HESI EXAM zm
Exam Solution
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HESI Case Studies Pediatrics Burns 2026 A+ GRADE AS
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SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER zm zm zm zm zm
S (A52D4)
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QUESTION 1 zm
1. Which action is included when a level 1 disaster is declared?
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ANSWER
All local hospitals prepare to receive casualties Classification as a Level I disaster indicates that local
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emergency response personnel and organizations can contain and effectively manage the disaster a
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nd its aftermath.
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QUESTION 2 zm
2. Some parents call the local emergency rooms in an attempt to learn where their ch
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ildren will be transferred. Which action should be implemented to help these family
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members?
ANSWER
Designate specific family areas that are staffed with counselors
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QUESTION 3 zm
3. Paramedics are triaging clients at the accident site. Which action is implemented by
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the triage personnel.
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ANSWER
Place a disaster tag securely on each victim Victim tracking is a critical component in casualty mana
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gement. Disaster tags are color-
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coded and numbered to indicate triage priority. They include the client's name, address, and age, as
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well as a description and location of the client's injuries
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QUESTION 4 zm
, 4. Which of the following clients would be given a red tag? (Select all)
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ANSWER
-
A client whose vitals signs are as follows: RR 22, HR 120, BP 85/52 **Client is going into shock and
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zmshould be seen immediately** -
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A client with a pulsating femur wound **client has an arterial bleed and can go into shock and ther
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efore should be seen immediately*** -A client with full-
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thickness burns over 50% of the body **client should be attended to immediately**
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QUESTION 5 zm
5. Into which triage category should David be placed?
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ANSWER
Priority 1, Color red **life-threatening, but survivable with intervention Yellow-
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injuries significant and require medical care, but tx can be delayed 30-60 min. Green-
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injuries are minor and tx can be delayed several hours. Black-
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injuries are extensive and chances of survival are unlikely. no tx given
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QUESTION 6 zm
6. What is the priority nursing intervention upon admission?
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ANSWER
Establish and maintain an open airway The burns can cause constriction leading to a restricted airw
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ay. Additionally, smoke inhalation is always a concern following a fire. remember Maslow's Hierarch
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y of Needs: ensuring an open airway is always the highest priority nursing intervention
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QUESTION 7 zm
7. The RN should document which percentage of body surface?
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ANSWER
45% according to the Rule of Nines:
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QUESTION 8 zm
8. Which intervention will the RN implement?
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ANSWER
Administer the LR solution as prescribed via an infusion pump will help prevent potential fluid over
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load
Exam Solution
zm
HESI Case Studies Pediatrics Burns 2026 A+ GRADE AS
zm zm zm zm zm zm zm zm
SURED COMPLETE SOLUTIONS AND VERIFIED ANSWER zm zm zm zm zm
S (A52D4)
zm
QUESTION 1 zm
1. Which action is included when a level 1 disaster is declared?
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ANSWER
All local hospitals prepare to receive casualties Classification as a Level I disaster indicates that local
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
emergency response personnel and organizations can contain and effectively manage the disaster a
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nd its aftermath.
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QUESTION 2 zm
2. Some parents call the local emergency rooms in an attempt to learn where their ch
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ildren will be transferred. Which action should be implemented to help these family
zm zm zm zm zm zm zm zm zm zm zm zm zm
members?
ANSWER
Designate specific family areas that are staffed with counselors
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QUESTION 3 zm
3. Paramedics are triaging clients at the accident site. Which action is implemented by
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the triage personnel.
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ANSWER
Place a disaster tag securely on each victim Victim tracking is a critical component in casualty mana
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
gement. Disaster tags are color-
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coded and numbered to indicate triage priority. They include the client's name, address, and age, as
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well as a description and location of the client's injuries
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QUESTION 4 zm
, 4. Which of the following clients would be given a red tag? (Select all)
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ANSWER
-
A client whose vitals signs are as follows: RR 22, HR 120, BP 85/52 **Client is going into shock and
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zmshould be seen immediately** -
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A client with a pulsating femur wound **client has an arterial bleed and can go into shock and ther
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efore should be seen immediately*** -A client with full-
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thickness burns over 50% of the body **client should be attended to immediately**
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QUESTION 5 zm
5. Into which triage category should David be placed?
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ANSWER
Priority 1, Color red **life-threatening, but survivable with intervention Yellow-
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injuries significant and require medical care, but tx can be delayed 30-60 min. Green-
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injuries are minor and tx can be delayed several hours. Black-
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injuries are extensive and chances of survival are unlikely. no tx given
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QUESTION 6 zm
6. What is the priority nursing intervention upon admission?
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ANSWER
Establish and maintain an open airway The burns can cause constriction leading to a restricted airw
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ay. Additionally, smoke inhalation is always a concern following a fire. remember Maslow's Hierarch
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y of Needs: ensuring an open airway is always the highest priority nursing intervention
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QUESTION 7 zm
7. The RN should document which percentage of body surface?
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ANSWER
45% according to the Rule of Nines:
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QUESTION 8 zm
8. Which intervention will the RN implement?
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ANSWER
Administer the LR solution as prescribed via an infusion pump will help prevent potential fluid over
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
load