HESI
CRITICAL
CARETEST
BANKRN
Q&A
, HESI CRITICAL CARE 2019 TEST BANK RN
1). PtHhasHaHlongHhistoryHofHsmoking.HPtHcomesHinHwithHsob.HTheseHareHtheHABG’s:HpHH7.25,HPCO2H50,H
anDHHCO3H24.HWhatHdoesHtheHpatientHhave?
• Resp.HAcidosis
*Remember:HIfHtheHCO2HisHhighHitHwillHalwaysHbeHresp.Hacidosis
2). FemaleHcomesHinHtheHEDHandHsaysHthatHherH“heartHisHpoundingHoutsideHofHherHchest.HClientHisHinHS
VT.HWhatHisHtheHnursingHintervention?
• CoachHclientHinHrelaxationHandHdeepHbreathing.
3). ThisHisHanHinsulinHPROTOCOLHquestion.HYouHwillHbeHgivenHaHprotocolHthatHyouHneedHtoHfollowHbyH
theHMD.HTheHptHinsulinHisHinfusedHatH5Hunits/hrHandHherHcurrentHglucoseHreadingHisH165.HWhatHshouldH
youHdo?
• IncreaseHdripHbyH1Hunit/hour
4). CalculateHquestion.HTheHnumberHwillHbeH1,500,000HIU,HinH500mLHofH0.9%HNS.
• 33
5). DKAHmathHquestion
• 1,000mLHNSHwithH30HMeqHofHSodium
6). OlderHclientHcomesHinHwithHCAPHandHSpO2H89%.HWhatHisHtheHpriorityHintervention?
• AssistHclientHwithHturning,Hcoughing,HandHdeepHbreathing
7). PtHreceivedHanHETTH7HdaysHagoHandHisHcurrentlyHonH50%HO2.HTheHptHisHcurrentlyHanxiousH
andHhyperventilating.HWhatHisHtheHpriorityHintervention?
• AuscultateHlungs
8). ClientHhasHnotHbeenHtakingHcortisoneHforHeitherH2HweeksHorH2HmonthsHandHhusbandHbringsHherHintoH
theHED.HHusbandHstatesHthatHsheHhasHnotHbeenHfeelingHwellHandHthatHsheHneededHhelpHgettingHreadyHto
day.H(PatientHhasHSIAH).HWhatHshouldHyouHdo?
• InitiateHfallHprecautions
*RememberHthatHSIAHHcausesHseizuresHsoHyouHhaveHtoHputHtheHclientHonHfallHprecaution
9). UAPHisHcomingHtoHassistHaHnurseHinHaHsituationHwhereHtheHptHisHhavingHSVTHandHtheHnurseHha
sHtoHprepareHforHcardioversion.HWhatHtaskHcanHtheHUAPHdo?
• BringHResuscitationHcartHtoHtheHbedside
10). AHptHhasHaHcardioversionHdueHtoHuncontrolledHAHFib.HWhatHvitalHshowsHthatHtheHcardioversionH
wasHsuccessful?
CRITICAL
CARETEST
BANKRN
Q&A
, HESI CRITICAL CARE 2019 TEST BANK RN
1). PtHhasHaHlongHhistoryHofHsmoking.HPtHcomesHinHwithHsob.HTheseHareHtheHABG’s:HpHH7.25,HPCO2H50,H
anDHHCO3H24.HWhatHdoesHtheHpatientHhave?
• Resp.HAcidosis
*Remember:HIfHtheHCO2HisHhighHitHwillHalwaysHbeHresp.Hacidosis
2). FemaleHcomesHinHtheHEDHandHsaysHthatHherH“heartHisHpoundingHoutsideHofHherHchest.HClientHisHinHS
VT.HWhatHisHtheHnursingHintervention?
• CoachHclientHinHrelaxationHandHdeepHbreathing.
3). ThisHisHanHinsulinHPROTOCOLHquestion.HYouHwillHbeHgivenHaHprotocolHthatHyouHneedHtoHfollowHbyH
theHMD.HTheHptHinsulinHisHinfusedHatH5Hunits/hrHandHherHcurrentHglucoseHreadingHisH165.HWhatHshouldH
youHdo?
• IncreaseHdripHbyH1Hunit/hour
4). CalculateHquestion.HTheHnumberHwillHbeH1,500,000HIU,HinH500mLHofH0.9%HNS.
• 33
5). DKAHmathHquestion
• 1,000mLHNSHwithH30HMeqHofHSodium
6). OlderHclientHcomesHinHwithHCAPHandHSpO2H89%.HWhatHisHtheHpriorityHintervention?
• AssistHclientHwithHturning,Hcoughing,HandHdeepHbreathing
7). PtHreceivedHanHETTH7HdaysHagoHandHisHcurrentlyHonH50%HO2.HTheHptHisHcurrentlyHanxiousH
andHhyperventilating.HWhatHisHtheHpriorityHintervention?
• AuscultateHlungs
8). ClientHhasHnotHbeenHtakingHcortisoneHforHeitherH2HweeksHorH2HmonthsHandHhusbandHbringsHherHintoH
theHED.HHusbandHstatesHthatHsheHhasHnotHbeenHfeelingHwellHandHthatHsheHneededHhelpHgettingHreadyHto
day.H(PatientHhasHSIAH).HWhatHshouldHyouHdo?
• InitiateHfallHprecautions
*RememberHthatHSIAHHcausesHseizuresHsoHyouHhaveHtoHputHtheHclientHonHfallHprecaution
9). UAPHisHcomingHtoHassistHaHnurseHinHaHsituationHwhereHtheHptHisHhavingHSVTHandHtheHnurseHha
sHtoHprepareHforHcardioversion.HWhatHtaskHcanHtheHUAPHdo?
• BringHResuscitationHcartHtoHtheHbedside
10). AHptHhasHaHcardioversionHdueHtoHuncontrolledHAHFib.HWhatHvitalHshowsHthatHtheHcardioversionH
wasHsuccessful?
