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Burns Nclex Questions
ATI Medical-Surgical (101)
Rasmussen University
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Burns NCLEX Questions
This quiz will test your knowledge on burns in preparation for the NCLEX exam.
● 1. A 65 year old male patient has experienced full-thickness electrical burns on the legs and arms. As the nurse you know this patient is at risk for the following: Select all that apply:* o A. Acute kidney injury
o B. Dysrhythmia
o C. Iceberg effect
o D. Hypernatremia
o E. Bone fractures
o F. Fluid volume overload
● 2. True or False: A patient who experiences an alkali chemical burn is easier to treat because the skin will neutralize the chemical rather than with an acidic chemical burn.* o True
o False
● 3. As the nurse providing care to a patient who experienced a full-thickness electrical burn you know to monitor the patient's urine for:* o A. Hemoglobin and myoglobin
o B. Free iron and white blood cells
o C. Protein and red blood cells
o D. Potassium and Urea
● 4. Select the patient below who is at MOST risk for complications following a burn:* o A. A 42 year old male with partial-thickness burns on the front of the right and left arms and legs.
o B. A 25 year old female with partial-thickness burns on the front of the head and neck and front and back of the torso.
o C. A 36 year old male with full-thickness burns on the front of the left arm.
o D. A 10 year old with superficial burns on the right leg.
● 5. The _____________ layer of the skin helps regulate our body temperature.*
o A. Epidermis
o B. Dermis
o C. Hypodermis
o D. Fascia
● 6. You receive a patient who has experienced a burn on the right leg. You note the burn contains small blisters and is extremely pinkish red and shiny/moist. The patient reports severe pain. You document this burn as:* o A. 1st Degree (superficial)
o B. 2nd Degree (partial-thickness)
o C. 3rd Degree (full-thickness)
o D. 4th Degree (deep full-thickness)
● 8. A 58 year old female patient has superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned?* o A. 63%
o B. 81%
o C. 72%
o D. 54%
● 9. A 30 year old female patient has deep partial thickness burns on the front and back of the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg. Use the Parkland Burn Formula: What is the flow rate during the FIRST 8 hours (mL/hr) based on the total you calculated?* o A. 921 mL/hr
o B. 938 mL/hr
o C. 158 mL/hr
o D. 789 mL/hr
o A. Place the patient in High Fowler’s positon.
o B. Prep the patient for escharotomy.
o C. Prep the patient for fasciotomy.
o D. Prep the patient for intubation.
o E. Place a pillow under the patient’s neck.
o F. Obtain IV access at two sites.
o G. Restrict fluids.
● 15. A patient arrives to the ER due to experiencing burns while in an enclosed warehouse. Which assessment findings below demonstrate the patient may have experienced an inhalation injury?* o A. Carbonaceous sputum
o B. Hair singeing on the head and nose
o C. Lhermitte's Sign
o D. Bright red lips
o E. Hoarse voice
o F. Tachycardia
● 16. You're providing education to a group of local firefighters about carbon monoxide poisoning. Which statement is correct about the pathophysiology regarding this condition?* o A. "Patients are most likely to present with cyanosis around the lips and face."
o B. "In this condition, carbon monoxide binds to the hemoglobin of the red blood cell leading to a decrease in the ability of the hemoglobin to carry oxygen to the body."
o C. "Carbon monoxide poisoning leads to a hyperoxygenated state, which causes hypercapnia."
o D. "Carbon monoxide binds to the hemoglobin of the red blood cell and prevents the transport of carbon dioxide out of the blood, which leads to poisoning."
● 17. A patient experienced a full-thickness burn 72 hours ago. The patient's vital signs are within normal limits and urinary output is 50 mL/hr. This is known as what phase of burn management?* o A. Emergent
o B. Acute
o C. Rehabilitative
● 18. What are some patient priorities during the emergent phase of burn management?* o A. Fluid volume
o B. Respiratory status
o C. Psychosocial
o D. Wound closure
o E. Nutrition
● 19. During the emergent phase of burn management, you would expect the following lab values:* o A. Low sodium, low potassium, high glucose, low hematocrit
o B. High sodium, low potassium, low glucose, high hematocrit
o C. High sodium, high potassium, high glucose, low hematocrit
o D. Low sodium, high potassium, high glucose, high hematocrit
● 20. A patient is receiving IV Lactated Ringers 950 mL/hr post 18 hours after a receiving a severe burn. The patient urinary output is 20 mL/hr. As the nurse your next nursing action is to:* o A. Increase the IV fluids
o B. Continue to monitor the patient
o C. Decrease the IV fluids
o D. Notify the physician of this finding
● 21. 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?*
o C. The patient reports a new sensation of extreme pain.
o D. The patient has a positive babinski reflex.
● 26. Your patient with severe burns is due to have a dressing change. You will pre-medicate the patient prior to the dressing change. The patient has standing orders for all the medications below. Which medication is best for this patient?* o A. IM morphine
o B. PO morphine
o C. IV morphine
o D. Subq morphine
● 27. After receiving report on a patient receiving treatment for severe burns, you perform your head-to-toe assessment. On arrival to the patient's room you note the room temperature to be 75'F. You will:* o A. Decrease the temperature by 5-10 degrees to prevent hyperthermia.
o B. Leave the temperature setting.
o C. Increase the temperature to a minimum of 85'F.
● 28. You are about to provide care to a patient with severe burns. You will don:*
o A. gloves
o B. goggles
o C. gown
o D. N-95 mask
o E. surgical mask
o F. shoe covers
o G. hair cover
● 29. While collecting a medical history on a patient who experienced a severe burn, which statement by the patient's family member requires nursing intervention?* o A. "He takes medication for glaucoma".
o B. "I think it has been 10 years or more since he had a tetanus shot."
o C. "He was told he had COPD last year."
o D. "He smokes 2 packs of cigarettes a day."
● 30. A patient is presenting with bright red lips, headache, and nausea. The physician suspects carbon monoxide poisoning. As the nurse, you know the patient needs:* o A. Oxygen nasal cannula 5-6 Liters
o B. 100% oxygen via non-rebreather mask
o C. Continuous Bipap
o D. Venturi mask 6 L oxygen
Burns Nclex Questions
Course: ATI Medical-Surgical (101)
University: Rasmussen University
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