BCEN-CBRN : BCEN Certified Burn Registered Nurse Exam

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BCEN-CBRN
BCEN Certified Burn Registered Nurse
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Question: 1
When managing a burn wound, which intervention promotes wound healing by providing a moist environment and preventing bacterial contamination?
1. Applying a dry sterile dressing.
2. Using a topical antiseptic solution.
pplying an occlusive dressing. wer: D
anation: Applying an occlusive dressing promotes wound healing by iding a moist environment and preventing bacterial contamination. It h aintain a physiologically ideal environment for wound healing. Applyi terile dressing may lead to wound desiccation and delayed healing. T eptic solutions can damage healthy tissue and delay healing. Daily wo dement is important for removing necrotic tissue but does not provide
environment or prevent bacterial contamination.
stion: 2
initial management of a burn patient within the first 72 hours, which vention is a priority?
dministering tetanus prophylaxis.
Performing daily wound debridement.
3. A
Ans Expl
prov elps
to m ng a
dry s opical
antis und
debri a
moist
Que
In the inter
1. A
2. Initiating fluid resuscitation.
3. Applying topical antimicrobial agents.
4. Documenting the extent of the burn. Answer: B
Explanation: Initiating fluid resuscitation is a priority in the initial management
of a burn patient. The goal is to restore and maintain adequate tissue perfusion and prevent hypovolemic shock. Administering tetanus prophylaxis, applying topical antimicrobial agents, and documenting the extent of the burn are important interventions but are not the highest priority in the immediate management of the patient.
When assessing pain in a burn patient, which pain assessment tool is most opriate for patients who are unable to self-report pain?
umeric Rating Scale (NRS). isual Analog Scale (VAS). ehavioral Pain Scale (BPS).
ong-Baker FACES Pain Rating Scale. wer: C
anation: The Behavioral Pain Scale (BPS) is the most appropriate pai sment tool for burn patients who are unable to self-report pain. The B ses pain based on behavioral indicators such as facial expression, bod ements, and vocalizations.
stion: 4
Question: 3
appr
1. N
2. V
3. B
4. W
Ans
Expl n
asses PS
asses y
mov
Que
In the pathophysiology of burn injuries, the zone of coagulation refers to:
1. The area of the burn with the least severe tissue damage.
2. The area of the burn with the highest degree of tissue damage.
3. The area of the burn where blood flow is compromised.
4. The area of the burn where an infection is most likely to occur.
Answer: B
Explanation: The zone of coagulation is the area of the burn with the highest degree of tissue damage. This zone experiences irreversible tissue necrosis and is surrounded by the zones of stasis and hyperemia. The severity of tissue damage decreases as you move away from the zone of coagulation.
ng the acute care phase of burn management, which intervention is cr reventing contractures?
arly mobilization and range-of-motion exercises. dministration of intravenous antibiotics. pplication of a splint or cast.
egular wound dressing changes. wer: A
anation: Early mobilization and range-of-motion exercises are crucial enting contractures during the acute care phase of burn management. obilization and prolonged bed rest can lead to joint stiffness and actures. Regular movement and exercises help maintain joint mobilit ent contractures. Administration of intravenous antibiotics, application
or cast, and regular wound dressing changes are important interventi rn care but are not specifically aimed at preventing contractures.
Question: 5
Duri ucial
for p
1. E
2. A
3. A
4. R
Ans
Expl for
prev Imm
contr y and
prev of a
splint ons
in bu
Question: 6
When providing psychosocial support to a burn patient, which intervention is most appropriate for addressing body image concerns?
1. Encouraging the patient to avoid looking at the burn wounds.
2. Promoting open communication about the patient's feelings and concerns.
3. Minimizing the importance of physical appearance in conversations with the patient.
4. Suggesting that the patient focus on the positive aspects of their recovery. Answer: B
erns is the most appropriate intervention for addressing body image erns in a burn patient. Encouraging avoidance of looking at the burn nds may contribute to avoidance behavior and hinder psychological ng. Minimizing the importance of physical appearance may invalidate nt's feelings and concerns. While focusing on the positive aspects of very is important, it does not directly address the patient's body image erns.
stion: 7
assessment of a burn wound, which finding indicates an infection? allor and coolness of the surrounding skin.
bsence of pain or discomfort at the burn site. oul odor and purulent drainage from the wound. ormation of a thick, black eschar over the burn.
wer: C
Explanation: Promoting open communication about the patient's feelings and conc
conc wou
heali the
patie reco conc
Que
In the
1. P
2. A
3. F
4. F
Ans
Explanation: Foul odor and purulent drainage from the wound indicate an infection in a burn wound. These signs are suggestive of bacterial colonization or infection. Pallor and coolness of the surrounding skin may indicate compromised circulation. Absence of pain or discomfort at the burn site can be a concerning sign of nerve damage. The formation of a thick, black eschar is characteristic of a full-thickness burn but does not necessarily indicate
infection.
Question: 8
A patient with a burn injury is experiencing pain, agitation, and delirium. Which assessment finding is consistent with pain-related agitation?
xcessive sleepiness and lethargy.
ability to concentrate and disorientation. rofound muscle weakness and flaccidity.
wer: A
anation: Increased blood pressure and heart rate are consistent with pa ed agitation in a patient with a burn injury. Pain can cause sympatheti ous system activation, leading to increased sympathetic outflow, constriction, and increased heart rate and blood pressure. Excessive iness and lethargy, inability to concentrate and disorientation, and ound muscle weakness and flaccidity are not characteristic of pain-rela tion.
stion: 9
ng the reconstruction phase of burn care, which procedure is commonl ormed to improve functional and cosmetic outcomes?
Increased blood pressure and heart rate.
E
In
P
Ans
Expl in-
relat c
nerv vaso sleep
prof ted
agita
Que
Duri y
perf
1. Skin grafting.
2. Escharotomy.
3. Debridement.
4. Wound irrigation. Answer: A
Explanation: Skin grafting is commonly performed during the reconstruction phase of burn care to improve functional and cosmetic outcomes. Skin grafting involves transplanting healthy skin from one area of the body (donor site) to the burned area (recipient site). Escharotomy, debridement, and wound irrigation are procedures performed during the acute care phase of burn management.

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