MCQ Questions on Burns | Burns Questions and Answers

1 During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations. Which manifestation indicates that the client is having an adverse reaction to this topical agent?

A Increased wound pain 30 to 40 minutes after drug application

B Presence of small, pale pink bumps in the wound beds

C Decreased white blood cell count

D Increased serum creatinine level

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Answer: Increased serum creatinine level

2 The client, who is 2 weeks postburn with a 40% deep partial-thickness injury, still has open wounds. On taking the morning vital signs, the client is found to have a below-normal temperature, is hypotensive, and has diarrhea. What is the nurse’s best action?

A Nothing, because the findings are normal for clients during the acute phase of recovery.

B Increase the temperature in the room and increase the IV infusion rate.

C Assess the client’s airway and oxygen saturation.

D Notify the burn emergency team

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Answer: Notify the burn emergency team

3 Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery?

A Changing gloves between wound care on different parts of the client’s body.

B Avoiding sharing equipment such as blood pressure cuffs between clients.

C Using the closed method of burn wound management.

D Using proper and consistent handwashing

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Answer: Changing gloves between wound care on different parts of the client’s body.

4 When should ambulation be initiated in the client who has sustained a major burn?

A When all full-thickness areas have been closed with skin grafts

B When the client’s temperature has remained normal for 24 hours

C As soon as possible after wound debridement is complete

D As soon as possible after resolution of the fluid shift

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Answer: As soon as possible after resolution of the fluid shift

5 What statement by the client indicates the need for further discussion regarding the outcome of skin grafting (allografting) procedures?

A “For the first few days after surgery, the donor sites will be painful.”

B “Because the graft is my own skin, there is no chance it won’t ‘take’.”

C “I will have some scarring in the area when the skin is removed for grafting.”

D “Once all grafting is completed, my risk for infection is the same as it was before I was burned.”

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Answer: “Because the graft is my own skin, there is no chance it won’t ‘take’.”

6 Which statement by the client indicates correct understanding of rehabilitation after burn injury?

A “I will never be fully recovered from the burn.”

B “I am considered fully recovered when all the wounds are closed.”

C “I will be fully recovered when I am able to perform all the activities I did before my injury.”

D “I will be fully recovered when I achieve the highest possible level of functioning that I can.”

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Answer: “I will be fully recovered when I achieve the highest possible level of functioning that I can.”

7 Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates correct understanding of the purpose of this treatment?

A “After this treatment, my ears will not stick out.”

B “The mask will help protect my skin from sun damage.”

C “Using this mask will prevent scars from being permanent.”

D “My facial scars should be less severe with the use of this mask.”

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