NURS 241- Violence, Human trafficking,
& Burns Exam Questions With Correct
Answers
A patient experienced a 50% deep partial thickness burn injury five days ago. The
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nurse anticipates performing which of the following interventions to prevent
| | | | | | | | | |
complications at this stage of the burn injury? | | | | | | |
1) Apply topical antimicrobial ointments to the burned areas.
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2) Administer antibiotics via intraosseus infusion.
| | | | |
3) Administer 1000 mls of normal saline per hour.
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4) Restrict calories to prevent acidosis. - CORRECT ANSWER✔✔-1) Apply topical
| | | | | | | | | | |
antimicrobial ointments to the burned areas. | | | | |
*Yes. This is likely the acute phase, when wound care will be occurring. Applying
| | | | | | | | | | | | | |
topical antibiotics are a good way to prevent localized infection and also to 'cover'
| | | | | | | | | | | | |
the burned area.
| | |
The nurse knows that which of the following plans of care for the rehabilitative
| | | | | | | | | | | | | |
phase is the most appropriate?
| | | |
1) Positioning to prevent extension, psychiatric support, diet consult for nutrition,
| | | | | | | | | |
dressing changes twice daily
| | | |
2) Positioning to prevent flexion, psychiatric support, diet consult for nutrition,
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dressing changes twice daily| | |
3) Positioning to prevent extension, psychiatric support, diet consult for nutrition,
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dressing changes 6 times daily
| | | | |
,4) Positioning to prevent flexion, psychiatric support, diet consult for nutrition,
| | | | | | | | | | |
dressing changes 6 times daily - CORRECT ANSWER✔✔-2) Positioning to prevent
| | | | | | | | | | |
flexion, psychiatric support, diet consult for nutrition, dressing changes twice
| | | | | | | | | |
daily
*Yes. We do want to prevent flexion. This prevents contractures that may need
| | | | | | | | | | | | |
surgical revision. The diet and psychiatric consultation is fine, and the amount of
| | | | | | | | | | | | |
dressing changes seems about right, depending on the patient.
| | | | | | | |
The "Rule of Nines" helps assess the extent of a burn as well as to calculate fluid
| | | | | | | | | | | | | | | | |
replacement needs and severity risk. If your patient sustained burns to: all of the
| | | | | | | | | | | | | |
posterior trunk, the whole back of the right leg and both sides/all of the right
| | | | | | | | | | | | | | |
arm, what percentage of the body is burned?
| | | | | | |
1) 45%
|
2) 31.5%
|
3) 36%
|
4) 40.5% - CORRECT ANSWER✔✔-3) 36%
| | | | |
*This is a fairly straightforward addition of the areas burned and their
| | | | | | | | | | | |
percentages. You should have included full percentages for each area, as it stated
| | | | | | | | | | | |
"all of" each area was involved. If only half of the anterior leg was involved, say
| | | | | | | | | | | | | | | | |
the knee to the toes on one side/anterior you would only count 4.5% instead of
| | | | | | | | | | | | | | |
9%.
The nurse is caring for a patient who is in shock following an extensive burn
| | | | | | | | | | | | | | |
injury. What is the intravenous fluid of choice for this patient in the emergent
| | | | | | | | | | | | | |
phase of treatment? | |
,1) 5% Dextrose in saline
| | | |
2) 0.9 % normal saline
| | | |
3) Lactated Ringers
| |
4) Plasma - CORRECT ANSWER✔✔-3) Lactated Ringers
| | | | | |
*Yes. This is the fluid of choice. You get a gold star!
| | | | | | | | | | |
The nurse is caring for a burn victim who presents with singed eyebrows and
| | | | | | | | | | | | | |
visible soot in the nostrils and hard palate. The paramedics report that the
| | | | | | | | | | | | |
patient fell asleep while smoking. Which assessment finding(s) below would most
| | | | | | | | | |
alert the nurse to the patient's worsening condition?
| | | | | | | |
1) Crackles, cough and restlessness
| | | |
2) Increased CVP, peripheral edema; increased girth measurement
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3) Low grade fever, hypoglycemia and hypoactive bowel sounds
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4) Increased temperature, diuresis, decreased HCT - CORRECT ANSWER✔✔-1)
| | | | | | | | |
Crackles, cough and restlessness| | |
*Yes. These symptoms most connect with airway or inhalation injury.
