2023 HESI RN CRITICAL CARE /CRITICAL CARE RN HESI EXIT ACTUAL EXAM TEST BANK LATEST
350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
•
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - ANSWER-respiratory acidosis
(if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention - ANSWER-coach client in
relaxation and deep breathing
insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what
to do? - ANSWER-increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS - ANSWER-33
DKA math question - ANSWER-1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? - ANSWER-assist
client with turning, coughing, and deep breathing
pt. received ETT 7 days ago and is currently on 50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention? - ANSWER-auscultate lungs
client has not been taking cortisone for either 2 weeks or 2 months and husband bring her into
ED; not feeling well. SIADH. what to do? - ANSWER-initiate fall precautions (SIADH causes
seizures)
UAP assisting nurse in situation where pt is having SVT and nurse has to prepare for
cardioversion. what task for UAP - ANSWER-bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? - ANSWER-normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention - ANSWER-
position client on the left side
pt. receiving dopamine. monitor for what - ANSWER-monitor urinary output
during insertion of swan gans, what should nurse do - ANSWER-monitor for dysrhythmias
, which vital signs are contraindicative of ICP? - ANSWER-PaCO2 of 55 (normal PaCO2 should be
between 35-45; when increased it will cause more ICP)
SIADH with normal lab values associated with this - ANSWER-hyperkalemia and hyponatremia
pt. glasgow coma scale of 14. what should the nurse do - ANSWER-document the findings
when caring for a client on a ventilator which finding shows the airway is open? - ANSWER-
bilateral breath sounds can be auscultated
pt. is in the ICU after a colon resection. vitals are HR 135, temp 103, BP 88/65, urine output 10
mL/hr. intervention? - ANSWER-give a 500 mL IV bolus challenge (another question similar with
low BP and same answer)
client with syncopal episodes due to 3rd degree block. receives transcutaneous pacemaker;
several fails - ANSWER-increase the sensitivity
which of these drugs are the strongest for most effective vasodilators - ANSWER-lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs - ANSWER-3.5 mL/hr
female falls down a flight of stairs and is having trouble walking and bearing weight. prescription
for hydrocodone for pain and an xray. intervention - ANSWER-have the client take a urine
pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention - ANSWER-place an
occlusive dressing with take on 3 sides
postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use - ANSWER-the IA remain patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI - ANSWER-
produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube -
ANSWER-occlusive dressing
things should be done if an ET tube is in place - ANSWER-chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for? -
ANSWER-amiodaron
350 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
•
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 - ANSWER-respiratory acidosis
(if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention - ANSWER-coach client in
relaxation and deep breathing
insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what
to do? - ANSWER-increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS - ANSWER-33
DKA math question - ANSWER-1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? - ANSWER-assist
client with turning, coughing, and deep breathing
pt. received ETT 7 days ago and is currently on 50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention? - ANSWER-auscultate lungs
client has not been taking cortisone for either 2 weeks or 2 months and husband bring her into
ED; not feeling well. SIADH. what to do? - ANSWER-initiate fall precautions (SIADH causes
seizures)
UAP assisting nurse in situation where pt is having SVT and nurse has to prepare for
cardioversion. what task for UAP - ANSWER-bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? - ANSWER-normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention - ANSWER-
position client on the left side
pt. receiving dopamine. monitor for what - ANSWER-monitor urinary output
during insertion of swan gans, what should nurse do - ANSWER-monitor for dysrhythmias
, which vital signs are contraindicative of ICP? - ANSWER-PaCO2 of 55 (normal PaCO2 should be
between 35-45; when increased it will cause more ICP)
SIADH with normal lab values associated with this - ANSWER-hyperkalemia and hyponatremia
pt. glasgow coma scale of 14. what should the nurse do - ANSWER-document the findings
when caring for a client on a ventilator which finding shows the airway is open? - ANSWER-
bilateral breath sounds can be auscultated
pt. is in the ICU after a colon resection. vitals are HR 135, temp 103, BP 88/65, urine output 10
mL/hr. intervention? - ANSWER-give a 500 mL IV bolus challenge (another question similar with
low BP and same answer)
client with syncopal episodes due to 3rd degree block. receives transcutaneous pacemaker;
several fails - ANSWER-increase the sensitivity
which of these drugs are the strongest for most effective vasodilators - ANSWER-lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs - ANSWER-3.5 mL/hr
female falls down a flight of stairs and is having trouble walking and bearing weight. prescription
for hydrocodone for pain and an xray. intervention - ANSWER-have the client take a urine
pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention - ANSWER-place an
occlusive dressing with take on 3 sides
postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use - ANSWER-the IA remain patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI - ANSWER-
produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube -
ANSWER-occlusive dressing
things should be done if an ET tube is in place - ANSWER-chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for? -
ANSWER-amiodaron
