Inhalation Injuries
A key sign of smoke inhalation injury is:
A. Clear breath sounds
B. Singed nasal hairs
C. Hypothermia
D. Bradycardia
Answer: B
Rationale: Classic sign of inhalation injury.
After a burn, fluid shifts into:
A. Intravascular space
B. Third space
C. Bladder
D. Lymphatics
Answer: B
Rationale: third‑spacing occurs.
Resuscitation phase begins with:
A. Fluid initiation
B. Wound closure
C. Physical therapy
D. Grafting
Answer: A
Rationale: Begins with fluids.
Acute phase begins when:
A. Burn occurs
B. Capillary permeability restored
C. Pain resolves
D. Grafting completed
Answer: B
Rationale:Begins when stable and diuresis begins.
Rehabilitative phase begins:
A. At injury
B. After hospital care
C. After grafting
D. After fluid resuscitation
Answer: B
Rationale: Final phase goes beyond hospital care.
CO binds hemoglobin with:
A. Less affinity
B. Equal affinity
C. 200× greater affinity
D. No affinity
Answer: C
Rationale: CO binds 200× more than oxygen.
Early electrolyte changes include:
A. Hypernatremia
B. Hyponatremia + hyperkalemia
C. Hypokalemia
D. Hypercalcemia
Answer: B
Rationale: Initial hyponatremia and hyperkalemia.
Goal urine output:
A. 10–20 mL/hr
B. 20–30 mL/hr
C. 30–50 mL/hr
D. 60–80 mL/hr
Answer: C
Rationale: Maintain 30–50 mL/hr.
Wound care includes:
A. Cleansing, debridement, dressing
B. No manipulation
C. Dry dressings only
D. Immediate grafting
Answer: A
Rationale: These steps help prevent infection and promote wound healing.
A major goal is:
A. Dependence
B. Increased strength + function
C. Avoiding exercise
D. Immobilization
Answer: B
Rationale: Increase strength and function.
Direct thermal injury affects:
A. Lower airways
B. Alveoli only
C. Kidneys
D. GI tract
Answer: A
Rationale: Steam/hot gases injure lower airways.
Early urine output pattern:
A. Polyuria
B. Oliguria
C. Hematuria
D. Glycosuria
Answer: B
Rationale: Initial oliguria.
Preferred fluid:
A. Normal saline
B. Ringer’s lactate
C. D5W
D. Albumin
Answer: B
Rationale: RL is recommended.
Wound closure prevents:
A. Hyperkalemia
B. Infection + fluid loss
C. Hypothermia only
D. Pain
Answer: B
Rationale: Closure prevents infection and fluid loss.
Emotional support is needed because:
A. Burns cause no psychological impact
B. Recovery is long and difficult
C. It replaces physical therapy
D. It prevents infection
Answer: B
Rationale: Emotional support is essential.
Hoarse voice suggests:
A. Renal failure
B. Airway edema
C. Hypoglycemia
D. Fluid overload
Answer: B
Rationale: Hoarseness = airway involvement.
Without fluids, burns lead to:
A. Hypertension
B. Hypovolemic shock
C. Hypervolemia
D. Pulmonary edema
Answer: B
Rationale: Hypovolemic shock develops.
Pain management uses:
A. Acetaminophen
B. Morphine sulfate
C. Ibuprofen
D. Ketorolac
Answer: B
Rationale: Morphine sulfate pre‑procedure.
Autografting uses:
A. Cadaver skin
B. Patient’s own skin
C. Animal skin
D. Synthetic skin
Answer: B
Rationale: Uses client’s own unburned skin.
Preventing deformities requires:
A. Avoiding movement
B. Physical therapy
C. No stretching
D. Bed rest
Answer: B
Rationale: PT minimizes deformities.
Priority intervention for inhalation injury:
A. Pain medication
B. Airway maintenance
C. Wound care
D. Antibiotics
Answer: B
Rationale: Airway is always first.
Burns can cause:
A. Diarrhea
B. Intestinal ileus
C. Ulcer perforation
D. Constipation only
Answer: B
Rationale: Intestinal ileus forms.
First priority in burn care:
A. Nutrition
B. ABCs
C. Physical therapy
D. Wound closure
Answer: B
Rationale: Airway, breathing, circulation.
Graft site care includes:
A. Frequent movement
B. Elevation + immobilization
C. Sunlight exposure
D. Scratching
Answer: B
Rationale: Elevate, immobilize, protect.
A key goal is:
A. Complete dependence
B. Maximum independence
C. Avoiding exercise
D. Permanent immobilization
Answer: B
Rationale: Goal is independence and maximum function.