Critical care nclex Questions And Answers 2022/2023

Which client event would be considered an adverse event and would require completion of an incident/event/irregular occurrence/variance report? Select all that apply. 1. Administered 9:00 AM medication at 9:30 AM 2. Developed worsening cellulitis after missing antibiotics for 1 day 3. Has a seizure and a history of epilepsy 4. Slides off the edge of the bed and ends up sitting on the floor 5. Waits 4 hours to be transported for STAT diagnostic CT scan - Answer - 2,4,5 In the intensive care unit, the nurse cares for a client who is being treated for hypotension with a continuous infusion of dopamine. Which assessment finding indicates that the infusion rate may need to be adjusted for the client? 1. Central venous pressure (CVP) is 6 mm Hg 2. Heart rate is 120 beats per minute (bpm) 3. Mean arterial pressure (MAP) is 78 mm Hg 4. Systemic vascular resistance (SVR) is 900 dynes/sec/cm-5 - Answer - 2 Upon arrival in the post-anesthesia care unit (PACU), the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider (HCP) immediately? 1. Difficult to arouse 2. Muscle stiffness 3. Pinpoint pupils 4. Temperature 96 F (35.6 C) - Answer - 2 A client with blunt trauma undergoes an exploratory laparotomy to repair the intraabdominal injury. After 24 hours, the client has a nasogastric tube attached to continual low suction, 2 Hemovac closed-wound suction abdominal drains, and is receiving IV Ringer's lactate and continual epidural morphine. The client now develops hypotension, tachycardia, oliguria, and severe nausea. What is the client's priority nursing diagnosis (ND) at this time? 1. Deficient fluid volume 2. Impaired urinary elimination 3. Nausea 4. Risk for infection - Answer - 1 The emergency department nurse is assessing a client who was involved in a motor vehicle accident during which the client's head was hit. The client reports neck pain. Which actions are essential for the nurse to perform at this time? Select all that apply. 1. Apply a hard cervical collar 2. Assess neck range of motion 3. Determine if client has rectal tone 4. Position client on firm surface 5. Use logrolling if moving the client - Answer - 1,4,5