Burns: Classification, Pathophysiology, and Management - Anatomy and Physiology Quiz

Question 1

Which of the following is NOT a type of burn classification?

Accepted Answer

Mechanical

Answer

Thermal

Answer

Chemical

Answer

Electrical

Question 2

Which of the following is the most effective initial first-aid treatment for a minor burn?

Accepted Answer

Wash with soap and water

Answer

Apply ice

Answer

Apply petroleum jelly

Answer

Cover with a bandage

Question 3

What is the definition of a third-degree burn?

Accepted Answer

Involves the full thickness of the skin

Answer

Involves the epidermis and superficial dermis

Answer

Extends into the subcutaneous tissue

Answer

Characterized by blisters

Question 4

Which of the following is a defining characteristic of a partial-thickness burn?

Accepted Answer

Causes blistering and redness

Answer

Destroys the epidermis only

Answer

Extends into the subcutaneous tissue

Answer

May require skin grafting

Question 5

In burn patients, what is the primary cause of hypovolemic shock?

Accepted Answer

Plasma loss

Answer

Hemorrhage

Answer

Dehydration

Answer

Electrolyte imbalance

Question 6

For a patient with a 20% total body surface area burn, what is the most appropriate initial fluid resuscitation strategy?

Accepted Answer

Balanced crystalloids and colloids

Answer

Crystalloids alone

Answer

Colloids alone

Answer

Plasma expanders only

Question 7

What is the primary objective of topical antimicrobial therapy in burn management?

Accepted Answer

Prevent infection

Answer

Promote wound healing

Answer

Reduce inflammation

Answer

Control pain

Question 8

Which of the following is a potential complication of a burn injury that requires prompt identification and intervention?

Accepted Answer

Compartment syndrome

Answer

Acute renal failure

Answer

Ventilator-associated pneumonia

Answer

Skin cancer

Question 9

Which factor is a contributing factor to the development of hypertrophic scars?

Accepted Answer

Excessive collagen production

Answer

Delayed wound healing

Answer

Infection

Answer

Radiation therapy

Question 10

Which type of burn is most likely to memerlukan grafting?

Accepted Answer

Third-degree burns

Answer

First-degree burns

Answer

Second-degree burns

Answer

Fourth-degree burns

Question 11

Fluid loss in burns primarily results from:

Accepted Answer

Increased vascular permeability and capillary hydrostatic pressure

Answer

Decreased capillary hydrostatic pressure and oncotic pressure

Answer

Increased oncotic pressure and interstitial fluid volume

Answer

Reduced interstitial fluid volume and vascular permeability

Question 12

In the immediate management of a severe burn victim, a priority nursing intervention is:

Accepted Answer

Establishing and securing an airway

Answer

Administering pain medication

Answer

Assessing the extent of the burn

Answer

Performing wound debridement

Question 13

The "rule of nines" is primarily used to:

Accepted Answer

Estimate the percentage of total body surface area burned

Answer

Determine the depth of a burn

Answer

Calculate fluid resuscitation requirements

Answer

Predict the length of hospital stay

Question 14

Pressure garments are commonly included in burn management to:

Accepted Answer

Reduce edema and promote circulation

Answer

Minimize scar formation

Answer

Promote infection control

Answer

Accelerate nerve regeneration

Question 15

The recommended type of dressing for partial-thickness burns based on American Burn Association guidelines is:

Accepted Answer

Transparent film dressing

Answer

Hydrocolloid dressing

Answer

Silver sulfadiazine cream

Answer

Gauze dressing

Question 16

Which mechanism does NOT involve the transfer of thermal energy?

Accepted Answer

Evaporation

Answer

Conduction

Answer

Convection

Answer

Radiation

Question 17

Which skin layer is primarily affected in a superficial burn injury?

Accepted Answer

Epidermis

Answer

Dermis

Answer

Subcutaneous tissue

Answer

Muscle

Question 18

Which type of burn injury is most prevalent among children?

Accepted Answer

Scald burns

Answer

Flame burns

Answer

Electrical burns

Answer

Chemical burns

Question 19

Which of the following is the preferred initial fluid for resuscitation in burn patients?

Accepted Answer

Ringer's lactate

Answer

Normal saline

Answer

Colloids

Answer

Electrolyte solution

Question 20

What is the most common type of dressing used for partial-thickness burns?

Accepted Answer

Hydrogels

Answer

Silver sulfadiazine

Answer

Skin grafts

Answer

Bioengineered skin substitutes

Question 21

What is the primary goal of pain management in burn care?

Accepted Answer

Reduce patient discomfort

Answer

Prevent infection

Answer

Promote healing

Answer

Minimize scarring

Question 22

Which of the following is NOT a typical pharmacological approach to pain management in burn patients?

Accepted Answer

Antipsychotics

Answer

NSAIDs

Answer

Opioids

Answer

Gabapentinoids

Question 23

What is the primary fluid used for resuscitation in burn patients?

Accepted Answer

Lactated Ringer's solution

Answer

Normal saline

Answer

Colloid solution

Answer

Glucose solution

Question 24

What is the initial management of a patient with a chemical burn to the eye?

Accepted Answer

Immediate and prolonged irrigation with water

Answer

Application of topical anesthesia

Answer

Covering the eye with a patch

Answer

Administering oral pain relievers

Question 25

Which dressing type is commonly used for full-thickness burns?

Accepted Answer

Hydrogel dressing

Answer

Foam dressing

Answer

Transparent film dressing

Answer

Gauze dressing

Question 26

What is the primary mechanism of heat transfer in a burn injury?

