NJROTC Academic Team NS1 Practice Test 2026 - Free Practice Questions and Study Guide

The second degree burn is considered the most painful primarily because it affects both the outer layer of skin (epidermis) and part of the underlying layer (dermis). This type of burn is characterized by the presence of blisters, which can be both painful and sensitive to touch, indicating intense nerve response in the affected area. The damage to the nerve endings in the dermis contributes to this heightened pain level.

In contrast, first degree burns, while painful, are usually limited to the outer layer of skin and typically heal without scarring. Third degree burns are usually less painful due to the extensive damage they inflict on nerve endings, essentially "numbing" the pain sensation despite the severity of the injury. Fourth degree burns involve deeper tissue damage, including muscle and bone, and are also often not associated with pain in the burned area due to the destruction of nerves. Thus, the combination of superficial and partial thickness damage in second degree burns leads to a more intense pain response.