CRITICAL CARE RN HESI EXIT ACTUAL EXAM TEST BANK
LATEST 55 QUESTIONS WITH VERIFIED ANSWERS
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? - CORRECT ANSWER By 2000, the client will have
received 3500 mL of fluid
When caring for a client on a vent, which finding provides the greatest indication that the client
has an open airway? - CORRECT ANSWER Bilateral breath sounds can be auscultated
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? - CORRECT ANSWER The client's
previous GCS score
, 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? - CORRECT ANSWER Excessive thirst
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? - CORRECT ANSWER Give a 500 mL IV fluid bolus challenge
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? - CORRECT ANSWER Increase the
sensitivity
A client is receiving CPR. After systole is confirmed in two leads and sending the transcutaneous
pacemaker, which IV medication should be administered? - CORRECT ANSWER
Epinephrine (adrenaline)
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? - CORRECT
ANSWER Occlusive dressing
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? - CORRECT ANSWER 30
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? - CORRECT ANSWER 20
LATEST 55 QUESTIONS WITH VERIFIED ANSWERS
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? - CORRECT ANSWER By 2000, the client will have
received 3500 mL of fluid
When caring for a client on a vent, which finding provides the greatest indication that the client
has an open airway? - CORRECT ANSWER Bilateral breath sounds can be auscultated
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? - CORRECT ANSWER The client's
previous GCS score
, 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? - CORRECT ANSWER Excessive thirst
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? - CORRECT ANSWER Give a 500 mL IV fluid bolus challenge
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? - CORRECT ANSWER Increase the
sensitivity
A client is receiving CPR. After systole is confirmed in two leads and sending the transcutaneous
pacemaker, which IV medication should be administered? - CORRECT ANSWER
Epinephrine (adrenaline)
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? - CORRECT
ANSWER Occlusive dressing
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? - CORRECT ANSWER 30
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? - CORRECT ANSWER 20