| | | | | | | | |
What can cause a burn? Match the type of burn with either 1) Drano Max Gel
| | | | | | | | | | | | | | | |
Ultra, 2) Sunlight, 3) Fixing a breaker box 4) House fire
| | | | | | | | | |
____Thermal
____Chemical
____Radiation
____Electrical - CORRECT ANSWER✔✔-__4__Thermal | | |
, __1__Chemical
__2__Radiation
__3__Electrical
Fluid resuscitation for the patient with a major burn is based on a specific formula
| | | | | | | | | | | | | |
|for the first 24 hours after the burn injury: 4 mL x % of burn X weight (kg). The
| | | | | | | | | | | | | | | | | | |
patient weighs 175 lbs and is burned on 35% of his body. Calculate the hourly
| | | | | | | | | | | | | | |
fluid rate for the first 8 hours. Round to the nearest whole number._________
| | | | | | | | | | | | |
mls/hour - CORRECT ANSWER✔✔-Answer: 696 | | | |
The nurse is caring for a patient who sustained deep partial thickness burns over
| | | | | | | | | | | | | |
67% of his body 4 days ago and is now in critical condition with the complication
| | | | | | | | | | | | | | | |
of DIC. Clinical manifestations of DIC include:
| | | | | |
1) Petechiae; oozing of blood from multiple sites; hypovolemia
| | | | | | | |
2) Loss of massive amounts of interstitial fluid due to loss of skin surface
| | | | | | | | | | | | |
3) Third space phenomenon; fluid collects in abdominal cavity causing
| | | | | | | | | |
hypovolemia
4) Small, focal areas of redness and edema in the most distal parts of the body -
| | | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-1) Petechiae; oozing of blood from multiple sites;
| | | | | | | | |
hypovolemia
*Yes. This describes DIC.
| | |
What does a 1st degree burn look like? - CORRECT ANSWER✔✔-Superficial
| | | | | | | | | | |
Thickness Burn; top layers reddened, looks like a sunburn; painful, NOT
| | | | | | | | | | |
BLISTERED
& Burns Exam Questions With Correct
Answers
A patient experienced a 50% deep partial thickness burn injury five days ago. The
| | | | | | | | | | | | | |
nurse anticipates performing which of the following interventions to prevent
| | | | | | | | | |
complications at this stage of the burn injury? | | | | | | |
1) Apply topical antimicrobial ointments to the burned areas.
| | | | | | | |
2) Administer antibiotics via intraosseus infusion.
| | | | |
3) Administer 1000 mls of normal saline per hour.
| | | | | | | |
4) Restrict calories to prevent acidosis. - CORRECT ANSWER✔✔-1) Apply topical
| | | | | | | | | | |
antimicrobial ointments to the burned areas. | | | | |
*Yes. This is likely the acute phase, when wound care will be occurring. Applying
| | | | | | | | | | | | | |
topical antibiotics are a good way to prevent localized infection and also to 'cover'
| | | | | | | | | | | | |
the burned area.
| | |
The nurse knows that which of the following plans of care for the rehabilitative
| | | | | | | | | | | | | |
phase is the most appropriate?
| | | |
1) Positioning to prevent extension, psychiatric support, diet consult for nutrition,
| | | | | | | | | |
dressing changes twice daily
| | | |
2) Positioning to prevent flexion, psychiatric support, diet consult for nutrition,
| | | | | | | | | | |
dressing changes twice daily| | |
3) Positioning to prevent extension, psychiatric support, diet consult for nutrition,
| | | | | | | | | |
dressing changes 6 times daily
| | | | |
,4) Positioning to prevent flexion, psychiatric support, diet consult for nutrition,
| | | | | | | | | | |
dressing changes 6 times daily - CORRECT ANSWER✔✔-2) Positioning to prevent
| | | | | | | | | | |
flexion, psychiatric support, diet consult for nutrition, dressing changes twice
| | | | | | | | | |
daily
*Yes. We do want to prevent flexion. This prevents contractures that may need
| | | | | | | | | | | | |
surgical revision. The diet and psychiatric consultation is fine, and the amount of
| | | | | | | | | | | | |
dressing changes seems about right, depending on the patient.
