TNS Review Questions with Complete

TNS Review Questions with Complete Solutions (Latest 2025) Write out Parkland formula - Correct Answers ✅2-4 ml x Wt in Kg x %TBSA (1/2 over first 8 hours, 1/2 over next 16 hours)

Dry charred areas of thermal burn are characterized as:

• Superficial
• Partial thickness
• Full thickness
• Electrical - Correct Answers ✅c. Full thickness

Dry charred areas of thermal burn are characterized as:

• Superficial
• Partial thickness
• Full thickness
• Electrical - Correct Answers ✅c. Full thickness

A patient presents with circumferential burns to his forearm.His fingers are dusky and the radial pulse is present but very

weak. The TNS should anticipate:

• Escharotomy through SQ tissue to reestablish tissue

perfusion

• Fasciotomy to relieve Volman's contracture
• Arteriogram to define the degree of circulation compromise 1 / 4

TNS Review Questions with Complete Solutions (Latest 2025)

• Silvadene ointment and an occlusive, transparent dressing

to limit infection - Correct Answers ✅a. Escharotomy through SQ tissue to reestablish tissue perfusion In a burn patient, what is the most important indicator for adequate fluid resuscitation?

• CVP
• Hematocrit
• Hourly urine output
• Hourly vital signs - Correct Answers ✅c. Hourly urine

output A 23 y/o traumatic burn patient has developed peripheral edema. What could the TNS attribute this shift of fluid to the interstitial space?

• Congestive heart failure
• Increased permeability of capillaries
• Lymphatic obstruction
• Cor Pulmonale - Correct Answers ✅b. Increased

permeability of capillaries In Jackson's thermal wound theory which zone is it with the central area with the most intense heat contact and the most damage?

• Zone of Coagulation 2 / 4

TNS Review Questions with Complete Solutions (Latest 2025)

• Zone of Stasis
• Zone of Hyperemia - Correct Answers ✅a. Zone of

Coagulation In Jackson's thermal wound theory which zone is it that extends peripherally from the zone of coagulation is an inflamed area where blood flow decreases?

• Zone of Coagulation
• Zone of Stasis
• Zone of Hyperemia - Correct Answers ✅b. Zone of Stasis

In Jackson's thermal wound theory which zone is it that is the burn perimeter?

• Zone of Coagulation
• Zone of Stasis
• Zone of Hyperemia - Correct Answers ✅c. Zone of

Hyperemia Type of burn that is epidermis only, characterized by blanchable redness, warm (may be moist), local pain (nerve

endings exposed to air), heals spontaneously. Example:

sunburn

• Superficial
• Partial Thickness
• Full thickness 3 / 4

TNS Review Questions with Complete Solutions (Latest 2025)

• Fourth degree - Correct Answers ✅a. Superficial

Type of burn that is epidermis and varying degree of dermal involvement with basement membrane still intact; characterized by blanchable redness, edematous tissue, moist (blisters), extreme local pain, minimal scarring if wound closure happens within 2-3 weeks, grafting indicated with longer closure time.

• Superficial
• Partial Thickness
• Full thickness
• Fourth degree - Correct Answers ✅b. Partial Thickness

Type of burn that destroys both layers of skin including basement membrane; characterized by white, pale, brown, leathery, charring, dry, non-blanchable, NO pain, coagulated dead skin forms tough, leathery eschar. Requires skin grafting.

• Superficial
• Partial Thickness
• Full thickness
• Fourth degree - Correct Answers ✅c. Full thickness

Type of burn that destroys down to muscle and bone, usually requiring excision of tissue and grafting. Seen with electrical and deep chemical burns.

• / 4