Burns NCLEX Practice Questions

Burns NCLEX Practice Questions & Reviewer | 2025/2026 Latest Edition Real NCLEX-Based Questions and Verified Answers | 100% Accuracy | Burn Management & Emergency Nursing | Graded A+ Introduction This resource includes 100 verified NCLEX-style multiple-choice questions and correct answers covering essential topics in burn classification, pathophysiology, fluid resuscitation (Parkland Formula), airway management, pain control, and nursing interventions. All content is aligned with 2025/2026 NCLEX-RN® exam standards and emergency care protocols.Answer Format All correct answers are clearly marked in bold and green to maximize study efficiency and exam readiness.

Questions

• A client with a burn injury is admitted to the emergency department.

What is the priority nursing action?

a) Administer pain medication

b) Assess airway and breathing

c) Apply cold compresses

d) Calculate fluid resuscitation needs

b) Assess airway and breathing

Rationale: Airway and breathing assessment is the priority due to the risk of inhalation injury and airway compromise in burn patients.

• A client has a second-degree burn. Which layer of skin is affected?

a) Epidermis only

b) Epidermis and partial dermis

c) Epidermis, dermis, and subcutaneous tissue

d) Subcutaneous tissue only

b) Epidermis and partial dermis

Rationale: Second-degree burns affect the epidermis and part of the dermis, causing blisters and pain. 1 / 3

• The nurse is using the Parkland Formula for a client with a 40% total

body surface area (TBSA) burn. The client weighs 70 kg. How much fluid should be administered in the first 24 hours?

• 5,600 mL
• 11,200 mL
• 8,400 mL
• 14,000 mL
• 11,200 mL

Rationale: The Parkland Formula is 4 mL × TBSA (%) × weight (kg). For 40% TBSA and 70

kg: 4 × 40 × 70 = 11,200 mL.

• A client with a burn injury is at risk for which electrolyte imbalance?

a) Hyperkalemia

b) Hypocalcemia

c) Hypernatremia

d) Hypomagnesemia

a) Hyperkalemia

Rationale: Burn injuries cause cell damage, releasing potassium into the bloodstream, leading to hyperkalemia.

• A client with facial burns is at risk for which complication?

a) Hypoglycemia

b) Airway obstruction

c) Deep vein thrombosis

d) Urinary retention

b) Airway obstruction

Rationale: Facial burns can cause swelling and inhalation injury, leading to airway obstruction.

• A nurse is assessing a client with a burn. Which finding indicates a

third-degree burn?

a) Red, painful skin

b) Blisters and swelling

c) White, leathery skin

d) Moist, red skin

c) White, leathery skin

Rationale: Third-degree burns are full-thickness, destroying the epidermis and dermis, resulting in white, leathery skin.

• A client with a burn injury is receiving IV fluids. How much fluid

should be given in the first 8 hours using the Parkland Formula for a 50% TBSA burn and a weight of 80 kg?

• 8,000 mL
• 4,000 mL 2 / 3

• 16,000 mL
• 6,000 mL
• 4,000 mL

Rationale: Parkland Formula: 4 × 50 × 80 = 16,000 mL total; half (8,000 mL) is given in the first 8 hours, so 8,000 ÷ 2 = 4,000 mL.

• A client with a burn injury reports severe pain. What is the most

appropriate initial intervention?

a) Apply ice to the burn

b) Administer IV analgesics

c) Cover the burn with a dry dressing

d) Elevate the affected area

b) Administer IV analgesics

Rationale: IV analgesics are preferred for severe burn pain due to rapid onset and effectiveness.

• A nurse is caring for a client with a burn injury. Which solution is

most commonly used for fluid resuscitation?

a) Normal saline

b) Lactated Ringer’s

c) Dextrose 5% in water

d) Albumin

b) Lactated Ringer’s

Rationale: Lactated Ringer’s is the preferred fluid for burn resuscitation due to its balanced electrolytes.

• A client with a burn injury is at risk for which type of shock?

a) Cardiogenic shock

b) Hypovolemic shock

c) Neurogenic shock

d) Septic shock

b) Hypovolemic shock

Rationale: Burns cause fluid loss through damaged skin, leading to hypovolemic shock.

• A client with a burn injury has singed nasal hairs. What is the priority

nursing action?

a) Administer oxygen via nasal cannula

b) Prepare for intubation

c) Apply a cool compress to the face

d) Start IV fluids

b) Prepare for intubation

Rationale: Singed nasal hairs indicate possible inhalation injury, requiring preparation for intubation to secure the airway.

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