EXAM SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◉ 2. The nurse practitioner is conducting a safety class with
community-living older adults. Which of the following should she
include in her teaching of risks of burns for this population? Select
all that apply.
1. Thinner skin.
2. Less vascularity.
3. Diminished nerve function.
4. A weakened immune system.
5. The burden of various comorbidities leading to enhanced wound
healing and reepithelialization after burn injury. Answer: 8. Answer:
1, 2, 3, 4
Page: 98
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1.
As one ages, there are significant changes in the skin, which becomes
thinner, providing a less effective barrier to external stimuli.
,2.
With aging, there are fewer appendages and decreased vascularity.
3.
Thinner skin and diminished nerve function often result in a higher
incidence of deeper burns.
4.
Advanced age results in a weakened immune system.
5.
Along with the burden of various comorbidities, the fragility of older
skin leads to delayed wound healing and reepithelialization after
burn injury.
◉ 9. Mr. Edwards is 76 years old and received a burn on his leg when
he dozed off and dropped his cigarette. The nurse practitioner
examines his leg for the degree of burn and classifies it as second
degree with some third degree in the center. Mr. Edwards asks what
that means and why it hurts so much. What is the best answer?
Select all that apply.
1. It means that this is a serious, deep burn in the center, and a less
deep burn around the sides.
2. It hurts because the nerve endings are exposed in the second-
degree area.
3. It means that the burn is advancing and getting worse.
,4. It hurts because the nerves are destroyed.
5. It hurts because the nerves in the second-degree areas are
exposed to the outside and are stimulated. Answer: 9. Answer: 1, 2
Page: 98
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1.
Deep dermal burns extend further into the dermis; third-degree
burns involve the full dermis, extending into the subcutaneous
tissue.
2.
In these burns there is pain from exposed nerve endings, but by the
second day, pain is often described more as pressure.
3.
The first step in treatment is to stop the burn.
4.
Destroyed nerves do not register pain.
5.
Superficial dermal burns involve the dermis and are characterized
by blisters. The underlying tissue is pink, moist, and hypersensitive
to touch.
, ◉ 10. Mrs. Thomas is 82 years old and burned her hand while
cooking. The nurse practitioner assesses second- and third-degree
burns over approximately half of the back of her hand. The nurse
practitioner chooses which of the following for initial treatment?
Select all that apply.
1. Administer appropriate pain medication.
2. Rinse with cool tap water.
3. Clean with a strong detergent.
4. Remove any loose tissue but allow the blisters to remain.
5. Diagnose as first- and third-degree burns. Answer: 10. Answer: 1,
2, 4
Page: 100
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1.
After administration of appropriate pain medication, wound
management can begin.
2.
Burn wounds should be immediately doused in cool tap water to
disperse any remaining heat in the tissue.
3.