HESI Critical Care Review Exam
Questions and Answers6
IABP function - ANSWERS-decreases afterload and increases perfusion
high peep could lead to... - ANSWERS-pneumothorax, increased barotrauma, decreased CO
Septic Shock Hyperdynamic Phase - ANSWERS-CO elevated and SVR low
SIADH concerns - ANSWERS-sodium imbalance leading to seizures
sepsis treatment steps - ANSWERS-fluids, cultures, wide spectrum antibiotics
Autonomic Dysreflexia - ANSWERS-hypertension and diaphoresis
AAA post op - ANSWERS-check pulses in lower extremity, UO might be decreased, patient will
have abdominal guarding
low pressure alarm - ANSWERS-tubing of circuit is loose or disconnected, cuff is not inflated
enough
ET tube placement - ANSWERS-check carbon dioxide detector (turns purple to yellow if co2 is
exhaled - indicates good placement), breath sounds bilaterally, chest xray
a line placement - ANSWERS-phlebostatic axis in level with right atrium
, dopamine low dose... - ANSWERS-increase in urinary output
dopamine high dose... - ANSWERS-increase in blood pressure
IV insulin drips - ANSWERS-IV push of small amount then set rate with hourly titration
what are things you should do first? - ANSWERS-assess and safety
i.e. with PE - listen to lung sounds
with a bleed - put on gloves
vent pressure alarm causes - ANSWERS-kinked tubing, secretions, coughing, biting, need
suctioning, laying on tube
what should you do if there are vent issues you cannot fix? - ANSWERS-bag the patient until
respiratory comes
what kind of patient would you assign a new nurse? - ANSWERS-easiest heart rhythm
I.e. afib w controlled ventricular response
acetaminophen overdose - ANSWERS-acetylcysteine (mucomyst)
a young teen is in the ER with friends and his mom, when should you assess his pain? -
ANSWERS-when he is alone
addison crisis treatment - ANSWERS-give steroids and fluids then monitor electrolytes
what is the best assessment of renal function? - ANSWERS-I & O
Questions and Answers6
IABP function - ANSWERS-decreases afterload and increases perfusion
high peep could lead to... - ANSWERS-pneumothorax, increased barotrauma, decreased CO
Septic Shock Hyperdynamic Phase - ANSWERS-CO elevated and SVR low
SIADH concerns - ANSWERS-sodium imbalance leading to seizures
sepsis treatment steps - ANSWERS-fluids, cultures, wide spectrum antibiotics
Autonomic Dysreflexia - ANSWERS-hypertension and diaphoresis
AAA post op - ANSWERS-check pulses in lower extremity, UO might be decreased, patient will
have abdominal guarding
low pressure alarm - ANSWERS-tubing of circuit is loose or disconnected, cuff is not inflated
enough
ET tube placement - ANSWERS-check carbon dioxide detector (turns purple to yellow if co2 is
exhaled - indicates good placement), breath sounds bilaterally, chest xray
a line placement - ANSWERS-phlebostatic axis in level with right atrium
, dopamine low dose... - ANSWERS-increase in urinary output
dopamine high dose... - ANSWERS-increase in blood pressure
IV insulin drips - ANSWERS-IV push of small amount then set rate with hourly titration
what are things you should do first? - ANSWERS-assess and safety
i.e. with PE - listen to lung sounds
with a bleed - put on gloves
vent pressure alarm causes - ANSWERS-kinked tubing, secretions, coughing, biting, need
suctioning, laying on tube
what should you do if there are vent issues you cannot fix? - ANSWERS-bag the patient until
respiratory comes
what kind of patient would you assign a new nurse? - ANSWERS-easiest heart rhythm
I.e. afib w controlled ventricular response
acetaminophen overdose - ANSWERS-acetylcysteine (mucomyst)
a young teen is in the ER with friends and his mom, when should you assess his pain? -
ANSWERS-when he is alone
addison crisis treatment - ANSWERS-give steroids and fluids then monitor electrolytes
what is the best assessment of renal function? - ANSWERS-I & O
