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HESI CRITICAL CARE EXIT EXAM 2024 SCREENSHOT / CRITICAL CAREHESI EXIT EXAM 2024 ACTUAL EXAM SCREENSHOT ALL 55 QUESTIONSAND CORRECT DETAILED ANSWERS

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1. A client recovering from a percutaneous coronary intervention (PCI) after an acute myocardial infarction is being transferred from the PACU to the Cardiac ICU. Which assessment finding should the PACU nurse inform the healthcare provider of immediately? a. onset of chest pain b. need to apply pressure dressing c. presence of occasional PVCs d. absence of any urinary output during PACU stay a. onset of chest pain This suggests the onset of another MI and reocclusion of a vessel. 2. What is the preferred treatment of an acute MI within 12 hours of symptom onset? PCI; places a stent in the affected coronary artery 3. How often must a PCI pressure dressing site be assessed? q30min for 4 hours qh thereafter 4. Central Venous Pressure (CVP) the pressure of blood in the thoracic vena cava, near the right atrium of the heart; reflects the amount of blood returning to the heart and the ability of the heart to pump the blood into the arterial system; normal is 2-6 mmHg 5. Sensitivity of a pacemaker pacing devices ability to detect what electrical activity is being generated by the patient's heart to prevent any competition between the hearts intrinsic activity

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Institution
HESI CRITICAL CARE EXIT
Course
HESI CRITICAL CARE EXIT

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HESI CRITICAL CARE EXIT EXAM 2024 SCREENSHOT / CRITICAL CAR
HESI EXIT EXAM 2024 ACTUAL EXAM SCREENSHOT ALL 55 QUESTIO
AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g14078

1. A client recovering from a percuta- a. onset of chest pain
neous coronary intervention (PCI) after
an acute myocardial infarction is be- This suggests the onset of anoth-
ing transferred from the PACU to the er MI and reocclusion of a vessel.
Cardiac ICU. Which assessment find-
ing should the PACU nurse inform the
healthcare provider of immediately?
a. onset of chest pain
b. need to apply pressure dressing
c. presence of occasional PVCs
d. absence of any urinary output during
PACU stay

2. What is the preferred treatment of an PCI; places a stent in the affected
acute MI within 12 hours of symptom coronary artery
onset?

3. How often must a PCI pressure dressing q30min for 4 hours
site be assessed? qh thereafter

4. Central Venous Pressure (CVP) the pressure of blood in the tho-
racic vena cava, near the right
atrium of the heart; reflects the
amount of blood returning to the
heart and the ability of the heart
to pump the blood into the arterial
system; normal is 2-6 mmHg

5. Sensitivity of a pacemaker pacing devices ability to detect
what electrical activity is being
generated by the patient's heart
to prevent any competition be-
tween the hearts intrinsic activity

6. Contrast Induced Nephropathy (CIN) A sudden deterioration in renal
function that is caused by in-
travascular administration of iod-



, HESI CRITICAL CARE EXIT EXAM 2024 SCREENSHOT / CRITICAL CAR
HESI EXIT EXAM 2024 ACTUAL EXAM SCREENSHOT ALL 55 QUESTIO
AND CORRECT DETAILED ANSWERS
Study online at https://quizlet.com/_g14078
inated contrast medium; typically
seen with angiplasty/angiography

7. Signs of tension pneumothorax 1. affected side will have de-
creased or absent lung sounds
2. cyanosis
3. Tracheal deviation (late sign)
4. distended neck veins
5. tachycardia, tachypnea

8. Pneumatic Antishock Garment An inflatable device that covers
the legs and abdomen; used to
splint the lower extremities or
pelvis, or to control bleeding in the
lower extremities or pelvis.
- used for intraperitoneal hemor-
rhage

9. What is the expected ABG of a pul- Tachypnea and tachycardia-->
monary embolism? respiratory alkalosis

10. A client is brought to the emergency The findings reveal Cushing's
department following a motor vehicle Triad (hypertension with widen-
accident. Initial assessment reveals that ing pulse pressure, bradycardia
the client is unconscious with a blood and bradypnea); this indicates in-
pressure of 165/73 mmHg, HR 50 bpm, creased ICP
RR 8 and irregular, temperature of 103 F.
What do you suspect is happening?

11. Symptoms of Right Ventricular Hyper- fatigue, swelling, weakness,
trophy chest pain, SOB, dizziness

12. The nurse is caring for a client who is - pulse ox: 98% with a T piece
being weaned from mechanical venti- - evidence of reversal of the un-
lation. Which assessment finding indi- derlying cause of respiratory fail-
cates that the client is ready to the the ure
endotracheal tube removed? -PEEP <8 and FiO2 <0.50
- hemodynamic stability

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Institution
HESI CRITICAL CARE EXIT
Course
HESI CRITICAL CARE EXIT

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Uploaded on
November 15, 2024
Number of pages
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Written in
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Type
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Questions & answers

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