,will ,assess ,my ,patient ,regularly ,for ,pain ,and ,anxiety."
,"An ,inflammatory ,response ,is ,necessary ,for ,the ,body ,to ,begin ,the ,healing
,process."
"The ,severity ,of ,my ,patient's ,burns ,is ,a ,result ,of ,the ,temperature ,of ,the ,burning
,agent ,and ,the ,contact ,time."
"I ,will ,check ,my ,patient ,hourly ,to ,make ,sure ,that ,he ,does ,not ,experience ,an
,inflammatory ,response ,from ,his ,burns." ,- ,CORRECT ,ANSWER-"I ,will ,check ,my
,patient ,hourly ,to ,make ,sure ,that ,he ,does ,not ,experience ,an ,inflammatory
,response ,from ,his ,burns."
An ,inflammatory ,response ,is ,expected ,after ,a ,burn ,injury ,and ,is ,necessary ,for
,the ,healing ,process ,to ,begin. ,The ,nursing ,student ,needs ,additional ,teaching
,about ,the ,role ,of ,an ,inflammatory ,response ,in ,the ,healing ,process.
Question ,4 ,of ,6
A ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,first-degree ,thermal ,burn ,injury. ,Which
,symptom ,can ,the ,nurse ,expect ,to ,see ,on ,assessment?
Insensitivity ,to ,pain
Cherry-red ,skin ,color
Blanching ,with ,pressure
Edema ,of ,surrounding ,tissue ,- ,CORRECT ,ANSWER-Blanching ,with ,pressure
Blanching ,with ,pressure ,is ,an ,expected ,clinical ,manifestation ,of ,a ,partial-
thickness ,superficial ,(first-degree) ,thermal ,burn ,injury.
Question ,5 ,of ,6
What ,is ,the ,proper ,classification ,for ,a ,thermal ,burn ,involving ,only ,the
,epidermis ,and ,superficial ,structures ,of ,the ,dermis?
Superficial ,burn
Deep ,tissue ,burn
Full-thickness ,burn
Partial-thickness ,burn ,- ,CORRECT ,ANSWER-Partial-thickness ,burn
A ,partial-thickness ,burn ,involves ,the ,epidermis ,and ,the ,superficial ,structures ,of
,the ,dermis.
Question ,6 ,of ,6
When ,calculating ,the ,total ,body ,surface ,area ,(TBSA) ,affected ,by ,a ,burn, ,the
,nurse ,knows ,that ,the ,Lund-Browder ,chart ,is ,considered ,more ,accurate ,than
,the ,rule ,of ,nines ,for ,which ,reason?
The ,rule ,of ,nines ,does ,not ,include ,burns ,to ,the ,chest ,in ,calculation ,of ,TBSA.
The ,Lund-Browder ,chart ,considers ,the ,age ,of ,the ,patient ,in ,calculation ,of
,TBSA.
The ,rule ,of ,nines ,does ,not ,consider ,the ,size ,of ,the ,patient ,in ,calculation ,of
,TBSA.
The ,Lund-Browder ,chart ,considers ,the ,weight ,of ,the ,patient ,in ,calculation ,of
,TBSA. ,- ,CORRECT ,ANSWER-The ,Lund-Browder ,chart ,considers ,the ,age ,of ,the
,patient ,in ,calculation ,of ,TBSA.
,The ,Lund-Browder ,chart ,considers ,the ,age ,of ,the ,patient ,in ,calculation ,of
,TBSA. ,The ,rule ,of ,nines ,does ,not ,consider ,the ,age ,of ,the ,patient ,in ,the
,calculation.
Collaborative ,Care ,and ,Nursing ,Management ,of ,Burn ,Injuries:
Question ,1 ,of ,6
A ,nurse ,is ,caring ,for ,a ,newly ,admitted ,patient ,in ,the ,emergent ,phase ,after ,a
,severe ,electrical ,burn. ,Which ,provider ,orders ,should ,the ,nurse ,question?
Obtain ,an ,ECG ,in ,8 ,hours
Administer ,PO ,pain ,medication
Insert ,large-bore ,IV ,to ,provide ,fluids
Contact ,anesthesiologist ,to ,begin ,intubation ,- ,CORRECT ,ANSWER-Obtain ,an
,ECG ,in ,8 ,hours
The ,patient ,should ,have ,an ,ECG ,performed ,now, ,not ,delayed ,for ,8 ,hours. ,The
,patient ,with ,an ,electrical ,burn ,injury ,is ,at ,risk ,for ,cardiac ,dysrhythmias. ,The
,nurse ,should ,question ,this ,provider ,order.
Administer ,PO ,pain ,medication
Patients ,in ,the ,emergent ,phase ,of ,burn ,management ,should ,be ,treated ,for ,pain,
,but ,PO ,is ,not ,an ,appropriate ,management ,technique ,because ,pain ,medications
,will ,be ,administered ,intravenously. ,The ,nurse ,should ,question ,this ,provider
,order.
Question ,2 ,of ,6
A ,nurse ,is ,caring ,for ,a ,patient ,with ,a ,chemical ,burn ,to ,the ,left ,extremity ,who ,is
,in ,the ,rehabilitative ,phase ,of ,burn ,management. ,Which ,order ,would ,the ,nurse
,anticipate ,from ,the ,health ,care ,provider?
