2023 HESI ACUITY CRITICAL CARE EXAM
RN KEY WORD AND ANSWER TEST
BANK +{GRADE A+} *STRAIGHT FROM
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Generation NGN AUTHENTIC – A+
VERIFIED 2025
A pt admitted to ICU after an xray revealed right fractured tibia. Which of
these warrants immediate intervention? - ,,answer,,,..Prolonged capillary
refill of right toes
A pt. is admitted to ICU following acetaminophen overdose. BP: 60/40, HR
54, temp 103. What should the nurse do FIRST? - ,,answer,,,..Rapid IV
bolus of warmed normal saline
A pt. with right chest tube needs to be transported. What is the most
important intervention? - ,,answer,,,..Keep the drainage system below the
insertion site
The nurse plans to administer dopamine to a pt. Which parameter should
the nurse use to determine response to dopamine? - ,,answer,,,..Urinary
output
,A pt. is confused, the nurse tried orienting the patient multiple times.
What is intervention to ensure patient safety? - ,,answer,,,..Increase
direct observations
A pt. has diarrhea for 6 days. HR 134, BP 80/40, RR 36, PH 7.22, HCO3 8,
blood glucose 400. which of these is priority? - ,,answer,,,..Initiate normal
saline bolus
What assessment findings should the nurse associate with an electrolyte
imbalance related t acute pancreatitis? - ,,answer,,,..Muscle twitching
and digit numbness
A patient has respiratory acidosis. The ventilator rate is set at
6breaths/min. Pressure support is at 10cm H2O and oxygen
concentration is at 30%. What action should the nurse implement to
correct the acidosis? - ,,answer,,,..Increase the ventilator rate
A student has a laceration on the right radial artery and is bleeding. What
should the school nurse do first? - ,,answer,,,..Lay the pt. down and apply
pressure on the site of injury
Pt has a long history of smoking & comes in with SOB. ABG's: pH 7.25,
PCO2 50 & HCO3 24. What does the patient have? -
,,answer,,,..Respiratory acidosis
Female comes in the ED & says her heart is pounding outside of her chest.
She has SVT. What is the nursing intervention? - ,,answer,,,..Coach client
in relaxation and deep breathing
Pt received an ETTube & is currently on 50% O2. He is currently anxious &
hyperventilating. The priority intervention? - ,,answer,,,..Auscultate lungs
,When caring for a client on a vent, which finding provides the greatest
indication that the client has an open airway? - ,,answer,,,..Bilateral
breath sounds can be auscultated
The nurse performs a neurological check on a client who was admitted
with a subarachnoid brain attack (stroke). The client's GCS in 9, what
information is most important for the nurse to determine? -
,,answer,,,..The client's previous GCS score
Pt has meningitis & SIADH. The nurse knows this pt is at risk for seizures.
What is the nursing priority? - ,,answer,,,..Monitor serum sodium
what lab values would be associated with this SIADH ? -
,,answer,,,..Hyperkalemia and hyponatremia
. A pt. has a CVP of 9mmHg. What should the nurse suspect? -
,,answer,,,..Fluid overload
A young female falls down a flight of stairs and is having trouble walking
and bearing weight. The MD prescribes hydrocodone for pain and an x-ray.
What should the nurse do first? - ,,answer,,,..Pregnancy test
A pt with a chest tube has the tube dislodged from the pleural space.
What is the nursing intervention? - ,,answer,,,..Place an occlusive
dressing with tape on 3 sides
A pt with a basilar skull fracture has blood leaking from their nose and
ears. What intervention should the nurse do? - ,,answer,,,..Gently dab
blood from ear with a gauze and observe for Halo
A pt diagnosed with acute pancreatitis Which finding should the nurse
report to the healthcare provider? - ,,answer,,,..Hemorrhagic
discoloration at the umbilicus
, A patient is mechanically ventilated and his alarm starts to go off. What
intervention should the nurse implement first? - ,,answer,,,..Assess the
patient oxygen saturation
What assessment findings should be document for a client who has
autonomic dysreflexia after a T-4 spinal cord injury? - ,,answer,,,..Severe
hypertension, diaphroresis, and flushing above the lesion
A pt. in the ED has epigastric discomfort. pt. reports SOB & fatigue for the
past two days. The Priority intervention is - ,,answer,,,..Obtain a blood
specimen for cardiac enzymes
A pt. is transported to ICU following a segmental resection of the liver.
