HESI RN Case Study: Burns EXAM
ELABORATIONS QUESTIONS AND VERIFIED
ANSWERS 2025 UPDATE | 100% SOLVED!!
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Which action is included All local hospitals prepare to receive casualties.
when a Level I disaster is
declared?
Which action should the Designate specific family areas that are staffed with
nurse implement to help counselors.
these family members
cope with this tragedy?
EMS personnel triage Place a disaster tag securely on each victim.
clients, with multiple
casualties noted. Which
action should the triage
nurse implement first?
Triage determines in what -A client whose vital signs include respirations at 22
order a client is seen by a breaths/min , pulse at 120 beats/min, and blood
healthcare provider (HCP). pressure at 85/52 mmHg.
Which of the following -A client with a pulsating femur wound.
clients would the nurse -A client with full thickness burns over 50% of the
identify with a red tag? body.
Which triage category Priority 1, Color Red.
should the nurse assign to
James?
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, 7/29/25, 6:26 PM HESI RN Case Study: Burns EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!! …
The client has many Establish and maintain an open airway.
physical, emotional, and
psychosocial needs.
Which intervention is most
important for the nurse to
implement upon
admission?
The nurse should 45%
document which
percentage of body
surface?
James grimaces in pain as Partial thickness or second degree burns.
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?
Based on the nurse's The nurse administers the first half of the fluid from
understanding of the the time the burn occurred over 8 hours, and the
Parkland Formula, which second half over the following 16 hours.
rate correctly describes
the time the fluid is given
to the client?
Which action should the Inform the officer that he must first speak to James'
nurse take? parents.
The police officer then Allow the police officer access to the requested
asks to see James' ED medical records.
medical record. Which
action should the nurse
take concerning this
request?
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