HESI RN CRITICAL CARE COMPREHENSIVE
EXAM SCRIPT VERIFIED QUESTIONS
COMPLETE ANSWERS GRADED APLUS
◉ female has been asystole for 20 minutes and there has been no
change in the client's condition; intubated; what should the nurse do
Answer: talk to the family members in a private area about desire to
continue life support
◉ 47 year old female that comes in and thinks they have indigestion
due to vigorous workout. which problem has highest priority?
Answer: decreased cardiac output
◉ EKG strip
Answer: prepare the client for pericardiocentesis
◉ treated for MI that occurred less than 6 hrs ago; MD suspects
100% occlusion; what does the EKG show
Answer: sinus bradycardia
Q waves and ST elevation
QRS lengthening
, ◉ list of vitals and patient will come in 2 hours after being in pain;
what does nurse suspect the patient to have
Answer: acute pancreatitis
◉ client has pneumothorax and has chest tube with NO fluctuation
in the water seal
Answer: assess lung sounds
◉ male falls 20 feet and the nurse observes it; client has no pulse
Answer: begin CPR 120 per 1 min
◉ older woman pt. that feels very weak and is having a hard time
breathing; leaning over while the nurse is doing assessment and
cant keep head up; intervention
Answer: keep the client in high fowlers
◉ client on a ventilator; intervention done so that the pt. doesn't
develop VAP
Answer: oral hygiene
◉ pt. getting an ET tube; MD has sedated the pt and the pt has soft
restraints; intervention
Answer: test to see if the pt is aggressive once the sedation has
weened down
EXAM SCRIPT VERIFIED QUESTIONS
COMPLETE ANSWERS GRADED APLUS
◉ female has been asystole for 20 minutes and there has been no
change in the client's condition; intubated; what should the nurse do
Answer: talk to the family members in a private area about desire to
continue life support
◉ 47 year old female that comes in and thinks they have indigestion
due to vigorous workout. which problem has highest priority?
Answer: decreased cardiac output
◉ EKG strip
Answer: prepare the client for pericardiocentesis
◉ treated for MI that occurred less than 6 hrs ago; MD suspects
100% occlusion; what does the EKG show
Answer: sinus bradycardia
Q waves and ST elevation
QRS lengthening
, ◉ list of vitals and patient will come in 2 hours after being in pain;
what does nurse suspect the patient to have
Answer: acute pancreatitis
◉ client has pneumothorax and has chest tube with NO fluctuation
in the water seal
Answer: assess lung sounds
◉ male falls 20 feet and the nurse observes it; client has no pulse
Answer: begin CPR 120 per 1 min
◉ older woman pt. that feels very weak and is having a hard time
breathing; leaning over while the nurse is doing assessment and
cant keep head up; intervention
Answer: keep the client in high fowlers
◉ client on a ventilator; intervention done so that the pt. doesn't
develop VAP
Answer: oral hygiene
◉ pt. getting an ET tube; MD has sedated the pt and the pt has soft
restraints; intervention
Answer: test to see if the pt is aggressive once the sedation has
weened down