One hour later, the nurse notes that the client is hemorrhaging from
surgical site. What action should the nurse take? - ,,answer,,,..Prepare
the client to return to the operating room
A pt is on a ventilator and the vent is malfunctioning. What is the nursing
intervention? · - ,,answer,,,..Bag the pt. manually ·
A pt has been asystole for 20mins & no change in the pt's condition. The pt
is also intubated. What should the nurse do? - ,,answer,,,..Talk to the
family in a private area about desire to continue life support
A pt is unconscious & the nurse starts CPR. The patient's wife is crying in
the room. What should the nurse do? - ,,answer,,,..Allow the wife to stay
in the room
A pt. in ED has blurred vision and mild confusion. pt. states that he takes
digoxin at home. The best intervention is? - ,,answer,,,..Obtain
prescription for digoxin immune fab (Digibind) IV
RN KEY WORD AND ANSWER TEST
BANK +{GRADE A+} *STRAIGHT FROM
THE WEBSITE*VERSION TEST BANK:Next
Generation NGN AUTHENTIC – A+
VERIFIED 2025
A pt admitted to ICU after an xray revealed right fractured tibia. Which of
these warrants immediate intervention? - ,,answer,,,..Prolonged capillary
refill of right toes
A pt. is admitted to ICU following acetaminophen overdose. BP: 60/40, HR
54, temp 103. What should the nurse do FIRST? - ,,answer,,,..Rapid IV
bolus of warmed normal saline
A pt. with right chest tube needs to be transported. What is the most
important intervention? - ,,answer,,,..Keep the drainage system below the
insertion site
The nurse plans to administer dopamine to a pt. Which parameter should
the nurse use to determine response to dopamine? - ,,answer,,,..Urinary
output
,A pt. is confused, the nurse tried orienting the patient multiple times.
What is intervention to ensure patient safety? - ,,answer,,,..Increase
direct observations
A pt. has diarrhea for 6 days. HR 134, BP 80/40, RR 36, PH 7.22, HCO3 8,
blood glucose 400. which of these is priority? - ,,answer,,,..Initiate normal
saline bolus
What assessment findings should the nurse associate with an electrolyte
imbalance related t acute pancreatitis? - ,,answer,,,..Muscle twitching
and digit numbness
A patient has respiratory acidosis. The ventilator rate is set at
6breaths/min. Pressure support is at 10cm H2O and oxygen
concentration is at 30%. What action should the nurse implement to
correct the acidosis? - ,,answer,,,..Increase the ventilator rate
A student has a laceration on the right radial artery and is bleeding. What
should the school nurse do first? - ,,answer,,,..Lay the pt. down and apply
pressure on the site of injury
Pt has a long history of smoking & comes in with SOB. ABG's: pH 7.25,
PCO2 50 & HCO3 24. What does the patient have? -
,,answer,,,..Respiratory acidosis
Female comes in the ED & says her heart is pounding outside of her chest.
She has SVT. What is the nursing intervention? - ,,answer,,,..Coach client
in relaxation and deep breathing
Pt received an ETTube & is currently on 50% O2. He is currently anxious &
hyperventilating. The priority intervention? - ,,answer,,,..Auscultate lungs
,When caring for a client on a vent, which finding provides the greatest
indication that the client has an open airway? - ,,answer,,,..Bilateral
breath sounds can be auscultated
The nurse performs a neurological check on a client who was admitted
with a subarachnoid brain attack (stroke). The client's GCS in 9, what
information is most important for the nurse to determine? -
,,answer,,,..The client's previous GCS score
Pt has meningitis & SIADH. The nurse knows this pt is at risk for seizures.
What is the nursing priority? - ,,answer,,,..Monitor serum sodium
what lab values would be associated with this SIADH ? -
,,answer,,,..Hyperkalemia and hyponatremia
. A pt. has a CVP of 9mmHg. What should the nurse suspect? -
,,answer,,,..Fluid overload
A young female falls down a flight of stairs and is having trouble walking
and bearing weight. The MD prescribes hydrocodone for pain and an x-ray.
What should the nurse do first? - ,,answer,,,..Pregnancy test
A pt with a chest tube has the tube dislodged from the pleural space.
What is the nursing intervention? - ,,answer,,,..Place an occlusive
dressing with tape on 3 sides
A pt with a basilar skull fracture has blood leaking from their nose and
ears. What intervention should the nurse do? - ,,answer,,,..Gently dab
blood from ear with a gauze and observe for Halo
A pt diagnosed with acute pancreatitis Which finding should the nurse
report to the healthcare provider? - ,,answer,,,..Hemorrhagic
discoloration at the umbilicus
, A patient is mechanically ventilated and his alarm starts to go off. What
intervention should the nurse implement first? - ,,answer,,,..Assess the
patient oxygen saturation
What assessment findings should be document for a client who has
autonomic dysreflexia after a T-4 spinal cord injury? - ,,answer,,,..Severe
hypertension, diaphroresis, and flushing above the lesion
A pt. in the ED has epigastric discomfort. pt. reports SOB & fatigue for the
past two days. The Priority intervention is - ,,answer,,,..Obtain a blood
specimen for cardiac enzymes
A pt. is transported to ICU following a segmental resection of the liver.
One hour later, the nurse notes that the client is hemorrhaging from
surgical site. What action should the nurse take? - ,,answer,,,..Prepare
the client to return to the operating room
A pt is on a ventilator and the vent is malfunctioning. What is the nursing
intervention? · - ,,answer,,,..Bag the pt. manually ·
A pt has been asystole for 20mins & no change in the pt's condition. The pt
is also intubated. What should the nurse do? - ,,answer,,,..Talk to the
family in a private area about desire to continue life support
A pt is unconscious & the nurse starts CPR. The patient's wife is crying in
the room. What should the nurse do? - ,,answer,,,..Allow the wife to stay
in the room
A pt. in ED has blurred vision and mild confusion. pt. states that he takes
digoxin at home. The best intervention is? - ,,answer,,,..Obtain
prescription for digoxin immune fab (Digibind) IV
