Critical Care HESI latest 2023 /55 Questions With
Verified Answers Rated (A+)
Quiz :The nurses calculating fluid resuscitation for young adult male who was
burned in a bloody accident at 1200 and is seen in the ER at 1400. The HCP
determines that the client has burn over 30% of his body, mainly over his arms
and chest. Using the Parkland formula for fluid resuscitation, the client is to
receive 7000 mL of fluid in 24 hours. Which goal should the nurse establish for
this clients plan of care? - √Answer :By 2000, the client will have received
3500 mL of fluid
Quiz :When caring for a client on a vent, which finding provides the greatest
indication that the client has an open airway? - √Answer :Bilateral breath
sounds can be auscultated
Quiz :The nurse performs a prescribed a neurological check at the beginning of
the shift on a client who was admitted with a subarachnoid brain attack
(Stroke). The client's GCS is 9. What information is most important for the
nurse to determine? - √Answer :The client's previous GCS score
Quiz :An adult female with a history of type 1 diabetes has been vomiting for
the past 48 hours and is admitted to the ICU with DKA. Which assessment
finding warrants immediate intervention by the nurse? - √Answer :Excessive
thirst
, Quiz :A client admitted to the ICU after a colon resection with the formation of
the loop colostomy. The nurse determines that the clients abdominal dressing
is clean and dry. Vital signs are: HR: 130, temperature: 100, BP: 88/65, and
urine output of 10 mL/hr. What interventions should the nurse implement? -
√Answer :Give a 500 mL IV fluid bolus challenge
Quiz :A client is admitted with syncopal episodes related to a third degree
heart block. After the placement of a transcutaneous pacemaker, the nurse
observes several episodes the pacemaker failure to sense. What action should
the nurse take? - √Answer :Increase the sensitivity
Quiz :A client is receiving CPR. After systole is confirmed in two leads and
sending the transcutaneous pacemaker, which IV medication should be
administered? - √Answer :Epinephrine (adrenaline)
Quiz :A client has a chest tube connected to a closed water seal drainage
system with suction. What equipment should the nurse always have available
at the clients bedside? - √Answer :Occlusive dressing
Quiz :Bretylium 1 mg/min via infusion is prescribed for a client and ventricular
tachycardia. The available solution is 500 mL D5W contains bretylium 1 gram.
The nurse should program the infusion time to deliver how many mL/hr? -
√Answer :30
Quiz :The client is receiving an infusion of nitroglycerin 100 mg and 500 mL
D5W at 6 mL/hr. How many mcg/min of nitroglycerin is infusing? -
√Answer :20
Quiz :A client arrives in the ER complaining of pain. What description of pain
should prompt the nurse to suspect it originated in the myocardium? -
√Answer :Produces chest heaviness with left arm pain
Quiz :Four days ago a chest tube was inserted into the second intercostal
space of a client who has a pneumothorax. Today the nurse notes that there is
no fluctuation in the water-seal chamber of the Pleuravac. Which intervention
would be most appropriate for the nurse to implement? - √Answer :Assess
the clients breath sounds of the affected lung
Quiz :In developing a care plan for a client that has a chest tube due to a
hemothorax, the nurse should recognize which intervention is essential? -
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