NR 328 Exam #2 Pediatric Nursing Fluid & Electrolyte– High-Yield,
NCLEX-Style, Evidence-Based, Dehydration, Isotonic, Hypotonic,
Hypertonic, Shock, Hypovolemic, Distributive, Cardiogenic,
Obstructive, Oral Rehydration, IV Therapy, Bolus, Electrolytes, Sodium,
Potassium, BUN, Acid-Base, Metabolic Acidosis, Metabolic Alkalosis,
Vital Signs, Weight Assessment, I&O, Capillary Refill, ABCs, Pediatric
Burns, Anaphylaxis, Sepsis, Critical Care, Fluid Management Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
What is the normal fluid output for a child?
1-2 mL/kg/hr
What causes increased requirements for maintaining water balance? What can this lead to?
•Fever, tachypnea, radiant warmer
•Vomiting & diarrhea, DI, acidosis
•Shock, burns, postoperative bowel surgery
*Can lead to dehydration
What causes decreased requirements for maintaining water balance? What can this lead to?
•Heart failure,
•Increased ICP
, •Renal failure
*Can lead to fluid overload
Generally describe water balance in infants
-Larger quantities of fluid lost through skin
-Greater production of metabolic wastes
-Kidneys are immature and inefficient in excreting waste and have the inability to concentrate or
dilute urine
What are the daily maintenance fluid requirements based off of weight?
•1-10kg: 100mL/kg/day
•11-20kg: 1000mL + 50mL/kg for each kg > 10kg
•>20kg: 1500mL + 20mL/kg for each kg > 20kg
If a child weighs 32 kg, what is their daily fluid requirement?
1500 mL + (12 x 20 = 240) = 1740 mL/24hr
*Formula = 1500mL + 20mL/kg for each kg > 20kg
If a child weighs 44 lbs, what is their daily fluid requirement?
NCLEX-Style, Evidence-Based, Dehydration, Isotonic, Hypotonic,
Hypertonic, Shock, Hypovolemic, Distributive, Cardiogenic,
Obstructive, Oral Rehydration, IV Therapy, Bolus, Electrolytes, Sodium,
Potassium, BUN, Acid-Base, Metabolic Acidosis, Metabolic Alkalosis,
Vital Signs, Weight Assessment, I&O, Capillary Refill, ABCs, Pediatric
Burns, Anaphylaxis, Sepsis, Critical Care, Fluid Management Exam
Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
What is the normal fluid output for a child?
1-2 mL/kg/hr
What causes increased requirements for maintaining water balance? What can this lead to?
•Fever, tachypnea, radiant warmer
•Vomiting & diarrhea, DI, acidosis
•Shock, burns, postoperative bowel surgery
*Can lead to dehydration
What causes decreased requirements for maintaining water balance? What can this lead to?
•Heart failure,
•Increased ICP
, •Renal failure
*Can lead to fluid overload
Generally describe water balance in infants
-Larger quantities of fluid lost through skin
-Greater production of metabolic wastes
-Kidneys are immature and inefficient in excreting waste and have the inability to concentrate or
dilute urine
What are the daily maintenance fluid requirements based off of weight?
•1-10kg: 100mL/kg/day
•11-20kg: 1000mL + 50mL/kg for each kg > 10kg
•>20kg: 1500mL + 20mL/kg for each kg > 20kg
If a child weighs 32 kg, what is their daily fluid requirement?
1500 mL + (12 x 20 = 240) = 1740 mL/24hr
*Formula = 1500mL + 20mL/kg for each kg > 20kg
If a child weighs 44 lbs, what is their daily fluid requirement?
