WorksheetsCBRN Practice Questions Part 1 (2)
Total questions: 50
Worksheet time: 8hrs 20mins
Which patient is most likely to present with an oral commissure burn?
2-year-old child
15-year-old adolescent
41-year-old housekeeper
80-year-old retiree
Which type of MVC is most likely to result in care fires and burns?
Rollover
Frontal collision
Rear-end collision
Side-impact collision
The burn nurse should focus on which element to reduce the severity of a chemical burn?
Length of exposure
Quantity of chemical
Specific tissue involvement
Type of chemical agent
Aggressive fluid resuscitation following a burn injury is known to:
Extend the zone of hyperemia
Reduce tissue death in the zone of statis
Reverse tissue damage in the zone of coagulation
Convert the zone of coagulation in a zone of hyperemia
The release of inflammatory mediators following a burn injury is known to cause:
Ileus
Local anesthesia
Vasoconstriction
Capillary permeability
What is the treatment of choice for a systemic inflammatory response syndrome (SIRS) secondary to a burn?
Skin grafting
Vasoactive drugs
Prone positioning
Intravenous analgesia
Expected changes to the gastrointestinal system following a significant burn injury?
Mucosal atrophy
Increased motility
Increased insulin production
Thickening of pylorus muscle
Effective treatment for burn shock should cause what value to decrease?
Hematocrit
Urinary output
Mean arterial pressure
Serum magnesium levels
Which medication is most likely to be considered to reduce the negative effects of the hypermetabolic phase?
Sodium bicarbonate
Diltiazem
Methylprednisolone
Recombinant Human Growth Hormone (rhGH)
Muscle catabolism following a burn increases the risk of:
Scarring
Depression
Coagulopathies
Ventilatory dependence
The severity of scarring following a burn becomes most apparent in which phase of wound healing?
Remodeling
Proliferation
Inflammation
Regeneration
Which diagnostic tests helps identify an inhalation injury during resuscitation phase of a burn injury?
FAST exam
Chest x-ray
Hematocrit
Partial pressure of oxygen (PaO2)
Which scenario is most likely to cause burns to the lower respiratory tract?
Severe burns to the upper body after being blasted with steam
Burns to the anterior torso displaced from a propane explosion
Child with oropharynx after hot liquids forced in the mouth by caregiver
80% burn after being extricated from a burning vehicle
The primary treatment for carbon monoxide poisoning treatment is:
Chest physiotherapy
100% humidified oxygen
Nebulized albuterol
Intravenous hydroxocobalamin (Cyanokit)
A burn patient's carboxyhemoglobin level is 8%, this level is:
Incompatible with life
Does not require acute intervention
Will likely increase in the first two hours after the burn injury
Should result in emergent transfer to a hyperbaric chamber
Hydroxocobalamin is given for cyanide poisoning. Which parameter is most likely to change as a side effect of this drug?
Blood Pressure
Urinary output
Oxygen saturations
Level of consciousness
Which of the following parameters is most likely to increase along with intra-abdominal pressures?
Tidal Volumes
Pulse Pressure
Urinary output
Central venous pressure
Which of the following is associated with successful treatment of for acute respiratory distress syndrome?
Declining PaCO2:FiO2 ratio
Arterial PaCO2 of 30 mm Hg
Increasing pulmonary artery wedge pressures
PaO2 of 90 mm Hg on a positive end-expiratory pressure (PEEP) of 5 cm H2O
What is the priority of hot tar spilled over 40% of the body surface would be to:
Cover patient in warm blankets
Prepare for endotracheal intubation
Relocate patient to a cool shower
Use towels/absorbent material to wipe away as much of the tar as possible
Topical steroids are most likely to be used after burn injury to:
Accelerate the acceptance of skin grafts
Reduce pruritis in the recovery phase of burns
Reverse muscular contractures associated with scarring
Enhance wound healing in the early phases after a burn
The nurse urges family to bring in a patient's eyeglasses for a patient with burns to the back of the legs in order to:
Reduce the symptoms of delirium
Decrease analgesia the patient will require
Reduce survival guilt in members of the family
Enhance the relationship between the patient and the family
High triglycerides levels may occur in patients receiving which of the following medications?
Methadone
Propofol
Midazolam
Duloxetine
Antidepressants may be included in the treatment plan of a patient with burns for which of the following reasons?
Increase stamina for therapy sessions
Improve the chance of graft integration
Decrease the severity of neuropathic pain
Reduce the risk of nephrotoxic acute renal injury
For which of the following reasons may dexmedetomidine (Precedex) be prescribed for a patient being treated for burns?
