WorksheetsSkin and Burns Quiz
Total questions: 23
Worksheet time: 35mins
A 35-year-old patient sustains second-degree burns over 40% of their body. The provider orders IV fluid resuscitation. Which solution should the nurse anticipate administering during the first 24 hours?
0.9% Normal Saline
Lactated Ringer’s solution
5% Dextrose in Water (D5W)
0.45% Normal Saline
A patient with extensive burns is at risk for infection. Which nursing interventions are appropriate? (Select all that apply)
Use sterile technique for wound care
Monitor for fever and leukocytosis
Allow visitors unrestricted access
Administer prophylactic antibiotics as ordered
Encourage frequent hand hygiene
A patient is rescued from a house fire and presents with singed nasal hairs and hoarseness after smoke inhalation. Which intervention should the nurse implement first?
Establish IV access and begin fluid resuscitation
Administer high-dose pain medication
Assess and secure the airway
Cover burns with sterile dressings
A burn patient receiving IV fluids has urine output of 20 mL/hr for the past 2 hours. What is the nurse’s best action?
Continue current fluid rate
Increase the IV fluid rate
Administer a diuretic
Restrict oral intake
A patient with burns is receiving Lactated Ringer’s. Which assessment finding indicates over-resuscitation?
Crackles in lungs and shortness of breath
Decreased blood pressure
Increased heart rate
Dry mucous membranes
Which nursing intervention is essential to evaluate fluid resuscitation effectiveness in burn patients?
Monitor urine output hourly
Assess pain level every 4 hours
Measure temperature once daily
Check skin turgor once per shift
A patient has partial-thickness burns on the entire anterior chest and abdomen. What percentage of total body surface area (TBSA) is affected using the Rule of Nines?
9%
18%
27%
36%
A patient has burns on the entire right arm. Using the Rule of Nines, what is the TBSA burned?
4.5%
9%
18%
1%
A patient has burns covering the entire anterior and posterior surface of both legs. What is the TBSA affected?
18%
27%
36%
45%
During the emergent phase of burn management, which is the primary nursing priority?
Pain management
Fluid resuscitation to prevent hypovolemic shock
Dressing the wound
Monitoring temperature
A patient with 35% TBSA burns is now 72 hours post-injury. Vital signs are stable, and fluid resuscitation is complete. What is the highest nursing priority at this stage?
Continue aggressive IV fluid resuscitation
Monitor for and prevent infection
Maintain airway patency
Calculate total body surface area burned
Which of the following are functions of the skin? (Select all that apply)
Protects the body from infection and injury
Regulates body temperature
Produces red blood cells
Excretes waste through sweat
Acts as a sensory organ
A school-aged child presents with intense itching of the scalp, especially behind the ears and at the nape of the neck. On inspection, small white dots are attached to hair shafts. What is the most likely diagnosis?
Tinea capitis
Pediculosis capitis
Scabies
Impetigo
A patient with extensive burns (40% TBSA) is admitted to the ICU. The nurse knows that the patient is at risk for a Curling’s ulcer. Which nursing intervention is the highest priority to prevent this complication?
Administer prophylactic antacids or H2 receptor blockers
Maintain strict intake and output monitoring
Provide nutritional support
Perform wound dressing changes
A patient presents with small, red, pustular lesions around hair follicles on the neck and scalp. The area is mildly pruritic and tender. Which is the most likely diagnosis?
Cellulitis
Folliculitis
Impetigo
Contact dermatitis
A patient presents with small, red, pustular lesions around hair follicles on the neck and scalp. The area is mildly pruritic and tender. Which is the most likely diagnosis?
Cellulitis
Folliculitis
Impetigo
Contact dermatitis
A patient is admitted with partial-thickness burns to 30% TBSA after a house fire. The nurse notes that the patient’s tetanus immunization history is unknown. Which action is most appropriate?
Administer tetanus toxoid vaccine immediately
Do not give a vaccine since burns are sterile wounds
Wait until wound healing is complete to administer tetanus
Administer antibiotics instead of vaccination
A patient complains of itching and scaling between the toes. Which tinea infection is this?
Tinea corporis
Tinea pedis
Tinea capitis
Tinea cruris
A child presents with honey-colored crusts around the nose and mouth. What is the most likely diagnosis?
Cellulitis
Impetigo
Herpes simplex
Eczema
Which intervention reduces risk of lymphedema after axillary lymph node dissection?
Avoid blood pressure, injections, or venipuncture on the affected arm
Wear tight sleeves
Lift heavy objects immediately
Soak the arm in hot water daily
A patient expresses fear about body image after mastectomy. Which intervention is most appropriate?
Provide emotional support and refer to a support group
Avoid discussing feelings
Focus solely on wound care
Tell patient appearance will return to normal immediately
A patient with extensive burns over 40% of their body is admitted to the burn unit. Lab results show serum potassium 6.2 mEq/L. Which nursing action is the highest priority?
Initiate a potassium-restricted diet
Prepare for continuous cardiac monitoring and notify the provider
Administer IV potassium chloride
Encourage the patient to increase oral fluid intake
A patient sustains a partial-thickness burn to the forearm after spilling hot water. Which of the following signs and symptoms would the nurse expect to observe?
Dry, leathery, pale, and painless skin
Red, blistered, moist, and painful skin
White, waxy, painless skin with no blisters
Deep ulceration extending to muscle
