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HESI Case Studies--Pediatrics-Burns Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the most common cause of burns in toddlers at home?✔✔Scalding from hot liquids.
Why are children at higher risk of severe burn injury compared to adults?✔✔They have thinner skin, which allows burns to penetrate deeper.
What is the priority nursing action when a child presents with burns and airway compromise?✔✔Maintain a patent airway.
Why is urine output monitored closely in a pediatric burn patient?✔✔It indicates kidney perfusion and fluid balance.
What type of fluid is used initially for resuscitation in a child with major burns?✔✔Isotonic crystalloid solution such as lactated Ringer’s.
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Why are children with burns at risk of hypothermia?✔✔They have a large body surface area relative to their mass, causing rapid heat loss.
What is an early sign of inhalation injury in a burned child?✔✔Singed nasal hairs and soot around the mouth.
What is the purpose of the Parkland formula in pediatric burns?✔✔To calculate fluid resuscitation needs in the first 24 hours.
Why should IV access be established in unburned areas if possible?✔✔To reduce infection risk and ensure reliable access.
What complication is suspected if a burned child develops hoarseness and stridor?✔✔Airway obstruction from inhalation injury.
What is the best way to estimate burn size in children?✔✔Using the Lund-Browder chart.
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Why are circumferential burns on extremities dangerous?✔✔They can restrict circulation and cause compartment syndrome.
What is the primary goal of pain management in pediatric burn care?✔✔To keep the child comfortable and reduce anxiety during healing.
Why is tetanus prophylaxis important in burn patients?✔✔Burn wounds provide an entry for Clostridium tetani.
What lab value is closely monitored to assess tissue perfusion in burn patients?✔✔Serum lactate level.
What is the best nutritional support for a child with extensive burns?✔✔High-calorie, high-protein diet.
Why is early wound debridement important in burns?✔✔It reduces infection risk and promotes healing.
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