2023 HESI RN CRITICAL CARE /CRITICAL CARE RN HESI
EXIT ACTUAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
The nurse is caring for a client who presents with stroke-like
symptoms. The healthcare provider reviews the client's computerized
axial tomography (CAT) scan and prescribes recombinant tissue
plasminogen activator (rtPA) IV. Which information should the nurse
obtain to determine if the client is a candidate for this treatment now?
A.) Identify the underlying cause of this condition.
B.) Prepare to administer desmopressin (DDAVP).
C.) Decrease the intravenous fluids to a maintenance rate.
D.) Re
B.) Prepare to administer desmopressin (DDAVP).
Neurogenic diabetes insipidus (DI) is a condition that can occur when there
is trauma to the brain such as tumors or injury to the brain in particular the
pituitary or hypothalamus area. DI can also occur with cerebral edema
present. The antidiuretic hormone deficiency occurs rapidly and results in
polyuria, anywhere between 5- 40 liters of urine/24 hours. The client
demonstrates signs and symptoms of hypovolemia. Electrolyte imbalances
include hypernatremia, along with hypokalemia and hypercalcemia when it
is neurogenic etiology. Clients with neurogenic DI are primarily controlled
through administration of exogenous ADH preparations, of which
,desmopressin (DDAVP) is most commonly used. Fluid output is carefully
monitored and fluids are replaced every hour.
An intubated client is in the process of being weaned off ventilator
support. The client's baseline parameters are temperature 98.2 F (36.8
C), heart rate 88 beats/minute, respirations 14 breaths/minute, blood
pressure 112/78 mmHg, and oxygen saturation 94%. Which
assessment findings would indicate to the nurse that the client is
tolerating the weaning procedure? (Select all that apply.)
A.) Oxygen saturation is 91%
B.) Slight nasal flaring is present.
C.) Heart rate is 97 beats/minute.
D.) Work
A.) Oxygen saturation is 91%
C.) Heart rate is 97 beats/minute.
D.) Work of breathing is done by client
Criteria that indicates a client is tolerating weaning off ventilator support are
respirations greater than 8 breaths/minute, but less than 35 breaths/minute;
oxygen saturation above 90%; heart rate that does not increase more than
20% from baseline heart rate; most of the work of breathing is performed
by the client; and no signs of accessory muscles are used for breathing.
The nurse is assessing a burn victim who suffered destruction of the
epidermis and some of the dermis of the entire right arm and half the
length of the right leg. How should the nurse document the burn
assessment findings?
A.) Superficial, 18% TBSA.
B.) Superficial partial-thickness, 18% TBSA.
,C.) Deep-partial thickness, 27% TBSA.
D.) Full-thickness, 27% TBSA.
B.) Superficial partial-thickness, 18% TBSA
A "superficial partial-thickness" burn involves destruction of the epidermis
layer and some of the dermis layer. The total body surface area (%TBSA)
is easily calculated by using the "rule of nines" method. In this case,
involvement of one arm is calculated as 9% TBSA and one-half of a leg is
9% TBSA for a combined total of 18% TBSA. A total leg involvement is
calculated as 18% TBSA.
he critical care nurse is providing care for a client diagnosed clinically
brain dead and identified as an organ donor. Which are the nurse's
priorities in providing care? (Select all that apply.)
A.) Sustaining a state of hypothermia.
B.) Maintaining a normal blood pressure.
C.) Ensuring adequate oxygenation and ventilation.
D.) Treating any coagulopathy, thrombocytopenia and anemia.
E.) Monitoring arterial blood gases and serum electrolytes levels.
B.) Maintaining a normal blood pressure.
C.) Ensuring adequate oxygenation and ventilation.
D.) Treating any coagulopathy, thrombocytopenia and anemia.
E.) Monitoring arterial blood gases and serum electrolytes levels.
Once an identified organ donor has been declared clinically brain dead, the
primary focus of care changes from preserving life to preserving organ
functioning. This is done by maintaining normal blood pressures, fluid
levels, electrolytes levels, serum glucose levels, and normothermia.
Mechanical ventilation is provided to maintain adequate oxygenation and
, normal acid-base balance. If needed, pharmaceutical support is provided
for the treatment of anemia, coagulopathy, thrombocytopenia, and diabetes
insipidus. Physiological changes occur to bodily functions as the result of
decreased perfusion within the brain.
A client is admitted to the intensive care unit with hematemesis
related to esophageal varices. Which assessment finding should the
nurse identify that is the result of an estimated blood loss at 35% of
total blood volume?
A.) Absent bowel sounds.
B.) Coma.
C.) Anuria.
D.) Abdominal pain.
A.) Absent bowel sounds.
Massive blood loss redirects a significant amount of blood flow to vital
organs. A client who has lost 30% to 40% of the total blood volume will
exhibit absent bowel sounds, lethargy, and increased serum potassium.
The nurse is planning care for a client admitted to the intensive care
unit with acute infected necrotizing pancreatitis. Which diagnostic
procedure should the nurse prepare the client to expect the
healthcare provider to prescribe?
A.) Contrast-enhanced computed tomography (CT).
B.) Endoscopic retrograde cholangiopancreatography (ERCP).
C.) Abdominal radiography.
D.) Abdominal ultrasound.
