front 1 Which topical medication for burn injury is the best for using on the face and around the eyes? Bacitracin Mafenide acetate Silver sulfadiazine Mepilex | back 1 Bacitracin |
front 2 Which statement is true regarding the Lund and Browder method to determine the percentage of total body surface area burned? It is mostly used in prehospital settings. It is used for superficial, partial, and full thickness burns. It takes into consideration the patient’s hand as well as the fingers. It requires thorough burn wound debridement. | back 2 It requires thorough burn wound debridement. |
front 3 The healthcare team is caring for patients with burns in a mass casualty scene. Which method used by the healthcare team is most appropriate to determine the total body surface area (TBSA) percentage of burns of different patients in this situation? Rule of nines Rule of palm Parkland method Lund and Browder methodNext | back 3 Rule of palm |
front 4 Which statement about deep partial thickness burns is correct? It only affects the epidermal layer of the skin. This kind of burn resolves in 24 to 72 hours. It may cause pain in various areas with decreased sensation. It is often referred to as eschar. | back 4 It may cause pain in various areas with decreased sensation. |
front 5 Which abnormal laboratory finding would the nurse anticipate for a patient experiencing the early stages of burn shock after an electrical burn? Decreased hematocrit Hypokalemia Increased hemoglobin Hypernatremia | back 5 Increased hemoglobin |
front 6 Which intervention would be included in the primary survey assessment of a patient diagnosed with a burn injury in the emergent phase? Select all that apply. Provide oxygen via nasal cannula Place a pillow under the patient’s head Insert two large bore IV catheters Prepare for intubation Immobilize the patient’s C-spineNext | back 6 Insert two large bore IV catheters Prepare for intubation Immobilize the patient’s C-spineNext |
front 7 A patient has a superficial partial-thickness burn. Which healing period would the nurse expect for this kind of burn? 3 to 7 days with no scarring 7 to 14 days with no scarring 3 to 6 weeks with some scarring Will not heal without excision and grafting | back 7 7 to 14 days with no scarring |
front 8 The nurse is caring for a patient diagnosed with a burn injury who reports pain with ambulation. Which type of pain would the nurse document? Background pain Procedural pain Breakthrough pain Phantom limb pain | back 8 Breakthrough pain |
front 9 The nurse is teaching a group of nursing students about types of burns. Which example would the nurse provide for a chemical burn? Burn caused by gasoline Burn caused while cooking Burn caused by ionizing radiation Burn caused by overheard power lines | back 9 Burn caused by gasoline |
front 10 The nurse is teaching about care considerations for patients with the type of burn in this image. Which statement by the patient indicates successful teaching? “I need to make sure I drink a lot of water to rehydrate.” “I can apply my favorite scented lotion to the burn twice a day.” “Ice should be applied immediately to the burn.” “I will change the dressing on the burn at least once per day.” | back 10 “I need to make sure I drink a lot of water to rehydrate.” |
front 11 While assessing an injured patient’s condition, the nurse suspects that the patient has an inhalation injury. Which clinical finding is likely responsible for the nurse’s suspicion? Select all that apply. Facial burns Singed facial hair Bradypnea Carbon in the sputum Erythema on the arms and legs | back 11 Facial burns Singed facial hair Carbon in the sputum |
front 12 A healthy 75-year-old patient is admitted to the hospital with thermal burns. The weight of the patient is 154 lbs and the total body surface are (TBSA) of the burns is 30%. Based on the Advanced Burned Life Support (ABLS) guidelines, how much fluid resuscitation (in mL) is required? Record the answer using a whole number. Enter numeral only. 70kgx30%x2ml=4,200 mL | back 12 4,200 mL |
front 13 Which clinical manifestation is most likely to be observed in a patient with 15% carbon monoxide poisoning? Tachypnea and tachycardia Disorientation and nausea Mild headache and confusion Severe headache and vision changes | back 13 Severe headache and vision changes |
front 14 A patient reports a history of burn injury and states a skin graft was performed “using some of my own skin from another part of my body.” Which type of skin graft would the nurse document? Autograft Dermal substitute Allograft Xenograft | back 14 Autograft |
front 15 The nurse is teaching a patient about precautions to follow for the application of silver sulfadiazine. Which statement made by the patient indicates effective teaching? Select all that apply. “I should avoid applying the medication around my mouth.” “I should apply it one-fourth inch thick.” “I should apply the cream around the eyes.” “I should apply the cream and leave it open to air.” “I should change the dressing every three to seven days.” | back 15 “I should avoid applying the medication around my mouth.” “I should apply it one-fourth inch thick.” |
front 16 Which burn injury zone has the most contact with the heat source and is the location of the most severe damage? Zone of stasis Zone of hyperemia Zone of conversion Zone of coagulation | back 16 Zone of coagulation |
front 17 Which clinical manifestation in a patient with a burn injury likely indicates compartment syndrome? Select all that apply. Numbness Red-colored urine Weak pulse Pain with flexion Urine output less than 1 mL/kg/hr | back 17 Numbness Weak pulse Pain with flexion |
