CRITICAL CARE HESI EXIT Exam with Questions & 100% Correct Answers
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Course
Critical Care Exit Hesi
Institution
Critical Care Exit Hesi
CRITICAL CARE HESI EXIT Exam
with Questions & 100% Correct
Answers
. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3
24 respiratory acidosis (if CO2 is high it will always be resp.
acidosis)
2."heart is pounding outside of her chest" client is in SVT; intervention
coach client in rel...
CRITICAL CARE HESI EXIT Exam
with Questions & 100% Correct
Answers
1.pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3
24 respiratory acidosis (if CO2 is high it will always be resp.
acidosis)
2."heart is pounding outside of her chest" client is in SVT; intervention
coach client in relaxation and deep breathing
3.insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what to do?
increase drip by 1 unit/hr
4.calculate; 1,500,000 IU in 500 mL of 0.9% NS
33
5.DKA math question
1000 mL NS with 30 mEq of sodium
6.older client comes in with CAP and SpO2 89%. what is priority intervention?
assist client with turning, coughing, and deep breathing
7.pt. received ETT 7 days ago and is currently on 50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention?
auscultate lungs
8.client has not been taking cortisone for either 2 weeks or 2 months and husband bring her into ED; not
feeling well. SIADH. what to do?
initiate fall precautions (SIADH causes seizures)
9.UAP assisting nurse in situation where pt is having SVT and nurse has to prepare for cardioversion.
what task for UAP
bring resuscitation cart to the bedside
10pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful?
,normal sinus rhythm with HR 84
11.pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention
position client on the left side
12pt. receiving dopamine. monitor for what
monitor urinary output
13during insertion of swan gans, what should nurse do
monitor for dysrhythmias
14which vital signs are contraindicative of ICP?
PaCO2 of 55 (normal PaCO2 should be between 35-45; when increased it will cause more
ICP) SIADH with normal lab values associated with this hyperkalemia and hyponatremia
15pt. glasgow coma scale of 14. what should the nurse do
document the findings
16when caring for a client on a ventilator which finding shows the airway is open?
bilateral breath sounds can be auscultated
17pt. is in the ICU after a colon resection. vitals are HR 135, temp 103, BP 88/65, urine output 10 mL/hr.
intervention?
give a 500 mL IV bolus challenge (another question similar with low BP and same answer)
18client with syncopal episodes due to 3rd degree block. receives transcutaneous pacemaker; several
fails
increase the sensitivity
19which of these drugs are the strongest for most effective vasodilators
lidocaine
20.mcg to mg; 4mcg/kg and client weighs 165 lbs
3.5 mL/hr
21.female falls down a flight of stairs and is having trouble walking and bearing weight. prescription for
hydrocodone for pain and an xray. intervention
have the client take a urine pregnancy test
22.pt. with chest tube has the tube dislodged from pleural space; intervention
place an occlusive dressing with take on 3 sides
, 23.postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use
the IA remain patent
24.pt. arrives to the ED with pain. description should prompt nurse to suspect an MI
produces chest heaviness with left arm pain
25.what equipment should always be made available at the bedside for a pt. with a chest tube
occlusive dressing
26.things should be done if an ET tube is in place
chest xray
chest rises and falls bilaterally
auscultate breath sounds
27.pt. comes in with severe hypotension. what medication should you expect a prescription for?
amiodaron
28.female has been asystole for 20 minutes and there has been no change in the client's condition;
intubated; what should the nurse do
talk to the family members in a private area about desire to continue life support
29..47 year old female that comes in and thinks they have indigestion due to vigorous workout. which
problem has highest priority?
decreased cardiac output
EKG strip
prepare the client for pericardiocentesis
30.treated for MI that occurred less than 6 hrs ago; MD suspects 100% occlusion; what does the EKG
show
sinus bradycardia
Q waves and ST elevation
QRS lengthening
31.list of vitals and patient will come in 2 hours after being in pain; what does nurse suspect the patient
to have
acute pancreatitis
32.client has pneumothorax and has chest tube with NO fluctuation in the water seal
assess lung sounds
33.male falls 20 feet and the nurse observes it; client has no pulse
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