QUESTIONS ON FIRE SAFETY AND BURN MANAGEMENT

1. A 23-year-old male client who has had a full-thickness burn is being discharged from the
hospital. Which information is most important for the nurse to provide prior to discharge?
a) How to maintain home smoke detectors
b) Joining a community reintegration program
c) Learning to perform dressing changes
d) Options available for scar removal
2. A client who is admitted after a thermal burn injury has the following vital signs: BP 70/40;
heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in color and it is difficult to find
pedal pulses. Which action will the nurse take first?
a) Start intravenous fluids.
b) Check the pulses using a Doppler device.
c) Obtain a complete blood count (CBC).
d) Obtain an electrocardiogram (ECG).
3. On assessment, the nurse notes that the client has burns inside the mouth and is wheezing.
Several hours later, the wheezing is no longer heard. What is the nurse’s next action? 
a) Documenting the findings
b) Loosening any dressings on the chest
c) Raising the head of the bed
d) Preparing for intubation
4. The client has a large burned area on the right arm. The burned area appears pink, has
blisters, and is very painful. How will the nurse categorize this injury?
a) Full-thickness
b) Partial-thickness superficial
c) Partial-thickness deep
d) Full-thickness deep

5. The client has burns on both legs. These areas appear white and leather-like. No blisters or
bleeding are present, and there is just a “small amount of pain.” How will the nurse categorize
this injury?
a) Full-thickness
b) Partial-thickness superficial
c) Partial-thickness deep
d) Superficial
6. The client with burns is drooling and having difficulty swallowing. Which action will the nurse
take first?
a) Assesses level of consciousness and pupillary reactions.
b) Ascertain the time food or liquid was last consumed.
c) Auscultates breath sounds over the trachea and mainstem bronchi.
d) Measures abdominal girth and auscultates bowel sounds.
7. A 12-year-old male with facial burns asks the nurse if he will ever look the same. Which
response is best for the nurse to provide?
a) “With reconstructive surgery, you can look the same.”
b) “We can remove the scars with the use of a pressure dressing.”
c) “You will not look exactly the same.”
d) “You shouldn’t start worrying about your appearance right now.”
8. When providing care for a client with an acute burn injury, which nursing intervention
is most important to prevent infection by auto contamination?
a) Avoiding sharing equipment such as blood pressure cuffs between clients.
 b) Changing gloves between wound care on different parts of the client’s body.
c) Using the closed method of burn wound management.
d) Using proper and consistent handwashing.
9. Which finding indicates that fluid resuscitation has been successful for a client with a burn
injury?
a) Hematocrit = 60%
b) Heart rate = 130 beats/min
c) Increased peripheral edema
d) Urine output = 50 mL/hr
10. Which is the priority nursing diagnosis during the first 24 hours for a client with chemical
burns to the legs and arms that are red in color, edematous, and without pain?
a) Decreased Tissue Perfusion
b) Disturbed Body Image
c) Risk for Disuse Syndrome
d) Risk for Ineffective Breathing Pattern
11. Nurse Rodrigo is receiving an endorsement from the burn unit. Which of the following
clients should he assess first?
a) A client who has just been transferred from the PACU after having an allograft.
b) A client admitted 1 week ago with a superficial-thickness burn on the buttocks which
has been waiting for 2 hours to receive discharge instructions.
c) A client who has just arrived from the emergency department with burns on the neck
and chest.
d) A client with deep partial-thickness burns on both thighs who is complaining of severe
and continuous pain.
12. Which of the following routes should the nurse expect the pain medication to be given to a
client who was admitted with extensive burns?
a) Oral
b) Intramuscular
c) Subcutaneous
d) Intravenous
13. A client is brought to the emergency unit with third-degree burns on the posterior trunk,
right arm, and left posterior leg. Using the Rule of Nines, what is the total body surface area
that has been burned?
a) 36%
b) 54%
c) 45%
d) 27%
14. An acronym RACE is commonly taught as a means for remembering priorities for action
during a fire. The "A" in this acronym stands for which of the following?
a) Activate the fire alarm and notify the appropriate person
b) Attempt to extinguish the fire.
c) Alert the local fire department.
d) Answer all telephone calls and call bells.
15. When educating families on fire safety in the home, which information is important for the
nurse to emphasize?
a) Account for all members and then exit together.
b) Use extension cords to prevent shock.
c) Have a meeting place outside the home in case of
fire.
d) Keep a fire extinguisher in a closet.