Burns Nursing care Quiz

60 Questions | Total Attempts: 4820

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Burns Nursing care Quiz - Quiz

Burns can be fatal or lead to many bacterial and other related infections. This quiz on burns nursing care teaches you how to take care of burns, what method to follow, how to treat a burn patient, and what initial medications and therapy help mitigate and contain the burn and its physical and mental side effects. If you like the quiz, share it with your friends and family. All the best!


Questions and Answers
  • 1. 
    The newly admitted client has a large burned area on the right arm. The burned area appears red, has blisters, and is very painful. How should this injury be categorized?
    • A. 

      Full thickness

    • B. 

      Partial-thickness deep

    • C. 

      Partial-thickness superficial

    • D. 

      Superficial

  • 2. 
    Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?
    • A. 

      Vitamin A

    • B. 

      Vitamin B

    • C. 

      Vitamin C

    • D. 

      Vitamin D

  • 3. 
    At what point after a burn injury should the nurse be most alert for the complication of hypokalemia?
    • A. 

      Immediately following the injury

    • B. 

      During the fluid shift

    • C. 

      During fluid remobilization

    • D. 

      During the late acute phase

  • 4. 
    What clinical manifestation should alert the nurse to possible carbon monoxide poisoning in a client who experienced a burn injury during a house fire?    
    • A. 

      Pulse oximetry reading of 80%

    • B. 

      Expiratory stridor and nasal flaring

    • C. 

      Cherry red color to the mucous membranes

    • D. 

      Presence of carbonaceous particles in the sputum

  • 5. 
    What additional laboratory test should be performed on any African American client who sustains a serious burn injury?    
    • A. 

      Total protein

    • B. 

      Tissue type antigens

    • C. 

      Prostate specific antigen

    • D. 

      Hemoglobin S electrophoresis

  • 6. 
    Which type of fluid should the nurse expect to prepare and administer as fluid resuscitation during the emergent phase of burn recovery?      
    • A. 

      Colloids

    • B. 

      Crystalloids

    • C. 

      Fresh-frozen plasma

    • D. 

      Packed red blood cells

  • 7. 
    On admission to the emergency department the burned client's blood pressure is 90/60, with an apical pulse rate of 122. These findings are an expected result of what thermal injury–related response?      
    • A. 

      Fluid shift

    • B. 

      Intense pain

    • C. 

      Hemorrhage

    • D. 

      Carbon monoxide poisoning

  • 8. 
    What is the priority nursing diagnosis during the first 24 hours for a client with full-thickness chemical burns on the anterior neck, chest, and all surfaces of the left arm?    
    • A. 

      Risk for Ineffective Breathing Pattern

    • B. 

      Decreased Tissue Perfusion

    • C. 

      Risk for Disuse Syndrome

    • D. 

      Disturbed Body Image

  • 9. 
    All of the following laboratory test results on a burned client's blood are present during the emergent phase. Which result should the nurse report to the physician immediately?      
    • A. 

      Serum sodium elevated to 131 mmol/L (mEq/L)

    • B. 

      Serum potassium 7.5 mmol/L (mEq/L)

    • C. 

      Arterial pH is 7.32

    • D. 

      Hematocrit is 52%

  • 10. 
    The client has experienced an electrical injury, with the entrance site on the left hand and the exit site on the left foot. What are the priority assessment data to obtain from this client on admission?    
    • A. 

      Airway patency

    • B. 

      Heart rate and rhythm

    • C. 

      Orientation to time, place, and person

    • D. 

      Current range of motion in all extremities

  • 11. 
     In assessing the client's potential for an inhalation injury as a result of a flame burn, what is the most important question to ask the client on admission?    
    • A. 

      “Are you a smoker?”

    • B. 

      “When was your last chest x-ray?”

    • C. 

      “Have you ever had asthma or any other lung problem?”

    • D. 

      “In what exact place or space were you when you were burned?”

  • 12. 
    The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?      
    • A. 

      Seasonal asthma

    • B. 

      Hepatitis B 10 years ago

    • C. 

      Myocardial infarction 1 year ago

    • D. 

