CRITICAL CARE HESI EXIT EXAM QUESTIONS AND 100% CORRECT ANSWERS UPDATED 2022/2023(NEW VERSION)
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Course
CRITICAL CARE HESI
Institution
CRITICAL CARE HESI
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2 50, anD HCO3 24. What does the patient have?
• Resp. Acidosis
*Remember: If the CO2 is high it will always be resp. acidosis
2). Female comes in the ED and says that her “heart is pounding out...
CRITICAL CARE HESI EXIT EXAM QUESTIONS AND 100%
CORRECT ANSWERS UPDATED 2022/2023(NEW VERSION)
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2
50, anD HCO3 24. What does the patient have?
• Resp. Acidosis
*Remember: If the CO2 is high it will always be resp. acidosis
2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is
in SVT. What is the nursing intervention?
• Coach client in relaxation and deep breathing.
3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow
by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What
should you do?
• Increase drip by 1 unit/hour
4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.
• 33
5). DKA math question
• 1,000mL NS with 30 Meq of Sodium
6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?
• Assist client with turning, coughing, and deep breathing
7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and
hyperventilating. What is the priority intervention?
• Auscultate lungs
8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her
into the ED. Husband states that she has not been feeling well and that she needed help getting
ready today. (Patient has SIAH). What should you do?
• Initiate fall precautions
*Remember that SIAH causes seizures so you have to put the client on fall precaution
9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse has
to prepare for cardioversion. What task can the UAP do?
• Bring Resuscitation cart to the bedside
10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion
was successful?
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, • Normal sinus rhythm with hr 84
11). Pt has ortho surgery and 12 hrs after the surgery the patient is anxious and sob. What is
the nursing intervention?
• Position client on the left side
12). The pt is receiving dopamine. What do you have to monitor for while on this drug?
• Monitor urinary output
13). During the insertion of a swan gans, what should the nurse do?
• Monitor for dysrhythmias
14). Which of these vital signs are contraindicative of ICP?
• PaCO2 of 55
*Remember that normal PaCo2 should be between 35-45. When it increased, it will cause more
ICP.
15). There is a question about SIAH and normal lab values that would be associated with this
disease.
• HYPERkalimemia and HYPOnatremia
16). A pt has a Glasgow coma scale of 14. What should the nurse do?
• Document the findings
17). When caring for a client on a ventilator which finding shows the airway is open?
• Bilateral breath sounds can be auscultated
18). Pt is in the ICU after a colon resection. The vital signs are: 135hr, temp 103, and BP of
88/65 and urine output of 10mL/ hr. What should the nurse do?
• Give a 500mL IV bolus challenge.
19). There will be another question just like 18. The scenario will be different but the BP will be
very low as well.
• The answer will be the same as 18 but it will not say challenge.
20). A client has syncopal episodes due to 3rd degree block. The patient receives a
transcutaneous pacemaker. The nurse observes that there are several episodes the pacemaker
fails to sense. What should the nurse do?
• Increase the sensitivity
21). Which of these drugs are the strongest or most effective vasodilators?
• Lidocaine
22). There will be another math question. It’s mcg to mg. 4mcg/kg and client weighs 165 lbs.
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, • 3.5 mL/hr
23). A FEMALE falls down a flight of stairs and is having trouble walking and bearing weight.
The MD prescribes hydrocodone for pain and an xray. What should the nurse do?
• Have the client take a urine pregnancy test
24) , A pt with a chest tube has the tube dislodged from the pleural space. What is the nursing
intervention?
• Place an occlusive dressing with tape on 3 sides
25). A postoperative client is admitted to the ED with an Intra arterial (IA) canula. There is
heparin infusing at 2 units per mL. Which finding indicates the heparin has achieved therapeutic
use?
• The IA remain patent
26). A pt arrives to the ED with pain. Which description should prompt the nurse to suspect an
MI?
• Produces chest heaviness with left arm pain
27). What equipment should always be made available at the bedside for a pt with a chest tube?
• Occlusive dressing
28). What things should be done to determine if an ETT tube is in place. This is the select all
that apply. There will be 3 answers.
• Chest Xray, the chest rises and falls bilaterally, and auscultate breath sounds
29). Pt comes in with SEVERE hypotension. What medication should you expect there to be a
prescription for?
• Amiodaron
30). A female client has been asystole for 20 minutes and there has been no change in the
client’s condition. The client is also intubated. What should the nurse do?
• Talk to the family members in a private area about desire to continue life support
31). A 47-year-old female client that comes in and thinks they have indigestion due to vigorous
workout. Which client problem has the highest priority?
• Decreased cardiac output
32). There will be an EKG strip.
• Prepare the client for a pericardiocentesis
33). A client is treated for MI that occurred less than 6 hrs ago. The MD suspects 100%
occlusion. What does the EKG show?
• Sinus Bradycardia, Q waves and ST elevation, and ORS lengthening
This study source was downloaded by 100000854252934 from CourseHero.com on 11-11-2022 10:11:15 GMT -06:00
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