Burns and Burn Injury Management

Resuscitation Phase and Fluid Replacement Practice Questions

20 free Resuscitation Phase and Fluid Replacement practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Resuscitation Phase and Fluid Replacement questions

20 questions
  1. Q1. In the acute resuscitation phase of a major burn (>20% TBSA), which formula is commonly used to estimate initial fluid needs?
  2. Q2. According to standard resuscitation protocols, how much of the calculated 24-hour fluid volume should be administered during the first 8 hours post-burn?
  3. Q3. What is the primary end-point used to titrate fluid replacement in burn resuscitation in adults?
  4. Q4. Which type of crystalloid is preferred during initial burn resuscitation?
  5. Q5. Which factor increases the fluid requirement during the resuscitation phase?
  6. Q6. In children with burns, how does urine output goal differ from adults?
  7. Q7. For a 70 kg adult with 30% TBSA burn, using the 4 mL/kg/%TBSA formula, the total first 24-hour fluid volume would be:
  8. Q8. Why is fluid administration 'just a starting point' and must be titrated in burn resuscitation?
  9. Q9. Which statement is true regarding the use of albumin or colloids in the initial 24 hours of burn resuscitation?
  10. Q10. A nurse notices a patient’s urine output is 20 mL/hour despite resuscitation. What should the nurse anticipate?
  11. Q11. What is a potential complication of 'fluid creep' (excessive fluid administration) during burn resuscitation?
  12. Q12. During fluid resuscitation, what adjunctive monitoring besides urine output is often used to assess adequacy?
  13. Q13. What is the main fluid challenge in resuscitating a patient with inhalation injury plus cutaneous burns?
  14. Q14. When should the 'resuscitation phase' of fluid management generally transition to the 'early wound closure / fluid‐balance stabilization' phase?
  15. Q15. Which patients may require less fluid than the traditional 4 mL/kg/%TBSA formula suggests?
  16. Q16. Why is warmed intravenous fluid recommended during burn resuscitation?
  17. Q17. In addition to crystalloid infusion, what is a key nursing intervention during the resuscitation phase?
  18. Q18. According to the updated consensus, what is the evolving trend in burn resuscitation fluid volume?
  19. Q19. A patient weighs 60 kg with 25% TBSA full-thickness burn. According to a 3 mL/kg/%TBSA formula, how much fluid in the first 24 h?
  20. Q20. What is one reason fluid resuscitation may fail (i.e., the patient remains hypotensive or oliguric despite fluids)?