1
NU272 Case Study: Burns (week 3) Questions with
Answers (100% Correct Answers)
Meet the client
A 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 (EMS) arrive within 10
minutes of the first phone call. A 14-year-old male student is trapped by debris and is
unable to get out of the bus.
Safety and Infection Control
Ans: After arriving on the scene, the immediacy of the situation is apparent and
paramedics notify the county hospital emergency department (ED). The ED personnel
initiate the emergency operations plan (EOP) and a Level I disaster is declared.
Which action is included when a Level I disaster is declared?
Ans: All 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.
The fire fighters quickly extinguish the flames from the bus and it is noted by EMS
personnel that the situation is escalating quickly. The parents of some of the band
members were following the bus to the football game and witnessed the accident.
While EMS personnel try to care for students, parents are asking questions and
attempting to get to the bus. Some parents call the EDs in an attempt to learn where
their children will be transferred.
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Ans: -
Which action should the nurse implement to help these family members cope with
this tragedy?
Ans: Designate specific family areas that are staffed with counselors.
- Family and friends converging on the scene and at local hospitals should be cared for
in designated areas by competent personnel to help decrease anxiety and provide
correct information.
EMS personnel triage clients, with multiple casualties noted. Which action should
the triage nurse implement first?
Ans: Place 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.
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? (Select all
that apply.)
Ans: - A client whose vital signs include respirations at 22 breaths/min, pulse at 120
beats/min, and blood pressure at 85/52 mmHg. (This client is going into shock and
should be seen immediately)
- A client with a pulsating femur wound. (This 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. (This client should be attended
to immediately.)
A young man is carried to the triage area. He is alert and screaming in pain. He
appears to have deep partial-thickness and full-thickness burns on his lower
© 2025 All rights reserved
NU272 Case Study: Burns (week 3) Questions with
Answers (100% Correct Answers)
Meet the client
A 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 (EMS) arrive within 10
minutes of the first phone call. A 14-year-old male student is trapped by debris and is
unable to get out of the bus.
Safety and Infection Control
Ans: After arriving on the scene, the immediacy of the situation is apparent and
paramedics notify the county hospital emergency department (ED). The ED personnel
initiate the emergency operations plan (EOP) and a Level I disaster is declared.
Which action is included when a Level I disaster is declared?
Ans: All 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.
The fire fighters quickly extinguish the flames from the bus and it is noted by EMS
personnel that the situation is escalating quickly. The parents of some of the band
members were following the bus to the football game and witnessed the accident.
While EMS personnel try to care for students, parents are asking questions and
attempting to get to the bus. Some parents call the EDs in an attempt to learn where
their children will be transferred.
© 2025 All rights reserved
, 2
Ans: -
Which action should the nurse implement to help these family members cope with
this tragedy?
Ans: Designate specific family areas that are staffed with counselors.
- Family and friends converging on the scene and at local hospitals should be cared for
in designated areas by competent personnel to help decrease anxiety and provide
correct information.
EMS personnel triage clients, with multiple casualties noted. Which action should
the triage nurse implement first?
Ans: Place 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.
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? (Select all
that apply.)
Ans: - A client whose vital signs include respirations at 22 breaths/min, pulse at 120
beats/min, and blood pressure at 85/52 mmHg. (This client is going into shock and
should be seen immediately)
- A client with a pulsating femur wound. (This 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. (This client should be attended
to immediately.)
A young man is carried to the triage area. He is alert and screaming in pain. He
appears to have deep partial-thickness and full-thickness burns on his lower
© 2025 All rights reserved