Begin ,IV ,pain ,medications
Provide ,patient ,education ,on ,wound ,care
Continue ,a ,low-calorie ,diet ,to ,support ,wound ,healing
Provide ,information ,on ,obtaining ,home ,oxygen ,services ,- ,CORRECT ,ANSWER-
Provide ,patient ,education ,on ,wound ,care
The ,rehabilitation ,phase ,begins ,when ,the ,patient's ,wounds ,are ,healed ,and ,he
,or ,she ,is ,engaging ,in ,some ,form ,of ,self-care. ,It ,is ,appropriate ,to ,provide ,the
,patient ,with ,education ,on ,wound ,care ,during ,this ,phase.
Question ,3 ,of ,6
What ,is ,the ,total ,24-hour ,fluid ,requirement ,in ,milliliters ,for ,a ,55-kg ,adult ,patient
,with ,75% ,TBSA ,burned? ,- ,CORRECT ,ANSWER-16500
4 ,mL ,lactated ,Ringer's ,solution ,per ,kilogram ,(kg) ,of ,body ,weight ,per ,percent ,of
,total ,body ,surface ,area ,(% ,TBSA) ,burned ,= ,Total ,fluid ,requirements ,for ,first ,24
,hours ,after ,burn
4 ,mL ,× ,55 ,kg ,× ,75 ,= ,16500 ,mL
Question ,4 ,of ,6
, The ,nurse ,is ,caring ,for ,a ,patient ,who ,was ,just ,transported ,by ,EMS ,to ,the
,hospital ,for ,burns ,to ,the ,legs, ,chest, ,arms, ,and ,face. ,Which ,nursing
,interventions ,are ,appropriate ,at ,this ,time?
Select ,all ,that ,apply.
Prepare ,to ,initiate ,tube ,feeding ,as ,indicated
Insert ,urinary ,catheter ,to ,monitor ,intake ,and ,output
Administer ,oral ,analgesic ,of ,acetaminophen ,650 ,mg
Discuss ,home ,care ,and ,rehabilitation ,with ,the ,patient's ,family
Monitor ,oxygen ,status ,and ,provide ,supplemental ,oxygen ,as ,needed ,-
,CORRECT ,ANSWER-Insert ,urinary ,catheter ,to ,monitor ,intake ,and ,output
The ,nurse ,is ,caring ,for ,a ,patient ,in ,the ,emergent ,phase ,of ,burn ,management. ,It
,is ,appropriate ,to ,insert ,a ,catheter ,to ,monitor ,the ,intake ,and ,output ,during ,this
,phase ,to ,effectively ,assess ,fluid ,status.
Monitor ,oxygen ,status ,and ,provide ,supplemental ,oxygen ,as ,needed
The ,nurse ,is ,assessing ,a ,patient ,in ,the ,emergent ,phase ,of ,burn ,management. ,It
,is ,appropriate ,to ,monitor ,oxygen ,and ,provide ,supplemental ,oxygen ,as ,needed
,because ,the ,patient ,may ,be ,at ,risk ,for ,impaired ,perfusion ,and ,ventilation.
Question ,5 ,of ,6
A ,patient ,is ,admitted ,to ,the ,burn ,center ,with ,burns ,to ,the ,neck ,and ,chest ,after
,a ,gasoline ,explosion ,at ,work. ,Emergency ,transport ,reported ,wheezing ,in ,the
,upper ,lung ,fields. ,Upon ,initial ,assessment, ,the ,nurse ,notes ,no ,current
,wheezing ,and ,diminished ,breath ,sounds ,throughout. ,What ,is ,the ,appropriate
,action ,for ,the ,nurse ,to ,take?
Check ,vital ,signs ,and ,obtain ,arterial ,blood ,gas ,values.
Sit ,the ,patient ,upright ,and ,encourage ,deep ,breathing.
Contact ,the ,health ,care ,provider ,and ,prepare ,for ,emergency ,intubation.
Continue ,with ,the ,assessment, ,observing ,for ,edema ,and ,cardiac ,output. ,-
,CORRECT ,ANSWER-Contact ,the ,health ,care ,provider ,and ,prepare ,for
,emergency ,intubation.
The ,patient ,is ,likely ,to ,have ,inhalation ,burn ,injuries, ,and ,intubation ,is
,necessary ,to ,maintain ,oxygenation ,and ,ventilation.
Question ,6 ,of ,6
A ,patient ,with ,facial ,burns ,frequently ,asks ,the ,nurse, ,"When ,will ,I ,look ,normal
,again?" ,Which ,is ,an ,appropriate ,response ,by ,the ,nurse?
"You ,seem ,to ,be ,very ,anxious. ,Would ,you ,like ,to ,talk ,about ,how ,you're
,feeling?"
"It's ,okay ,to ,be ,afraid ,of ,how ,your ,face ,looks ,now, ,but ,it ,will ,get ,better ,with
,time."
"I ,noticed ,that ,you've ,been ,asking ,this ,question ,often. ,Are ,you ,feeling
,depressed?"
"You ,will ,likely ,need ,to ,have ,some ,reconstructive ,treatment ,before ,seeing ,an
,improvement." ,- ,CORRECT ,ANSWER-"You ,seem ,to ,be ,very ,anxious. ,Would ,you
,like ,to ,talk ,about ,how ,you're ,feeling?"