©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
HESI Case Study: Burns. Exam Questions
And Answers (Guaranteed A+)
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.
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
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
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.
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.
2|Page
ALL RIGHTS RESERVED.
HESI Case Study: Burns. Exam Questions
And Answers (Guaranteed A+)
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.
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
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
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.
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.
2|Page
