An adult has a partial-thickness burn involving TBSA and no documented shock. Does the burn size meet the usual adult threshold for formal burn-shock fluid resuscitation?
2 Fluid Resuscitation Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Fluid Resuscitation, test your knowledge, and prepare for your next test or exam.
Fluid-formula results are a starting , not a fixed prescription.
For adults with burns involving at least 20% TBSA, the recommended starting estimate uses mL for each kilogram of body weight and each percentage point of TBSA.
An adult has 9% superficial, 13% partial-thickness, and 7% full-thickness burns. What TBSA should be counted when estimating burn size for fluid resuscitation?
- A
7% TBSA
- B
20% TBSA
- C
29% TBSA
- D
13% TBSA
The first half of the estimated volume should be given during the first 8 hours after hospital arrival, even if the injury occurred earlier.
- A
True
- B
False
A burn-center protocol specifies the fluid and titration instructions for a patient. Which approach is most appropriate?
- A
Always use lactated Ringer’s, regardless of the burn-center protocol.
- B
Choose any available IV fluid because the formula determines the fluid type.
- C
Use the fluid ordered under the applicable burn-center protocol; lactated Ringer’s is commonly used.
- D
Use the Parkland formula to determine which fluid must be administered.
An adult weighing 60 kg has burns involving 25% TBSA. Using the 2 mL estimate, what is the starting volume for the first 24 hours?
- A
1,500 mL
- B
3,000 mL
- C
6,000 mL
- D
7,500 mL
Using the common adult target of 0.5 mL/kg/hour, what urine output in mL/hour is the target for an 84-kg adult?
A 70-kg adult with a 30% TBSA burn is being managed using the 2 mL estimate. The injury occurred 3 hours ago, and 500 mL has been given since the injury, all during the first 8-hour period. Select all steps that should be used to determine the initial rate for the rest of that period.
- A
Calculate the 24-hour starting estimate: 2×70×30=4,200 mL.
- B
Allocate half of the estimate, 2,100 mL, to the first 8 hours from the time of injury; 5 hours remain in that period.
- C
Subtract the 500 mL already given from the 2,100 mL first-period amount, leaving 1,600 mL.
- D
Divide the remaining 1,600 mL by the 5 hours left to obtain an initial rate of 320 mL/hour.
- E
Divide the entire 2,100 mL first-period amount by the 5 hours left, without subtracting fluid already given.
- F
Begin the first 8-hour period at hospital arrival rather than at the time of injury.
An 80-kg adult has a 20% TBSA burn. The injury occurred 4 hours ago, and 400 mL has been infused during the first 8-hour period. Using the 2 mL estimate, what rate in mL/hour delivers the remaining first-period amount over the 4 hours left? Round to the nearest whole number.
A 50-kg adult has a 20% TBSA burn. Using the 2 mL estimate, what rate gives the second half of the starting 24-hour volume over the following 16 hours?
- A
62.5 mL/hour
- B
125 mL/hour
- C
1,000 mL/hour
- D
2,000 mL/hour
After an infusion-rate increase, an adult’s urine output rises well above target and edema increases. Select all appropriate responses.
- A
Reassess the patient promptly.
- B
Adjust the rate according to clinical response and the burn protocol.
- C
Continue the calculated rate unchanged because urine output is high.
- D
Continue monitoring urine output, vital signs, perfusion, respiratory status, and cumulative fluid received.
- E
Assume edema alone means all resuscitation fluid must be stopped.
A 70-kg adult receiving burn resuscitation has a urine output of 20 mL in the last hour. Explain how this compares with the common adult target and describe the appropriate checks, reassessment, and next steps.
An adult has partial- and full-thickness burns involving 23% TBSA. Does the burn size meet the usual adult threshold for formal burn-shock fluid resuscitation?
- A
No. Formal resuscitation is usually considered only above 25% TBSA.
- B
Yes. The burn meets the usual adult threshold for formal resuscitation.
- C
No. Formal resuscitation requires documented shock, regardless of burn size.
A patient arrives at the hospital 2 hours after a burn. For the initial fluid estimate, the first 8-hour period is counted from the time of injury, not from hospital arrival.
- A
True
- B
False
A burn assessment identifies 8% superficial burns, 7% partial-thickness burns, and 6% full-thickness burns. What percentage should be counted toward TBSA for estimating fluid needs?
- A
8% TBSA
- B
21% TBSA
- C
13% TBSA
- D
15% TBSA
Which approach to fluid selection and titration is consistent with burn-resuscitation guidance?
- A
Follow the ordered fluid and titration instructions in the applicable burn-center protocol; lactated Ringer’s is commonly used.
- B
Use lactated Ringer’s in every case, regardless of the applicable protocol.
- C
Choose any available fluid because the initial estimate determines the fluid type.
- D
Use the same fluid and rate for every patient until the first 24 hours are complete.
For a 76-kg adult receiving burn resuscitation, calculate the usual urine-output target using approximately 0.5 mL/kg/hour. Enter the value in mL/hour.
An adult with a 24% TBSA burn weighs 68 kg. Using the 2 mL×kg×%TBSA estimate, what is the starting volume for the first 24 hours?
- A
2,720 mL
- B
3,200 mL
- C
3,264 mL
- D
6,528 mL
An 80-kg adult has a 20% TBSA burn. Using the 2 mL×kg×%TBSA estimate, the patient was injured 3 hours ago and has already received 600 mL. What rate in mL/hour delivers the remaining amount assigned to the first 8 hours after injury? Round to the nearest whole number.
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