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NUR 2016: BURNS: TEST QUESTIONS WITH ACCURATE SOLUTIONS, Exams of Nursing

Aims Community CollegeNursing

NUR 2016: BURNS: TEST QUESTIONS WITH ACCURATE SOLUTIONS

Typology: Exams

2024/2025

Available from 06/08/2025

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NUR 2016: BURNS: TEST QUESTIONS WITH ACCURATE
SOLUTIONS
1) What is the Lund and Browder method? -- Answer โœ”โœ” precise method of
measuring extent of burned area in children (used in those under 12 because it is
more accurate for pediatric body proportions)
2) What are the phases of burn care? -- Answer โœ”โœ” Resuscitation, acute rehab, long
term rehab
3) When does the resuscitation phase begin? -- Answer โœ”โœ” At the time of burn
4) When does the resuscitation phase end/acute rehab phase begin? -- Answer โœ”โœ”
With successful fluid resuscitation
5) How do you know a patient has been successfully fluid resuscitated? -- Answer โœ”โœ”
When there is adequate urine output with only maintenance fluids
6) How long does the resuscitation phase last? -- Answer โœ”โœ” 48-72 hours
7) What are the cardiovascular effects of burns? -- Answer โœ”โœ” Burn shock, increased
SVR, decreased CO leading to shock/mods
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NUR 2016: BURNS: TEST QUESTIONS WITH ACCURATE

