Critical Care HESI Exam Questions and answers EXAM, SOLUTIONS
Critical Care HESI
(MULTIPLE CHOICES) 100% correct 2025!!
Study online at https://quizlet.com/_919zb0
1. ARDS Character- 1. Hypoxemia that persists even when 100% oxygen is given.
ized by: 2. Decreased pulmonary compliance.
3. Dyspnea.
4. Non-cardiac-associated bilateral pulmonary edema.
5. Dense pulmonary infiltrates on radiography. No abnormal lung sounds are
present on auscultation because the edema of ARDS occurs first in the interstitial
spaces, not in the airways.
2. HESI Hint ARDS ARDS is an unexpected, catastrophic pulmonary complication occurring in a person
with no previous pulmonary problems. Clients are critically ill and are managed in
an ICU setting.
Mortality rate is high (50%)
3. HESI Hint- Inter- Elevate HOB to at least 30 degrees.
ventions to pre- Assist with daily awakening ("sedation vacation").
vent complica- Implement a comprehensive oral hygiene program.
tions on me- Implement a comprehensive mobilization program.
chanical ventila-
tion with ARDS
4. Common causes 1. Exacerbation of COPD.
of respiratory fail- 2. Pneumonia.
ure 3. TB.
4. Contusion.
5. Aspiration.
6. Inhaled toxins.
7. Emboli.
8. Drug overdose.
9. Fluid overload.
10. DIC.
11. Shock
, Critical Care HESI
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5. Nursing Assess- A. dyspnea, hyperpnea, crackles (or rales).
ment ARDS B. Intercostal retractions.
C. cyanosis, pallor
D. Hypoxemia: PO <50 mmHg with FiO2 >60%.
E. Diffuse pulmonary infiltrates seen on chest radiograph as "white-out" appear-
ance.
F. Verbalized anxiety, restlessness.
6. Nursing Plans A. Position client for maximal lung expansion.
and Interven- B. Monitor client for signs of hypoxemia and oxygen toxicity.
tions ARDS C. Monitor breath sounds for pneumothorax.
D. Provide emotional support to decrease anxiety and allow ventilatory to "work"
the lungs.
E. Monitor client hemodynamically with essential vital signs and cardiac monitor.
F. Monitor arterial blood gases (ABGs) routinely.
G. Monitor vital organ status: CNS, LOC, renal system output, and myocardium
[apical pulse, BP]).
H. Monitor fluid and electrolyte balance.
I. Monitor metabolic status through routine lab work.
7. HESI Hint Suc- Do not routinely suction; Suction only when secretions are present
tioning
8. HESI Hint Allen Before drawing a sample for ABGs from the radial artery, perform the Allen test to
test assess collateral circulation.
The Allen test ensures collateral circulation to the hand if thrombosis of the radial
artery should follow the puncture.
9.
Critical Care HESI
(MULTIPLE CHOICES) 100% correct 2025!!
Study online at https://quizlet.com/_919zb0
1. ARDS Character- 1. Hypoxemia that persists even when 100% oxygen is given.
ized by: 2. Decreased pulmonary compliance.
3. Dyspnea.
4. Non-cardiac-associated bilateral pulmonary edema.
5. Dense pulmonary infiltrates on radiography. No abnormal lung sounds are
present on auscultation because the edema of ARDS occurs first in the interstitial
spaces, not in the airways.
2. HESI Hint ARDS ARDS is an unexpected, catastrophic pulmonary complication occurring in a person
with no previous pulmonary problems. Clients are critically ill and are managed in
an ICU setting.
Mortality rate is high (50%)
3. HESI Hint- Inter- Elevate HOB to at least 30 degrees.
ventions to pre- Assist with daily awakening ("sedation vacation").
vent complica- Implement a comprehensive oral hygiene program.
tions on me- Implement a comprehensive mobilization program.
chanical ventila-
tion with ARDS
4. Common causes 1. Exacerbation of COPD.
of respiratory fail- 2. Pneumonia.
ure 3. TB.
4. Contusion.
5. Aspiration.
6. Inhaled toxins.
7. Emboli.
8. Drug overdose.
9. Fluid overload.
10. DIC.
11. Shock
, Critical Care HESI
Study online at https://quizlet.com/_919zb0
5. Nursing Assess- A. dyspnea, hyperpnea, crackles (or rales).
ment ARDS B. Intercostal retractions.
C. cyanosis, pallor
D. Hypoxemia: PO <50 mmHg with FiO2 >60%.
E. Diffuse pulmonary infiltrates seen on chest radiograph as "white-out" appear-
ance.
F. Verbalized anxiety, restlessness.
6. Nursing Plans A. Position client for maximal lung expansion.
and Interven- B. Monitor client for signs of hypoxemia and oxygen toxicity.
tions ARDS C. Monitor breath sounds for pneumothorax.
D. Provide emotional support to decrease anxiety and allow ventilatory to "work"
the lungs.
E. Monitor client hemodynamically with essential vital signs and cardiac monitor.
F. Monitor arterial blood gases (ABGs) routinely.
G. Monitor vital organ status: CNS, LOC, renal system output, and myocardium
[apical pulse, BP]).
H. Monitor fluid and electrolyte balance.
I. Monitor metabolic status through routine lab work.
7. HESI Hint Suc- Do not routinely suction; Suction only when secretions are present
tioning
8. HESI Hint Allen Before drawing a sample for ABGs from the radial artery, perform the Allen test to
test assess collateral circulation.
The Allen test ensures collateral circulation to the hand if thrombosis of the radial
artery should follow the puncture.
9.
