Management of Patients With Burn Injury – Chapter 62
Nursing Practice Exam| Burn Assessment, Fluid
Resuscitation, Wound Care, and Complications –
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on Chapter
62: Management of Patients with Burn Injury. Topics include burn classification, Rule of Nines,
Parkland formula, inhalation injury, fluid resuscitation, wound care, topical agents, and complications.
1. Which factor primarily determines whether a burn patient experiences a
systemic response?
A. The length of time since the burn
B. The location of burned skin surfaces
C. The source of the burn
D. The total body surface area (TBSA) affected
Correct Answer: D — The total body surface area (TBSA) affected
Rationale: TBSA and wound severity are considered the major factors that affect
the presence or absence of systemic effects. Burns less than 25% TBSA produce
primarily a local response, while burns more than 33% produce local and systemic
responses .
,2. A patient has burns on the head and neck (9%) and both anterior arms (4.5%
each). What is the total TBSA?
A. 9%
B. 13.5%
C. 18%
D. 22.5%
Correct Answer: C — 18%
Rationale: Head/neck = 9%, anterior left arm = 4.5%, anterior right arm = 4.5%.
Total = 9 + 4.5 + 4.5 = 18% .
3. Using the Palmer method to estimate burn size, the patient's palm represents
what percentage of TBSA?
A. 0.5%
B. 1%
C. 2%
D. 5%
Correct Answer: B — 1%
Rationale: The size of the client's palm, including the surface area of the digits, is
approximately 1% of the total body surface area .
,4. The most commonly used formula for burn fluid resuscitation in adults is:
A. Parkland (Baxter) formula
B. Brooke formula
C. Modified Brooke formula
D. Galveston formula
Correct Answer: A — Parkland (Baxter) formula
Rationale: The Parkland formula (4 mL × kg body weight × % TBSA burned) is the
most widely used for initial fluid resuscitation .
5. Using the Parkland formula, how much lactated Ringer's should be given in the
first 8 hours for a 70 kg patient with 40% TBSA burns?
A. 2,800 mL
B. 5,600 mL
C. 11,200 mL
D. 22,400 mL
Correct Answer: B — 5,600 mL
Rationale: Parkland = 4 mL × 70 kg × 40% = 11,200 mL total in 24 hours. Half is
given in the first 8 hours = 5,600 mL .
, 6. A patient with 50% TBSA burns weighs 80 kg. Using the Parkland formula, what
is the total 24-hour fluid volume?
A. 8,000 mL
B. 12,000 mL
C. 16,000 mL
D. 20,000 mL
Correct Answer: C — 16,000 mL
Rationale: 4 mL × 80 kg × 50% = 16,000 mL total in 24 hours .
7. The preferred fluid for burn resuscitation in the first 24 hours is:
A. Normal saline
B. Lactated Ringer's solution
C. 5% dextrose in water
D. Albumin
Correct Answer: B — Lactated Ringer's solution
Rationale: Lactated Ringer's is isotonic and contains electrolytes similar to plasma,
making it ideal for initial burn resuscitation. Normal saline can cause
hyperchloremic acidosis .
Nursing Practice Exam| Burn Assessment, Fluid
Resuscitation, Wound Care, and Complications –
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on Chapter
62: Management of Patients with Burn Injury. Topics include burn classification, Rule of Nines,
Parkland formula, inhalation injury, fluid resuscitation, wound care, topical agents, and complications.
1. Which factor primarily determines whether a burn patient experiences a
systemic response?
A. The length of time since the burn
B. The location of burned skin surfaces
C. The source of the burn
D. The total body surface area (TBSA) affected
Correct Answer: D — The total body surface area (TBSA) affected
Rationale: TBSA and wound severity are considered the major factors that affect
the presence or absence of systemic effects. Burns less than 25% TBSA produce
primarily a local response, while burns more than 33% produce local and systemic
responses .
,2. A patient has burns on the head and neck (9%) and both anterior arms (4.5%
each). What is the total TBSA?
A. 9%
B. 13.5%
C. 18%
D. 22.5%
Correct Answer: C — 18%
Rationale: Head/neck = 9%, anterior left arm = 4.5%, anterior right arm = 4.5%.
Total = 9 + 4.5 + 4.5 = 18% .
3. Using the Palmer method to estimate burn size, the patient's palm represents
what percentage of TBSA?
A. 0.5%
B. 1%
C. 2%
D. 5%
Correct Answer: B — 1%
Rationale: The size of the client's palm, including the surface area of the digits, is
approximately 1% of the total body surface area .
,4. The most commonly used formula for burn fluid resuscitation in adults is:
A. Parkland (Baxter) formula
B. Brooke formula
C. Modified Brooke formula
D. Galveston formula
Correct Answer: A — Parkland (Baxter) formula
Rationale: The Parkland formula (4 mL × kg body weight × % TBSA burned) is the
most widely used for initial fluid resuscitation .
5. Using the Parkland formula, how much lactated Ringer's should be given in the
first 8 hours for a 70 kg patient with 40% TBSA burns?
A. 2,800 mL
B. 5,600 mL
C. 11,200 mL
D. 22,400 mL
Correct Answer: B — 5,600 mL
Rationale: Parkland = 4 mL × 70 kg × 40% = 11,200 mL total in 24 hours. Half is
given in the first 8 hours = 5,600 mL .
, 6. A patient with 50% TBSA burns weighs 80 kg. Using the Parkland formula, what
is the total 24-hour fluid volume?
A. 8,000 mL
B. 12,000 mL
C. 16,000 mL
D. 20,000 mL
Correct Answer: C — 16,000 mL
Rationale: 4 mL × 80 kg × 50% = 16,000 mL total in 24 hours .
7. The preferred fluid for burn resuscitation in the first 24 hours is:
A. Normal saline
B. Lactated Ringer's solution
C. 5% dextrose in water
D. Albumin
Correct Answer: B — Lactated Ringer's solution
Rationale: Lactated Ringer's is isotonic and contains electrolytes similar to plasma,
making it ideal for initial burn resuscitation. Normal saline can cause
hyperchloremic acidosis .
