HESI RN CRITICAL CARE UPDATED ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
◉ "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)
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
◉ "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)
