HESI CASE STUDY 2026 |ACCURATE |
LATEST UPDATED VERSION 2026|-2027
NURS313 BY CUNY BOROUGH OF MANHATTAN COMMUNITY
COLLEGE
32 QUESTIONS & ANSWERS
1 of 32
Term
26. How should the RN respond?
"i will call your hcp so he can come "The skin will probably be taken
explain it to you." from your son's back."
, "the graft will come from pig skin "all of the skin used will come from
that is specially treated." the local tissue donation bank."
Don't know?
2 of 32
Term
13. Which action should the nurse implement?
Notify the HCP immediately
unrelenting pain and neurovascular compromise are the hallmark clinical
manifestations of compartment syndrome
Inform 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.
Designate specific family areas that are staffed with counselors
Outline the drainage on the dressing and write the date and time
Don't know?
, 3 of 32
Term
5. Into which triage category should David be placed?
Allow the police officer access to the requested medical records
according to HIPAA of 1996, the police dept. does not have the right to view client
records concerning accidents. if possible, permission should be sought from the
victim or the person authorize to sign for the victim, such as a parent.
Priority 1, Color red
**life-threatening, but survivable with intervention
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
Establish 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
LATEST UPDATED VERSION 2026|-2027
NURS313 BY CUNY BOROUGH OF MANHATTAN COMMUNITY
COLLEGE
32 QUESTIONS & ANSWERS
1 of 32
Term
26. How should the RN respond?
"i will call your hcp so he can come "The skin will probably be taken
explain it to you." from your son's back."
, "the graft will come from pig skin "all of the skin used will come from
that is specially treated." the local tissue donation bank."
Don't know?
2 of 32
Term
13. Which action should the nurse implement?
Notify the HCP immediately
unrelenting pain and neurovascular compromise are the hallmark clinical
manifestations of compartment syndrome
Inform 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.
Designate specific family areas that are staffed with counselors
Outline the drainage on the dressing and write the date and time
Don't know?
, 3 of 32
Term
5. Into which triage category should David be placed?
Allow the police officer access to the requested medical records
according to HIPAA of 1996, the police dept. does not have the right to view client
records concerning accidents. if possible, permission should be sought from the
victim or the person authorize to sign for the victim, such as a parent.
Priority 1, Color red
**life-threatening, but survivable with intervention
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
Establish 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
