CRITICAL CARE HESI EXIT EXAM
2023 ALL QUESTIONS 100%
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 (Correct Answers)
respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention (Correct Answers) coach
client in relaxation and deep breathing
insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what to
do? (Correct Answers) increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS (Correct Answers) 33
DKA math question (Correct Answers) 1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? (Correct Answers)
assist client with turning, coughing, and deep breathing
pt. received ETT 7 days ago and is currently on 50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention? (Correct Answers) auscultate lungs
client has not been taking cortisone for either 2 weeks or 2 months and husband bring her into
ED; not feeling well. SIADH. what to do? (Correct Answers) initiate fall precautions (SIADH
causes seizures)
UAP assisting nurse in situation where pt is having SVT and nurse has to prepare for
cardioversion. what task for UAP (Correct Answers) bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? (Correct Answers) normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention (Correct
Answers) position client on the left side
pt. receiving dopamine. monitor for what (Correct Answers) monitor urinary output
during insertion of swan gans, what should nurse do (Correct Answers) monitor for dysrhythmias
which vital signs are contraindicative of ICP? (Correct Answers) PaCO2 of 55 (normal PaCO2
should be between 35-45; when increased it will cause more ICP)
, SIADH with normal lab values associated with this (Correct Answers) hyperkalemia and
hyponatremia
pt. glasgow coma scale of 14. what should the nurse do (Correct Answers) document the findings
when caring for a client on a ventilator which finding shows the airway is open? (Correct
Answers) bilateral breath sounds can be auscultated
pt. is in the ICU after a colon resection. vitals are HR 135, temp 103, BP 88/65, urine output 10
mL/hr. intervention? (Correct Answers) give a 500 mL IV bolus challenge (another question
similar with low BP and same answer)
client with syncopal episodes due to 3rd degree block. receives transcutaneous pacemaker;
several fails (Correct Answers) increase the sensitivity
which of these drugs are the strongest for most effective vasodilators (Correct Answers)
lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs (Correct Answers) 3.5 mL/hr
female falls down a flight of stairs and is having trouble walking and bearing weight.
prescription for hydrocodone for pain and an xray. intervention (Correct Answers) have the
client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention (Correct Answers)
place an occlusive dressing with take on 3 sides
postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use (Correct Answers) the IA remain
patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI (Correct
Answers) produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube
(Correct Answers) occlusive dressing
things should be done if an ET tube is in place (Correct Answers) chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for?
(Correct Answers) amiodaron
2023 ALL QUESTIONS 100%
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24 (Correct Answers)
respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention (Correct Answers) coach
client in relaxation and deep breathing
insulin protocol; pt. insulin is infused at 5 units/hr and her current glucose reading is 165. what to
do? (Correct Answers) increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS (Correct Answers) 33
DKA math question (Correct Answers) 1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention? (Correct Answers)
assist client with turning, coughing, and deep breathing
pt. received ETT 7 days ago and is currently on 50% O2. Pt is currently anxious and
hyperventilating. what is the priority intervention? (Correct Answers) auscultate lungs
client has not been taking cortisone for either 2 weeks or 2 months and husband bring her into
ED; not feeling well. SIADH. what to do? (Correct Answers) initiate fall precautions (SIADH
causes seizures)
UAP assisting nurse in situation where pt is having SVT and nurse has to prepare for
cardioversion. what task for UAP (Correct Answers) bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the cardioversion was
successful? (Correct Answers) normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention (Correct
Answers) position client on the left side
pt. receiving dopamine. monitor for what (Correct Answers) monitor urinary output
during insertion of swan gans, what should nurse do (Correct Answers) monitor for dysrhythmias
which vital signs are contraindicative of ICP? (Correct Answers) PaCO2 of 55 (normal PaCO2
should be between 35-45; when increased it will cause more ICP)
, SIADH with normal lab values associated with this (Correct Answers) hyperkalemia and
hyponatremia
pt. glasgow coma scale of 14. what should the nurse do (Correct Answers) document the findings
when caring for a client on a ventilator which finding shows the airway is open? (Correct
Answers) bilateral breath sounds can be auscultated
pt. is in the ICU after a colon resection. vitals are HR 135, temp 103, BP 88/65, urine output 10
mL/hr. intervention? (Correct Answers) give a 500 mL IV bolus challenge (another question
similar with low BP and same answer)
client with syncopal episodes due to 3rd degree block. receives transcutaneous pacemaker;
several fails (Correct Answers) increase the sensitivity
which of these drugs are the strongest for most effective vasodilators (Correct Answers)
lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs (Correct Answers) 3.5 mL/hr
female falls down a flight of stairs and is having trouble walking and bearing weight.
prescription for hydrocodone for pain and an xray. intervention (Correct Answers) have the
client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention (Correct Answers)
place an occlusive dressing with take on 3 sides
postop client admitted to ED with intra-arterial cannula; heparin infusing at 2 units per mL. what
finding indicates the heparin has achieved therapeutic use (Correct Answers) the IA remain
patent
pt. arrives to the ED with pain. description should prompt nurse to suspect an MI (Correct
Answers) produces chest heaviness with left arm pain
what equipment should always be made available at the bedside for a pt. with a chest tube
(Correct Answers) occlusive dressing
things should be done if an ET tube is in place (Correct Answers) chest xray
chest rises and falls bilaterally
auscultate breath sounds
pt. comes in with severe hypotension. what medication should you expect a prescription for?
(Correct Answers) amiodaron
