HESI CRITICAL CARE EXIT EXAM 2024 SCREENSHOT / CRITICAL CARE HESI EXIT EXAM 2024 ACTUAL EXAM SCREENSHOT ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS

HESI CRITICAL CARE EXIT EXAM 2024 SCREENSHOT / CRITICAL CARE HESI EXIT EXAM 2024 ACTUAL EXAM SCREENSHOT ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS 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. 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 How often must a PCI pressure dressing site be assessed? - ANSWER-q30min for 4 hours Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 2/18 qh thereafter 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 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 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 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 Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 3/18 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 What is the expected ABG of a pulmonary embolism? - ANSWER-Tachypnea and tachycardia-- respiratory alkalosis 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 Symptoms of Right Ventricular Hypertrophy - ANSWER-fatigue, swelling, weakness, chest pain, SOB, dizziness 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 -PEEP 8 and FiO2 0.50 - hemodynamic stability Copyright ©KATELYNWHITMAN 2025. ALL RIGHTS RESERVED Page 4/18 - ability to initiate an inspiratory effort. A client with ARDS was endotracheally intubated and transferred to the ICU 12 hours ago. Upon assessment, the nurse notes bilateral rales and diminished breath sounds in the right middle lobe and bilateral lower lobes, as well as bluish nail beds. Based on the client's presentation, which actions should be taken? - ANSWER-- Place the patient in prone position - administer prescribed Lasix Pulmonary Capillary Wedge Pressure - ANSWER-placed in the pulmonary artery to indirectly measure left atrial pressure; 4-12 Norepinephrine (Levophed) - ANSWER-- Uses: treatment of severe hypotension and shock -MOA: increase blood pressure and cardiac output by stimulating alpha-adrenergic receptors in the blood vessels to cause *vasoconstric