HESI RN CASE STUDY: BURNS EXAM
QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
James grimaces in pain as the nurse assesses James' red and blistered
wounds that are affecting his epidermis and dermis. Based on this
assessment, which finding best describes the James' burns? - ANS ✓Partial
thickness or second degree burns.
Based on the nurse's understanding of the Parkland Formula, which rate
correctly describes the time the fluid is given to the client? - ANS ✓The nurse
administers the first half of the fluid from the time the burn occurred over 8
hours, and the second half over the following 16 hours.
Which action should the nurse take? - ANS ✓Inform the officer that he must
first speak to James' parents.
The police officer then asks to see James' ED medical record. Which action
should the nurse take concerning this request? - ANS ✓Allow the police
officer access to the requested medical records.
Burn clients who surpass 20% Total Body Surface Area (TBSA) have
massive shifts of fluid and electrolytes from intravascular to extravascular
spaces, which can lead to cardiovascular collapse. Which assessment
1
HESI RN
, HESI
relates most directly to a diagnosis of Curling's ulcer? - ANS ✓Assess the
gastric aspirate for pH and blood the color of coffee grounds.
Fluid replacement is noted to be ideal if James produces how much
output/hour? - ANS ✓Urine is recorded as hourly output of 30 mL/kg.
James is receiving an escharotomy to treat his burn complications. Which
information is accurate for the nurse provide to James' parents? - ANS
✓"The HCP will make an incision in James' leg to relieve the pressure."
While caring for a client who has burns, which nursing intervention is
essential in minimizing James' potential for infection? - ANS ✓-Inform James'
family members that plants and flowers are not allowed in James' room.
-Provide visitors with isolation gowns and instruction in hand hygiene.
Cleaning the wound and preventing infection are priorities of care. James is
scheduled for daily total immersion hydrotherapy. Which intervention
should the nurse implement during James' hydrotherapy? - ANS ✓-Active
range of motion exercises of his extremities.
-Wash burn areas thoroughly and gently with mild soap and water.
The HCP has prescribed mafenide acetate (Sulfamylon) for James' burned
areas for application to the burn wounds twice a day. Topical agents such as
mafenide acetate (Sulfamylon) solution that deeply penetrate tissue are
used to cover the wound. To prepare the client for this treatment, which
2
HESI RN
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamitorMagnus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
