PN HESI EXIT EXAM REVISION PACK
Evaluation 10
Contents
Advanced ECG Interpretation.............................................................................................................................................................................................3
Mechanical Ventilation.......................................................................................................................................................................................................5
Renal Failure & Dialysis......................................................................................................................................................................................................6
,Liver Failure........................................................................................................................................................................................................................8
Transplant Nursing...........................................................................................................................................................................................................10
Emergency Toxicology......................................................................................................................................................................................................11
SATA Questions.................................................................................................................................................................................................................13
Prioritization.....................................................................................................................................................................................................................14
, Questions 226–250
Advanced ECG Interpretation
Question 226
A client has a heart rate of 38/min, dizziness, and hypotension. The ECG shows sinus bradycardia. What is the priority
nursing action?
A. Encourage ambulation
B. Assess perfusion and prepare for intervention
C. Restrict fluids
D. Administer insulin
Answer: B
Rationale:
Symptomatic bradycardia can decrease cardiac output and may require urgent treatment.
Question 227
A client develops supraventricular tachycardia (SVT) with a heart rate of 190/min. Which intervention may be
attempted first if the client is stable?
A. Vagal maneuvers
B. Defibrillation
C. Chest compressions
D. Intubation
Answer: A
Rationale:
Vagal maneuvers may terminate stable SVT by increasing vagal tone.
Evaluation 10
Contents
Advanced ECG Interpretation.............................................................................................................................................................................................3
Mechanical Ventilation.......................................................................................................................................................................................................5
Renal Failure & Dialysis......................................................................................................................................................................................................6
,Liver Failure........................................................................................................................................................................................................................8
Transplant Nursing...........................................................................................................................................................................................................10
Emergency Toxicology......................................................................................................................................................................................................11
SATA Questions.................................................................................................................................................................................................................13
Prioritization.....................................................................................................................................................................................................................14
, Questions 226–250
Advanced ECG Interpretation
Question 226
A client has a heart rate of 38/min, dizziness, and hypotension. The ECG shows sinus bradycardia. What is the priority
nursing action?
A. Encourage ambulation
B. Assess perfusion and prepare for intervention
C. Restrict fluids
D. Administer insulin
Answer: B
Rationale:
Symptomatic bradycardia can decrease cardiac output and may require urgent treatment.
Question 227
A client develops supraventricular tachycardia (SVT) with a heart rate of 190/min. Which intervention may be
attempted first if the client is stable?
A. Vagal maneuvers
B. Defibrillation
C. Chest compressions
D. Intubation
Answer: A
Rationale:
Vagal maneuvers may terminate stable SVT by increasing vagal tone.
