Hesi Case Studies Pediatrics Burns Questions And Answers Recent
Reviewed Version.
1. Which action is included when a level 1 disaster is declared? - ansAll local hospitals prepare
to receive casualties
Classification as a Level I disaster indicates that local emergency response personnel and
organizations can contain and effectively manage the disaster and its aftermath.
2. Some parents call the local emergency rooms in an attempt to learn where their children will
be transferred. Which action should be implemented to help these family members? -
ansDesignate specific family areas that are staffed with counselors
3. Paramedics are triaging clients at the accident site. Which action is implemented by the triage
personnel. - ansPlace a disaster tag securely on each victim
Victim tracking is a critical component in casualty management. Disaster tags are color-coded
and numbered to indicate triage priority. They include the client's name, address, and age, as well
as a description and location of the client's injuries
4. Which of the following clients would be given a red tag? (Select all) - ans-A client whose
vitals signs are as follows: RR 22, HR 120, BP 85/52
**Client is going into shock and should be seen immediately**
-A client with a pulsating femur wound
**client has an arterial bleed and can go into shock and therefore should be seen immediately***
-A client with full-thickness burns over 50% of the body
**client should be attended to immediately**
5. Into which triage category should David be placed? - ansPriority 1, Color red
**life-threatening, but survivable with intervention
, Hesi Case Studies Pediatrics Burns Questions And Answers Recent
Reviewed Version.
Yellow- injuries significant and require medical care, but tx can be delayed 30-60 min.
Green- injuries are minor and tx can be delayed several hours.
Black- injuries are extensive and chances of survival are unlikely. no tx given
6. What is the priority nursing intervention upon admission? - ansEstablish and maintain an open
airway
The burns can cause constriction leading to a restricted airway. Additionally, smoke inhalation is
always a concern following a fire. remember Maslow's Hierarchy of Needs: ensuring an open
airway is always the highest priority nursing intervention
7. The RN should document which percentage of body surface? - ans45%
according to the Rule of Nines:
8. Which intervention will the RN implement? - ansAdminister the LR solution as prescribed via
an infusion pump
will help prevent potential fluid overload
9. Which action should the RN take? - ansInform the officer that he must first speak to David's
parents
pt is a minor, so his parents must be present when he is talking to a representative of the police
dept.
Reviewed Version.
1. Which action is included when a level 1 disaster is declared? - ansAll local hospitals prepare
to receive casualties
Classification as a Level I disaster indicates that local emergency response personnel and
organizations can contain and effectively manage the disaster and its aftermath.
2. Some parents call the local emergency rooms in an attempt to learn where their children will
be transferred. Which action should be implemented to help these family members? -
ansDesignate specific family areas that are staffed with counselors
3. Paramedics are triaging clients at the accident site. Which action is implemented by the triage
personnel. - ansPlace a disaster tag securely on each victim
Victim tracking is a critical component in casualty management. Disaster tags are color-coded
and numbered to indicate triage priority. They include the client's name, address, and age, as well
as a description and location of the client's injuries
4. Which of the following clients would be given a red tag? (Select all) - ans-A client whose
vitals signs are as follows: RR 22, HR 120, BP 85/52
**Client is going into shock and should be seen immediately**
-A client with a pulsating femur wound
**client has an arterial bleed and can go into shock and therefore should be seen immediately***
-A client with full-thickness burns over 50% of the body
**client should be attended to immediately**
5. Into which triage category should David be placed? - ansPriority 1, Color red
**life-threatening, but survivable with intervention
, Hesi Case Studies Pediatrics Burns Questions And Answers Recent
Reviewed Version.
Yellow- injuries significant and require medical care, but tx can be delayed 30-60 min.
Green- injuries are minor and tx can be delayed several hours.
Black- injuries are extensive and chances of survival are unlikely. no tx given
6. What is the priority nursing intervention upon admission? - ansEstablish and maintain an open
airway
The burns can cause constriction leading to a restricted airway. Additionally, smoke inhalation is
always a concern following a fire. remember Maslow's Hierarchy of Needs: ensuring an open
airway is always the highest priority nursing intervention
7. The RN should document which percentage of body surface? - ans45%
according to the Rule of Nines:
8. Which intervention will the RN implement? - ansAdminister the LR solution as prescribed via
an infusion pump
will help prevent potential fluid overload
9. Which action should the RN take? - ansInform the officer that he must first speak to David's
parents
pt is a minor, so his parents must be present when he is talking to a representative of the police
dept.
