Critical Care Exit HESI Exam with |!| |!| |!| |!| |!| |!|
accurate detailed solutions |!| |!|
Metoprolol - correct answer✔✔Beta-blocker used to treat hypertension
|!| |!| |!| |!| |!| |!| |!|
Second degree heart block - correct answer✔✔Telemetry pattern with
|!| |!| |!| |!| |!| |!| |!| |!| |!|
prolonged PR interval and decreased conduction time from SA node to AV
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
junction
Restless, intubated client - correct answer✔✔Client on mechanical
|!| |!| |!| |!| |!| |!| |!| |!|
ventilation exhibiting restlessness and breath sounds on right side only
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Train derailment triage - correct answer✔✔Priority order: Middle-aged man
|!| |!| |!| |!| |!| |!| |!| |!| |!|
wandering, Woman sitting with blanket, Crying child, Mother and father
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
just arrived
|!|
Pneumonia with severe SOB - correct answer✔✔Client with pneumonia
|!| |!| |!| |!| |!| |!| |!| |!| |!|
admitted with pH 7.30, PaO2 60, PaCO2 62, HCO3 35; Immediate
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
communication to HCP for drowsiness and difficulty in arousing |!| |!| |!| |!| |!| |!| |!| |!|
Burn patient with serum potassium of 4 - correct answer✔✔Patient with
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
burn injuries and potassium level of 4; Medication choice for potassium not
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provided
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Bedridden patient for 2 weeks - correct answer✔✔Patient bedridden for 2
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
weeks with pH 7.37, PO2 90, PCO2 40, HCO3 25; Priority action is turning
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
patient side to side q2h |!| |!| |!| |!|
, Assess 40-year-old with sickle cell crisis - correct answer✔✔Priority
|!| |!| |!| |!| |!| |!| |!| |!| |!|
assessment for a 40-year-old with sickle cell crisis |!| |!| |!| |!| |!| |!| |!|
Major disaster triage - correct answer✔✔Priority order: Cut over eye, Move
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
patient to medical surgical unit, Patient with abnormal liver levels
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Carotid picture - correct answer✔✔Pointing to the neck to indicate carotid
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
artery
Wound vac effectiveness - correct answer✔✔Checking seal to ensure no
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
leaks in wound vac
|!| |!| |!|
Magnesium antidote - correct answer✔✔Calcium gluconate is the antidote
|!| |!| |!| |!| |!| |!| |!| |!| |!|
for magnesium toxicity
|!| |!|
Trouble swallowing - correct answer✔✔Assess gag reflex or consider
|!| |!| |!| |!| |!| |!| |!| |!| |!|
thickening of fluids |!| |!|
Disconnected chest tube - correct answer✔✔Get new saline bottle to stick
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
end into until reconnecting tube
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Ventricular fibrillation - correct answer✔✔Defibrillate with a shock once;
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Consider calcium levels |!| |!|
Chest tube volume - correct answer✔✔Mark container between 100 and
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
150
Heart sounds audio - correct answer✔✔S1S2 heart sounds audio
|!| |!| |!| |!| |!| |!| |!| |!|
accurate detailed solutions |!| |!|
Metoprolol - correct answer✔✔Beta-blocker used to treat hypertension
|!| |!| |!| |!| |!| |!| |!|
Second degree heart block - correct answer✔✔Telemetry pattern with
|!| |!| |!| |!| |!| |!| |!| |!| |!|
prolonged PR interval and decreased conduction time from SA node to AV
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
junction
Restless, intubated client - correct answer✔✔Client on mechanical
|!| |!| |!| |!| |!| |!| |!| |!|
ventilation exhibiting restlessness and breath sounds on right side only
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Train derailment triage - correct answer✔✔Priority order: Middle-aged man
|!| |!| |!| |!| |!| |!| |!| |!| |!|
wandering, Woman sitting with blanket, Crying child, Mother and father
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
just arrived
|!|
Pneumonia with severe SOB - correct answer✔✔Client with pneumonia
|!| |!| |!| |!| |!| |!| |!| |!| |!|
admitted with pH 7.30, PaO2 60, PaCO2 62, HCO3 35; Immediate
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
communication to HCP for drowsiness and difficulty in arousing |!| |!| |!| |!| |!| |!| |!| |!|
Burn patient with serum potassium of 4 - correct answer✔✔Patient with
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
burn injuries and potassium level of 4; Medication choice for potassium not
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
provided
|!|
Bedridden patient for 2 weeks - correct answer✔✔Patient bedridden for 2
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
weeks with pH 7.37, PO2 90, PCO2 40, HCO3 25; Priority action is turning
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
patient side to side q2h |!| |!| |!| |!|
, Assess 40-year-old with sickle cell crisis - correct answer✔✔Priority
|!| |!| |!| |!| |!| |!| |!| |!| |!|
assessment for a 40-year-old with sickle cell crisis |!| |!| |!| |!| |!| |!| |!|
Major disaster triage - correct answer✔✔Priority order: Cut over eye, Move
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
patient to medical surgical unit, Patient with abnormal liver levels
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Carotid picture - correct answer✔✔Pointing to the neck to indicate carotid
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
artery
Wound vac effectiveness - correct answer✔✔Checking seal to ensure no
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
leaks in wound vac
|!| |!| |!|
Magnesium antidote - correct answer✔✔Calcium gluconate is the antidote
|!| |!| |!| |!| |!| |!| |!| |!| |!|
for magnesium toxicity
|!| |!|
Trouble swallowing - correct answer✔✔Assess gag reflex or consider
|!| |!| |!| |!| |!| |!| |!| |!| |!|
thickening of fluids |!| |!|
Disconnected chest tube - correct answer✔✔Get new saline bottle to stick
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
end into until reconnecting tube
|!| |!| |!| |!|
Ventricular fibrillation - correct answer✔✔Defibrillate with a shock once;
|!| |!| |!| |!| |!| |!| |!| |!| |!|
Consider calcium levels |!| |!|
Chest tube volume - correct answer✔✔Mark container between 100 and
|!| |!| |!| |!| |!| |!| |!| |!| |!| |!|
150
Heart sounds audio - correct answer✔✔S1S2 heart sounds audio
|!| |!| |!| |!| |!| |!| |!| |!|
