Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
HH 1 - Exact Answer ARDS is an unexpected, catastrophic pulmonary
complication occurring in a person with no previous pulmonary
problems. Clients are critically ill and are managed in an intensive care
unit. The mortality rate is high
HH 2 - Exact Answer Interventions to prevent complications of clients
on mechanical ventilation with ARDS
-elevate the high of the bed at least 30 degrees
-Assist with daily awakening
-Implement a comprehensive oral hygiene plan
-Implement a comprehensive mobilization program
HH 3 - Exact Answer Suction only when secretions are present
HH 4 - Exact Answer Before drawing a sample for ABGs from the radial
artery, perform the Allen test to assess collateral circulation. Make the
clients hand blanch by obliterating both the radial and the ulnar pulses.
Then release the pressure over the ulnar artery only. If flow through the
,Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
ulnar artery is good, flushing will be seen immediately. The allen test is
then positive and the radial artery can be used for puncture.
HH 5 - Exact Answer Cardinal signs of Acute Respiratory Failure in
children are restlessness, tachypnea, tachycardia, and diaphoresis
HH 6 - Exact Answer Pco2 >45 or Po2 <60 on 50% 02 signifies
respiratory failure
-A child in severe distress should be on 100% 02
What Po2 values indicate respiratory failure in adults? - Exact Answer
Po2 below 60
What blood value indicates hypercapnia? - Exact Answer Pco2 above 45
Identify the condition that exists when the Po2 is less than 50 and Fio2
is greater than 60% - Exact Answer Hypoxemia
List three symptoms of respiratory failure in adults? - Exact Answer
Dyspnea/tachypnea
,Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
Intercostal and sternal retractions
cyanosis
List four common causes of respiratory - Exact Answer Congenital heart
disease
Infection or sepsis
Respiratory distress syndrome
Aspiration
Fluid overload or dehydration
What percentage of 02 should a child in severe respiratory distress
receive? - Exact Answer 100%
HH 7 - Exact Answer Early signs of shock are agitation and restlessness
resulting from cerebral hypoxia
HH 8 - Exact Answer Severe shock leads to widespread cellular injury
and impairs the integrity of the capillary membranes. Fluid and osmotic
proteins seep into the extravascular spaces, further reducing cardiac
output.
, Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
A vicious circle of decreased perfusion to all cellular level activities
ensues. All organs are damaged and if perfusion problems persist the
damage can be permanent.
HH 9 - Exact Answer All types of shock can lead to systemic
inflammatory response syndrome (SIRS) and results in multiple organ
dysfunction syndrome (MODS)
HH 10 - Exact Answer If cardiogenic shock exists in the presence of
pulmonary edema, position the client to reduce venous return (high
fowlers) to decrease further venous return to the left ventricle
HH 11 - Exact Answer All vasopressor and vasodilator drugs are potent
and dangerous and require that the client be titrated
You are caring for a woman who was in a severe MVA several days
earlier. She has several fractures and internal injuries. The exploratory
laparotomy was successful in controlling the bleeding. However today
you find that this client is bleeding from her incision site, is short of
with (117 Correctly Answered Quizzes) 2023
Update.
HH 1 - Exact Answer ARDS is an unexpected, catastrophic pulmonary
complication occurring in a person with no previous pulmonary
problems. Clients are critically ill and are managed in an intensive care
unit. The mortality rate is high
HH 2 - Exact Answer Interventions to prevent complications of clients
on mechanical ventilation with ARDS
-elevate the high of the bed at least 30 degrees
-Assist with daily awakening
-Implement a comprehensive oral hygiene plan
-Implement a comprehensive mobilization program
HH 3 - Exact Answer Suction only when secretions are present
HH 4 - Exact Answer Before drawing a sample for ABGs from the radial
artery, perform the Allen test to assess collateral circulation. Make the
clients hand blanch by obliterating both the radial and the ulnar pulses.
Then release the pressure over the ulnar artery only. If flow through the
,Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
ulnar artery is good, flushing will be seen immediately. The allen test is
then positive and the radial artery can be used for puncture.
HH 5 - Exact Answer Cardinal signs of Acute Respiratory Failure in
children are restlessness, tachypnea, tachycardia, and diaphoresis
HH 6 - Exact Answer Pco2 >45 or Po2 <60 on 50% 02 signifies
respiratory failure
-A child in severe distress should be on 100% 02
What Po2 values indicate respiratory failure in adults? - Exact Answer
Po2 below 60
What blood value indicates hypercapnia? - Exact Answer Pco2 above 45
Identify the condition that exists when the Po2 is less than 50 and Fio2
is greater than 60% - Exact Answer Hypoxemia
List three symptoms of respiratory failure in adults? - Exact Answer
Dyspnea/tachypnea
,Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
Intercostal and sternal retractions
cyanosis
List four common causes of respiratory - Exact Answer Congenital heart
disease
Infection or sepsis
Respiratory distress syndrome
Aspiration
Fluid overload or dehydration
What percentage of 02 should a child in severe respiratory distress
receive? - Exact Answer 100%
HH 7 - Exact Answer Early signs of shock are agitation and restlessness
resulting from cerebral hypoxia
HH 8 - Exact Answer Severe shock leads to widespread cellular injury
and impairs the integrity of the capillary membranes. Fluid and osmotic
proteins seep into the extravascular spaces, further reducing cardiac
output.
, Advanced Med Surg Hesi Exam Study Guide Review
with (117 Correctly Answered Quizzes) 2023
Update.
A vicious circle of decreased perfusion to all cellular level activities
ensues. All organs are damaged and if perfusion problems persist the
damage can be permanent.
HH 9 - Exact Answer All types of shock can lead to systemic
inflammatory response syndrome (SIRS) and results in multiple organ
dysfunction syndrome (MODS)
HH 10 - Exact Answer If cardiogenic shock exists in the presence of
pulmonary edema, position the client to reduce venous return (high
fowlers) to decrease further venous return to the left ventricle
HH 11 - Exact Answer All vasopressor and vasodilator drugs are potent
and dangerous and require that the client be titrated
You are caring for a woman who was in a severe MVA several days
earlier. She has several fractures and internal injuries. The exploratory
laparotomy was successful in controlling the bleeding. However today
you find that this client is bleeding from her incision site, is short of
