BURNS NCLEX QUESTIONS LATEST 2024
WITH 30 QUESTIONS WITH DETAILED
RATIONALE I ALREADY GRADED A+
This quiz will test your knowledge on burns in preparation for the NCLEX exam.
QUESTION ONE
A patient who is being treated for partial thickness burns on 60% of the body is
now in the acute phase of burn management. The nurse assesses the patient for a
possible Curling's Ulcer. What signs and symptoms can present with this
condition?*
A. Swelling and pain on the area distal to the burn
B. Burning, gnawing sensation pain in the stomach and vomiting
C. Dark red or gray sores on the soles of the feet
D. Difficulty swallowing and gagging ANSWER- B. Burning, gnawing
sensation pain in the stomach and vomiting
Explanation: Curling's ulcer, also known as a stress ulcer, is a type of gastric ulcer
that can occur as a complication of severe burns. It is caused by reduced plasma
volume leading to ischemia and cell necrosis (sloughing) of the gastric mucosa.
The symptoms of a Curling's ulcer can include a burning or gnawing sensation in
the stomach, which may be accompanied by vomiting. This is because the ulcer is
located in the stomach, causing irritation and inflammation in this area. The other
options (A, C, and D) are not typical symptoms of a Curling's ulcer.
,QUESTION TWO
During the acute phase of burn management, what is the best diet for a patient
who has experienced severe burns?*
A. High fiber, low calories, and low protein
B. High calorie, high protein and carbohydrate
C. High potassium, high carbohydrate, and low protein
D. Low sodium, high protein, and restrict fluids to 1 liter per day
ANSWER- High calorie, high protein and carbohydrate
During the acute phase of burn management, a patient who has experienced
severe burns requires a high-calorie, high-protein, and high-carbohydrate diet.
This type of diet is essential for supporting the body's increased metabolic needs
during the healing process. High calories help provide energy for tissue repair,
high protein supports wound healing and immune function, and high
carbohydrates replenish glycogen stores that may be depleted due to the stress
response caused by the burns. It is important to provide these nutrients to
promote optimal recovery and prevent complications.
QUESTION THREE
You're assisting the nursing assistant with repositioning a patient with full-
thickness burns on the neck.
Which action by the nursing assistant requires you to intervene?*
A. The nursing assistant elevates the head of the bed above 30 degrees.
B. The nursing assistant places a pillow under the patient's head.
, C. The nursing assistant places rolled towels under the patient's shoulders.
D. The nursing assistant covers the patient with sterile linens. ANSWERS- The
nursing assistant elevates the head of the bed above 30 degrees.
Elevating the head of the bed above 30 degrees is contraindicated for a patient
with full-thickness burns on the neck. This position can compromise the airway
and lead to further injury or complications. It is essential to keep the patient's
neck in a neutral position to prevent any additional harm.
QUESTION FOUR
A patient has full-thickness burns on the front and back of both arm and hands. It
is nursing priority to:*
A. Elevate and extend the extremities
B. Elevate and flex the extremities
C. Keep extremities below heart level and extended
D. Keep extremities level with the heart level and flexed ANSWERS - A.
Elevate and extend the extremities
Explanation: In the case of full-thickness burns, it is crucial to elevate and extend
the extremities. Elevation helps to reduce swelling and improve circulation, which
can be impaired due to the constriction caused by the eschar (the tough leathery
tissue remaining after a full-thickness burn). Extension of the extremities is
important to prevent contractures (permanent shortening of the muscle or joint),
which can occur as a result of the loss of elasticity in the burned tissue. This is a
standard nursing intervention for patients with burns on their extremities.
QUESTION FIVE
WITH 30 QUESTIONS WITH DETAILED
RATIONALE I ALREADY GRADED A+
This quiz will test your knowledge on burns in preparation for the NCLEX exam.
QUESTION ONE
A patient who is being treated for partial thickness burns on 60% of the body is
now in the acute phase of burn management. The nurse assesses the patient for a
possible Curling's Ulcer. What signs and symptoms can present with this
condition?*
A. Swelling and pain on the area distal to the burn
B. Burning, gnawing sensation pain in the stomach and vomiting
C. Dark red or gray sores on the soles of the feet
D. Difficulty swallowing and gagging ANSWER- B. Burning, gnawing
sensation pain in the stomach and vomiting
Explanation: Curling's ulcer, also known as a stress ulcer, is a type of gastric ulcer
that can occur as a complication of severe burns. It is caused by reduced plasma
volume leading to ischemia and cell necrosis (sloughing) of the gastric mucosa.
The symptoms of a Curling's ulcer can include a burning or gnawing sensation in
the stomach, which may be accompanied by vomiting. This is because the ulcer is
located in the stomach, causing irritation and inflammation in this area. The other
options (A, C, and D) are not typical symptoms of a Curling's ulcer.
,QUESTION TWO
During the acute phase of burn management, what is the best diet for a patient
who has experienced severe burns?*
A. High fiber, low calories, and low protein
B. High calorie, high protein and carbohydrate
C. High potassium, high carbohydrate, and low protein
D. Low sodium, high protein, and restrict fluids to 1 liter per day
ANSWER- High calorie, high protein and carbohydrate
During the acute phase of burn management, a patient who has experienced
severe burns requires a high-calorie, high-protein, and high-carbohydrate diet.
This type of diet is essential for supporting the body's increased metabolic needs
during the healing process. High calories help provide energy for tissue repair,
high protein supports wound healing and immune function, and high
carbohydrates replenish glycogen stores that may be depleted due to the stress
response caused by the burns. It is important to provide these nutrients to
promote optimal recovery and prevent complications.
QUESTION THREE
You're assisting the nursing assistant with repositioning a patient with full-
thickness burns on the neck.
Which action by the nursing assistant requires you to intervene?*
A. The nursing assistant elevates the head of the bed above 30 degrees.
B. The nursing assistant places a pillow under the patient's head.
, C. The nursing assistant places rolled towels under the patient's shoulders.
D. The nursing assistant covers the patient with sterile linens. ANSWERS- The
nursing assistant elevates the head of the bed above 30 degrees.
Elevating the head of the bed above 30 degrees is contraindicated for a patient
with full-thickness burns on the neck. This position can compromise the airway
and lead to further injury or complications. It is essential to keep the patient's
neck in a neutral position to prevent any additional harm.
QUESTION FOUR
A patient has full-thickness burns on the front and back of both arm and hands. It
is nursing priority to:*
A. Elevate and extend the extremities
B. Elevate and flex the extremities
C. Keep extremities below heart level and extended
D. Keep extremities level with the heart level and flexed ANSWERS - A.
Elevate and extend the extremities
Explanation: In the case of full-thickness burns, it is crucial to elevate and extend
the extremities. Elevation helps to reduce swelling and improve circulation, which
can be impaired due to the constriction caused by the eschar (the tough leathery
tissue remaining after a full-thickness burn). Extension of the extremities is
important to prevent contractures (permanent shortening of the muscle or joint),
which can occur as a result of the loss of elasticity in the burned tissue. This is a
standard nursing intervention for patients with burns on their extremities.
QUESTION FIVE
