NURS 2873 HESI FINAL EXAM |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A 65 year old male patient has experienced full-thickness electrical burns on the legs and
arms. As the nurse you know this patient is at risk for the following:
(Select all that apply.)
1. Acute kidney injury
2. Dysrhythmia
3. Iceberg effect
4. Hypernatremia
5. Bone fractures
6. Fluid volume overload
CORRECT ANSWER
1, 2, 3, 5
Electric burns are due to an electrical current passing through the body that leads to
damage to the skin but also the muscles and bones that are underneath the skin. The
patient is at risk for AKI (acute kidney injury) because when the muscles become affected
they release myoglobin and the red blood cells release hemoglobin in the blood, which
can collect in the kidneys leading to injury. In addition, the heart's electrical system can
become damaged leading to dysrhythmia. The iceberg effect can present as well because
the extent of damage is not clearly visible on the skin (there can be severe damage
underneath). In addition, if the electrical current is strong enough it can lead to bone
fractures (specifically cervical spine injuries) due to the severe contraction of the muscles
involved.
Question 2
1
,True or False: A patient who experiences an alkali chemical burn is easier to treat because
the skin will neutralize the chemical rather than with an acidic chemical burn.
CORRECT ANSWER
False
Alkali burns are harder to treat than acidic chemical burns because the skin will
neutralize the acidic burn
Question 3
As the nurse providing care to a patient who experienced a full-thickness electrical burn,
you know to monitor the patient's urine for:
1. Hemoglobin and myoglobin
2. Free iron and white blood cells
3. Protein and red blood cells
4. Potassium and urea
CORRECT ANSWER
1
Patients who've experienced a severe electrical burn or full-thickness burns are at risk for
acute kidney injury. This is because the muscles can experience damage from the
electrical current leading them to release myoglobin. In addition, the red blood cells will
release hemoglobin. These substances will collect in the kidneys leading to acute tubular
necrosis (hence leading to AKI).
Question 4
Select the patient who is at MOST risk for complications following a burn:
1. A 42 year old male with partial-thickness burns on the front of the right and left arms and
legs
2
, 2. A 25 year old female with partial-thickness burns on the front of the head and neck and
front and back of the torso
3. A 36 year old male with full-thickness burns on the front of the left arm
4. A 10 year old with superficial burns on the right leg
CORRECT ANSWER
2
When thinking about which patient will have the MOST complications following a burn
think about: percentage of the total body surface area that is burned (use the rule of
nine to calculate), depth of the burn, age, location of the burn, and patient's medical
history.
Question 5
Which layer of the skin helps regulate our body temperature?
1. Epidermis
2. Dermis
3. Hypodermis
4. Fascia
CORRECT ANSWER
3
This layer contains fatty tissue, veins, arteries, nerves, and helps insulate the muscles,
bones, and organs.
Question 6
You receive a patient who has experienced a burn on the right leg. You note the burn
contains small blisters and is extremely pinkish red and shiny/moist. The patient reports
severe pain. You document this burn as:
3
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
A 65 year old male patient has experienced full-thickness electrical burns on the legs and
arms. As the nurse you know this patient is at risk for the following:
(Select all that apply.)
1. Acute kidney injury
2. Dysrhythmia
3. Iceberg effect
4. Hypernatremia
5. Bone fractures
6. Fluid volume overload
CORRECT ANSWER
1, 2, 3, 5
Electric burns are due to an electrical current passing through the body that leads to
damage to the skin but also the muscles and bones that are underneath the skin. The
patient is at risk for AKI (acute kidney injury) because when the muscles become affected
they release myoglobin and the red blood cells release hemoglobin in the blood, which
can collect in the kidneys leading to injury. In addition, the heart's electrical system can
become damaged leading to dysrhythmia. The iceberg effect can present as well because
the extent of damage is not clearly visible on the skin (there can be severe damage
underneath). In addition, if the electrical current is strong enough it can lead to bone
fractures (specifically cervical spine injuries) due to the severe contraction of the muscles
involved.
Question 2
1
,True or False: A patient who experiences an alkali chemical burn is easier to treat because
the skin will neutralize the chemical rather than with an acidic chemical burn.
CORRECT ANSWER
False
Alkali burns are harder to treat than acidic chemical burns because the skin will
neutralize the acidic burn
Question 3
As the nurse providing care to a patient who experienced a full-thickness electrical burn,
you know to monitor the patient's urine for:
1. Hemoglobin and myoglobin
2. Free iron and white blood cells
3. Protein and red blood cells
4. Potassium and urea
CORRECT ANSWER
1
Patients who've experienced a severe electrical burn or full-thickness burns are at risk for
acute kidney injury. This is because the muscles can experience damage from the
electrical current leading them to release myoglobin. In addition, the red blood cells will
release hemoglobin. These substances will collect in the kidneys leading to acute tubular
necrosis (hence leading to AKI).
Question 4
Select the patient who is at MOST risk for complications following a burn:
1. A 42 year old male with partial-thickness burns on the front of the right and left arms and
legs
2
, 2. A 25 year old female with partial-thickness burns on the front of the head and neck and
front and back of the torso
3. A 36 year old male with full-thickness burns on the front of the left arm
4. A 10 year old with superficial burns on the right leg
CORRECT ANSWER
2
When thinking about which patient will have the MOST complications following a burn
think about: percentage of the total body surface area that is burned (use the rule of
nine to calculate), depth of the burn, age, location of the burn, and patient's medical
history.
Question 5
Which layer of the skin helps regulate our body temperature?
1. Epidermis
2. Dermis
3. Hypodermis
4. Fascia
CORRECT ANSWER
3
This layer contains fatty tissue, veins, arteries, nerves, and helps insulate the muscles,
bones, and organs.
Question 6
You receive a patient who has experienced a burn on the right leg. You note the burn
contains small blisters and is extremely pinkish red and shiny/moist. The patient reports
severe pain. You document this burn as:
3
