HESI RN CRITICAL CARE V2 EXAM PREP
UPDATED STUDY GUIDE SOLVED QUESTIONS
AND ANSWERS
◉ ICD device.
Answer: Wear a medic alert bracelet and ICD tag to alert you have
one implanted
Avoid heavy lifting and exercising 2 months after implantation
Weakness and dizziness are symptoms of device going off
◉ Tension pneumothorax.
Answer: causes marked compression and shifting of mediastinal
structures (tracheal deviation) including the heart and great vessels,
resulting in REDUCED cardiac output and HYPOTENSION
This is a life-threatening emergency.
◉ Treatment of pneumothorax.
Answer: 1. The client should have emergency large-bore needle
decompression
,2. chest tube placement, to relieve the compression on the
mediastinal structures.
◉ ARDS patho.
Answer: Progressive disorder leads to ARF
Exchange of oxygen consumption and carbon dioxide within the
body's cells
◉ What is happening in ARDS?.
Answer: Increased permeability of the alveolar membrane leading to
fluid buildup in the alveoli interferes with the exchange of CO2 and
O2 at the capillary beds
◉ ARDs is characterized by.
Answer: Hypoxemia that persists even when 100% oxygen is given
Decreased pulmonary compliance
Dyspnea
Non-cardiac associated bilateral pulmonary edema
, Dense pulmonary infiltrates on radiography
NO ABNORMAL LUNG SOUNDS since it takes place interstitially
◉ HESI HINT ARDS.
Answer: unexpected, catastrophic pulmonary complication
occurring in person with no previous pulmonary problems
Clients are critical ill and are managed in an ICU
mortality rate is 50%
◉ interventions to prevent complications of client mechanically
ventilated with ARDs.
Answer: Elevate HOB to at least 30 degrees
Assist with daily awakening (Sedation vacation)
Comprehensive oral hygiene program
Comprehensive mobilization program
UPDATED STUDY GUIDE SOLVED QUESTIONS
AND ANSWERS
◉ ICD device.
Answer: Wear a medic alert bracelet and ICD tag to alert you have
one implanted
Avoid heavy lifting and exercising 2 months after implantation
Weakness and dizziness are symptoms of device going off
◉ Tension pneumothorax.
Answer: causes marked compression and shifting of mediastinal
structures (tracheal deviation) including the heart and great vessels,
resulting in REDUCED cardiac output and HYPOTENSION
This is a life-threatening emergency.
◉ Treatment of pneumothorax.
Answer: 1. The client should have emergency large-bore needle
decompression
,2. chest tube placement, to relieve the compression on the
mediastinal structures.
◉ ARDS patho.
Answer: Progressive disorder leads to ARF
Exchange of oxygen consumption and carbon dioxide within the
body's cells
◉ What is happening in ARDS?.
Answer: Increased permeability of the alveolar membrane leading to
fluid buildup in the alveoli interferes with the exchange of CO2 and
O2 at the capillary beds
◉ ARDs is characterized by.
Answer: Hypoxemia that persists even when 100% oxygen is given
Decreased pulmonary compliance
Dyspnea
Non-cardiac associated bilateral pulmonary edema
, Dense pulmonary infiltrates on radiography
NO ABNORMAL LUNG SOUNDS since it takes place interstitially
◉ HESI HINT ARDS.
Answer: unexpected, catastrophic pulmonary complication
occurring in person with no previous pulmonary problems
Clients are critical ill and are managed in an ICU
mortality rate is 50%
◉ interventions to prevent complications of client mechanically
ventilated with ARDs.
Answer: Elevate HOB to at least 30 degrees
Assist with daily awakening (Sedation vacation)
Comprehensive oral hygiene program
Comprehensive mobilization program
