Exam (elaborations)
NR 328 PEDIATRIC NURSING – PEDIATRICS BURN INJURIES QUESTIONS WITH VERIFIED ANSWERS
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NR 328 PEDIATRIC NURSING – PEDIATRICS BURN INJURIES QUESTIONS WITH VERIFIED ANSWERS
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NR 328 PEDIATRIC NURSING – PEDIATRICS BURNINJURIES QUESTIONS WITH VERIFIED ANSWERS
1. A child presents with partial-thickness burns on the front of both
legs. What percentage of the body is affected according to the Rule
of Nines for pediatric patients?
o A. 9%
o B. 18%
o C. 27%
o D. 36%
2. Which of the following is the most critical initial step in the
management of a child with severe burns?
o A. Administering antibiotics
o B. Establishing and maintaining the airway
o C. Providing pain relief
o D. Cleaning the burn wounds
3. What is the primary goal of fluid resuscitation in the first 24 hours
following a severe burn injury in a child?
o A. Preventing infection
o B. Maintaining adequate perfusion and preventing shock
o C. Reducing pain
o D. Decreasing inflammation
4. Which fluid is most commonly used for initial resuscitation in
pediatric burn patients?
o A. D5W
o B. Lactated Ringer's solution
o C. Normal saline
o D. Albumin
5. What is the Parkland formula for calculating fluid requirements in
burn patients?
o A. 2 mL/kg/%TBSA burned over 24 hours
o B. 4 mL/kg/%TBSA burned over 24 hours
o C. 6 mL/kg/%TBSA burned over 24 hours
, o D. 8 mL/kg/%TBSA burned over 24 hours
6. A child weighing 20 kg has sustained burns over 25% of their body
surface area. Using the Parkland formula, how much fluid should
be administered in the first 24 hours?
o A. 1,000 mL
o B. 2,000 mL
o C. 2,000 mL
o D. 3,000 mL
7. For a child with burns, which of the following is a priority nursing
diagnosis?
o A. Risk for constipation
o B. Risk for infection
o C. Risk for impaired verbal communication
o D. Risk for sleep deprivation
8. In the acute phase of burn management, what is the best method
for assessing the adequacy of fluid resuscitation?
o A. Monitoring blood pressure
o B. Monitoring urine output
o C. Checking capillary refill
o D. Assessing skin turgor
9. What pain management strategy is recommended for children with
severe burns?
o A. Oral analgesics as needed
o B. Intravenous opioids
o C. Topical anesthetics
o D. Nonsteroidal anti-inflammatory drugs (NSAIDs)
10. Which of the following is a common complication in
pediatric patients with burns that must be monitored closely?
o A. Hyperglycemia
o B. Hypothermia
o C. Hypercalcemia
o D. Hypertension
,Questions 11-20
11. In pediatric burn patients, why is it important to maintain a
warm environment?
o A. To prevent heat exhaustion
o B. To prevent hypothermia
o C. To reduce the risk of infection
o D. To enhance wound healing
12. Which nutritional intervention is essential for a child with
extensive burns?
o A. Low-fat diet
o B. High-calorie, high-protein diet
o C. Low-sodium diet
o D. Vegetarian diet
13. How should a partial-thickness burn be initially managed?
o A. Clean with mild soap and water, apply antibiotic
ointment, and cover with a sterile dressing
o B. Apply ice directly to the burn
o C. Leave the burn open to air
o D. Debride the burn in the emergency room
14. What is the purpose of escharotomy in burn patients?
o A. To debride necrotic tissue
o B. To relieve pressure and restore circulation
o C. To reduce pain
o D. To prevent infection
15. Which sign indicates an inhalation injury in a pediatric burn
patient?
o A. Clear lung sounds
o B. Soot around the mouth and nose
o C. Hypothermia
o D. Bradycardia
16. What is the priority nursing intervention for a child with
facial burns?
, o A. Monitor respiratory status closely
o B. Apply cool compresses to the face
o C. Administer intravenous antibiotics
o D. Perform wound debridement
17. When is it appropriate to administer a tetanus booster to a
child with burns?
o A. If it has been more than 5 years since the last dose
o B. If the child is under 2 years old
o C. If the burn covers less than 10% of the body
o D. If the child has a history of allergies
18. What is the most effective method for assessing the depth of
a burn in a pediatric patient?
o A. Observing the color of the burn
o B. Assessing the sensation and capillary refill of the burn
area
o C. Measuring the temperature of the burn
o D. Palpating the burn for firmness
19. Which medication is commonly used to prevent gastric ulcers
in pediatric burn patients?
o A. Ranitidine
o B. Ibuprofen
o C. Acetaminophen
o D. Morphine
20. How can a nurse prevent contractures in a pediatric patient
with burns?
o A. Applying pressure garments
o B. Performing range-of-motion exercises
o C. Encouraging bed rest
o D. Using cooling blankets
Questions 21-30
21. Why is it important to assess the psychosocial status of a
child with burns?
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