NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
The nurse is caring for a client with a severe burn who is scheduled
for an autograft to be placed on the lower extremity. The nurse
creates a postoperative plan of care for the client and should
include which intervention in the plan?
1.Maintain the client in a prone position.
2.Elevate and immobilize the grafted extremity.
3.Maintain the grafted extremity in a flat position.
4.Keep the grafted extremity covered with a blanket. -
correct answer ✅2.Elevate and immobilize the grafted extremity
Autografts placed over joints or on lower extremities are elevated
and immobilized after surgery for 3 to 7 days, depending on the
surgeon's preference. This period of immobilization allows the
autograft time to adhere and attach to the wound bed, and the
elevation minimizes edema. Keeping the client in a prone position
and covering the extremity with a blanket can disrupt the graft site.
A 2-year-old child is treated in the emergency department for a
burn to the chest and abdomen. The child sustained the burn by
grabbing a cup of hot coffee that was left on the kitchen counter.
The nurse reviews safety principles with the parents before
,NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
discharge. Which statement by the parents indicates an
understanding of measures to provide safety in the home?
1."We will be sure not to leave hot liquids unattended."
2."I guess our children need to understand what the word hot
means."
3."We will be sure that the children stay in their rooms when we
work in the kitchen."
4."We will install a safety gate as soon as we get home so the
children cannot get into the kitchen." -
correct answer ✅1. "We will be sure not to leave hot liquids
unattended."
Toddlers, with their increased mobility and development of motor
skills, can reach hot water or hot objects placed on counters and
stoves and can reach open fires or stove burners above their eye
level. The nurse should encourage parents to remain in the kitchen
when preparing a meal, use the back burners on the stove, and
turn pot handles inward and toward the middle of the stove. Hot
liquids should never be left unattended or within the child's reach,
and the toddler should always be supervised. The statements in
options 2, 3, and 4 do not indicate an understanding of the
principles of safety.
,NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
The nurse is monitoring a child with burns during treatment. Which
assessment provides the most accurate guide to determine the
adequacy of fluid resuscitation?
1.Skin turgor
2.Level of edema at burn site
3.Adequacy of capillary filling
4.Amount of fluid tolerated in 24 hours -
correct answer ✅3.Adequacy of capillary filling
Parameters such as vital signs (especially heart rate), urinary output
volume, adequacy of capillary filling, and state of sensorium
determine adequacy of fluid resuscitation. Although options 1, 2,
and 4 may provide some information related to fluid volume, in a
burn injury, and from the options provided, adequacy of capillary
filling is most accurate.
The nurse caring for a child who sustained a burn injury plans care
based on which pediatric considerations associated with this injury?
Select all that apply
1.Scarring is less severe in a child than in an adult.
, NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
2.A delay in growth may occur after a burn injury.
3.An immature immune system presents an increased risk of
infection for infants and young children.
4.Fluid resuscitation is unnecessary unless the burned area is more
than 25% of the total body surface area.
5.The lower proportion of body fluid to body mass in a child
increases the risk of cardiovascular problems.
6.Infants and young children are at increased risk for protein and
calorie deficiency, because they have smaller muscle mass and less
body fat than adults. -
correct answer ✅2.A delay in growth may occur after a burn injury.
3.An immature immune system presents an increased risk of
infection for infants and young children.
6.Infants and young children are at increased risk for protein and
calorie deficiency, because they have smaller muscle mass and less
body fat than adults.
Pediatric considerations in the care of a burn victim include the
following: Scarring is more severe in a child than in an adult. A
delay in growth may occur after a burn injury. An immature
immune system presents an increased risk of infection for infants
and young children. The higher proportion of body fluid to body
mass in a child increases the risk of cardiovascular problems. Burns
Questions & Answers (Grade A+)
The nurse is caring for a client with a severe burn who is scheduled
for an autograft to be placed on the lower extremity. The nurse
creates a postoperative plan of care for the client and should
include which intervention in the plan?
1.Maintain the client in a prone position.
2.Elevate and immobilize the grafted extremity.
3.Maintain the grafted extremity in a flat position.
4.Keep the grafted extremity covered with a blanket. -
correct answer ✅2.Elevate and immobilize the grafted extremity
Autografts placed over joints or on lower extremities are elevated
and immobilized after surgery for 3 to 7 days, depending on the
surgeon's preference. This period of immobilization allows the
autograft time to adhere and attach to the wound bed, and the
elevation minimizes edema. Keeping the client in a prone position
and covering the extremity with a blanket can disrupt the graft site.
A 2-year-old child is treated in the emergency department for a
burn to the chest and abdomen. The child sustained the burn by
grabbing a cup of hot coffee that was left on the kitchen counter.
The nurse reviews safety principles with the parents before
,NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
discharge. Which statement by the parents indicates an
understanding of measures to provide safety in the home?
1."We will be sure not to leave hot liquids unattended."
2."I guess our children need to understand what the word hot
means."
3."We will be sure that the children stay in their rooms when we
work in the kitchen."
4."We will install a safety gate as soon as we get home so the
children cannot get into the kitchen." -
correct answer ✅1. "We will be sure not to leave hot liquids
unattended."
Toddlers, with their increased mobility and development of motor
skills, can reach hot water or hot objects placed on counters and
stoves and can reach open fires or stove burners above their eye
level. The nurse should encourage parents to remain in the kitchen
when preparing a meal, use the back burners on the stove, and
turn pot handles inward and toward the middle of the stove. Hot
liquids should never be left unattended or within the child's reach,
and the toddler should always be supervised. The statements in
options 2, 3, and 4 do not indicate an understanding of the
principles of safety.
,NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
The nurse is monitoring a child with burns during treatment. Which
assessment provides the most accurate guide to determine the
adequacy of fluid resuscitation?
1.Skin turgor
2.Level of edema at burn site
3.Adequacy of capillary filling
4.Amount of fluid tolerated in 24 hours -
correct answer ✅3.Adequacy of capillary filling
Parameters such as vital signs (especially heart rate), urinary output
volume, adequacy of capillary filling, and state of sensorium
determine adequacy of fluid resuscitation. Although options 1, 2,
and 4 may provide some information related to fluid volume, in a
burn injury, and from the options provided, adequacy of capillary
filling is most accurate.
The nurse caring for a child who sustained a burn injury plans care
based on which pediatric considerations associated with this injury?
Select all that apply
1.Scarring is less severe in a child than in an adult.
, NUR 2712C Unit 1: Burns Exam
Questions & Answers (Grade A+)
2.A delay in growth may occur after a burn injury.
3.An immature immune system presents an increased risk of
infection for infants and young children.
4.Fluid resuscitation is unnecessary unless the burned area is more
than 25% of the total body surface area.
5.The lower proportion of body fluid to body mass in a child
increases the risk of cardiovascular problems.
6.Infants and young children are at increased risk for protein and
calorie deficiency, because they have smaller muscle mass and less
body fat than adults. -
correct answer ✅2.A delay in growth may occur after a burn injury.
3.An immature immune system presents an increased risk of
infection for infants and young children.
6.Infants and young children are at increased risk for protein and
calorie deficiency, because they have smaller muscle mass and less
body fat than adults.
Pediatric considerations in the care of a burn victim include the
following: Scarring is more severe in a child than in an adult. A
delay in growth may occur after a burn injury. An immature
immune system presents an increased risk of infection for infants
and young children. The higher proportion of body fluid to body
mass in a child increases the risk of cardiovascular problems. Burns
