Examl 2:l NRl 328/l NR328l (Latestl 2026/l
2027l Update)l Pediatricl Nursingl Review|l
Q/Al |l Gradel A|l 100%l Correctl (Verifiedl
Answers)l -Chamberlain
Q:l Al nursel isl caringl forl al clientl whol hasl majorl burnsl andl suspectedl septicl shock.l
Whichl ofl thel followingl findingsl arel consistentl withl septicl shock?l (Selectl alll thatl apply.)
A.l Increasedl bodyl temperature
B.l Alteredl sensorium
C.l Decreasedl capillaryl refilll time
D.l Decreasedl urinel output
E.l Increasedl bowell sounds
Answer:
A,B,D
Q:l Al nursel isl caringl forl al childl whol hasl hadl wateryl diarrheal forl thel pastl 3l days.l
Whichl ofl thel followingl isl anl actionl forl thel nursel tol take?
A.l Offerl chickenl broth.
B.l Initiatel orall rehydrationl therapy.
C.l Startl hypertonicl IVl solution.
D.l Keepl NPOl untill thel diarrheal subsides.
Answer:
B
Q:l isotonicl dehydration
Answer:
-l mostl commonl forml ofl dehydrationl inl childrenl
-l equall lossl ofl waterl andl saltl
-l decreasedl circulatingl volumel -->l hypovolemicl shock
,Q:l hypotonicl dehydration
Answer:
-l lossl ofl morel electrolytesl thanl waterl
-l sodiuml isl veryl low
Q:l hypertonicl dehydration
Answer:
-l lossl ofl morel waterl thanl electrolytes
-l sodiuml isl veryl highl
-l dangerous
Q:l mildl dehydration
Answer:
-l weightl lossl ofl <5%
-l nol vitall signl changes
-l normall mucusl membranes
-l tearsl arel stilll present
-l fontanell appearsl normall
-l capl refilll <2l seconds
-l decreasedl urinel output
Q:l moderatel dehydration
Answer:
-l weightl lossl ofl 6-10%
-l slightlyl increasedl HR,l normall BPl
-l dryl mucusl membranes
-l decreasedl tearl production
-l normall tol sunkenl fontanell
-l capl refilll 2-4l seconds
-l oliguria
,Q:l severel dehydration
Answer:
-l weightl lossl ofl 10%l orl more
-l tachycardial andl orthostaticl BP
-l parchedl lookingl mucusl membranes
-l nol tears,l sunkenl inl eyes
-l sunkenl fontanell
-l capl refilll greaterl thanl 4l secondsl
-l anuria
Q:l rehydrationl throughl intravenousl fluidl replacement
Answer:
Whatl isl parenterall rehydration?
Q:l maintenancel fluidl requirementl calculation
Answer:
0-10kgl (1stl 10kg)l =l 100ml/kg
+
11-20kgl (2ndl 10l kg)l =l 50ml/kg
+
20+kgl =l 20ml/kg
Q:l seriousl burnl -->l systemicl inflammatoryl responsel -->l histaminel isl releasedl -->l
bloodl vesselsl dilate,l increasedl capillaryl permeabilityl -->l fluidl inl intersitiall spacel akal
edema
, Answer:
Whyl dol burnsl causel edema?
Q:l superficiall (firstl degree)l burn
Answer:
-l burnl thatl involvesl thel epidermall layerl onlyl
-l nol blistersl
-l tissuel damagel isl minimuml
-l mildl sunburn
Q:l partiall thicknessl (secondl degree)l burn
Answer:
-l burnl thatl involvesl thel epidermisl andl upperl portionl ofl thel dermall layerl
-l painful,l moist,l red,l andl blistered
Q:l fulll thicknessl (thirdl degree)l burns
Answer:
-l burnl thatl involvesl thel entirel epidermisl andl dermisl andl canl extendl intol thel
subcutaneousl tissuel
-l nervel endings,l sweatl glands,l andl hairl folliclesl arel destroyedl
-l burnl variesl inl colorl (redl tol tan,l waxyl white,l brown,l orl black)l
-l dryl leatheryl appearance
-l lackl ofl sensationl
-l surgicall excisionl andl graftingl tol closel thel wound
Q:l Lund-Browderl chart
rulel ofl nine
Answer:
Howl dol wel assessl burnsl inl children?
