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.
1
,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.
2
, 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.
3
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.
1
,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.
2
, 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.
3
