Burns Review Questions
The nurse is assessing a client with severe burn wounds. What are the nursing
interventions performed by the nurse in the order
... [Show More] of priority?
Correct
1. Checking for a patent airway
Correct
2. Maintaining effective circulation
Correct
3. Performing adequate fluid replacement
Correct
4. Caring for the burn wound
A client is severely injured with burns and sustained major trauma from a fire
incident. What is the order of assessments according to priority in this situation?
Correct
1. Using a jawthrust maneuver to establish an airway
Correct
2. Providing bagvalvemask (BVM) ventilation
Correct
3. Palpating for the presence of a radial pulse
Correct
4. Monitoring systolic blood pressure
Correct
5. Assessing the score of eye opening
Correct
6. Removing the clothing with scissors
the eye opening, voice, and pain status. The clothes of the client are removed with scissors to prevent
fabric melting into the skin.
The nurse is assessing a client with burns over 15% of the body.
Which priority nursing action should be taken to ensure a complete assessment?
1 Determining the level of mobility
Correct2 Removing the clothes of the client
3 Placing the client in recumbent position
4 Cleaning the wounds with antiseptic solution
The nurse should remove all clothing of the client with scissors to allow for thorough assessment; this
A registered nurse teaches a new orienting nurse about interventions to be followed
for a client with burns due to inhalation injury. Which statement made by the new
orienting nurse indicates the new nurse needs more orientation?
1 "I should administer intravenous analgesia."
Correct2 "I should check pulses distal to burns."
3 "I should prepare for an endotracheal intubation."
4 "I should anticipate the need for fiberoptic bronchoscopy."
Inhalation injury burns occur in the nose, mouth, throat, and airway. The peripheral and central pulses are
assessed, but they are not considered distal to the burn. The nurse should administer intravenous
analgesia. The nurse should anticipate both endotracheal intubation and a need for fiberoptic
bronchoscopy.
The nurse teaches a client about strategies to reduce burn injuries. Which
statement made by the client indicates the need for further teaching?
1 "I should never smoke in bed."
2 "I should never use gasoline to start a fire."
3 "I should never leave hot oil unattended while cooking."
Correct4 "I should never attend to burning candles near open curtains."
The client should never leave candles unattended near open curtains. The client should never smoke in
bed, use gasoline to start a fire, or leave hot oil unattended while cooking.
A client is admitted to the hospital due to electrical burns. Which assessment
findings does the nurse anticipate? Select all that apply.
1 Coughing
Correct2 Burn odor
3 Smoky breath
Correct4 Leathery skin
Correct5 Cardiac arrest
A client with electrical burns may have assessment findings such as burn odor, leathery skin, and cardiac
arrest due to hypovolemia and electrical disturbances. Coughing and smoky breath are assessment
findings associated with inhalational injuries.
A client who sustained burn injuries due to a fire and explosion has a carbon
monoxide level of 14%. Which pathophysiologic risk is increased in the client?
1 Stupor
2 Vertigo
3 Convulsions
Correct4 Slight breathlessness
Slight breathlessness may occur when the carbon monoxide level is 14%. Stupor and vertigo may result
when the carbon monoxide level is in between 21% and 40%. When the level of carbon monoxide
reaches between 41% and 60%, coma or convulsions may occur.
The nurse is caring for a client with a burn injury and suspects atelectasis and
hypoxia. Which age-related changes should the nurse associate these findings?
1 Reduced mobility
2 Reduced healing time
Correct3 Reduced thoracic compliance
4 Reduced inflammatory and immune responses
The reduction in thoracic and pulmonary compliance may increase the risk of atelectasis and hypoxia.
Reduced mobility increases the risk for burn injuries. Reduced healing would have longer time with open
areas, which results in greater risks for infection, metabolic derangements, and loss of function from
contracture formation and scar tissue. Reduced inflammatory and immune responses would increase the
risk for infection and sepsis.
A client with burns is hospitalized in the emergency department and advised to get
an electrocardiogram (ECG) done. Which type of burn injury has the
client most likely sustained?
1 Flame burn
2 Chemical burn
Correct3 Electrical burn
4 Radiation burn
In an electrical burn injury, changes in the ECG may indicate damage to the heart. In flame burn injuries,
the smoldering clothing and all metal objects are removed. If a client suffers from chemical burns, the
dried chemicals present on skin should not be made wet but should be brushed off. If the client has
radiation burn injuries, then the source should be removed using tongs or lead protective gloves.
A client with burns caused by flames is hospitalized. Which specific emergency burn
management would be appropriate for this client?
Correct1 Removing all metal objects
2 Helping the client bathe or shower
3 Initiating cardiopulmonary resuscitation
4 Administering tetanus toxoid for prophylaxis
When a client with flame burn injuries is hospitalized, the primary healthcare provider should first remove
all smoldering clothing and metal objects. In case of radiation burns, the client is helped to bathe or
shower. Cardiopulmonary resuscitation would be appropriate in the emergency management of an
electrical burn injury. The administration of tetanus toxoid for prophylaxis would be considered as the
general management for all types of burns.
While caring for a client with a burn injury and in the resuscitation phase, the nurse
notices that the client is hoarse and produces audible breath sound on exhalation.
Which immediate action would be appropriate for the safe care of the client? Select
all that apply.
Correct1 Providing oxygen immediately
Correct2 Notifying the rapid response team
3 Considering it a normal observation
4 Initiating an intravenous (IV) line and beginning fluid replacement
5 Obtaining an electrocardiogram (ECG) of the client [Show Less]