2027l Update)l Pediatricl Nursingl Review|l
Q/Al |l Gradel A|l 100%l Correctl (Verifiedl
Answers)l -Chamberlain
Q:l Al nursel isl caringl forl al clientl whol hasl majorl burnsl andl suspectedl septicl shock.l
Whichl ofl thel followingl findingsl arel consistentl withl septicl shock?l (Selectl alll thatl apply.)
A.l Increasedl bodyl temperature
B.l Alteredl sensorium
C.l Decreasedl capillaryl refilll time
D.l Decreasedl urinel output
E.l Increasedl bowell sounds
Answer:
A,B,D
Q:l Al nursel isl caringl forl al childl whol hasl hadl wateryl diarrheal forl thel pastl 3l days.l
Whichl ofl thel followingl isl anl actionl forl thel nursel tol take?
A.l Offerl chickenl broth.
B.l Initiatel orall rehydrationl therapy.
C.l Startl hypertonicl IVl solution.
D.l Keepl NPOl untill thel diarrheal subsides.
Answer:
B
Q:l isotonicl dehydration
Answer:
-l mostl commonl forml ofl dehydrationl inl childrenl
-l equall lossl ofl waterl andl saltl
-l decreasedl circulatingl volumel -->l hypovolemicl shock
,Q:l hypotonicl dehydration
Answer:
-l lossl ofl morel electrolytesl thanl waterl
-l sodiuml isl veryl low
Q:l hypertonicl dehydration
Answer:
-l lossl ofl morel waterl thanl electrolytes
-l sodiuml isl veryl highl
-l dangerous
Q:l mildl dehydration
Answer:
-l weightl lossl ofl <5%
-l nol vitall signl changes
-l normall mucusl membranes
-l tearsl arel stilll present
-l fontanell appearsl normall
-l capl refilll <2l seconds
-l decreasedl urinel output
Q:l moderatel dehydration
Answer:
-l weightl lossl ofl 6-10%
-l slightlyl increasedl HR,l normall BPl
-l dryl mucusl membranes
-l decreasedl tearl production
-l normall tol sunkenl fontanell
-l capl refilll 2-4l seconds
-l oliguria
,Q:l severel dehydration
Answer:
-l weightl lossl ofl 10%l orl more
-l tachycardial andl orthostaticl BP
-l parchedl lookingl mucusl membranes
-l nol tears,l sunkenl inl eyes
-l sunkenl fontanell
-l capl refilll greaterl thanl 4l secondsl
-l anuria
Q:l rehydrationl throughl intravenousl fluidl replacement
Answer:
Whatl isl parenterall rehydration?
Q:l maintenancel fluidl requirementl calculation
Answer:
0-10kgl (1stl 10kg)l =l 100ml/kg
+
11-20kgl (2ndl 10l kg)l =l 50ml/kg
+
20+kgl =l 20ml/kg
Q:l seriousl burnl -->l systemicl inflammatoryl responsel -->l histaminel isl releasedl -->l
bloodl vesselsl dilate,l increasedl capillaryl permeabilityl -->l fluidl inl intersitiall spacel akal
edema
, Answer:
Whyl dol burnsl causel edema?
Q:l superficiall (firstl degree)l burn
Answer:
-l burnl thatl involvesl thel epidermall layerl onlyl
-l nol blistersl
-l tissuel damagel isl minimuml
-l mildl sunburn
Q:l partiall thicknessl (secondl degree)l burn
Answer:
-l burnl thatl involvesl thel epidermisl andl upperl portionl ofl thel dermall layerl
-l painful,l moist,l red,l andl blistered
Q:l fulll thicknessl (thirdl degree)l burns
Answer:
-l burnl thatl involvesl thel entirel epidermisl andl dermisl andl canl extendl intol thel
subcutaneousl tissuel
-l nervel endings,l sweatl glands,l andl hairl folliclesl arel destroyedl
-l burnl variesl inl colorl (redl tol tan,l waxyl white,l brown,l orl black)l
-l dryl leatheryl appearance
-l lackl ofl sensationl
-l surgicall excisionl andl graftingl tol closel thel wound
Q:l Lund-Browderl chart
rulel ofl nine
Answer:
Howl dol wel assessl burnsl inl children?