| | | | | | | |
The "Rule of Nines" helps assess the extent of a burn as well as to calculate fluid
| | | | | | | | | | | | | | | | |
replacement needs and severity risk. If your patient sustained burns to: all of the
| | | | | | | | | | | | | |
posterior trunk, the whole back of the right leg and both sides/all of the right
| | | | | | | | | | | | | | |
arm, what percentage of the body is burned?
| | | | | | |
1) 45%
|
2) 31.5%
|
3) 36%
|
4) 40.5% - CORRECT ANSWER✔✔-3) 36%
| | | | |
*This is a fairly straightforward addition of the areas burned and their
| | | | | | | | | | | |
percentages. You should have included full percentages for each area, as it stated
| | | | | | | | | | | |
"all of" each area was involved. If only half of the anterior leg was involved, say
| | | | | | | | | | | | | | | | |
the knee to the toes on one side/anterior you would only count 4.5% instead of
| | | | | | | | | | | | | | |
9%.
The nurse is caring for a patient who is in shock following an extensive burn
| | | | | | | | | | | | | | |
injury. What is the intravenous fluid of choice for this patient in the emergent
| | | | | | | | | | | | | |
phase of treatment? | |
,1) 5% Dextrose in saline
| | | |
2) 0.9 % normal saline
| | | |
3) Lactated Ringers
| |
4) Plasma - CORRECT ANSWER✔✔-3) Lactated Ringers
| | | | | |
*Yes. This is the fluid of choice. You get a gold star!
| | | | | | | | | | |
The nurse is caring for a burn victim who presents with singed eyebrows and
| | | | | | | | | | | | | |
visible soot in the nostrils and hard palate. The paramedics report that the
| | | | | | | | | | | | |
patient fell asleep while smoking. Which assessment finding(s) below would most
| | | | | | | | | |
alert the nurse to the patient's worsening condition?
| | | | | | | |
1) Crackles, cough and restlessness
| | | |
2) Increased CVP, peripheral edema; increased girth measurement
| | | | | | |
3) Low grade fever, hypoglycemia and hypoactive bowel sounds
| | | | | | | |
4) Increased temperature, diuresis, decreased HCT - CORRECT ANSWER✔✔-1)
| | | | | | | | |
Crackles, cough and restlessness| | |
*Yes. These symptoms most connect with airway or inhalation injury.
| | | | | | | | |
What can cause a burn? Match the type of burn with either 1) Drano Max Gel
| | | | | | | | | | | | | | | |
Ultra, 2) Sunlight, 3) Fixing a breaker box 4) House fire
| | | | | | | | | |
____Thermal
____Chemical
____Radiation
____Electrical - CORRECT ANSWER✔✔-__4__Thermal | | |
, __1__Chemical
__2__Radiation
__3__Electrical
Fluid resuscitation for the patient with a major burn is based on a specific formula
| | | | | | | | | | | | | |
|for the first 24 hours after the burn injury: 4 mL x % of burn X weight (kg). The
| | | | | | | | | | | | | | | | | | |
patient weighs 175 lbs and is burned on 35% of his body. Calculate the hourly
| | | | | | | | | | | | | | |
fluid rate for the first 8 hours. Round to the nearest whole number._________
| | | | | | | | | | | | |
mls/hour - CORRECT ANSWER✔✔-Answer: 696 | | | |
The nurse is caring for a patient who sustained deep partial thickness burns over
| | | | | | | | | | | | | |
67% of his body 4 days ago and is now in critical condition with the complication
| | | | | | | | | | | | | | | |
of DIC. Clinical manifestations of DIC include:
| | | | | |
1) Petechiae; oozing of blood from multiple sites; hypovolemia
| | | | | | | |
2) Loss of massive amounts of interstitial fluid due to loss of skin surface
| | | | | | | | | | | | |
3) Third space phenomenon; fluid collects in abdominal cavity causing
| | | | | | | | | |
hypovolemia
4) Small, focal areas of redness and edema in the most distal parts of the body -
| | | | | | | | | | | | | | | | |
CORRECT ANSWER✔✔-1) Petechiae; oozing of blood from multiple sites;
| | | | | | | | |
hypovolemia
*Yes. This describes DIC.
| | |
What does a 1st degree burn look like? - CORRECT ANSWER✔✔-Superficial
| | | | | | | | | | |
Thickness Burn; top layers reddened, looks like a sunburn; painful, NOT
| | | | | | | | | | |
BLISTERED
