Critical Care HESI Exam
LATEST QUESTIONS AND
VERIFIED CORRECT
ANSWERS
Symptoms of Right Ventricular Hypertrophy - CORRECT 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? -
CORRECT 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
- 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? - CORRECT ANSWER-- Place the patient in prone position
- administer prescribed Lasix
, Pulmonary Capillary Wedge Pressure - CORRECT ANSWER-placed in the pulmonary artery to
indirectly measure left atrial pressure; 4-12
Norepinephrine (Levophed) - CORRECT 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 *vasoconstriction*
Sodium Nitroprusside (Nitropress) - CORRECT ANSWER-Very potent vasodilator
*drug of choice for hypotensive emergencies
- nitrO--> vessels dilate like the O
The nurse suspects that a client with ESKD has developed uremic syndrome. What did the nurse
assess to support this clinical determination? - CORRECT ANSWER-pericardial friction rub;
increased bleeding; hepatic encephalopathy, asterixis, peripheral neuroapthy
Neurological degeneration of upper and lower motor neurons resulting in muscle atrophy,
fasciculations, hyperreflexia and spasticity is called: - CORRECT ANSWER-Amyotrophic Lateral
Sclerosis
When should stomas be emptied? - CORRECT ANSWER-before meals or 2 hours after eating
Amylase - CORRECT ANSWER-produced by the liver, pancreas and salivary glands; increases
with pancreatitis; decreases with alcoholism and hepatitis
Signs of digoxin toxicity - CORRECT ANSWER-- yellow green halos
- blurred vision
- HYPOKALEMIAAAAA
- N/V/D
LATEST QUESTIONS AND
VERIFIED CORRECT
ANSWERS
Symptoms of Right Ventricular Hypertrophy - CORRECT 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? -
CORRECT 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
- 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? - CORRECT ANSWER-- Place the patient in prone position
- administer prescribed Lasix
, Pulmonary Capillary Wedge Pressure - CORRECT ANSWER-placed in the pulmonary artery to
indirectly measure left atrial pressure; 4-12
Norepinephrine (Levophed) - CORRECT 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 *vasoconstriction*
Sodium Nitroprusside (Nitropress) - CORRECT ANSWER-Very potent vasodilator
*drug of choice for hypotensive emergencies
- nitrO--> vessels dilate like the O
The nurse suspects that a client with ESKD has developed uremic syndrome. What did the nurse
assess to support this clinical determination? - CORRECT ANSWER-pericardial friction rub;
increased bleeding; hepatic encephalopathy, asterixis, peripheral neuroapthy
Neurological degeneration of upper and lower motor neurons resulting in muscle atrophy,
fasciculations, hyperreflexia and spasticity is called: - CORRECT ANSWER-Amyotrophic Lateral
Sclerosis
When should stomas be emptied? - CORRECT ANSWER-before meals or 2 hours after eating
Amylase - CORRECT ANSWER-produced by the liver, pancreas and salivary glands; increases
with pancreatitis; decreases with alcoholism and hepatitis
Signs of digoxin toxicity - CORRECT ANSWER-- yellow green halos
- blurred vision
- HYPOKALEMIAAAAA
- N/V/D
