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Burns Questions and Answers | Burns MCQs Quiz

(1) Which information obtained by assessment ensures that the client’s respiratory efforts are currently adequate?
[A] “Are you a smoker?”
[B] “When was your last chest x-ray?”
[C] “Have you ever had asthma or any other lung problem?”
[D] “In what exact place or space were you when you were burned?”
Answer: “In what exact place or space were you when you were burned?”
(2) Which information obtained by assessment ensures that the client’s respiratory efforts are currently adequate?
[A] The client is able to talk.
[B] The client is alert and oriented.
[C] The client’s oxygen saturation is 97%.
[D] The client’s chest movements are uninhibited
Answer: The client’s oxygen saturation is 97%.

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(3) Which information obtained by assessment ensures that the client’s respiratory efforts are currently adequate?
[A] The client is able to talk.
[B] The client is alert and oriented.
[C] The client’s oxygen saturation is 97%.
[D] The client’s chest movements are uninhibited
Answer: The client’s oxygen saturation is 97%.
(4) The burned client’s family ask at what point the client will no longer be at increased risk for infection. What is the nurse’s best response?
[A] “When fluid remobilization has started.”
[B] “When the burn wounds are closed.”
[C] “When IV fluids are discontinued.”
[D] “When body weight is normal.”
Answer: “When the burn wounds are closed.”
(5) The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?
[A] Seasonal asthma
[B] Hepatitis B 10 years ago
[C] Myocardial infarction 1 year ago
[D] Kidney stones within the last 6 month
Answer: Myocardial infarction 1 year ago
(6) The burned client on admission is drooling and having difficulty swallowing. What is the nurse’s best first action?
[A] Assess level of consciousness and pupillary reactions.
[B] Ask the client at what time food or liquid was last consumed
[C] Auscultate breath sounds over the trachea and mainstem bronchi
[D] Measure abdominal girth and auscultate bowel sounds in all four quadrants
Answer: Auscultate breath sounds over the trachea and mainstem bronchi
(7) Which intervention is most important for the nurse to use to prevent infection by cross-contamination in the client who has open burn wounds?
[A] Handwashing on entering the client’s roomy
[B] Encouraging the client to cough and deep breathe
[C] Administering the prescribed tetanus toxoid vaccine
[D] Changing gloves between cleansing different burn areas
Answer: Handwashing on entering the client’s roomy
(8) In reviewing the burned client’s laboratory report of white blood cell count with differential, all the following results are listed. Which laboratory finding indicates the possibility of sepsis?
[A] The total white blood cell count is 9000/mm3.
[B] The lymphocytes outnumber the basophils.
[C] The “bands” outnumber the “segs.”
[D] The monocyte count is 1,800/mm3
Answer: The “bands” outnumber the “segs.”
(9) The client has a deep partial-thickness injury to the posterior neck. Which intervention is most important to use during the acute phase to prevent contractures associated with this injury?
[A] Place a towel roll under the client’s neck or shoulder.
[B] Keep the client in a supine position without the use of pillows.
[C] Have the client turn the head from side to side 90 degrees every hour while awake.
[D] Keep the client in a semi-Fowler’s position and actively raise the arms above the head every hour while awake.
Answer: Have the client turn the head from side to side 90 degrees every hour while awake.
(10) The client has severe burns around the right hip. Which position is most important to be emphasized by the nurse that the client maintain to retain maximum function of this joint?
[A] Hip maintained in 30-degree flexion, no knee flexion
[B] Hip flexed 90 degrees and knee flexed 90 degrees
[C] Hip, knee, and ankle all at maximum flexion
[D] Hip at zero flexion with leg flat
Answer: Hip at zero flexion with leg flat

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