HESI RN Case Study: Burns 2025/2026
Exam Questions Marking Scheme New
Update | A+ Rated
Which action is included when a Level I disaster is declared? - 🧠 ANSWER
✔✔All local hospitals prepare to receive casualties.
Which action should the nurse implement to help these family members
cope with this tragedy? - 🧠 ANSWER ✔✔Designate specific family areas
that are staffed with counselors.
EMS personnel triage clients, with multiple casualties noted. Which action
should the triage nurse implement first? - 🧠 ANSWER ✔✔Place a disaster
tag securely on each victim.
Triage determines in what order a client is seen by a healthcare provider
(HCP). Which of the following clients would the nurse identify with a red
tag? - 🧠 ANSWER ✔✔-A client whose vital signs include respirations at 22
breaths/min , pulse at 120 beats/min, and blood pressure at 85/52 mmHg.
-A client with a pulsating femur wound.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
, -A client with full thickness burns over 50% of the body.
Which triage category should the nurse assign to James? - 🧠 ANSWER
✔✔Priority 1, Color Red.
The client has many physical, emotional, and psychosocial needs. Which
intervention is most important for the nurse to implement upon admission? -
🧠 ANSWER ✔✔Establish and maintain an open airway.
The nurse should document which percentage of body surface? - 🧠
ANSWER ✔✔45%
James grimaces in pain as the nurse assesses James' red and blistered
wounds that are affecting his epidermis and dermis. Based on this
assessment, which finding best describes the James' burns? - 🧠 ANSWER
✔✔Partial thickness or second degree burns.
Based on the nurse's understanding of the Parkland Formula, which rate
correctly describes the time the fluid is given to the client? - 🧠 ANSWER
✔✔The nurse administers the first half of the fluid from the time the burn
occurred over 8 hours, and the second half over the following 16 hours.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
Exam Questions Marking Scheme New
Update | A+ Rated
Which action is included when a Level I disaster is declared? - 🧠 ANSWER
✔✔All local hospitals prepare to receive casualties.
Which action should the nurse implement to help these family members
cope with this tragedy? - 🧠 ANSWER ✔✔Designate specific family areas
that are staffed with counselors.
EMS personnel triage clients, with multiple casualties noted. Which action
should the triage nurse implement first? - 🧠 ANSWER ✔✔Place a disaster
tag securely on each victim.
Triage determines in what order a client is seen by a healthcare provider
(HCP). Which of the following clients would the nurse identify with a red
tag? - 🧠 ANSWER ✔✔-A client whose vital signs include respirations at 22
breaths/min , pulse at 120 beats/min, and blood pressure at 85/52 mmHg.
-A client with a pulsating femur wound.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
1
STATEMENT. ALL RIGHTS RESERVED
, -A client with full thickness burns over 50% of the body.
Which triage category should the nurse assign to James? - 🧠 ANSWER
✔✔Priority 1, Color Red.
The client has many physical, emotional, and psychosocial needs. Which
intervention is most important for the nurse to implement upon admission? -
🧠 ANSWER ✔✔Establish and maintain an open airway.
The nurse should document which percentage of body surface? - 🧠
ANSWER ✔✔45%
James grimaces in pain as the nurse assesses James' red and blistered
wounds that are affecting his epidermis and dermis. Based on this
assessment, which finding best describes the James' burns? - 🧠 ANSWER
✔✔Partial thickness or second degree burns.
Based on the nurse's understanding of the Parkland Formula, which rate
correctly describes the time the fluid is given to the client? - 🧠 ANSWER
✔✔The nurse administers the first half of the fluid from the time the burn
occurred over 8 hours, and the second half over the following 16 hours.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
