HESI RN EXIT CASE STUDY: BURNS
1. Which action is included when a Level I disaster is declared Answer:
All localhospitals prepare to receive casualties.
2. Which action should the nurse implement to help these family
memberscope with this tragedy
Answer: Designate specific family areas that are staffed with counselors.
3. EMS personnel triage clients, with multiple casualties noted. Which
actionshould the triage nurse implement first
Answer: Place a disaster tag securely on eachvictim.
4. 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
Answer: -A client whose vital signs include respirations at 22 breaths/min , pulse
at120 beats/min, and blood pressure at 85/52 mmHg.
-A client with a pulsating femur wound.
-A client with full thickness burns over 50% of the body.
1/3
, 5. Which triage category should the nurse assign to James
2/3
1. Which action is included when a Level I disaster is declared Answer:
All localhospitals prepare to receive casualties.
2. Which action should the nurse implement to help these family
memberscope with this tragedy
Answer: Designate specific family areas that are staffed with counselors.
3. EMS personnel triage clients, with multiple casualties noted. Which
actionshould the triage nurse implement first
Answer: Place a disaster tag securely on eachvictim.
4. 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
Answer: -A client whose vital signs include respirations at 22 breaths/min , pulse
at120 beats/min, and blood pressure at 85/52 mmHg.
-A client with a pulsating femur wound.
-A client with full thickness burns over 50% of the body.
1/3
, 5. Which triage category should the nurse assign to James
2/3
