CRITICAL CARE HESI PRACTICE
QUESTIONS & ANSWERS
1) What assessment findings should he nurse document in the
electronic medical record for a client who is experiencing
autonomic dysreflexia after a TANSWER-4 spinal cord injury
ANSWER-Severe hypertension, diaphroresis, and flushing above the
lesion
2) As the nurse is turning a client with a chest tube, the chest tube
becomes dislodged from the pleural space. What action should
the nurse take first?
ANSWER-Have the client exhale forcefully and tape 3 sides of
a sterile gauze over the insertion site
3) The nurse plans to administer a low dose prescription for
dopamine (Intropin) to a client who is in septic shock. Which
physiological parameter should the nurse use to evaluate a
therapeutic response to dopamine?
ANSWER-Urinary Output
4) The nurse assesses a male client postoperatively who has an arterial
line in the radial artery. Assessment findings include pallor,
parastesia, and slow capillary refill in the client’s right hand fingers.
What action should the nurse plan?
QUESTIONS & ANSWERS
1) What assessment findings should he nurse document in the
electronic medical record for a client who is experiencing
autonomic dysreflexia after a TANSWER-4 spinal cord injury
ANSWER-Severe hypertension, diaphroresis, and flushing above the
lesion
2) As the nurse is turning a client with a chest tube, the chest tube
becomes dislodged from the pleural space. What action should
the nurse take first?
ANSWER-Have the client exhale forcefully and tape 3 sides of
a sterile gauze over the insertion site
3) The nurse plans to administer a low dose prescription for
dopamine (Intropin) to a client who is in septic shock. Which
physiological parameter should the nurse use to evaluate a
therapeutic response to dopamine?
ANSWER-Urinary Output
4) The nurse assesses a male client postoperatively who has an arterial
line in the radial artery. Assessment findings include pallor,
parastesia, and slow capillary refill in the client’s right hand fingers.
What action should the nurse plan?