Accepted Answer

Conduction

Answer

Convection

Answer

Radiation

Answer

Evaporation

Question 27

First degree burns are characterized by:

Accepted Answer

Redness and swelling

Answer

Blisters

Answer

Partial-thickness skin loss

Answer

Full-thickness skin loss

Question 28

A crucial step in the initial management of burn patients is:

Accepted Answer

Preventing hypothermia

Answer

Administering pain medication

Answer

Applying topical antibiotics

Answer

Excision of burned tissue

Question 29

The main goal of fluid resuscitation in burn injuries is to:

Accepted Answer

Replace lost fluids and electrolytes

Answer

Maintain blood pressure

Answer

Prevent renal failure

Answer

Reduce inflammation

Question 30

Skin grafting is generally indicated for:

Accepted Answer

Third-degree burns

Answer

First-degree burns

Answer

Second-degree burns

Answer

Fourth-degree burns

Question 31

The Parkland formula is primarily used to calculate:

Accepted Answer

Fluid resuscitation volume

Answer

Pain medication dosage

Answer

Antibiotic dosage

Answer

Topical ointment application frequency

Question 32

Which wound dressing is commonly used for deep burns?

Accepted Answer

Silver-impregnated dressing

Answer

Gauze

Answer

Polyurethane film

Answer

Hydrogel

Question 33

What is the overarching objective of fluid management for burn patients?

Accepted Answer

Maintain adequate intravascular volume

Answer

Prevent infection

Answer

Promote wound healing

Answer

Manage pain

Question 34

Which characteristic is NOT associated with a full-thickness burn?

Accepted Answer

Intense pain upon contact

Answer

Loss of sensation in the affected area

Answer

Waxy or leathery appearance of the wound

Answer

Absence of blisters

Question 35

In the absence of informed consent from a severely burned and unresponsive patient, which ethical principle should be prioritized?

Accepted Answer

Acting in the patient's best interests, even without explicit consent

Answer

Seeking consent from family or legal guardians

Answer

Delaying treatment until the patient regains consciousness or can consent

Answer

Administering experimental treatments without the patient's knowledge or consent

Question 36

What is the main goal of surgical wound debridement in burn patients?

Accepted Answer

Eliminate dead tissue

Answer

Seal the wound

Answer

Decrease pain

Question 37

Which of the following is the most frequent type of burn injury?

Accepted Answer

Thermal

Answer

Radiation

Answer

Chemical

Answer

Electrical

Question 38

What is the underlying pathophysiological process leading to the development of a burn blister?

Accepted Answer

Accumulation of interstitial fluid underneath the epidermis

Answer

Necrosis of the dermis layer of the skin

Answer

Inflammatory response in the affected area

Question 39

In a second-degree burn, which layer of the skin is primarily affected?

Accepted Answer

Dermis

Answer

Subcutaneous tissue

Answer

Muscle

Answer

Epidermis

Question 40

What is the primary objective of fluid resuscitation in the management of burn injuries?

Accepted Answer

Restoration of intravascular volume to prevent hypovolemia

Answer

Promotion of wound healing

Answer

Reduction of pain

Question 41

Which characteristic is indicative of a full-thickness burn?

Accepted Answer

Charred or leathery appearance

Answer

Erythema and edema

Answer

Blister formation

Answer

Painful to the touch

Question 42

When treating a superficial, partial-thickness burn, which type of dressing is most appropriate?

Accepted Answer

Moist, non-adherent dressing

Answer

Dry gauze dressing

Answer

Pressure dressing

Answer

Antibiotic ointment

Question 43

Which of the following is a potential complication specifically associated with deep, partial-thickness burns?

Accepted Answer

Hypertrophic scarring

Answer

Infection

Answer

Electrolyte imbalance

Answer

Hypothermia

Question 44

What is the primary purpose of the Parkland formula?

Accepted Answer

Calculating fluid resuscitation volume for burn patients

Answer

Estimating burn depth

Answer

Assessing pain severity

Question 45

Which factor poses the greatest risk for burn injuries among children?

Accepted Answer

Lack of adequate supervision

Answer

Advanced age

Answer

Good health

Answer

Low socioeconomic status

Question 46

Which of the following is the most common cause of burns in children?

Accepted Answer

Scalds from hot liquids

Answer

Electrical burns

Answer

Chemical burns

Question 47

What is the primary mechanism of injury in a partial-thickness burn?

Accepted Answer

Damage to the epidermis and dermis

Answer

Injury to the subcutaneous tissue

Answer

Destruction of the dermis only

Answer

Destruction of the epidermis only

Question 48

Which type of burn requires immediate surgical intervention?

Accepted Answer

Full-thickness burn greater than 10% body surface area

Answer

Electrical burn involving the face or hands

Answer

Partial-thickness burn less than 5% body surface area

Question 49

What is the primary goal of fluid resuscitation in burn patients?

Accepted Answer

Maintain tissue perfusion and prevent hypovolemic shock

Answer

Promote wound healing

Answer

Remove toxins from the body

Question 50

What is the primary role of a nurse in the management of burns?

Accepted Answer

Assessment, monitoring, and providing wound care

Answer

Providing emotional support

Answer

Performing surgery

Answer

Prescribing medications

Question 51

Which of the following is a characteristic of a chemical burn?

Accepted Answer

Coagulation of tissue

Answer

Erythema

Answer

Swelling

Answer

Blistering

Question 52

What is the first step in assessing the severity of a burn?

Accepted Answer

Determine the percentage of body surface area involved

Answer

Identify the type of burn

Answer

Evaluate the depth of the burn

Question 53

What is the primary goal of nutrition support in burn patients?

Accepted Answer

Promote wound healing and prevent malnutrition

Answer

Control pain

Answer

Maintain electrolyte balance

Answer

Improve immune function