HESI
CRITICAL
CARE TEST
BANK RN
Q&A
, HESI CRITICAL CARE 2019 TEST BANK RN
XV XV XV XV XV XV
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50
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, anD HCO3 24. What does the patient have?
XV XV XV XV XV XV XV XV
Resp. Acidosis XV
*Remember: If the CO2 is high it will always be resp. acidosis
XV XV XV XV XV XV XV XV XV XV XV
2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
SVT. What is the nursing intervention?
XV XV XV XV XV
Coach client in relaxation and deep breathing.
XV XV XV XV XV XV
3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow b
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
y the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What sho
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
uld you do? XV XV
Increase drip by 1 unit/hour XV XV XV XV
4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.
XV XV XV XV XV XV XV XV XV XV XV XV
33
5). DKA math question XV XV
1,000mL NS with 30 Meq of Sodium XV XV XV XV XV XV
6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?
XV XV XV XV XV XV XV XV XV XV XV XV XV
Assist client with turning, coughing, and deep breathing
XV XV XV XV XV XV XV
7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxiou
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
s and hyperventilating. What is the priority intervention?
XV XV XV XV XV XV XV
Auscultate lungs XV
8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her in
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
to the ED. Husband states that she has not been feeling well and that she needed help getting rea
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
dy today. (Patient has SIAH). What should you do?
XV XV XV XV XV XV XV XV
Initiate fall precautions XV XV
*Remember that SIAH causes seizures so you have to put the client on fall precaution
XV XV XV XV XV XV XV XV XV XV XV XV XV XV
9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
has to prepare for cardioversion. What task can the UAP do?
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Bring Resuscitation cart to the bedside
XV XV XV XV XV
10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV X
was successful?
V XV
CRITICAL
CARE TEST
BANK RN
Q&A
, HESI CRITICAL CARE 2019 TEST BANK RN
XV XV XV XV XV XV
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
, anD HCO3 24. What does the patient have?
XV XV XV XV XV XV XV XV
Resp. Acidosis XV
*Remember: If the CO2 is high it will always be resp. acidosis
XV XV XV XV XV XV XV XV XV XV XV
2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is in
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
SVT. What is the nursing intervention?
XV XV XV XV XV
Coach client in relaxation and deep breathing.
XV XV XV XV XV XV
3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow b
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
y the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What sho
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
uld you do? XV XV
Increase drip by 1 unit/hour XV XV XV XV
4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.
XV XV XV XV XV XV XV XV XV XV XV XV
33
5). DKA math question XV XV
1,000mL NS with 30 Meq of Sodium XV XV XV XV XV XV
6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?
XV XV XV XV XV XV XV XV XV XV XV XV XV
Assist client with turning, coughing, and deep breathing
XV XV XV XV XV XV XV
7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxiou
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
s and hyperventilating. What is the priority intervention?
XV XV XV XV XV XV XV
Auscultate lungs XV
8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her in
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
to the ED. Husband states that she has not been feeling well and that she needed help getting rea
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
dy today. (Patient has SIAH). What should you do?
XV XV XV XV XV XV XV XV
Initiate fall precautions XV XV
*Remember that SIAH causes seizures so you have to put the client on fall precaution
XV XV XV XV XV XV XV XV XV XV XV XV XV XV
9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV
has to prepare for cardioversion. What task can the UAP do?
XV XV XV XV XV XV XV XV XV XV
Bring Resuscitation cart to the bedside
XV XV XV XV XV
10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion
XV XV XV XV XV XV XV XV XV XV XV XV XV XV XV X
was successful?
V XV