Burns - CEN Review

39 Questions | Total Attempts: 734

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Burns - CEN Review

Burns - CEN Review questions about burns and electrocution.


Questions and Answers
  • 1. 
    The largest organ of the body:
    • A. 

      Brain

    • B. 

      Liver

    • C. 

      Skin

    • D. 

      Lungs

  • 2. 
    Four functions of the skin that are crucial to life:(may choose more than one)
    • A. 

      Maintains auto-regulation of capillary endothelium, maintains normal pokilothermic response

    • B. 

      Prevention of loss of body fluid, regulation of temperature

    • C. 

      Protection from infection and injury, sensory contact with the environment

    • D. 

      Prevents injury from trauma, allows heat to be absorbed via pores

  • 3. 
    Major functions of the skin: (may choose more than one)
    • A. 

      Metabolic

    • B. 

      Immunologic

    • C. 

      Social and Interactive

  • 4. 
    Sebum has antibacterial qualities and :
    • A. 

      Absorbs topical bacteria through natural desquamation

    • B. 

      Helps shed topical bacteria through natural desquamation

  • 5. 
    A metabolic process of skin is to:
    • A. 

      Breakdown vitamin B

    • B. 

      Produce vitamin D

    • C. 

      Produce vitamin B

    • D. 

      Breakdown vitamin D

  • 6. 
    The thinnest skin on the body is:
    • A. 

      Lips

    • B. 

      Eyelids

    • C. 

      Neck

  • 7. 
    Types of burns:(may choose more than one)
    • A. 

      Convection

    • B. 

      Radiation

    • C. 

      Chemical

    • D. 

      Electrical

    • E. 

      Thermal

  • 8. 
    Partial thickness burns include: (may choose more than one)
    • A. 

      First degree

    • B. 

      Second degree

    • C. 

      Third degree

    • D. 

      Fourth degree

  • 9. 
    Pain, dry red skin, no blisters, involves epidermis, describes which type of burn:(may choose more than one)
    • A. 

      First degree

    • B. 

      Second degree

    • C. 

      Partial thickness

    • D. 

      Third degree

  • 10. 
    Painful blisters, appears moist, red, mottled, involves epidermis and part of the dermal layer, describes which type of burn:(may choose more than one)
    • A. 

      Second degree

    • B. 

      Third degree

    • C. 

      Full thickness

    • D. 

      Partial thickness

  • 11. 
    Full thickness burns include:(may choose more than one)
    • A. 

      Third degree

    • B. 

      Fourth degree

    • C. 

      Partial thickness with blistered eschar

    • D. 

      Second degree with open blisters

  • 12. 
    An insensate burn involves:(may choose more than one)
    • A. 

      Dermis

    • B. 

      Subcutaneous tissue

    • C. 

      Muscle

    • D. 

      Bone

  • 13. 
    Characteristics of burns that require referral to a burn center: (may choose more than one)
    • A. 

      Partial thickness >5% of TBSA

    • B. 

      Burns involving face, hands, feet, genitalia, perineum, major joints

    • C. 

      Any third degree burn

    • D. 

      Electrical burns including lightning strikes, chemical, inhalation, concomitant trauma and/or pre-existing medical conditions

    • E. 

      Any second degree burn

  • 14. 
    Methods of calculating % BSA burned include: (may choose more than one)
    • A. 

      Fowler's ratio

    • B. 

      Rule of Nines

    • C. 

      Lund and Browder's rule

    • D. 

      Palm of hand = 1/2% TBSA

    • E. 

      ABA burn map

  • 15. 
    The rule of nines:(may choose more than one)
    • A. 

      Various anatomical regions represent 9% or a multiple of 9% of TBSA

    • B. 

      Adults and children are scored on the same scale

    • C. 

      The pediatric score deviates from the adult score because of the large surface area of the child's head

    • D. 

      Is rarely used to assess the extent of burn injury

  • 16. 
    Flame, flash, contact, scald are the causes of this type of burn:
    • A. 

      Chemical

    • B. 

      Electrical

    • C. 

      Thermal

    • D. 

      Radiation

  • 17. 
    Age groups at high risk for scald injuries:(may choose more than one)
    • A. 

    • B. 

      5-10 years old

    • C. 

      >65 years old

  • 18. 
    The depth of the thermal burn injury is determined by:(may choose more than one)
    • A. 

      The temperature of the skin

    • B. 

      The duration of contact with the burning agent

    • C. 

      The temperature of the burning agent

    • D. 

      The difference between the time of initial contact of the burning agent and the temperature of the skin

  • 19. 
    Burn shock may cause:(may choose more than one)
    • A. 

      Hypovolemia: intra-vascular/extracellular

    • B. 

      Decreased cardiac index and peripheral blood flow

    • C. 

      Oliguria

    • D. 

      Fluid shift from interstitial to vascular space

    • E. 

      Increased peripheral blood flow

  • 20. 
    Burn shock can simply be categorized as hypovolemia.
    • A. 

      True

    • B. 

      False

  • 21. 
    Order of priorities of burn resuscitation:a. secondary survey: head to toe assessment, r/o other injuriesb. estimate extent of injuryc. plan and calculate fluid resuscitationd. ABCs
    • A. 

      A, b, c, d

    • B. 

      B, a, c, d

    • C. 

      D, a, b, c

    • D. 

      D, a, c, b

  • 22. 
    This formula is used to calculate IV fluid resuscitation for burn patients:
    • A. 

      Rule of Nines

    • B. 

      Parkland formula (consensus formula)

    • C. 

      Eppley formula (ratio formula)

  • 23. 
    The Parkland formula (consensus) calculates fluid resuscitation requirements for adults and children with burns by:(may choose more than one)
    • A. 

      Adults = 2-4 ml LR x kg x %TBSA

    • B. 

      Adults and children = 4 ml D5W x kg x TBSA

    • C. 

      Children = 3-4 ml LR x kg x %TBSA (may require additional dextrose solution)

    • D. 

      Adults and children = 1 L LR bolus q 4 H x 8 hrs

  • 24. 
    What is the IV crystalloid of choice for burns?
    • A. 

      Normal Saline

    • B. 

      D5W

    • C. 

      Lactated Ringers

    • D. 

      NS 0.45

  • 25. 
    Fluid resuscitation is not generally indicated for patients with burn injuries involving <15-20% of TBSA.
    • A. 

      True

    • B. 

      False