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Critical Care HESI Exam /Questions And Answers Graded (A+)
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Critical Care HESI Exam 2023-2024 /Questions AndAnswers Graded (A+)
Quiz :A client recovering from a percutaneous coronary intervention (PCI) after
an acute myocardial infarction is being transferred from the PACU to the
Cardiac ICU. Which assessment finding should the PACU nurse inform the
healthcare provider of immediately?
a. onset of chest pain
b. need to apply pressure dressing
c. presence of occasional PVCs
d. absence of any urinary output during PACU stay - √Answer :a. onset of
chest pain
This suggests the onset of another MI and reocclusion of a vessel.
Quiz :What is the preferred treatment of an acute MI within 12 hours of
symptom onset? - √Answer :PCI; places a stent in the affected coronary artery
Quiz :How often must a PCI pressure dressing site be assessed? -
√Answer :q30min for 4 hours
qh thereafter
Quiz :Central Venous Pressure (CVP) - √Answer :the pressure of blood in the
thoracic vena cava, near the right atrium of the heart; reflects the amount of
, blood returning to the heart and the ability of the heart to pump the blood
into the arterial system; normal is 2-6 mmHg
Quiz :Sensitivity of a pacemaker - √Answer :pacing devices ability to detect
what electrical activity is being generated by the patient's heart to prevent any
competition between the hearts intrinsic activity
Quiz :Contrast Induced Nephropathy (CIN) - √Answer :A sudden deterioration
in renal function that is caused by intravascular administration of iodinated
contrast medium; typically seen with angiplasty/angiography
Quiz :Signs of tension pneumothorax - √Answer :1. affected side will have
decreased or absent lung sounds
2. cyanosis
3. Tracheal deviation (late sign)
4. distended neck veins
5. tachycardia, tachypnea
Quiz :Pneumatic Antishock Garment - √Answer :An inflatable device that
covers the legs and abdomen; used to splint the lower extremities or pelvis, or
to control bleeding in the lower extremities or pelvis.
- used for intraperitoneal hemorrhage
Quiz :What is the expected ABG of a pulmonary embolism? -
√Answer :Tachypnea and tachycardia--> respiratory alkalosis
Quiz :A client is brought to the emergency department following a motor
vehicle accident. Initial assessment reveals that the client is unconscious with a
blood pressure of 165/73 mmHg, HR 50 bpm, RR 8 and irregular, temperature
of 103 F. What do you suspect is happening? - √Answer :The findings reveal
Cushing's Triad (hypertension with widening pulse pressure, bradycardia and
bradypnea); this indicates increased ICP
Quiz :Symptoms of Right Ventricular Hypertrophy - √Answer :fatigue,
swelling, weakness, chest pain, SOB, dizziness
Quiz :The nurse is caring for a client who is being weaned from mechanical
ventilation. Which assessment finding indicates that the client is ready to the
the endotracheal tube removed? - √Answer :- pulse ox: 98% with a T piece
- evidence of reversal of the underlying cause of respiratory failure
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