CRITICAL CARE HESI HINTS EXAM
QUESTIONS WITH CORRECT ANSWERS
an unexpected, catastrophic pulmonary complication with no previous pulmonary
|| || || | || || || ||
problems
||
(ANS- ARDS ||
ARDS mortality rate: || |
(ANS- 50% (high) || ||
interventions to prevent complications of vented patients with ARDS: || || || || | || || ||
(ANS- elevate HOB to at least 30 degrees
|| || || || || || || ||
sedation vacations |
strict oral hygiene
|| || ||
implement mobilization program || |
increased risk and mortality rate from ARDS in individuals who have a history of
|| || || || || | || || || || || || ||
(ANS- alcohol abuse || ||
suction only when || || ||
(ANS- secretions are present
|| || || ||
before drawing a sample for ABGs from the radial artery, perform the
|| || || || || || || || || || ||
to assess collateral circulation | | |
(ANS- allen test
|| || ||
infants and young adults || during expiration as respiratory distress
|| || || | | | |
begins; this is how the body attempts to create a form of PEEP
|| || || || || || || || || || || || ||
(ANS- grunts ||
a child in severe distress should be on what percent oxygen?
|| || || || || || || || || ||
(ANS- 100
|| ||
,signifies respiratory failure: || ||
(ANS- PCO2 greater than 45
|| || || || ||
PO2 less than 60
|| || || ||
((ON 50% OXYGEN)) || ||
three most common symptoms of respiratory failure:
|| || || || || |
(ANS- dyspnea/tachypnea
|| ||
intercostal and sternal retractions | | |
cyanosis
||
early signs of shock: || || ||
(ANS- agitation and restlessness || || ||
(from cerebral hypoxia) || ||
all types of shock can lead to
|| || || || || || || and result in
|| || ||
(ANS
||
- SIRS ||
MOD
||
S
if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump
|| || || || || || || || || || || ||
failure), how should you position the client to REDUCE venous return?
|| || || || || || || || || || ||
(ANS- high-fowler with legs down || || || ||
IABP balloon should inflate during || || || || ||
(ANS- diastole
|| ||
(P wave spike on ECG)
|| || || ||
monitor IABP tubing for what? | | | |
(ANS- blood backup
|| || ||
, all vasopressor and vasodilator drugs are potent and dangerous and require
| || || || || || || || || ||
(ANS- titration ||
most common type of shock | | | |
(ANS- hypovolemic
|| ||
drug used for the treatment of DIC | || || | || ||
(ANS- heparin
|| ||
lab values for DIC || || ||
(ANS- PT & PTT prolonged | | | |
decreased platelets
|| ||
how to correct acidosis: || || ||
(ANS- increase ventilation || ||
first drug used for an in-hospital cardiac arrest:
|| || || || || || ||
(ANS- epinephrine ||
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v tach.
|| || || || || || || || || || || || || || || ||
what is the first action that should be taken?
|| || || || || || || || ||
(ANS- defibrillate ||
hyperosmolar solution that should be administered IV: || || || | || ||
(ANS- dextrose 10% | ||
isotonic solution used for irrigation with intermittent IV medication
|| || || || || || || ||
(ANS- normal saline
|| || ||
use only || || solutions in irrigations (bladder irrigation, IV flushes, etc.)
|| || || || || || ||
(ANS- isotonic
|| ||
QUESTIONS WITH CORRECT ANSWERS
an unexpected, catastrophic pulmonary complication with no previous pulmonary
|| || || | || || || ||
problems
||
(ANS- ARDS ||
ARDS mortality rate: || |
(ANS- 50% (high) || ||
interventions to prevent complications of vented patients with ARDS: || || || || | || || ||
(ANS- elevate HOB to at least 30 degrees
|| || || || || || || ||
sedation vacations |
strict oral hygiene
|| || ||
implement mobilization program || |
increased risk and mortality rate from ARDS in individuals who have a history of
|| || || || || | || || || || || || ||
(ANS- alcohol abuse || ||
suction only when || || ||
(ANS- secretions are present
|| || || ||
before drawing a sample for ABGs from the radial artery, perform the
|| || || || || || || || || || ||
to assess collateral circulation | | |
(ANS- allen test
|| || ||
infants and young adults || during expiration as respiratory distress
|| || || | | | |
begins; this is how the body attempts to create a form of PEEP
|| || || || || || || || || || || || ||
(ANS- grunts ||
a child in severe distress should be on what percent oxygen?
|| || || || || || || || || ||
(ANS- 100
|| ||
,signifies respiratory failure: || ||
(ANS- PCO2 greater than 45
|| || || || ||
PO2 less than 60
|| || || ||
((ON 50% OXYGEN)) || ||
three most common symptoms of respiratory failure:
|| || || || || |
(ANS- dyspnea/tachypnea
|| ||
intercostal and sternal retractions | | |
cyanosis
||
early signs of shock: || || ||
(ANS- agitation and restlessness || || ||
(from cerebral hypoxia) || ||
all types of shock can lead to
|| || || || || || || and result in
|| || ||
(ANS
||
- SIRS ||
MOD
||
S
if cardiogenic shock exists in the presence of pulmonary edema (i.e., from pump
|| || || || || || || || || || || ||
failure), how should you position the client to REDUCE venous return?
|| || || || || || || || || || ||
(ANS- high-fowler with legs down || || || ||
IABP balloon should inflate during || || || || ||
(ANS- diastole
|| ||
(P wave spike on ECG)
|| || || ||
monitor IABP tubing for what? | | | |
(ANS- blood backup
|| || ||
, all vasopressor and vasodilator drugs are potent and dangerous and require
| || || || || || || || || ||
(ANS- titration ||
most common type of shock | | | |
(ANS- hypovolemic
|| ||
drug used for the treatment of DIC | || || | || ||
(ANS- heparin
|| ||
lab values for DIC || || ||
(ANS- PT & PTT prolonged | | | |
decreased platelets
|| ||
how to correct acidosis: || || ||
(ANS- increase ventilation || ||
first drug used for an in-hospital cardiac arrest:
|| || || || || || ||
(ANS- epinephrine ||
a patient in cardiac arrest is noted on the bedside monitor to be in pulseless v tach.
|| || || || || || || || || || || || || || || ||
what is the first action that should be taken?
|| || || || || || || || ||
(ANS- defibrillate ||
hyperosmolar solution that should be administered IV: || || || | || ||
(ANS- dextrose 10% | ||
isotonic solution used for irrigation with intermittent IV medication
|| || || || || || || ||
(ANS- normal saline
|| || ||
use only || || solutions in irrigations (bladder irrigation, IV flushes, etc.)
|| || || || || || ||
(ANS- isotonic
|| ||
