(NGN) HESI RN Critical Care Exit Exam Complete Solution Package Updated 2023/2024

1. A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is least likely to exacerbate asthma? A. Carteolol (Ocupress). B. Propranolol hydrochloride (Inderal). C. Pindolol (Viske...

Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes telemetry pattern shows second degree heart block with Ventricular rate of 50. Action Hold scheduled dose and notify HCP of telemetry pattern Nurse is reviewing client ECG and determines PR interval pro...

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 pre...

The nurse is caring for a client who just been brought into the emergency department after a myocardial infarction. Which action is the priority for this client? a. Administer pain medications. b. Begin educating the client about what to expect in the cath lab. c. Administer 2-4L...

How to calculate HR on EKG - Correct Answer-big boxes: take 300 and divide by the number of boxes between RR Atrial Fibrillation - Correct Answer-Rapid, random, ineffective *contractions of the atrium* No P Waves, *Normal QRS w/ irreg intervals* Risk for thrombi Tx: anti coagulants (He...

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 outs...