Study guides, Class notes & Summaries

HESI RN CRITICAL CARE EXIT EXAM 380 PRACTICE QUESTIONS UPDATED 2022-2023 1- The nurse is providing postprocedure care to a client who had a cardiac catheterization. Theclient begins to manifest signs and symptoms associated with embolization. Which action should the nurse take? a. Notify the primary healthcare provider immediately b. Apply a warm, moist compress to the incision site c. Increase the intravenous fluid rate by 20 mL/hr d. Monitor vital signs more frequently 2 - A nurse ...

RN Critical Care HESI Exit Exam The nurse cares for a client with a cuffed tracheostomy tube. Before performing oral care, the nurse notes that the client's tracheostomy cuff is inflated. Which of the following is the MOST appropriate action for the nurse to take? - Leave the cuff inflated and suction through the tracheostomy. A young adult brings a friend to the emergency department and states that the friend has been using heroin. Which action by the nurse is the MOST appropriate? - Ass...

HESI RN CRITICAL CARE EXIT EXAM 1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have? • Resp. Acidosis *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in SVT. What is the nursing intervention? • Coach client in relaxation and deep breathing. 3). This is an insulin PROTOCOL question....

Critical Care- HESI Exam How to calculate HR on EKG - Correct Answer-big boxes: take 300 and divide by the number of boxes between RR Atrial Fibrillation - Correct Answer-Rapid, random, ineffective *contractions of the atrium* No P Waves, *Normal QRS w/ irreg intervals* Risk for thrombi Tx: anti coagulants (Heparin), TEE, Synchronized Cardioversion Atrial Flutter - Correct Answer-No P Waves, QRS at reg intervals Sawtooth or FLUTTER WAVES Tx: Anti coagulants, TEE, synchr...

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L oxygen by nasal cannula. d. Obtain an electrocardiogram. - ANS-c The nurse is preparing discharge instructions for a client diagnosed with acute coronary syndrome. Which is an expected o...

A client recovering from a percutaneous coronary intervention (PCI) after an acute myocardial infarction is being transferred from the PACU to the Cardiac ICU. Which assessment finding should the PACU nurse inform the healthcare provider of immediately? a. onset of chest pain b. need to apply pressure dressing c. presence of occasional PVCs d. absence of any urinary output during PACU stay - Correct Answer-a. onset of chest pain This suggests the onset of another MI and reocclusion of a...

HESI Critical Care Exit Exam Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes telemetry pattern shows second degree heart block with Ventricular rate of 50. Action Hold scheduled dose and notify HCP of telemetry pattern Nurse is reviewing client ECG and determines PR interval prolonged. Indicates Increased conduction time from the SA node to the AV junction When assessing a restless, intubated client on mechanical ventilation, nurse auscultate...

HESI Critical Care Exam 1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? A. Carteolol (Ocupress). B. Propranolol hydrochloride (Inderal). C. Pindolol (Visken). Incorrect D. Metoprolol tartrate (Lopressor). Correct The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a beta2 blocking age...

1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have? • Resp. Acidosis *Remember: If the CO2 is high it will always be resp. acidosis 2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in SVT. What is the nursing intervention? • Coach client in relaxation and deep breathing. 3). This is an insulin PROTOCOL question. You will be given a protocol that...

How to calculate HR on EKG - Correct Answer-big boxes: take 300 and divide by the number of boxes between RR Atrial Fibrillation - Correct Answer-Rapid, random, ineffective *contractions of the atrium* No P Waves, *Normal QRS w/ irreg intervals* Risk for thrombi Tx: anti coagulants (Heparin), TEE, Synchronized Cardioversion Atrial Flutter - Correct Answer-No P Waves, QRS at reg intervals Sawtooth or FLUTTER WAVES Tx: Anti coagulants, TEE, synchronized cardioversion Adeno...