Improve patient's appetite
Wean a patient from opioids
Elevation of a patient's blood pressure
Reduce the severity of muscles wasting
A burn patient is suspected of experiencing a panic attack, which will be most helpful in substantiating this suspicion?
Ivy Index
Cardiac Monitor
Ophthalmoscope
Glasgow Coma Score
Nitric Oxide is administered as part of procedural sedation. What side effect is likely to occur with this medication?
Pruritis
Bronchoconstriction
Nausea & Vomiting
Increased intraocular pressure
The use of NSAIDs to control pain with burn wounds increases the risk of a patient developing:
Tinnitus
Pruritis
Hyperkalemia
Renal Dysfunction
Changing a patient's analgesia regimen from opioids to a non-opioid alternative as early as possible reduces the patient developing:
Hyperalgesia
Coagulopathies
Thrombocytopenia
Hypertrophic scarring
The use of intramuscular pain medication in the treatment of a burn injury is:
Most effective after skin grafting
Unreliable due to altered absorption
The delivery route of choice in the first 24hrs
An effective way to administer opioids with less side effects
The most effective means of reducing pain is:
Opioids
Wound Closure
Distraction therapy
Non-steroidal anti-inflammatory drugs
Which of the following side effects is most likely when using ketamine?
Hypertension
Coagulopathies
Hypermagnesemia
Respiratory Suppression
A patient experiencing neuropathic pain is most likely to the describe the pain as?
"Cold"
"Tight"
"Sharp"
"Burning"
Breakthrough pain may be caused by:
Anxiety
Poor Nutrition
Ambient Temperature
Inadequate control of background pain
Which of the following parameters is assess when utilizing the FLACC score to assess a patient's pain?
Heart Rate
UOP
Movement of legs
Subjective rating of pain
A patient lacks sensation at the site of a full thickness burn. This lack of sensation is:
Permanant
Transient with periods of intense discomfort
Transitory with sensation returning after fluid resuscitation
Temporary, pain will be experienced as tissue regranulates and reorganize
Which of the following stimuli is known to increase sensation of pain in the superficial and partial thickness burns?
Air Currents
Hypovolemia
Ambient room temperature
Decreased oxygen saturation
Which best describes allodynia?
The process of chemically debriding the wound
The scar pattern that develops when meshing autographs
The splinting of a limb to prevent contractures post-burn
A patient experiences pain when clothing rubs along a sunburn
Management of pruritis in the chronic phase of burn recovery will reduce the incidence of:
Hair Loss
Contractures
Wound Infection
Post-Traumatic stress syndrome
The cause of delirium may be found by reviewing a patient's:
Burn Depth
Family History
List of allergies
Medication profile
Ensuring euvolemia through administration of intravenous fluid is associated with treatment and prevention of:
Pain
Delirium
Hypertrophic Scarring
Post-traumatic stress syndrome
The use of a xenograft is known to reduce:
Pain
Hypokalemia
Extension of the zone of stasis
The amount of fluids utilized during resuscitation
Which of the following parameters would provide the best feedback regarding effectiveness for breakthrough pain?
Ivy Index
Color of Skin
Urinary Output
Visual analogue scale
Which of the following descriptions is consistent with hypertrophic scarring?
Develop within months of injury inside the original boarders of the burn
Develop within years of injury inside the original boarders of the burn
Develop within days of the injury extending beyond the original boarders
Develop within weeks of the injury extending beyond the original boarders
At what point following a burn injury is the use of silicone sheets most likely to be used?
After evidence of skin graft take
From the time of the burn until wound debridement
From the time of the burn wound until the application of skin grafts
Between wound debridement and the application of skin grafts
Triamcinolone (TAC) is used for the prevention and treatment of scars following a burn. How will it be administered?
Orally
Topically
Intravenously
Intralesional injection
Undergoing fat grafting after a burn injury, which outcome would be considered an effective outcome?
Decrease in pruritis
Reduction in localized Scarring
Stabilization of serum potassium levels
Area is ready for the application of an autologous skin graft
At what point should laser therapy be used?
In the week following the application of skin grafts
During inpatient care to reduce background pain
Early after the burn injury to facilitate wound debridement
Following patient discharge as part of the reconstruction process
Teaching in preparation for laser therapy to reduce scarring, a potential warning should be to inform the patient of?
Bruising
Numbness
Skin Peeling
Dyspigmentation
A long-term complication related to significant burns wounds is
Bruising
Heart Failure
Heart Failure
Cold Intolerance
Neuropathic pain may be relieved by:
Benzodiazepines
Autologous fat grafting
Topical anesthetic creams
Application of split thickness skin graft
