Critical Care HESI Final Exam Practice Questions (Answered)

Critical Care HESI Final Exam Practice Questions (Answered) A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that apply). a. Nausea and vomiting b. Hyperthermia c. Bradycardia d. Increased weight e. Decreased serum sodium f. Decreased level of consciousness a,d,e,f A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate an increase in intracranial pressure? (Select all that apply). a. Irritability b. Bradycardia c. Hyperalertness d. Decreased pulse pressure e. Decreased systolic blood pressure a,b What action should the nurse take when caring for a client who has a possible skull fracture as a result of trauma? a. Monitor the client for signs of brain injury. b. Check for hemorrhaging from the oral and nasal cavities. c. Elevate the foot of the bed if the client develops symptoms of shock. d. Observe for clinical indicators of decreased intracranial pressure and temperature. a The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma. Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure? (Select all that apply). a. Vomiting b. Irritability c. Hypotension d. Increased respirations e. Decreased level of consciousness a,b,e The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale score indicates that the client is in a coma? a. 6 b. 9 c. 12 d. 15 a A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the client's medical record, what significant finding should the nurse report to the primary healthcare provider before the diagnostic procedure? a. The client takes metformin daily. b. The client has not been nothing by mouth (NPO). c. The client reports an allergy to gadolinium. d. The client was not prescribed a bowel prep. a After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse consider before assessing the patient about the response to secretion of ADH? a. Serum osmolarity increases b. Urine concentration decreases c. Glomerular filtration decreases