Critical Care HESI Practice Questions & Answers!!

ANS = A - ANSWERSThe nurse is providing post-procedure care to a client who had a cardiac catheterization. The client begins to manifest signs & symptoms associated with embolization. Which action should the nurse take? a. Notify the primary healthcare provider immediately b. Apply a warm, moist compress to the incision site c. Increase the intravenous fluid rate by 20 mL/hr d. Monitor vital signs more frequently ANS = D - ANSWERSA client reports left-sided chest pain after playing racquetball. The client is hospitalized & diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding? a. Dull sound on percussion b. Vocal fremitus on palpation c. Rales with rhonchi on auscultation d. Absence of breath sounds on auscultation ANS = C - ANSWERSA client is admitted to the hospital with partial- & full-thickness burns of the chest & face sustained while trying to extinguish a brush fire. Which is the nurse's priority concern? a. Loss of skin integrity caused by the burns b. Potential infection as a result of the burn injury c. Inadequate gas exchange caused by smoke inhalation d. Decreased fluid volume because of the depth of the burns ANS = B - ANSWERSDuring the first 48 hours after a client has sustained a thermal injury, which conditions should the nurse assess for? a. Hypokalemia & hyponatremia b. Hyperkalemia & hyponatremia c. Hypokalemia & hypernatremia d. Hyperkalemia & hypernatremia ANS = C - ANSWERSA client who had extensive pelvic surgery 24 hours ago becomes cyanotic, is gasping for breath, & reports right-sided chest pain. What should the nurse do first? a. Obtain vital signs b. Initiate a cardiac arrest code c. Administer oxygen using a face mask d. Encourage the use of an incentive spirometer ANS = C - ANSWERSA nurse is caring for a client with severe burns. The nurse determines that this client is at risk for hypovolemic shock. Which physiologic finding supports the nurse's conclusion? a. Decreased rate of glomerular filtration b. Excessive blood loss through the burned tissues c. Plasma proteins moving out of the intravascular compartment d. Sodium retention occurring as a result of the aldosterone mechanism ANS = A - ANSWERSThe nurse is caring for a client with burns & reviews the client's laboratory results: BUN 30 mg/dL; Cr 2.4 mg/dL; serum potassium 6.3 mEq/L; pH, 7.1; PO₂ 90 mm Hg; & Hgb 7.4 g/dL. Which condition does the nurse suspect the client has based upon these findings?