NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Critical Care Exit HESI
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
Patient comes in with Hx of MRSA
put in isolation, get swabs
Patient with thick secretions
increase fluids
Chronic renal failure-S/S
Patient would get a black tag during a disaster if he/she exhibited which S/S
Know your shocks S/S (hypovolemic, cardiogenic, etc-1 Q for each)
2 RNs must check blood products together before administration
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
,NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Glasgow Coma Scale
<8 = coma
Myasthenia crisis vs. cholinergic crisis
Myasthenia-weakness with change in vitals (give more med)
Cholinergic crisis-weakness with no change in vitals (reduce med)
Diabetic ketoacidosis
Fruity breath
Hold Digoxin for HR <60
Stroke
Tongue points toward side of lesion (paralysis), uvula deviates away from the side of the lesion
(paralysis)
Pulmonary air embolus prevention
Trendelenburg (HOB down) and on left side to trap air in the right side of the heart
Head trauma and seizures
Maintain airway is primary concern
Hypoventilation
Acidosis (too much CO2)
Hyperventilation
Alkalosis (too little CO2)
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
, NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Cardiac enzymes that you need to know how often to assess after initial CVA
Troponin (1 hour), CKMB (2-4 hrs), Myoglobin (1-4 hrs), LDH1 (12-24 hrs)
MI treatment
Morphine, oxygen, nitro, ASA (NO digoxin, betablockers or atropine for these patients)
Ventilators
Make sure the alarms are on (Check every 4 hours minimum), when suctioning give 100% O2 before
and after and make no more than 3 passes-no longer than 15 seconds
Have to put in order of consideration to be delivered
Nasal cannula, simple face mask, nonrebreather mask, partial rebreather mask, venturi mask
Early signs of cerebral hypoxia
Restlessness and irritability
Necessary for Blood Product infusions
18-19 gauge needle with filter tubing
NS only run with blood within 30 minutes of hanging
Check vitals before infusing, at 15 minutes, 30 minutes, then every hour, and directly after
Checking blood before infusing
2 RNs
Check order (expiration date, clots, color, air bubbles, leaks)
patient, product, previous transfusion Hx
Premedicate with Benadryl for previous rxn
What does the PR interval represent
Time required for the impulse to travel from atria through the AV node
Isotonic solutions
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Critical Care Exit HESI
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
Patient comes in with Hx of MRSA
put in isolation, get swabs
Patient with thick secretions
increase fluids
Chronic renal failure-S/S
Patient would get a black tag during a disaster if he/she exhibited which S/S
Know your shocks S/S (hypovolemic, cardiogenic, etc-1 Q for each)
2 RNs must check blood products together before administration
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
,NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Glasgow Coma Scale
<8 = coma
Myasthenia crisis vs. cholinergic crisis
Myasthenia-weakness with change in vitals (give more med)
Cholinergic crisis-weakness with no change in vitals (reduce med)
Diabetic ketoacidosis
Fruity breath
Hold Digoxin for HR <60
Stroke
Tongue points toward side of lesion (paralysis), uvula deviates away from the side of the lesion
(paralysis)
Pulmonary air embolus prevention
Trendelenburg (HOB down) and on left side to trap air in the right side of the heart
Head trauma and seizures
Maintain airway is primary concern
Hypoventilation
Acidosis (too much CO2)
Hyperventilation
Alkalosis (too little CO2)
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
, NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
Cardiac enzymes that you need to know how often to assess after initial CVA
Troponin (1 hour), CKMB (2-4 hrs), Myoglobin (1-4 hrs), LDH1 (12-24 hrs)
MI treatment
Morphine, oxygen, nitro, ASA (NO digoxin, betablockers or atropine for these patients)
Ventilators
Make sure the alarms are on (Check every 4 hours minimum), when suctioning give 100% O2 before
and after and make no more than 3 passes-no longer than 15 seconds
Have to put in order of consideration to be delivered
Nasal cannula, simple face mask, nonrebreather mask, partial rebreather mask, venturi mask
Early signs of cerebral hypoxia
Restlessness and irritability
Necessary for Blood Product infusions
18-19 gauge needle with filter tubing
NS only run with blood within 30 minutes of hanging
Check vitals before infusing, at 15 minutes, 30 minutes, then every hour, and directly after
Checking blood before infusing
2 RNs
Check order (expiration date, clots, color, air bubbles, leaks)
patient, product, previous transfusion Hx
Premedicate with Benadryl for previous rxn
What does the PR interval represent
Time required for the impulse to travel from atria through the AV node
Isotonic solutions
NUR 2311Critical-Care-Exit-Hesi 2 EXAM QUESTIONS &
ANSWERS BEST EXAM SOLUTION GUARANTEED
SUCCESS LATEST UPDATE 2022/2023 GRADED A+
