CRITICAL CARE FINAL EXAM NEWEST
ACTUAL EXAM 2025 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) | A+ GRADE
The nurse is caring for a client in the critical care unit who
has type 2 diabetes mellitus and is admitted with
hyperglycemic hyperosmolar syndrome (HHS). The health
care provider prescribes an insulin drip of 0.1 unit/kg per
hour based on a current blood glucose level of 670 mg/dL
(35.3 mmol/L) . Which intervention should the nurse
perform during this infusion?
A) Obtain blood glucose levels hourly.
B) Give potassium chloride 40 mEq per secondary
infusion.
C) Infuse Dextrose 5% with 0.45% NaCl (D 5 1/2 NS).
D) Initiate a 2,000 calorie diabetic diet. Correct Answer A)
Obtain blood glucose levels hourly.
A client with a demand pacemaker has a telemetry tracing
with a pacing spike but no corresponding QRS complex.
The client's myocardium is illiciting a QRS after a delay of
several seconds. Which telemetry interpretation should the
nurse conclude?
A) Loss of capture.
B) Ventricular fibrillation.
C) Capture from an ectopic focus.
D) A normal finding with a demand pacer Correct Answer
A) Loss of capture
,A client returns to the postoperative unit after
arteriovenous graft placement. The telemetry is showing
tall, peaked T waves on the waveform. Which action
should the nurse implement?
A) Review the client's recent serum potassium level.
B) Prepare the client for synchronize cardioversion.
C) Notify Rapid Response Team for ST-elevation
myocardial infarction.
D) Move the telemetry leads to the correct placement on
the chest. Correct Answer A) Review the client's recent
serum potassium level.
The nurse is caring for a client who is receiving
mechanical ventilation for acute respiratory distress
syndrome (ARDS). The ventilator is alarming continuously
indicating high peak pressures for the client. Which
pathologic changes in the client is causing the ventilator
alarms?
A) Decreased lung compliance.
B) Increased respiratory rate.
C) Low volume of expired air.
D) High tidal volumes. Correct Answer A) Decreased lung
compliance.
A client diagnosed with heart failure has hemodynamic
monitoring in place. Which actions should the nurse
perform to obtain accurate readings from the
hemodynamic monitor? (Select all that apply.)
A) Measure the pressure readings in between the client's
breaths.
,B) Place the transducer at the client's atria level and
pulmonary artery level.
C) Maintain a maximum pressure of 100 mmHg for the
flush line continuously.
D) Change out the intravenous solutions infusing via
central lines every 12 hours.
E) Calibrate the hemodynamic monitor by zeroing the
transducer at the start of each shift. Correct Answer A)
Measure the pressure readings in between the client's
breaths. Correct
B) Place the transducer at the client's atria level and
pulmonary artery level.
E) Calibrate the hemodynamic monitor by zeroing the
transducer at the start of each shift.
The nurse is caring for a client who is 4 days
postoperative for abdominal surgery. The client reports
acute onset of difficulty breathing. The nurse obtains the
vital signs which include a heart rate of 120 beats/minute
and respirations of 35 breaths/minute. Which diagnostic
test should the nurse prepare the client to expect the
healthcare provider to prescribe?
A) D-dimer blood test.
B) Coagulation time and platelet count.
C) Echocardiogram.
D) Mass spectrometry. Correct Answer A) D-dimer blood
test
The nurse is caring for a client who is diagnosed with
diabetic ketoacidosis (DKA). The client reports abdominal
pain and nausea, and presents with fruity-scented breath.
, The nurse performs a finger stick blood glucose with a
reading too high to register. Which intervention is most
important for the nurse to implement?
A) Initiate a one liter bolus of 0.9% sodium chloride.
B) Set up an IV pump to infuse IV insulin per protocol.
C) Draw blood to evaluate a complete metabolic panel.
D) Administer a prn IV dose of prescribed antiemetic.
Correct Answer A) Initiate a one liter bolus of 0.9% sodium
chloride.
The nurse is caring for a client who is demonstrating signs
of impending death. The family is experiencing emotional
distress as the client's condition declines. Which
information should the nurse provide the family to facilitate
the process?
A) Encourage the family to give the client permission to
die.
B) Revoke the "do not resuscitate" advanced directive.
C) Send the family to an area to seek spiritual comfort.
D) Give the client pain medication during the end of life
hours. Correct Answer A) Encourage the family to give the
client permission to die.
The nurse is caring for a client with severe sepsis related
to a ruptured appendix.The clientis diaphoretic and reports
lower extremity spasms. The nurse observes respirations
that are uneven and labored. Arterial blood gas (ABG)
results are pH 7.60, PaCO2 25 mmHg, HCO3 24 mEq/L,
and PaO2 24 mmHg. Which assessment finding warrants
immediate intervention by the nurse?
A) Increased pulmonary secretions.
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