HESI Case Study: Burns Exam
Questions and Answers 100% Pass
Meet the Client - ANSWER-The Smithville High School band is enroute to a
Friday night football game. As the bus attempts to pass an 18-wheeler on a two
lane highway, the bus loses traction and lands on its side, sliding 500 feet before
coming to a stop and then catching on fire. Witnesses immediately dial 911 and
Emergency Medical Services personnel within 10 minutes of the first phone call.
James Watt, a 14-year-old student is trapped by debris and is unable to get out of
the bus.
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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, 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.
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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
Meet the Client - ANSWER-The Smithville High School band is enroute to a
Friday night football game. As the bus attempts to pass an 18-wheeler on a two
lane highway, the bus loses traction and lands on its side, sliding 500 feet before
coming to a stop and then catching on fire. Witnesses immediately dial 911 and
Emergency Medical Services personnel within 10 minutes of the first phone call.
James Watt, a 14-year-old student is trapped by debris and is unable to get out of
the bus.
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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, 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.
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.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
