Burns

1. 1You are caring for a patient with extensive electrical burning after accidentally stepping on a downed power line.
   
   Which of the following is UNTRUE about electrical burns?

   1. AThese types of burns are usually contained to one area.
   2. BThe patient is at risk of cardiac dysrhythmias.
   3. CThe patient may have broken bones due to severe muscle constriction.
   4. DThe patient is at risk for acute tubular necrosis
2. 2You are caring for a patient with superficial partial-thickness burns sustained in a house fire.
   
   Which of the following do you know to be TRUE about these types of burns?

   1. AThe patient may also have broken bones.
   2. BThe patient is at risk for acute tubular necrosis.
   3. CThis patient may also have inhalation injuries.
   4. DThe patient will need skin grafts.
3. 3Chemical burns with alkali agents are easier to treat because the skin can better neutralize it.

   1. AVerdadero
   2. BFalso
4. 4Which of the following is NOT taken into account when determining the severity of a burn?

   1. ADepth of burn.
   2. BPercent total surface body area burned ("Rule of Nines").
   3. CAge of the patient.
   4. DDiseases present.
   5. ELocation of the burn.
   6. FType of burn.
5. 5A patient has been burned on his chest, abdomen, and anterior right leg in an industrial accident. Using the Rule of Nines, what percent of the body is burned?

   1. A27%
   2. B18%
   3. C9%
   4. D36%
6. 6A patient sustained burns on her chest, abdomen, and back in a house fire. Using the Rule of Nines, what percent of the body is burned?

   1. A36%
   2. B18%
   3. C45%
   4. D9%
7. 7A patient has sustained burns on the face after a cooking accident. Using the Rule of Nines, what percent of the body is burned?

   1. A4.5%
   2. B9%
   3. C18%
   4. D1%
8. 8A patient has sustained a severe cold burns to both hands after incorrectly handling dry ice. Using the Rule of Nines, what percent of the body is burned?

   1. A2%
   2. B4.5%
   3. C9%
   4. DNot applicable.
9. 9A patient fell asleep outside while inebriated and sustained radiation-type burns to the anterior sides of the arms and legs, as well as to the face. Using the Rule of Nines, what percent of the body is burned?

   1. A31.5%
   2. B18%
   3. C27%
   4. D9%
10. 10A patient received burns to the posterior skull, back, posterior of both arms, and posterior of both legs. Using the Rule of Nines, what percent of the body is burned?

    1. A49.5%
    2. B40.5%
    3. C31.5%
    4. D27%

11. 11What type of burn does this describe?
    
    -The skin is pink, Blanching is present.
    -Skin is warm to the touch.
    -Pt. reports pain is a 6 on 0-10 scale.

    1. ASuperficial
    2. BSuperficial partial-thickness
    3. CDeep partial-thickness
    4. DFull thickness
12. 12What type of burn does this describe?
    
    -Burn is bright red and moist.
    -Blisters have formed.
    -Blanching is still present.
    -Pt. reports pain of 8 on 0-10 scale.

    1. ASuperficial (1st degree).
    2. BSuperficial partial-thickness (2nd degree).
    3. CDeep partial-thickness (2nd degree).
    4. DFull-thickness (3rd degree).
13. 13What type of burn does this describe?
    
    -Burn is pale, waxy, and dry.
    -Flat blisters are forming.
    -Blanching still present.
    -Pt. reports pain is 9 on 0-10 scale.

    1. ASuperficial (1st degree)
    2. BSuperficial partial-thickness (2nd degree)
    3. CDeep partial-thickness (2nd degree).
    4. DFull thickness (3rd degree).
14. 14What type of burn does this describe?
    
    -Burn is black and red, with a moist appearance.
    -Blanching is not present.
    -Pt. reports pain is 1 on 0-10 scale

    1. ASuperficial (1st degree).
    2. BSuperficial partial thickness (2nd degree).
    3. CDeep partial thickness (2nd degree).
    4. DFull thickness (3rd degree).
15. 15In which of the following patients would you suspect an inhalation injury?

    1. AA man with burnt facial hair, hoarseness, and confusion following a house fire.
    2. BA woman whose chest was scalded in a cooking accident.
    3. CA woman whose hands and arms were burned in a chemical accident.
    4. DA man whose face was burnt in an electrical home improvement accident.
16. 16You have a patient presenting with drowsiness, headache, nausea, dizziness, and cherry-colored lips following a house fire. The patient does not appear to have any severe burns.
    
    Which of the following tests would you order for this patient?

    1. ACarboxyhemoglobin.
    2. BABGs.
    3. CBasic metabolic panel.
    4. DCBC w/WBC differential.
17. 17Which of the following lab values would be unexpected in a male patient who sustained extensive burns in a car accident 12 hours ago?

    1. ASerum sodium 128 mEq/L
    2. BSerum albumin 2.8 g/dL
    3. CHematocrit 60%
    4. DHematocrit 30%
    5. EWBC 3,000/mm3
    6. FSerum potassium 5.8 mEq/L
18. 18Which of the following findings would be UNEXPECTED in a patient who has extensive burning?

    1. AHR 145 BPM
    2. BBP 86/62
    3. CCardiac output 2 L/min
    4. DBP 150/100
19. 19Which of the following orders would you QUESTION in a patient with extensive burns to the face and chest following a chemical accident that occurred 2 hours ago?

    1. APlace a central line.
    2. BAssess urine output hourly.
    3. CPlace an NG tube
    4. DAdminister 100% oxygen via nonrebreather mask.
20. 20You are caring for a patient with extensive burning to the torso. What interventions would you enact for this patient?

    1. AMaintain head of bed at 30 degrees.
    2. BPrepare the patient for intubation.
    3. CAdminister a bronchodilator.
    4. DAdminister Lactated Ringer's through 2 large-bore catheters.
    5. EOffer food and oral fluids after assessing for ability to swallow.
21. 21Monitoring hourly urine output is the second most important intervention for people with burns within the first 48 hours of sustaining the burn.

    1. AVerdadero
    2. BFalso
22. 22You are caring for a patient who sustained severe burning on over half of his body 24 hours ago.
    
    What do you know about the GI system in patients with burns?

    1. AThey are at risk for Curling's ulcers.
    2. BThey are at risk for an ileus.
    3. CThey require 4,000-6,000 kcal/day.
    4. DPlacing an NG tube is contraindicated.
    5. EThey are at risk for hypoglycemia.
23. 23What type of isolation precautions would you enact for a patient with severe burns?

    1. AAirborn
    2. BDroplet
    3. CContact
    4. DIsolation
24. 24You are assessing a patient who sustained burns on the back of the neck, the torso, and the thighs about 5 days ago. The patient received skin grafts for her injuries. Which of the following actions, made by a certified nursing assistant (CNA), requires intervention?

    1. AThe CNA places a pillow behind the patient's head and neck.
    2. BThe CNA positions the patient so that the thighs are not touching.
    3. CThe CNA assists the patient with performing ROM exercises as prescribed.
    4. DThe CNA humidified the patient's oxygen.

Descripción

NCLEX (Medical-Surgical) Nursing Test sobre Burns, creado por Olivia McRitchie el 03/05/2020.

Autor

Olivia McRitchie

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