SOLUTIONS

  1. What is the Lund and Browder method? -- Answer โœ”โœ” precise method of measuring extent of burned area in children (used in those under 12 because it is more accurate for pediatric body proportions)
  2. What are the phases of burn care? -- Answer โœ”โœ” Resuscitation, acute rehab, long term rehab
  3. When does the resuscitation phase begin? -- Answer โœ”โœ” At the time of burn
  4. When does the resuscitation phase end/acute rehab phase begin? -- Answer โœ”โœ” With successful fluid resuscitation
  5. How do you know a patient has been successfully fluid resuscitated? -- Answer โœ”โœ” When there is adequate urine output with only maintenance fluids
  6. How long does the resuscitation phase last? -- Answer โœ”โœ” 48 - 72 hours
  7. What are the cardiovascular effects of burns? -- Answer โœ”โœ” Burn shock, increased SVR, decreased CO leading to shock/mods
  1. What is burn shock? -- Answer โœ”โœ” the loss of fluid from the intravascular space due to leaky capillaries and increased permeability. (Leads to third spacing/edema)
  2. What are the pulmonary effects of burns? -- Answer โœ”โœ” Pulmonary edema due to increased permeability/leaky capillaries, possible respiratory distress if there was an inhalation injury.
  3. Why might a burn patient have a change in mentation? -- Answer โœ”โœ” Because of decreased cardiac output
  4. What are psychological considerations for burn patients? -- Answer โœ”โœ” Possibly losing job/home, lottttsss of pain, takes months to recover, really hard rehab, body changes can have a very negative impact on pt
  5. What are metabolic demands? -- Answer โœ”โœ” How much energy your body needs to function. In burn pts, this manifests as intense hunger as the body needs all the calories/proteins to regrow that skin.
  6. What should be monitored with the kidneys for a burn patient? -- Answer โœ”โœ” Urine output, creatinine, BUN
  7. What are our nursing priorities for burn patients? -- Answer โœ”โœ” Airway, breathing, circulation, pain, wound care
  8. The nursing priorities for burn patients are airway, breathing, circulation, pain, and wound care. In which of these steps would you do the rule of nines? -- Answer โœ”โœ” Circulation
  9. True or false: Early intubation is encouraged in burn patients. -- Answer โœ”โœ” True
  1. What is the most common topical agent used on burns? -- Answer โœ”โœ” Silver sulfadiazine (has antimicrobial properties)
  2. What are the pain management considerations for burn patients? -- Answer โœ”โœ” Morphine or fentanyl IV are common. Bolus prior to procedures or wound care. Possible anxiolytics prior to procedures. Use PCAs for patients who are not intubated or sedated (gives pt a little autonomy).
  3. When does the acute rehab phase end and the long-term rehab phase begin? -- Answer โœ”โœ” When the wounds close
  4. What are the six components of the acute rehab phase? -- Answer โœ”โœ” Wound care, pain management, mobility, nutrition, infection, psychosocial
  5. Why is mobility so essential for burn patients? -- Answer โœ”โœ” So the skin will regrow without contractures
  6. What are allografts/homografts? -- Answer โœ”โœ” Donor tissue
  7. What are xenografts/heterografts? -- Answer โœ”โœ” A graft transferred from one species to another
  8. What are autografts? -- Answer โœ”โœ” tissue transplanted from one site to another on the same person
  9. What are the components of the long-term rehab phase? -- Answer โœ”โœ” Continuing with rehab, care of skin and scar management โ€” wearing compression garments/dressings, psychosocial adjustment
  1. Why are compression dressings so important during the long-term rehab phase? -- Answer โœ”โœ” So the tissue grows in smoother and the scars look better. MUST wear 24/7.
  2. What are the normal functions of the skin? -- Answer โœ”โœ” Protection, fluid maintenance, sensation, temperature regulation, vitamin d synthesis
  3. What is the largest organ in the body? -- Answer โœ”โœ” Skin
  4. The majority of burn injuries and deaths occur as a result of... -- Answer โœ”โœ” Residential fires and scalds
  5. Are women or men at more of a risk for burn injury? -- Answer โœ”โœ” Men
  6. ____ are burned more often by fire or flame. -- Answer โœ”โœ” Men
  7. ____ experience more scald injuries. -- Answer โœ”โœ” Women
  8. ________ are at increased risk of burn injury and are more likely to die as a result of their injury. -- Answer โœ”โœ” Children and elderly
  9. What are the different etiologies of burn injuries? -- Answer โœ”โœ” Thermal, chemical, electrical, radiation/extreme cold
  10. What are thermal burns? -- Answer โœ”โœ” Burns caused by heat or fire (includes scalding or steam burns)
  11. What are chemical burns? -- Answer โœ”โœ” Tissue damage due to contact with a corrosive substance like an acid or alkalis
  1. What is a superficial burn? -- Answer โœ”โœ” Only involves the epidermis. No blisters or oozing. Red and dry.
  2. Another name for a superficial burn? -- Answer โœ”โœ” 1st degree
  3. What are superficial partial-thickness burns? -- Answer โœ”โœ” Damage to entire epidermis and some of the dermis Pink to red with blisters.
  4. Another name for a superficial or deep partial-thickness burn? -- Answer โœ”โœ” 2nd degree
  5. What is a deep partial thickness burn? -- Answer โœ”โœ” Deep second degree burn, involves epidermis and the dermis. Bright red, moist and open skin (burnt past the blisters)
  6. What is a full thickness burn? -- Answer โœ”โœ” Involves the epidermis, dermis, and subcutaneous tissue. SQ tissue may be visible. Decreased sensation.
  7. Another name for a full thickness burn? -- Answer โœ”โœ” 3rd degree
  8. Why is there decreased sensation in a full thickness burn (3rd degree)? -- Answer โœ”โœ” Because the nerve receptors have been burnt off
  9. What are deep full thickness burns? -- Answer โœ”โœ” Damage to all layers of skin, muscle, tendons, and bones. Appears black with inflexible eschar. No pain
  10. True or false: A partial thickness burn over 10% of total body surface area (TBSA) would require a referral to a burn center. -- Answer โœ”โœ” True
  1. True or false: Burns involving the face, hands, genitalia, or major joints would require a referral to a burn center. -- Answer โœ”โœ” True
  2. True or false: A first degree burn on a 50 year old man would require a referral to a burn center. -- Answer โœ”โœ” False
  3. True or false: Third degree burns in any age would require a referral to a burn center. -- Answer โœ”โœ” True
  4. True or false: Electrical burns, chemical burns, or an inhalation injury would require a referral to a burn center. -- Answer โœ”โœ” True
  5. True or false: A burn injury with pre-existing conditions that would increase mortality or morbidity would require a referral to a burn center. -- Answer โœ”โœ” True
  6. True or false: Young adults with any size burn require a referral to a burn center. -- Answer โœ”โœ” False
  7. True or false: Children with burns require a referral to a burn center. -- Answer โœ”โœ” True
  8. True or false: If someone has a burn and they have any special social, emotional, or rehab interventions they would require a referral to a burn center. -- Answer โœ”โœ” True
  9. What is the rule of nines? -- Answer โœ”โœ” quick way to determine how much of the skin's surface has been burned