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Exam Code: BCEN CBRN
Exam Name: Certified Burn Registered Nurse
Number of Questions: 175 (150 scored- 25 unscored pretest items).
Time Allotted: 3 hours.
Passing Marks: 114-115 correct out of 150 scored items (76%)

- Pathophysiology
- Etiology of burn injury (e.g.- thermal- electrical- chemical)
- Local response: Zones of injury
- Systemic response
- Burn shock
- Inflammatory response
- Systemic Inflammatory Response Syndrome (SIRS)
- Multiple Organ Dysfunction Syndrome (MODS)
- Metabolic response
- Physiology of wound healing: Phases of wound healing (e.g.- all phasesto include scar maturation)
- Inhalation injury
- Injury types (e.g.- systemic poisons- upper airway- lower airway)
- Etiology

- Clinical Practice: Initial Management (<72 hours)
- Prehospital care
- Primary and Secondary Assessment
- ABA transfer criteria
- Resuscitation management
- Burn size calculation (%TBSA)
- Resuscitation Formulas
- Fluid resuscitation and titration
- Patient response goals (e.g.- urine output)
- Patient with inhalation injury
- Stabilization
- Hemodynamic stabilization
- Thermoregulation
- Oxygenation
- Secondary complications
- Over-and-under resuscitation
- Compartment syndromes
- Dysrhythmias
- Hemodynamic instability
- Acute Respiratory Distress Syndrome (ARDS)
- Mechanism of injury
- Cutaneous
- Scald
- Chemical
- Electrical
- Thermal
- Non-Cutaneous: Inhalation injury
- Concomitant trauma

- Clinical Practice: Acute Care
- Systems exam and management
- Neurological
- HEENT
- Respiratory
- Cardiovascular
- Gastrointestinal
- Genitourinary
- Musculoskeletal
- Integumentary

- Infection control
- Sepsis
- Localized infection
- Infection prevention
- Nutrition management
- Hypermetabolism
- Role of dietician
- Enteral nutrition
- Parenteral nutrition
- Supplements
- Glycemic control
- Rehabilitation
- Role of burn therapist (e.g.- PT- OT child life and speech)
- Scar and contracture prevention

- Clinical Practice: Assessment- Treatment- and Evaluation of PainAgitation Delirium (PAD)
- Pain
- Acute
- Chronic
- Neuropathic
- Agitation and Anxiety
- Delirium
- Pruritis
- Acute
- Chronic

- Clinical Practice: Wound Management
- Wound depth exam (e.g.- partial vs full thickness)
- Care of the burn wound
- Prevention of infections
- Local wound care
- Debridement (e.g.- mechanical and chemical)
- Patient education (e.g.- expected healing time)
- Non-surgical approaches
- Topicals (e.g.- ointments- creams- solutions)
- Dressings (e.g.- non-adherent- silver- negative pressure)
- Surgical approaches
- Excision techniques (e.g.- depth of excision)
- Use of allograft
- Use of xenograft
- Use of autograft (e.g.- FTSG vs STSG)
- Autologous skin cell suspension (ASCS)
- Cultured epidermal autografts (CEA)
- Nursing considerations of the surgical patient
- Pre-operative
- Operative
- Post-operative (e.g.- management of donor site- surgical site)
- Skin/Dermal substitutes
- Biodegradable temporizing matrix (e.g.- Integra®- NovoSorb®BTM)
- Contracture/scar prevention
- Positioning
- Range of motion
- Orthotic management
- Scar massage

- Psychosocial Support and Patient Advocacy
- Associated psychological diagnoses (e.g.- Acute Stress Disorder-depression- PTSD)
- Other social emotional considerations (e.g.- body image- intimacy)
- Community reintegration
- School
- Work/productivity
- Support resources
- Peer to peer support
- Burn camp

- Ambulatory and Reconstruction
- Scar Management
- Types of scar (e.g.- hypertrophic scarring- keloid)
- Non-surgical management (e.g.- garments- massage)
- Surgical management (e.g. laser therapy- tissue rearrangement)
- Patient and family education
- Transition from inpatient to outpatient
- Discharge teaching (e.g.- hospital or ambulatory)
- Home management of chronic conditions and new onsetdisability
- Home wound management
- Home therapeutics (e.g.- sun protection- moisturizer)
- Management of sequalae
- Medication management

- Special Populations
- Pediatrics
- Developmentally appropriate care
- Physiological differences (e.g.- airway)
- Pediatric specific injuries
- Functional impact of scarring
- Older Adults
- Physiological differences
- Impact of comorbidities
- Pregnant patients
- Non-burn skin conditions
- Friction
- Frostbite
- Necrotizing Fasciitis
- Toxic Epidermal Necrolysis (TENS) / Stevens-Johnson Syndrome(SJS) / Necrotizing Soft Tissue Infections (NSTI)
- Non-Accidental trauma
- Child Protective Services (CPS)/Adult Protective Services (APS)referrals
- Patterns of injury
- Risk factors
- Substance use disorders

- Professional Practice
- Ethics
- End of life (e.g.- palliative and hospice)
- Goals of care
- Spiritual considerations
- Decisional capacity
- Cultural considerations for treatment
- Quality Improvement and Process Improvement (QI/PI)
- Interprofessional/Multidisciplinary collaboration (e.g.- social worker-case manager- child life- psychologist)
- Diversity- equity- and inclusion
- Self-care and resiliency
- Intraprofessional nursing collaboration and education
- Community outreach education: Home safety (e.g.- hot water heater-carbon monoxide)
- Disaster management
- Mass casualty incidents
- Bed surge capacity
- Triage criteria