CBRN CBRN Rehabilitation & Scar Management 2

Question 1

What is the primary goal of therapeutic positioning in acute burn care?

Accepted Answer

Preventing contracture deformities and maintaining functional alignment

Answer

Proper positioning maintains joints in anti-contracture positions to prevent deformity development during the acute healing phase.

Question 2

Which splint position is recommended for patients with dorsal hand burns to prevent intrinsic-minus deformity?

Accepted Answer

Wrist extension, MCP flexion at 70–90°, IP extension, thumb abduction

Answer

The intrinsic-plus (safe) position — wrist extension, MCP flexion at 70–90°, IP extension, thumb abduction — prevents deformity and maintains intrinsic muscle length.

Question 3

What is the role of silicone gel sheeting in burn scar management?

Accepted Answer

Creates a moisture-retaining barrier that softens and improves scar appearance

Answer

Silicone gel sheeting creates a semi-occlusive, moisture-retaining barrier that reduces erythema, softens scar tissue, and improves overall scar appearance.

Question 4

Which assessment tool is commonly used in burn centers to objectively evaluate scar characteristics for rehabilitation planning?

Accepted Answer

Vancouver Scar Scale (VSS)

Answer

The Vancouver Scar Scale assesses vascularity, pigmentation, pliability, and height to objectively track scar progress during rehabilitation.

Question 5

What is the recommended daily wear duration for compression garments during the active scar remodeling phase?

Accepted Answer

23 hours per day

Answer

Compression garments must be worn 23 hours per day, removing them only for hygiene and wound care, to maintain consistent pressure during scar remodeling.

(CBRN) Certified Burn Registered Nurse Practice Test

(CBRN) Certified Burn Registered Nurse Practice Test

CBRN CBRN Rehabilitation & Scar Management 2