Certified Burn Registered Nurse (CBRN) Exam
Practice Test

The nurse in the burn unit needs to select an appropriate topical agent for a patient with a significant risk of infection after a chemical burn on their leg. They are considering mafenide acetate. What is the primary reason for choosing this topical agent? Topical Agent Purpose Mafenide Acetate Inhibits pathogenic organisms Silver Sulfadiazine Promotes healing and prevents infection Lidocaine Gel Decreases pain Hydrogel Maintains moisture in tissue

In the rehabilitation phase of burn recovery, what aspect of support is most crucial for a burn survivor's psychological recovery?

While monitoring a patient with a severe burn injury, you notice rough, discolored patches on the patient's heels that remain red even if you press on them. This condition has likely developed due to the pressure caused by the patient's immobility. How would you classify this type of injury?

You are attending to a female patient who has sustained multiple lacerations from debris during a natural disaster. A tetanus booster will be needed if the patient has not received a tetanus shot within which timeframe?

A 5-year-old girl spilled a pot of boiling water on her left thigh. Upon examination, the skin appears leathery and is insensate to touch. Based on this assessment, what is the most likely depth of her burn?

In the context of healing a burned area on the skin, which of the following cells is not primarily involved during the proliferative phase of wound repair?

You are counseling a patient who is recovering from a burn injury about the benefits of maintaining a balanced diet and how it supports the healing process. Which nutrient should they focus on increasing in their diet to promote tissue repair and immune function?

What is the most effective route for administering sedatives to pediatric burn patients in the acute post-burn phase?

While working in a chemical plant, a worker suffers a burn on their arm due to exposure to a chemical substance. Which type of burn will continue to cause progressive skin damage until appropriately treated?

A pediatric burn patient weighs 15 kg. Using the dosing guidelines provided, calculate the appropriate total dose of pain medication in milligrams (mg) for this patient. Weight Category (kg) Dose per kg (mg) 5-10 2 11-20 3 21-30 4 31-40 5

You are caring for a 70 kg adult patient with 40% Burn Surface Area (BSA). Calculate the initial rate at which you should administer intravenous fluids over the first 8 hours using the Parkland formula. Parameter Value Patient Weight 70 kg Burn Surface Area (BSA) 40\% Fluid Requirement (4 mL/kg/%BSA)

Which of the following compression therapies is most appropriate for achieving rapid reduction in scar thickness after significant burn injuries?

A patient with severe electrical burns is admitted to the burn unit. Review the lab values below. Which lab result should be prioritized for intervention based on abnormalities related to massive tissue damage? Lab Test Normal Range Patient's Value Potassium (mEq/L) 3.5-5.0 5.8 Sodium (mmol/L) 135-145 125 Hemoglobin (g/dL) 13.5-17.5 18.0 Bicarbonate (mEq/L) 22-28 24

Firefighters are assessing victims from a chemical fire scene. Which of the following factors should they least focus on when determining the severity of victims' chemical burns?

A patient with third-degree burns covering 30% of their body surface is admitted to the burn unit. As part of the nutritional assessment, which protein status indicator should be prioritized for monitoring their nutritional recovery?

When educating a caregiver about managing pressure ulcers at home, you need to determine which wound type is most suitable for autolytic debridement. Based on their characteristics, which of the following ulcer types should you choose?

A child with severe electrical burns to both upper arms now presents with significant pain and swelling. You suspect compartment syndrome. Which of the following symptoms is not typically associated with compartment syndrome?

A camper in a remote area accidentally spills boiling water on his forearm while preparing a meal. What should be the initial and most critical first aid intervention to minimize damage to the burn?

How does the Wallace Rule of Nines assist medical personnel in a trauma unit to quickly gauge the extent of burns?

A dehydrated newborn weighing 3 kg is brought into the emergency department. Using the standard maintenance factor, what should be the initial infusion rate of normal saline (NS) to adequately rehydrate the newborn?

A 35-year-old female was working in a laboratory when a bottle of concentrated hydrochloric acid fell, splashing her legs and accidentally inhaling fumes. She feels a burning sensation on her legs, has developed mild reddening, and experiences throat irritation. The area's safety data sheet highlights skin corrosion and respiratory distress as risks associated with exposure to hydrochloric acid. All of the following are immediate concerns for this patient, except:

A 24-year-old firefighter weighing 75 kg has burns covering 30% of his body surface area (TBSA). Using the Parkland formula, calculate the total fluid requirement over the first 24 hours of care, using 4 mL as the maximal amount per TBSA.

A female patient experienced severe sunburn covering 40% of her body surface area while on vacation. During the initial medical assessment, her past medical history includes the following conditions. Which condition should alert you to modify her fluid resuscitation plan?

You are treating a patient with extensive electrical burns to the limbs who you suspect is developing compartment syndrome. Which of the following is NOT typically a sign of this condition in the acute phase?

A 30-year-old female patient presents with partial-thickness burns to both of the anterior legs, anterior trunk, and anterior right arm. Using the Rule of Nines, calculate the total body surface area (TBSA) percentage that is burned.

You are assessing a firefighter after a rescue operation in a heavily smoke-filled building. Which of the following symptoms is most concerning for airway compromise?

In your role at a specialized burn center, you encounter a homeless patient and a well-known philanthropist both requiring immediate care. Applying the ethical principle of fairness, what principle should guide your decision on how to treat them?

In a burn unit, a patient is presented with several options for pain management. The healthcare team explains each option, including potential side effects and effectiveness. Which approach best exemplifies respect for the patient's autonomy?

A burn nurse is providing wound care instructions to a patient who will continue their recovery at home. To ensure the patient understands how to clean and dress their burn wound, what should the nurse encourage the patient to do?

A 60-year-old male climber presents to the emergency department after being exposed to extremely low temperatures during a mountain expedition. He has signs of frostbite affecting his limbs, altered consciousness, and arrhythmia. Which systemic condition is this patient most likely developing due to his exposure to cold and subsequent frostbite?