Critical Care Exit HESI Exam Questions with
Complete Solutions
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 prolonged. Indicates
Increased conduction time from the SA node to the AV junction
When assessing a restless, intubated client on mechanical ventilation, nurse
auscultates breath sounds on right side only. Action
Reposition the depth of the ET tube
Nurse called to a train derailment likely caused by terrorist bomb. Triage in order
Middle-aged man wandering
around Woman sitting on
ground with blanket Crying
child held by another
passenger Mother and father
just arrived on scene
Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60,
PaCO2 62, HCO3 35. Which needs immediate communication to HCP
Drowsiness and diff in arousing
Assess a 78 year old with L sided HF. Symptoms
Dyspnea, cough, fatigue
Caring for a burn patient with serum potassium of 4. Question which medication
Potassium
Patient admitted with deep 2nd degree burns of thighs, chest and arms covering
40% BSA. Fluid shift after burn so nurse expects
Decreased cardiac output
Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40,
HCO3 25, hypoalbuminemia and hypocalcemia. Priority action
Turn patient side to side q2h
,Which age group should nurse assess first
40 year old with sickle cell crisis
There has been a major disaster. Triage nurse should give which patient priority
Cut over eye
Move which patient to medical surgical unit
Patient with ABNL liver levels
One open bed in ICU but reserved for patient coming from PACU with respiratory
problems, what to do
Take patient to ICU and arrange for respiratory patient to stay in PACU
, Carotid picture
Point to neck
Someone with wound vac how to make sure it is effective
Check seal to make sure no leaks
Magnesium antidote
Calcium gluconate
Patient having trouble swallowing when wife gives drink of water
Assess gag reflex OR may have been thickening answer-there were two alike
Chest tube becomes disconnected
Get new saline bottle to stick end into until reconnect tube
Patient in ventricular fibrillation
Defib shock once
Know calcium levels….there was a question with calcium 5.0
and the answer was patient with hyperthyroidism taking inderal
(propanalol)
Chest tube volume 125
Mark container between 100 and 150
Heart sounds audio
S1S2
Patient on benzos
Answer is not narcan
???
Abdominal rigidity
4 patients-which one more concern
Low Hgb level
4 patients with conditions of concern-priority
Make sure patient has units of blood available
Patient on Heparin going for surgery in a.m.,-priority
Assess patient for bleeds
Complete Solutions
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 prolonged. Indicates
Increased conduction time from the SA node to the AV junction
When assessing a restless, intubated client on mechanical ventilation, nurse
auscultates breath sounds on right side only. Action
Reposition the depth of the ET tube
Nurse called to a train derailment likely caused by terrorist bomb. Triage in order
Middle-aged man wandering
around Woman sitting on
ground with blanket Crying
child held by another
passenger Mother and father
just arrived on scene
Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60,
PaCO2 62, HCO3 35. Which needs immediate communication to HCP
Drowsiness and diff in arousing
Assess a 78 year old with L sided HF. Symptoms
Dyspnea, cough, fatigue
Caring for a burn patient with serum potassium of 4. Question which medication
Potassium
Patient admitted with deep 2nd degree burns of thighs, chest and arms covering
40% BSA. Fluid shift after burn so nurse expects
Decreased cardiac output
Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40,
HCO3 25, hypoalbuminemia and hypocalcemia. Priority action
Turn patient side to side q2h
,Which age group should nurse assess first
40 year old with sickle cell crisis
There has been a major disaster. Triage nurse should give which patient priority
Cut over eye
Move which patient to medical surgical unit
Patient with ABNL liver levels
One open bed in ICU but reserved for patient coming from PACU with respiratory
problems, what to do
Take patient to ICU and arrange for respiratory patient to stay in PACU
, Carotid picture
Point to neck
Someone with wound vac how to make sure it is effective
Check seal to make sure no leaks
Magnesium antidote
Calcium gluconate
Patient having trouble swallowing when wife gives drink of water
Assess gag reflex OR may have been thickening answer-there were two alike
Chest tube becomes disconnected
Get new saline bottle to stick end into until reconnect tube
Patient in ventricular fibrillation
Defib shock once
Know calcium levels….there was a question with calcium 5.0
and the answer was patient with hyperthyroidism taking inderal
(propanalol)
Chest tube volume 125
Mark container between 100 and 150
Heart sounds audio
S1S2
Patient on benzos
Answer is not narcan
???
Abdominal rigidity
4 patients-which one more concern
Low Hgb level
4 patients with conditions of concern-priority
Make sure patient has units of blood available
Patient on Heparin going for surgery in a.m.,-priority
Assess patient for bleeds
