Critical Care HESI Exam Questions and answers EXAM, SOLUTIONS
Critical Care HESI
(MULTIPLE CHOICES) 100% correct 2025!!
Study online at https://quizlet.com/_a1fvdu
1. The nurses calculating fluid resuscitation for young By 2000, the client will
adult male who was burned in a bloody accident at have received 3500 mL of
1200 and is seen in the ER at 1400. The HCP determines fluid
that the client has burn over 30% of his body, mainly
over his arms and chest. Using the Parkland formula
for fluid resuscitation, the client is to receive 7000 mL
of fluid in 24 hours. Which goal should the nurse es-
tablish for this clients plan of care?
2. When caring for a client on a vent, which finding pro- Bilateral breath sounds
vides the greatest indication that the client has an can be auscultated
open airway?
3. The nurse performs a prescribed a neurological check The client's previous GCS
at the beginning of the shift on a client who was ad- score
mitted with a subarachnoid brain attack (Stroke). The
client's GCS is 9. What information is most important
for the nurse to determine?
4. An adult female with a history of type 1 diabetes has Excessive thirst
been vomiting for the past 48 hours and is admitted to
the ICU with DKA. Which assessment finding warrants
immediate intervention by the nurse?
5. A client admitted to the ICU after a colon resection with Give a 500 mL IV fluid bo-
the formation of the loop colostomy. The nurse de- lus challenge
termines that the clients abdominal dressing is clean
and dry. Vital signs are: HR: 130, temperature: 100, BP:
88/65, and urine output of 10 mL/hr. What interven-
tions should the nurse implement?
6. A client is admitted with syncopal episodes related to Increase the sensitivity
a third degree heart block. After the placement of a
, Critical Care HESI
Study online at https://quizlet.com/_a1fvdu
transcutaneous pacemaker, the nurse observes sev-
eral episodes the pacemaker failure to sense. What
action should the nurse take?
7. A client is receiving CPR. After systole is confirmed in Epinephrine (adrenaline)
two leads and sending the transcutaneous pacemaker,
which IV medication should be administered?
8. A client has a chest tube connected to a closed water Occlusive dressing
seal drainage system with suction. What equipment
should the nurse always have available at the clients
bedside?
9. Bretylium 1 mg/min via infusion is prescribed for a 30
client and ventricular tachycardia. The available solu-
tion is 500 mL D5W contains bretylium 1 gram. The
nurse should program the infusion time to deliver how
many mL/hr?
10. The client is receiving an infusion of nitroglycerin 100 20
mg and 500 mL D5W at 6 mL/hr. How many mcg/min
of nitroglycerin is infusing?
11. A client arrives in the ER complaining of pain. What Produces chest heaviness
description of pain should prompt the nurse to suspect with left arm pain
it originated in the myocardium?
12. Four days ago a chest tube was inserted into the sec- Assess the clients breath
ond intercostal space of a client who has a pneumoth- sounds of the affected
orax. Today the nurse notes that there is no fluctuation lung
in the water-seal chamber of the Pleuravac. Which in-
tervention would be most appropriate for the nurse to
implement?
Critical Care HESI
(MULTIPLE CHOICES) 100% correct 2025!!
Study online at https://quizlet.com/_a1fvdu
1. The nurses calculating fluid resuscitation for young By 2000, the client will
adult male who was burned in a bloody accident at have received 3500 mL of
1200 and is seen in the ER at 1400. The HCP determines fluid
that the client has burn over 30% of his body, mainly
over his arms and chest. Using the Parkland formula
for fluid resuscitation, the client is to receive 7000 mL
of fluid in 24 hours. Which goal should the nurse es-
tablish for this clients plan of care?
2. When caring for a client on a vent, which finding pro- Bilateral breath sounds
vides the greatest indication that the client has an can be auscultated
open airway?
3. The nurse performs a prescribed a neurological check The client's previous GCS
at the beginning of the shift on a client who was ad- score
mitted with a subarachnoid brain attack (Stroke). The
client's GCS is 9. What information is most important
for the nurse to determine?
4. An adult female with a history of type 1 diabetes has Excessive thirst
been vomiting for the past 48 hours and is admitted to
the ICU with DKA. Which assessment finding warrants
immediate intervention by the nurse?
5. A client admitted to the ICU after a colon resection with Give a 500 mL IV fluid bo-
the formation of the loop colostomy. The nurse de- lus challenge
termines that the clients abdominal dressing is clean
and dry. Vital signs are: HR: 130, temperature: 100, BP:
88/65, and urine output of 10 mL/hr. What interven-
tions should the nurse implement?
6. A client is admitted with syncopal episodes related to Increase the sensitivity
a third degree heart block. After the placement of a
, Critical Care HESI
Study online at https://quizlet.com/_a1fvdu
transcutaneous pacemaker, the nurse observes sev-
eral episodes the pacemaker failure to sense. What
action should the nurse take?
7. A client is receiving CPR. After systole is confirmed in Epinephrine (adrenaline)
two leads and sending the transcutaneous pacemaker,
which IV medication should be administered?
8. A client has a chest tube connected to a closed water Occlusive dressing
seal drainage system with suction. What equipment
should the nurse always have available at the clients
bedside?
9. Bretylium 1 mg/min via infusion is prescribed for a 30
client and ventricular tachycardia. The available solu-
tion is 500 mL D5W contains bretylium 1 gram. The
nurse should program the infusion time to deliver how
many mL/hr?
10. The client is receiving an infusion of nitroglycerin 100 20
mg and 500 mL D5W at 6 mL/hr. How many mcg/min
of nitroglycerin is infusing?
11. A client arrives in the ER complaining of pain. What Produces chest heaviness
description of pain should prompt the nurse to suspect with left arm pain
it originated in the myocardium?
12. Four days ago a chest tube was inserted into the sec- Assess the clients breath
ond intercostal space of a client who has a pneumoth- sounds of the affected
orax. Today the nurse notes that there is no fluctuation lung
in the water-seal chamber of the Pleuravac. Which in-
tervention would be most appropriate for the nurse to
implement?
