Burns & Rule of Nines TBSA Calculator Quiz

1. In the Rule of Nines, each hand represents what percentage of TBSA?

1%

1.5%

2%

4.5%

2. A patient with 25% TBSA burns presents with hoarseness and singed nasal hairs. What is the priority intervention?

Administer fluids using Parkland formula

Secure airway immediately

Apply topical antibiotics

Start pain management only

3. A 70-kg adult has 20% TBSA burns. How much fluid should be administered in the first 24 hours using the Parkland formula?

2,800 mL

5,600 mL

8,400 mL

11,200 mL

4. A patient with inhalation injury and 18% TBSA burns presents with stridor. What is the most critical action?

Calculate fluid replacement

Prepare for intubation

Apply topical medications

Cover burns with clean dressings

5. A patient has circumferential burns on the lower leg. What is the primary concern?

Infection only

Compartment syndrome and vascular compromise

Scarring only

Fluid loss only

6. Using the Rule of Nines, what percentage of TBSA does each arm represent in an adult?

4.5%

9%

13.5%

18%

7. A first-degree burn is typically characterized by which finding?

Blistering and weeping

Erythema with pain, no blistering

Charred, painless skin

Pale, mottled appearance

8. Which statement about escharotomy is correct?

It removes all dead tissue immediately

It relieves compartment pressure in circumferential burns

It is performed only after infection develops

It prevents all scarring

9. The Parkland formula uses what calculation for fluid replacement in the first 24 hours of a major burn?

2 mL × kg × % TBSA

4 mL × kg × % TBSA

6 mL × kg × % TBSA

8 mL × kg × % TBSA

10. The Rule of Nines divides the anterior trunk into how many equal sections for TBSA calculation?

One section of 18%

Two sections of 9% each

Three sections of 6% each

Four sections of 4.5% each

11. A patient with 30% TBSA burns is at risk for which complication in the first 48 hours?

Hyperkalemia from cell lysis

Hypokalemia only

Infection

Contractures

12. A patient with deep dermal burns shows blanching with pressure. What burn depth is this?

First-degree

Second-degree (partial thickness)

Third-degree (full thickness)

Fourth-degree

13. Which burn depth is characterized by charred, leathery appearance with no pain sensation?

First-degree

Second-degree

Third-degree

Superficial partial thickness

14. In the Rule of Nines for adults, what percentage does the entire posterior trunk represent?

9%

13.5%

18%

27%

15. Which finding indicates a deep partial-thickness (deep second-degree) burn?

Bright red, blanching with pressure

White or tan color, minimal blanching

Dark eschar with no sensation

Pink, blistered, very painful

16. According to the Rule of Nines, the head and neck together represent what percentage of TBSA in an adult?

4.5%

9%

13.5%

18%

17. A patient has burns on the entire anterior and posterior right arm and hand. Estimate TBSA using Rule of Nines.

4.5%

9%

13.5%

18%

18. Using the Rule of Nines, if a child has burns on one entire leg, approximately what TBSA is affected?

9%

13.5%

18%

27%

19. Which of the following is considered a major burn requiring referral to a burn center?

10% TBSA partial thickness in a 25-year-old

15% TBSA partial thickness in a 60-year-old

5% TBSA full thickness on the face

20% TBSA superficial in a young adult

20. An adult patient has burns on both legs and the anterior trunk. What is the estimated TBSA?

27%

36%

45%

54%

Burns Quiz: Can You Calculate the TBSA?

1. In the Rule of Nines, each hand represents what percentage of TBSA?

2.

What first name or nickname would you like us to use?

2. A patient with 25% TBSA burns presents with hoarseness and singed nasal hairs. What is the priority intervention?

3. A 70-kg adult has 20% TBSA burns. How much fluid should be administered in the first 24 hours using the Parkland formula?

4. A patient with inhalation injury and 18% TBSA burns presents with stridor. What is the most critical action?

5. A patient has circumferential burns on the lower leg. What is the primary concern?

6. Using the Rule of Nines, what percentage of TBSA does each arm represent in an adult?

7. A first-degree burn is typically characterized by which finding?

8. Which statement about escharotomy is correct?

9. The Parkland formula uses what calculation for fluid replacement in the first 24 hours of a major burn?

10. The Rule of Nines divides the anterior trunk into how many equal sections for TBSA calculation?

11. A patient with 30% TBSA burns is at risk for which complication in the first 48 hours?

12. A patient with deep dermal burns shows blanching with pressure. What burn depth is this?

13. Which burn depth is characterized by charred, leathery appearance with no pain sensation?

14. In the Rule of Nines for adults, what percentage does the entire posterior trunk represent?

15. Which finding indicates a deep partial-thickness (deep second-degree) burn?

16. According to the Rule of Nines, the head and neck together represent what percentage of TBSA in an adult?

17. A patient has burns on the entire anterior and posterior right arm and hand. Estimate TBSA using Rule of Nines.

18. Using the Rule of Nines, if a child has burns on one entire leg, approximately what TBSA is affected?

19. Which of the following is considered a major burn requiring referral to a burn center?

20. An adult patient has burns on both legs and the anterior trunk. What is the estimated TBSA?