1
BSN 266 SHERPATH TEST (REVIEW
HESI) | 100% CORRECT SOLUTIONS |
COMPLETE STUDY GUIDE | GRADED A+
1|Page
Overview of Burn Injuries:
A nurse is caring for a patient who spilled boiling soup on her
legs. Which type of burn will the nurse see?
Thermal Electrical
Chemical
Smoke inhalation - Correct Answer-Thermal Thermal burns
are caused by flame, flash, scald, or contact with hot objects
(such as boiling soup).
Question 2 of 6
A family member of a patient with a severe facial burn asks the
nurse why the patient's face is swollen. Which statement made
by the nurse is appropriate?
"Swelling is an expected inflammatory response of the body
to a burn injury."
1|P age
, 2
2|Page
"Swelling occurs when a person is allergic to the substance
that caused the burn."
of
"Moderate swelling
the pain medications is an
we are expected side effect
giving."
"Some swelling is expected during treatment
because the patient has been lying down and
resting." - Correct Answer"Swelling is an expected
inflammatory response of the body to a burn
injury."
Swelling is expected after a burn injury because of increased
capillary permeability, which results in leakage of fluids and
electrolytes into the interstitial.
Question 3 of 6
A student nurse is caring for a patient with severe thermal
burns. Which statement made by the student nurse to the
charge nurse indicates that additional teaching is needed? "I
will assess my patient regularly for pain and anxiety." "An
inflammatory response is necessary for the body to begin the
healing process."
2|P age
, 3
3|Page
"The severity of my patient's burns is a result of the
temperature of the burning agent and the contact time." "I
will check my patient hourly to make sure that he does not
experience an inflammatory response from his burns." -
Correct Answer-"I will check my patient hourly to make sure
that he does not experience an inflammatory response from
his burns."
An inflammatory response is expected after a
burn injury and is necessary for the healing
process to
additional begin.
teaching Thethe
about nursing student
role of an needsresponse
inflammatory
in the healing process.
Question 4 of 6
A nurseburn
thermal is caring for a symptom
injury. Which patient with a first-degree
can the
nurse expect to see on assessment?
Insensitivity to pain Cherry-
red skin color Blanching with
pressure
Edema of surrounding tissue - Correct Answer- Blanching with
pressure
3|P age
, 4
4|Page
Blanching with pressure is an expected clinical
manifestation of a partial-thickness superficial (first-
degree) thermal burn injury.
Question 5 of 6
What is the proper classification for a thermal burn involving
only the epidermis and superficial structures of the dermis?
Superficial burn Deep
tissue burn Full-
thickness burn
Partial-thickness burn - Correct Answer-Partial- thickness
burn A partial-thickness burn involves the epidermis and the
superficial structures of the dermis.
Question 6 of 6
When calculating the total body surface area (TBSA) affected
by a burn, the nurse knows that the Lund-Browder chart is
considered more accurate than the rule of nines for which
reason? The rule of nines does not include burns to the chest
in calculation of TBSA.
4|P age
BSN 266 SHERPATH TEST (REVIEW
HESI) | 100% CORRECT SOLUTIONS |
COMPLETE STUDY GUIDE | GRADED A+
1|Page
Overview of Burn Injuries:
A nurse is caring for a patient who spilled boiling soup on her
legs. Which type of burn will the nurse see?
Thermal Electrical
Chemical
Smoke inhalation - Correct Answer-Thermal Thermal burns
are caused by flame, flash, scald, or contact with hot objects
(such as boiling soup).
Question 2 of 6
A family member of a patient with a severe facial burn asks the
nurse why the patient's face is swollen. Which statement made
by the nurse is appropriate?
"Swelling is an expected inflammatory response of the body
to a burn injury."
1|P age
, 2
2|Page
"Swelling occurs when a person is allergic to the substance
that caused the burn."
of
"Moderate swelling
the pain medications is an
we are expected side effect
giving."
"Some swelling is expected during treatment
because the patient has been lying down and
resting." - Correct Answer"Swelling is an expected
inflammatory response of the body to a burn
injury."
Swelling is expected after a burn injury because of increased
capillary permeability, which results in leakage of fluids and
electrolytes into the interstitial.
Question 3 of 6
A student nurse is caring for a patient with severe thermal
burns. Which statement made by the student nurse to the
charge nurse indicates that additional teaching is needed? "I
will assess my patient regularly for pain and anxiety." "An
inflammatory response is necessary for the body to begin the
healing process."
2|P age
, 3
3|Page
"The severity of my patient's burns is a result of the
temperature of the burning agent and the contact time." "I
will check my patient hourly to make sure that he does not
experience an inflammatory response from his burns." -
Correct Answer-"I will check my patient hourly to make sure
that he does not experience an inflammatory response from
his burns."
An inflammatory response is expected after a
burn injury and is necessary for the healing
process to
additional begin.
teaching Thethe
about nursing student
role of an needsresponse
inflammatory
in the healing process.
Question 4 of 6
A nurseburn
thermal is caring for a symptom
injury. Which patient with a first-degree
can the
nurse expect to see on assessment?
Insensitivity to pain Cherry-
red skin color Blanching with
pressure
Edema of surrounding tissue - Correct Answer- Blanching with
pressure
3|P age
, 4
4|Page
Blanching with pressure is an expected clinical
manifestation of a partial-thickness superficial (first-
degree) thermal burn injury.
Question 5 of 6
What is the proper classification for a thermal burn involving
only the epidermis and superficial structures of the dermis?
Superficial burn Deep
tissue burn Full-
thickness burn
Partial-thickness burn - Correct Answer-Partial- thickness
burn A partial-thickness burn involves the epidermis and the
superficial structures of the dermis.
Question 6 of 6
When calculating the total body surface area (TBSA) affected
by a burn, the nurse knows that the Lund-Browder chart is
considered more accurate than the rule of nines for which
reason? The rule of nines does not include burns to the chest
in calculation of TBSA.
4|P age