front 18 Calculate the fluid resuscitation required in the first 8 hours to a 35-year-old patient with 50% total body surface area (TBSA) burns from an electrical injury. The weight of the patient is 165 lbs., and the patient does not have any history of respiratory or cardiac conditions. Record your answer using a whole number. Enter numeral only. | back 18 7500 |
front 19 Which diagnostic test is most appropriate to use in a patient with electrical burn injuries? Chest x-ray Creatine kinase-myocardial band (CK-MB) Arterial blood gases Radiographic examination | back 19 Creatine kinase-myocardial band (CK-MB) |
front 20 Which type of chemical causes the coagulation of proteins and a full-thickness burn injury due to the release of hydrogen ions that reduces pH to less than 0? Gasoline Wet cement Bathroom cleaners Heavy industrial cleaners | back 20 Bathroom cleaners |
front 21 An older adult patient has a full-thickness burn injury on the forearm and is not an appropriate candidate for a grafting surgery. Which topical medication would the nurse anticipate being ordered? | back 21 Enzymatic cream |
front 22 Which burn injury zone has the most contact with the heat source and is the location of the most severe damage? Zone of stasis Zone of hyperemia Zone of conversion Zone of coagulation | back 22 Zone of coagulation |
front 23 Which statement about deep partial thickness burns is correct? It only affects the epidermal layer of the skin. This kind of burn resolves in 24 to 72 hours. It may cause pain in various areas with decreased sensation. It is often referred to as eschar. | back 23 It may cause pain in various areas with decreased sensation. |
front 24 A patient has a superficial partial-thickness burn. Which healing period would the nurse expect for this kind of burn? 3 to 7 days with no scarring 7 to 14 days with no scarring 3 to 6 weeks with some scarring Will not heal without excision and graftingNext | back 24 7 to 14 days with no scarring |
front 25 Which assessment finding would the nurse anticipate when caring for a patient diagnosed with a full-thickness burn? Mild skin erythema Severe pain Waxy skin appearance Dry, leathery skin | back 25 Dry, leathery skin |
front 26 The emergency room nurse is caring for a patient diagnosed with a forearm burn who states, “The pot of water on my stove boiled over and spilled onto my arm.” Which type of burn injury would the nurse document? Thermal Electrical Chemical Radiation | back 26 Thermal |
front 27 The healthcare provider ordered fluid resuscitation for a patient with an electrical injury. Which observed finding indicates that the fluid resuscitation was effective? Select all that apply. Urine output: 1 mL/kg/hr Systolic blood pressure: 110 mm Hg Heart rate: 100 beats per minute Central venous pressure: 3 mm Hg Bladder pressure: 12 mm Hg | back 27 Urine output: 1 mL/kg/hr Systolic blood pressure: 110 mm Hg Heart rate: 100 beats per minute |
front 28 Which medication is used for pain management in patients with burns? Select all that apply. Haloperidol Hydromorphone Lorazepam Fentanyl Morphine sulfate | back 28 Hydromorphone Fentanyl Morphine sulfate |
front 29 Which statement is true regarding the Lund and Browder method to determine the percentage of total body surface area burned? It is mostly used in prehospital settings. It is used for superficial, partial, and full thickness burns. It takes into consideration the patient’s hand as well as the fingers. It requires thorough burn wound debridement. | back 29 It requires thorough burn wound debridement. |
front 30 The student nurse is learning about burns. Which statement is true regarding radiation burns? Radiation burns are the most common type of burn injury. Localized radiation injuries are similar in nature to electrical burns. Short-term exposure to ionizing radiation causes nausea, vomiting, and diarrhea. Sunburn is the most common type of radiation burn observed in healthcare settings. | back 30 Sunburn is the most common type of radiation burn observed in healthcare settings. |
front 31 The nurse is teaching a patient with partial thickness burns about the care considerations for managing the burns. Which statement made by the patient indicates successful teaching? | back 31 “I should apply a Bacitracin ointment and cover with nonadherent bandage.” |
front 32 Which characteristic of older adults would make it more difficult to effectively treat a burn injury? | back 32 Decreased immune system |
front 33 The healthcare team is caring for a patient with the burn injuries in the image.which medication is the healthcare provider most likely to prescribe to promote venous return and prevent thromboembolism? | back 33 Enoxaparin |
front 34 A patient was admitted to the hospital with superficial burns.which clinical manifestation is likely to be observed in the patient . Select all that apply? | back 34 Mild erythema hypersensitivity |
front 35 Which type of graft is used as a temporary covering once eschar is removed to help close and protect the wound? | back 35 Xenograft |
front 36 The nurse cares for a patient with a new burn injury.which finding is the priority concern? | back 36 Breathing |
front 37 Which is the likely cause for the development of hyperkalemia in the emergent phase of burn injury? | back 37 Massive cellular trauma |
front 38 The nurse is teaching a patient community group about at home burn prevention strategies.which statement made by someone in the group indicates that the teaching was successful? | back 38 “Smoke alarm batteries should be changed every six months .” |