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Worksheets

Burns

Total questions: 18

Worksheet time: 9mins

Name
Class
Date
1.

During the acute phase of a burn, a nurse should assess:

a)

The client's lifestyle.

b)

Alcohol use.

c)

Tobacco use.

d)

Circulatory status.

2.

Skin grafts are necessary for which of the following burns?

a)

Superficial

b)

Superficial partial thickness

c)

Full-thickness

d)

First degree

3.

Which of the following is a common complication of an electrical burn injury?

a)

Localized edema

b)

Absent bowel sounds

c)

Loss of mobility

d)

Cardiac dysrhythmias

4.

As the first priority of care, a patient with a burn injury will initially need:

a)

A patent airway established

b)

An indwelling catheter inserted.

c)

Fluids replaced.

d)

Pain medication administered.

5.

When planning care for a patient with burns on the upper torso, which nursing diagnosis should be the highest priority?

a)

Ineffective airway clearance r/t 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

6.

Which type of burn is similar to a sunburn?

a)

Superficial partial-thickness

b)

Electrical

c)

Deep partial-thickness

d)

Full-thickness

7.

Which of the following is the preferred IV fluid for burn resuscitation?

a)

Normal saline (NS)

b)

Lactated Ringer's (LR)

c)

D5W

d)

Total parenteral nutrition (TPN)

8.

A burn patient is receiving fluid resuscitation. Which outcome shows the patient is benefiting from treatment?

a)

A urine output consistently above 40 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

9.

Using rules of nines, calculate the TBSA of a patient with burns on their right anterior arm & right anterior leg.

a)

9

b)

18

c)

13.5

d)

18.5

10.

A patient has burns on the anterior trunk & anterior and posterior left arm. Calculate the TBSA.

a)

18%

b)

27%

c)

36%

d)

45%

11.

Exposure to smoke and flames, which assessment finding is most important in care of the client?

a)

Presence of soot around nasal passages

b)

Fracture of the fibula with displacement

c)

Elevation of blood pressure and heart rate

d)

Partial-thickness burns to hands and wrist

12.

A patient received an electrical shock, what is the nurse's priority assessment?

a)

Orientation

b)

Evaluation of heart rate and rhythm STAT

c)

Evaluation of range of motion of all extremities

d)

Obtaining a pulse oximetry reading and apply oxygen

13.

Which of the following types of shock will a nurse observe in a patient with extensive burns?

a)

Anaphylactic shock

b)

Neurogenic shock

c)

Septic shock

d)

Hypovolemic shock

14.

Which type of graft utilizes the patient's own skin for wound coverage?

a)

Heterograft

b)

Allograft

c)

Autograft

d)

Slit graft

15.

A burn patient's vitals are: BP 60/40, RR 24, HR 144. The patient's skin is pale. What will you do first?

a)

Start IV fluids immediately

b)

Obtain STAT blood work

c)

Check all pulses with a Doppler

d)

Call cardiologist for a STAT ECG

16.

Which electrolyte imbalance is typically associated with initial 'third-spacing' fluid shift?

a)

Hypercalcemia

b)

Hypokalemia

c)

Hypernatremia

d)

Hyperkalemia

17.

Which of the following is the preferred IV fluid for burn resuscitation?

a)

Normal saline (NS)

b)

Lactated Ringer's (LR)

c)

D5W

d)

Total parenteral nutrition (TPN)

18.

Using rules of nines, calculate TBSA. The patient has burns on their right anterior arm and right anterior leg. Burns are also noted on the anterior trunk, anterior and posterior left arm.

a)

(For the first: Right anterior arm (4.5%) + anterior leg (9%) = 13.5%. For the second: Anterior trunk (18%) + anterior/posterior left arm (9%) = 27%)

b)

(For the first: Right anterior arm (9%) + anterior leg (18%) = 27%. For the second: Anterior trunk (9%) + anterior/posterior left arm (18%) = 27%)

c)

(For the first: Right anterior arm (4.5%) + anterior leg (18%) = 22.5%. For the second: Anterior trunk (18%) + anterior/posterior left arm (4.5%) = 22.5%)

d)

(For the first: Right anterior arm (9%) + anterior leg (9%) = 18%. For the second: Anterior trunk (9%) + anterior/posterior left arm (9%) = 18%)