HESI RN Case Study: Burns Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

HESI RN Case Study: Burns Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the priority assessment in the first 24 hours after a major burn? Airway and breathing Which type of shock is most common in the initial phase of burn injury? Hypovolemic shock What is the first nursing action when a patient arrives with extensive burns? Assess airway patency Which formula is used to calculate fluid replacement in burn patients? Parkland formula What type of IV fluid is typically used in the first 24 hours after burns? Lactated Ringer’s solution 2 Which electrolyte imbalance is most common in the early phase of burns? Hyperkalemia Which electrolyte imbalance occurs in the later phase of burns? Hypokalemia What is the main cause of death in the emergent phase of burn injury? Airway compromise Which assessment finding suggests inhalation injury? Singed nasal hairs and hoarse voice What is the priority nursing action when a burn patient has stridor? Prepare for intubation Which layer of the skin is destroyed in full-thickness burns? Epidermis and dermis 3 What is the main characteristic of a superficial partial-thickness burn? Redness with blister formation What is the most important initial intervention for a chemical burn? Flush the area with copious amounts of water Which complication is prevented by escharotomy? Circulatory compromise Which urine output indicates adequate fluid resuscitation in burn patients? 0.5 to 1 mL/kg/hr What is the leading cause of infection in burn patients? Loss of skin barrier Which nutritional requirement is increased in burn patients? Protein and calories 4 What is the priority nursing diagnosis in the emergent phase of burn care? Risk for ineffective airway clearance Which type of isolation is used for burn patients with open wounds? Protective isolation What is the most accurate method to estimate total body surface area burned? Rule of Nines Which body system is at highest risk of failure in the first 24 hours after severe burns? Cardiovascular system What is the priority action if a patient with circumferential burns develops absent distal pulses? Notify provider and prepare for escharotomy Which topical agent is commonly used to prevent infection in burns? Silver sulfadiazine 5 What is a key side effect of silver sulfadiazine? Leukopenia Which symptom suggests compartment syndrome in a burn patient? Severe pain unrelieved by medication