      Kidney stones within the last 6 month

  • 13. 
    Which intervention is most important for the nurse to use to prevent infection by cross-contamination in the client who has open burn wounds?    
    • A. 

      Handwashing on entering the client's room

    • B. 

      Encouraging the client to cough and deep breathe

    • C. 

      Administering the prescribed tetanus toxoid vaccine

    • D. 

      Changing gloves between cleansing different burn areas

  • 14. 
    The client has severe burns around the right hip. Which position is most important to be emphasized by the nurse that the client maintain to retain maximum function of this joint?    
    • A. 

      Hip maintained in 30-degree flexion, no knee flexion

    • B. 

      Hip flexed 90 degrees and knee flexed 90 degrees

    • C. 

      Hip, knee, and ankle all at maximum flexion

    • D. 

      Hip at zero flexion with leg flat

  • 15. 
    During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations. Which manifestation indicates that the client is having an adverse reaction to this topical agent?    
    • A. 

      Increased wound pain 30 to 40 minutes after drug application

    • B. 

      Presence of small, pale pink bumps in the wound beds

    • C. 

      Decreased white blood cell count

    • D. 

      Increased serum creatinine level

  • 16. 
    When should ambulation be initiated in the client who has sustained a major burn?    
    • A. 

      When all full-thickness areas have been closed with skin grafts

    • B. 

      When the client's temperature has remained normal for 24 hours

    • C. 

      As soon as possible after wound debridement is complete

    • D. 

      As soon as possible after resolution of the fluid shift

  • 17. 
    What is the priority nursing diagnosis for a client in the rehabilitative phase of recovery from a burn injury?    
    • A. 

      Acute Pain

    • B. 

      Impaired Adjustment

    • C. 

      Deficient Diversional Activity

    • D. 

      Imbalanced Nutrition: Less than Body Requirements

  • 18. 
    When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority?  
    • A. 

      Ineffective airway clearance related to edema of the respiratory passages

    • B. 

      Impaired physical mobility related to the disease process

    • C. 

      Disturbed sleep pattern related to facility environment

    • D. 

      Risk for infection related to breaks in the skin

  • 19. 
    In a female client with burns on the legs, which nursing intervention helps prevent contractures?  
    • A. 

      Applying knee splints

    • B. 

      Elevating the foot of the bed

    • C. 

      Hyperextending the client’s palms

    • D. 

      Performing shoulder range-of-motion exercises

  • 20. 
    A female client is brought to the emergency department with second- and third-degree burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned?  
    • A. 

      18%

    • B. 

      27%

    • C. 

      30%

    • D. 

      36%

  • 21. 
    In an industrial accident, a male client that weighs 155 lb (70 kg) sustained full-thickness burns over 40% of his body. He’s in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?  
    • A. 

      A urine output consistently above 100 ml/hour

    • B. 

      A weight gain of 4 lb (2 kg) in 24 hours

    • C. 

      Body temperature readings all within normal limits

    • D. 

      An electrocardiogram (ECG) showing no arrhythmias

  • 22. 
    During the acute phase of a burn, the nurse in-charge should assess which of the following?  
    • A. 

      Client’s lifestyle

    • B. 

      Alcohol use

    • C. 

      Tobacco use

    • D. 

      Circulatory status

  • 23. 
    Nurse Jane formulates a nursing diagnosis of Impaired physical mobility for a client with third-degree burns on the lower portions of both legs. To complete the nursing diagnosis statement, the nurse should add which “related-to” phrase?  
    • A. 

      Related to fat emboli

    • B. 

      Related to infection

    • C. 

      Related to femoral artery occlusion

    • D. 

      Related to circumferential eschar

  • 24. 
    The nurse is assessing a male client admitted with second- and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?  
    • A. 

      Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg

    • B. 

      Urine output of 20 ml/hour

    • C. 

      White pulmonary secretions

    • D. 

      Rectal temperature of 100.6° F (38° C)

  • 25. 
    A 30-year-old homemaker fell asleep while smoking a cigarette. She sustained severe burns of the face,neck, anterior chest, and both arms and hands. Using the rule of nines, which is the best estimate of total body-surface area burned?   
    • A. 

      18%

    • B. 

      22%

    • C. 

      31%

    • D. 

      40%

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