A.) Contrast-enhanced computed tomography (CT)
EXIT ACTUAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
The nurse is caring for a client who presents with stroke-like
symptoms. The healthcare provider reviews the client's computerized
axial tomography (CAT) scan and prescribes recombinant tissue
plasminogen activator (rtPA) IV. Which information should the nurse
obtain to determine if the client is a candidate for this treatment now?
A.) Identify the underlying cause of this condition.
B.) Prepare to administer desmopressin (DDAVP).
C.) Decrease the intravenous fluids to a maintenance rate.
D.) Re
B.) Prepare to administer desmopressin (DDAVP).
Neurogenic diabetes insipidus (DI) is a condition that can occur when there
is trauma to the brain such as tumors or injury to the brain in particular the
pituitary or hypothalamus area. DI can also occur with cerebral edema
present. The antidiuretic hormone deficiency occurs rapidly and results in
polyuria, anywhere between 5- 40 liters of urine/24 hours. The client
demonstrates signs and symptoms of hypovolemia. Electrolyte imbalances
include hypernatremia, along with hypokalemia and hypercalcemia when it
is neurogenic etiology. Clients with neurogenic DI are primarily controlled
through administration of exogenous ADH preparations, of which
,desmopressin (DDAVP) is most commonly used. Fluid output is carefully
monitored and fluids are replaced every hour.
An intubated client is in the process of being weaned off ventilator
support. The client's baseline parameters are temperature 98.2 F (36.8
C), heart rate 88 beats/minute, respirations 14 breaths/minute, blood
pressure 112/78 mmHg, and oxygen saturation 94%. Which
assessment findings would indicate to the nurse that the client is
tolerating the weaning procedure? (Select all that apply.)
A.) Oxygen saturation is 91%
B.) Slight nasal flaring is present.
C.) Heart rate is 97 beats/minute.
D.) Work
A.) Oxygen saturation is 91%
C.) Heart rate is 97 beats/minute.
D.) Work of breathing is done by client
Criteria that indicates a client is tolerating weaning off ventilator support are
respirations greater than 8 breaths/minute, but less than 35 breaths/minute;
oxygen saturation above 90%; heart rate that does not increase more than
20% from baseline heart rate; most of the work of breathing is performed
by the client; and no signs of accessory muscles are used for breathing.
The nurse is assessing a burn victim who suffered destruction of the
epidermis and some of the dermis of the entire right arm and half the
length of the right leg. How should the nurse document the burn
assessment findings?
A.) Superficial, 18% TBSA.
B.) Superficial partial-thickness, 18% TBSA.
,C.) Deep-partial thickness, 27% TBSA.
D.) Full-thickness, 27% TBSA.
B.) Superficial partial-thickness, 18% TBSA
A "superficial partial-thickness" burn involves destruction of the epidermis
layer and some of the dermis layer. The total body surface area (%TBSA)
is easily calculated by using the "rule of nines" method. In this case,
involvement of one arm is calculated as 9% TBSA and one-half of a leg is
9% TBSA for a combined total of 18% TBSA. A total leg involvement is
calculated as 18% TBSA.
he critical care nurse is providing care for a client diagnosed clinically
brain dead and identified as an organ donor. Which are the nurse's
priorities in providing care? (Select all that apply.)
A.) Sustaining a state of hypothermia.
B.) Maintaining a normal blood pressure.
C.) Ensuring adequate oxygenation and ventilation.
D.) Treating any coagulopathy, thrombocytopenia and anemia.
E.) Monitoring arterial blood gases and serum electrolytes levels.
B.) Maintaining a normal blood pressure.
C.) Ensuring adequate oxygenation and ventilation.
D.) Treating any coagulopathy, thrombocytopenia and anemia.
E.) Monitoring arterial blood gases and serum electrolytes levels.
Once an identified organ donor has been declared clinically brain dead, the
primary focus of care changes from preserving life to preserving organ
functioning. This is done by maintaining normal blood pressures, fluid
levels, electrolytes levels, serum glucose levels, and normothermia.
Mechanical ventilation is provided to maintain adequate oxygenation and
, normal acid-base balance. If needed, pharmaceutical support is provided
for the treatment of anemia, coagulopathy, thrombocytopenia, and diabetes
insipidus. Physiological changes occur to bodily functions as the result of
decreased perfusion within the brain.
A client is admitted to the intensive care unit with hematemesis
related to esophageal varices. Which assessment finding should the
nurse identify that is the result of an estimated blood loss at 35% of
total blood volume?
A.) Absent bowel sounds.
B.) Coma.
C.) Anuria.
D.) Abdominal pain.
A.) Absent bowel sounds.
Massive blood loss redirects a significant amount of blood flow to vital
organs. A client who has lost 30% to 40% of the total blood volume will
exhibit absent bowel sounds, lethargy, and increased serum potassium.
The nurse is planning care for a client admitted to the intensive care
unit with acute infected necrotizing pancreatitis. Which diagnostic
procedure should the nurse prepare the client to expect the
healthcare provider to prescribe?
A.) Contrast-enhanced computed tomography (CT).
B.) Endoscopic retrograde cholangiopancreatography (ERCP).
C.) Abdominal radiography.
D.) Abdominal ultrasound.
A.) Contrast-enhanced computed tomography (CT)
