This Exam contains:
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2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct
answers
>contains 100 questions and answers with
rationales
Burn NCLEX QUESTIONS AND Answers
ALL 100%
VERIFIED
,lOMoARcPSD|36545188
1. A nurse is caring for a client who has full-thickness burns covering 63%
of her body and smoke inhalation. Which of the following nursing actions is
top priority?
A. Monitor intake and output
B. Administer antibiotics
C. Monitor respiratory status
D. Encourage fluid and food intake
Correct Answer is C. Monitor Respiratory Status
The priority action for the nurse when using airway, breathing, and
circulation (ABC) approach to client care is to monitor the client’s
respiratory status closely. Smoke inhalation most likely includes a thermal
injury to the tracheobronchial tree. Edema from the inflammatory
response to heat can obstruct the airway. Endotracheal intubation may
become necessary to maintain a patient airway.
Incorrect Answers
A. The nurse should monitor the client’s intake and output because
clients who have sustained major burns quickly dehydrate as a
result of the fluid shift from the vascular system into the
interstitial space; however, another action is the priority.
B. Infection is serious health risk for clients who sustained major
burns, and antibiotic therapy is probable; however, another action
is the priority.
C. Nutritional support is essential for clients who sustained major
burns, although they might receive nutrients via IV or enteral tube
initially; another action is the priority
, 2. A nurse is planning care for a client who has deep partial-
thickness and full-thickness thermal burns over 40% of his total
body surface and is in the acute phase of burn injury.
Which of the following interventions should the nurse include in the
plan?
A. Initiate range of motion exercises
B. Use clean technique to provide wound care
C. Place the client on low protein diet
D. Maintain the client on bed rest
Correct Answer: A. Initiate range of motion exercises
The nurse should begin performing active and passive range of
motion exercises with the client to maintain mobility and prevent
contractures. Incorrect Answers:
B. The nurse should use sterile technique to provide wound
care for this client to reduce the risk of infection.
C. The nurse should place the client on a high-protein, high-
calorie diet to promote wound healing.
D. The nurse should encourage the client to ambulate
frequently to promote mobility and improve ventilation.
3. A nurse is caring for an adolescent client who has burn
wounds on her face and hands.
Which of the following statements by the client indicates that she has
adapted to her changed body image?
A. “May I go with my family to visitor’s lounge?”
, B. “I’ll see my friends when I get home”
C. “My dad is coming to visit me. Can you fix my hair for me?”
D. “I told my cousins I’m in protective custody.”
Correct Answer: A. “May I go with my family to the lounge?”
Incorrect Answers:
B. This statement indicates that the client does not feel
comfortable being seen by her peer group. Since peer interaction
is important to an adolescent, the client's statement shows that
she has not accepted the alterations in her face and hands.
C. Asking for assistance with her appearance indicates the
client has not yet accepted or adapted to her changed body image.
Encouraging the client’s participation in self-care activities is a
suggested nursing intervention because the independence fosters
self-worth and a positive self-image.
D. This statement indicates that the client does not feel
comfortable being seen by her extended family. It demonstrates an
attempt to escape from interpersonal contact and indicates that
the client has not accepted the alterations in her face and hands.
100% Guarantee Pass.
2025\2026 update
Multiple-Choice questions.
Each Question Includes The Correct
answers
>contains 100 questions and answers with
rationales
Burn NCLEX QUESTIONS AND Answers
ALL 100%
VERIFIED
,lOMoARcPSD|36545188
1. A nurse is caring for a client who has full-thickness burns covering 63%
of her body and smoke inhalation. Which of the following nursing actions is
top priority?
A. Monitor intake and output
B. Administer antibiotics
C. Monitor respiratory status
D. Encourage fluid and food intake
Correct Answer is C. Monitor Respiratory Status
The priority action for the nurse when using airway, breathing, and
circulation (ABC) approach to client care is to monitor the client’s
respiratory status closely. Smoke inhalation most likely includes a thermal
injury to the tracheobronchial tree. Edema from the inflammatory
response to heat can obstruct the airway. Endotracheal intubation may
become necessary to maintain a patient airway.
Incorrect Answers
A. The nurse should monitor the client’s intake and output because
clients who have sustained major burns quickly dehydrate as a
result of the fluid shift from the vascular system into the
interstitial space; however, another action is the priority.
B. Infection is serious health risk for clients who sustained major
burns, and antibiotic therapy is probable; however, another action
is the priority.
C. Nutritional support is essential for clients who sustained major
burns, although they might receive nutrients via IV or enteral tube
initially; another action is the priority
, 2. A nurse is planning care for a client who has deep partial-
thickness and full-thickness thermal burns over 40% of his total
body surface and is in the acute phase of burn injury.
Which of the following interventions should the nurse include in the
plan?
A. Initiate range of motion exercises
B. Use clean technique to provide wound care
C. Place the client on low protein diet
D. Maintain the client on bed rest
Correct Answer: A. Initiate range of motion exercises
The nurse should begin performing active and passive range of
motion exercises with the client to maintain mobility and prevent
contractures. Incorrect Answers:
B. The nurse should use sterile technique to provide wound
care for this client to reduce the risk of infection.
C. The nurse should place the client on a high-protein, high-
calorie diet to promote wound healing.
D. The nurse should encourage the client to ambulate
frequently to promote mobility and improve ventilation.
3. A nurse is caring for an adolescent client who has burn
wounds on her face and hands.
Which of the following statements by the client indicates that she has
adapted to her changed body image?
A. “May I go with my family to visitor’s lounge?”
, B. “I’ll see my friends when I get home”
C. “My dad is coming to visit me. Can you fix my hair for me?”
D. “I told my cousins I’m in protective custody.”
Correct Answer: A. “May I go with my family to the lounge?”
Incorrect Answers:
B. This statement indicates that the client does not feel
comfortable being seen by her peer group. Since peer interaction
is important to an adolescent, the client's statement shows that
she has not accepted the alterations in her face and hands.
C. Asking for assistance with her appearance indicates the
client has not yet accepted or adapted to her changed body image.
Encouraging the client’s participation in self-care activities is a
suggested nursing intervention because the independence fosters
self-worth and a positive self-image.
D. This statement indicates that the client does not feel
comfortable being seen by her extended family. It demonstrates an
attempt to escape from interpersonal contact and indicates that
the client has not accepted the alterations in her face and hands.
