Preparation Notes – Comprehensive Pediatric Primary Care
Burns Management, Assessment, Treatment Protocols,
NCLEX & Pediatric Nursing Review Resource
Question 1: What is the most common type of burn in children?
A) Chemical burns
B) Thermal burns
C) Electrical burns
D) Radiation burns
Correct Option: B) Thermal burns
Rationale: Thermal burns are the most common type of burns in children, usually caused by
exposure to hot liquids, surfaces, or flames.
Question 2: Which of the following is a critical indicator of fluid resuscitation success in a
pediatric burn patient?
A) Urine output
B) Blood pressure
C) Heart rate
D) Skin temperature
Correct Option: A) Urine output
Rationale: Monitoring urine output is essential to evaluate renal function and ensure adequate
fluid resuscitation in pediatric burn patients.
Question 3: At what percentage of total body surface area (TBSA) burned should a burn in
a child typically be referred to a specialized burn unit?
A) 5%
B) 10%
C) 20%
D) 30%
Correct Option: C) 20%
Rationale: Pediatric patients with burns covering 20% or more of TBSA typically require
transfer to a specialized burn unit for comprehensive care.
, Burns Pediatric Primary Care Study Guide & Exam
Preparation Notes – Comprehensive Pediatric Primary Care
Burns Management, Assessment, Treatment Protocols,
NCLEX & Pediatric Nursing Review Resource
Question 4: What is the primary concern in the management of a child with electrical
burns?
A) Skin grafting
B) Cardiac monitoring
C) Infection prevention
D) Pain management
Correct Option: B) Cardiac monitoring
Rationale: Electrical burns can cause deep tissue injury and disrupt cardiac rhythm, making
cardiac monitoring a critical component of management
Question 5: Which type of burn results from contact with hot steam?
A) Chemical burns
B) Thermal burns
C) Electrical burns
D) Friction burns
Correct Option: B) Thermal burns
Rationale: Thermal burns are caused by exposure to heat, including hot liquids, solids, or steam.
Question 6: What is the first step in managing a burn injury?
A) Clean the wound
B) Apply ice
C) Stop the burning process
D) Administer pain relief
Correct Option: C) Stop the burning process
Rationale: The immediate priority is to stop the burning process to prevent further injury.
Question 7: In children, what is the recommended method for estimating burn size?
A) Using body weight
B) The Rule of Nines