A nurse is assessing a patient who has sustained a burn injury. The affected area is dry, white, and charred, with no pain present. Based on the classification of burns, the nurse understands this burn is:

Full-Thickness (Third-Degree)

Superficial (First-Degree)

Deep Full-Thickness (Fourth-Degree)

Partial-Thickness (Second-Degree)

Answer and Explanation

The Correct Answer is A

A. Full-Thickness (Third-Degree). A third-degree (full-thickness) burn destroys both the epidermis and dermis, leaving the skin dry, white, or charred. Due to nerve damage, the patient does not experience pain in the affected area.

B. Superficial (First-Degree). A first-degree burn affects only the epidermis and presents with redness, mild swelling, and pain. The skin remains intact, unlike the description provided.

C. Deep Full-Thickness (Fourth-Degree). A fourth-degree burn extends beyond the skin into muscle, bone, or fat. The description does not indicate such deep involvement.

D. Partial-Thickness (Second-Degree). A second-degree burn involves the epidermis and part of the dermis, causing blistering, redness, and pain. This is not consistent with the described dry, white, and painless presentation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.

B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.

C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.

D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.

A. Initiate fluid resuscitation. B. Insert an indwelling urinary catheter. C. Maintain the airway. D. Medicate for pain.

Correct Answer is C

Explanation

A. Initiate fluid resuscitation. Fluid resuscitation is critical to prevent hypovolemic shock, but airway maintenance takes precedence, especially in burns involving the chest and upper body.

B. Insert an indwelling urinary catheter. Urinary catheter insertion is important for monitoring urine output and assessing renal function, but it is not the first priority.

C. Maintain the airway. Burns to the chest, neck, and face increase the risk of airway edema and compromise. The nurse should assess for signs of inhalation injury, hoarseness, or stridor and prepare for early intubation if necessary.

D. Medicate for pain. Pain management is important but is not the highest priority in the resuscitation phase when securing the airway and preventing hypoxia are more critical.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a patient who has sustained a burn injury. The affected area is dry, white, and charred, with no pain present. Based on the classification of burns, the nurse understands this burn is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?

Correct Answer is C

Explanation

A patient with chronic gout is prescribed allopurinol. Which statement by the patient indicates a correct understanding of the medication's purpose?

The nurse is evaluating a patient's understanding of cast care before discharge. Which statement by the patient indicates the need for further teaching?

A 40-year-old male patient presents with partial-thickness burns affecting the anterior right arm, anterior trunk, and anterior right leg and anterior left leg. Based on the Rule of Nines, what percentage of the total body surface area (TBSA) is burned?

A nurse is explaining the pathophysiology of pneumonia to a group of nursing students. Which statement by one of the students indicates a correct understanding of the condition?

A nurse is performing a skin assessment on a patient and suspects basal cell carcinoma (BCC). Which of the following findings would support this suspicion?

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

A patient is diagnosed with gout and asks the nurse how to prevent future flare-ups. Which statement by the patient indicates a correct understanding of dietary modifications for gout management?