Burns

Question 1

1. A 65 year old male patient has experienced full-thickness electrical burns on the legs and arms. As the nurse you know this patient is at risk for the following: Select all that apply:

Accepted Answer

A. Acute kidney injury

Accepted Answer

B. Dysrhythmia

Accepted Answer

C. Iceberg effect

Accepted Answer

E. Bone fractures

Answer

D. Hypernatremia

Answer

F. Fluid volume overload

Question 2

2. True or False: A patient who experiences an alkali chemical burn is easier to treat because the skin will neutralize the chemical rather than with an acidic chemical burn.

Answer

true

Question 3

3. As the nurse providing care to a patient who experienced a full-thickness electrical burn you know to monitor the patient’s urine for:

Accepted Answer

A. Hemoglobin and myoglobin

Answer

B. Free iron and white blood cells

Answer

C. Protein and red blood cells

Answer

D. Potassium and Urea

Question 4

4. Select the patient below who is at MOST risk for complications following a burn:

Accepted Answer

B. A 25 year old female with partial-thickness burns on the front of the head and neck and front and back of the torso.

Answer

A. A 42 year old male with partial-thickness burns on the front of the right and left arms and legs.

Answer

C. A 36 year old male with full-thickness burns on the front of the left arm.

Answer

D. A 10 year old with superficial burns on the right leg.

Question 5

5. You receive a patient who has experienced a burn on the right leg. You note the burn contains small blisters and is extremely pinkish red and shiny/moist. The patient reports severe pain. You document this burn as:

Accepted Answer

B. 2nd Degree (partial-thickness)

Answer

A. 1st Degree (superficial)

Answer

C. 3rd Degree (full-thickness)

Answer

D. 4th Degree (deep full-thickness)

Question 6

6. A 58 year old female patient has superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned?

Accepted Answer

A. 63%

Answer

B. 81%

Answer

C. 72%

Answer

D. 54%

Question 7

7. A patient has a burn on the back of the torso that is extremely red and painful but no blisters are present. When you pressed on the skin it blanches. You document this as a:

Accepted Answer

A. 1st degree (superficial) burn

Answer

B. 2nd degree (partial-thickness) burn

Answer

C. 3rd degree (full-thickness) burn

Answer

D. 4th degree (deep full-thickness) burn

Question 8

8.  A patient has experienced full-thickness burns to the face and neck. As the nurse it is priority to:

Accepted Answer

C. Assess the airway

Answer

A. Prevent hypothermia

Answer

B. Assess the blood pressure

Answer

D. Prevent infection

Question 9

9. A patient is in the acute phase of burn management. The patient experienced full-thickness burns to the perineum and sacral area of the body. In the patient’s plan of care, which nursing diagnosis is priority at this time?

Accepted Answer

C. Risk for infection

Answer

A. Impaired skin integrity

Answer

B. Risk for fluid volume overload

Answer

D. Ineffective coping

Question 10

10. The nurse notes a patient has full-thickness circumferential burns on the right leg. The nurse would: select all that apply

Accepted Answer

B. Assess the distal pulses in the right extremity

Accepted Answer

C. Elevate the right leg above the heart level

Answer

A. Place cold compressions on the burn and elevate the right leg below the heart level

Answer

D. Place gauze securely around the leg to prevent infection

Question 11

11. A patient is receiving IV Lactated Ringers 950 mL/hr post 18 hours after a receiving a severe burn. The patient urinary output is 20 mL/hr. As the nurse your next nursing action is to:

Accepted Answer

D. Notify the physician of this finding

Answer

A. Increase the IV fluids

Answer

B. Continue to monitor the patient

Answer

C. Decrease the IV fluids

Question 12

12. A patient who is being treated for partial thickness burns on 60% of the body is now in the acute phase of burn management. The nurse assesses the patient for a possible Curling’s Ulcer. What signs and symptoms can present with this condition?

Accepted Answer

B. Burning, gnawing sensation pain in the stomach and vomiting

Answer

A. Swelling and pain on the area distal to the burn

Answer

C. Dark red or gray sores on the soles of the feet

Answer

D. Difficulty swallowing and gagging

Question 13

13. You’re assisting the nursing assistant with repositioning a patient with full-thickness burns on the neck. Which action by the nursing assistant requires you to intervene?

Accepted Answer

B. The nursing assistant places a pillow under the patient’s head.

Answer

A. The nursing assistant elevates the head of the bed above 30 degrees.

Answer

C. The nursing assistant places rolled towels under the patient’s shoulders.

Answer

D. The nursing assistant covers the patient with sterile linens.

Question 14

14. While collecting a medical history on a patient who experienced a severe burn, which statement by the patient’s family member requires nursing intervention?

Accepted Answer

B. “I think it has been 10 years or more since he had a tetanus shot.”

Answer

A. “He takes medication for glaucoma”.

Answer

C. “He was told he had COPD last year.”

Answer

D. “He smokes 2 packs of cigarettes a day.”

Question 15

15. A patient is presenting with bright red lips, headache, and nausea. The physician suspects carbon monoxide poisoning. As the nurse, you know the patient needs:

Accepted Answer

B. 100% oxygen via non-rebreather mask

Answer

A. Oxygen nasal cannula 5-6 Liters

Answer

C. Continuous Bipap

Answer

D. Venturi mask 6 L oxygen

Burns

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