HESI Critical Care 2023 TEST BANK (Questions & Answers)
The pt is receiving dopamine. What do you have to monitor for while on this drug?
Monitor urinary output
During the insertion of a swan gans, what should the nurse do?
Monitor for dysrhythmias
Which of these vital signs are contraindicative of ICP?
PaCO2 of 55
*Remember that normal PaCo2 should be between 35-45. When it increased, it will
cause more ICP.
There is a question about SIAH and normal lab values that would be
associated with this disease.
HYPERkalimemia and HYPOnatremia
A pt has a Glasgow coma scale of 14. What should the nurse do?
Document the findings
When caring for a client on a ventilator which finding shows the airway is open?
Bilateral breath sounds can be auscultated
Pt is in the ICU after a colon resection. The vital signs are: 135hr, temp
103, and BP of 88/65 and urine output of 10mL/ hr. What should the nurse do?
Give a 500mL IV bolus challenge.
There will be another question just like 18. The scenario will be different
but the BP will be very low as well.
The answer will be the same as 18 but it will not say challenge.
A client has syncopal episodes due to 3rd degree block. The patient receives
a transcutaneous pacemaker. The nurse observes that there are several episodes
the pacemaker fails to sense. What should the nurse do?
Increase the sensitivity
Which of these drugs are the strongest or most effective vasodilators?
Lidocaine
There will be another math question. It’s mcg to mg. 4mcg/kg and client weighs 165
lbs.
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, 3.5 mL/hr
A FEMALE falls down a flight of stairs and is having trouble walking and
bearing weight. The MD prescribes hydrocodone for pain and an xray. What
should the nurse do?
Have the client take a urine pregnancy test
24) , A pt with a chest tube has the tube dislodged from the pleural space. What is
the nursing intervention?
Place an occlusive dressing with tape on 3 sides
A postoperative client is admitted to the ED with an Intra arterial (IA) canula. There
is heparin infusing at 2 units per mL. Which finding indicates the heparin has achieved
therapeutic use?
The IA remain patent
A pt arrives to the ED with pain. Which description should prompt the nurse to
suspect an MI?
Produces chest heaviness with left arm pain
What equipment should always be made available at the bedside for a pt with a chest
tube?
Occlusive dressing
What things should be done to determine if an ETT tube is in place. This is the
select all that apply. There will be 3 answers.
Chest Xray, the chest rises and falls bilaterally, and auscultate breath sounds
Pt comes in with SEVERE hypotension. What medication should you expect there
to be a prescription for?
Amiodaron
A female client has been asystole for 20 minutes and there has been no
change in the client’s condition. The client is also intubated. What should the nurse
do?
Talk to the family members in a private area about desire to continue life support
A 47-year-old female client that comes in and thinks they have indigestion due to
vigorous workout. Which client problem has the highest priority?
Decreased cardiac output
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The pt is receiving dopamine. What do you have to monitor for while on this drug?
Monitor urinary output
During the insertion of a swan gans, what should the nurse do?
Monitor for dysrhythmias
Which of these vital signs are contraindicative of ICP?
PaCO2 of 55
*Remember that normal PaCo2 should be between 35-45. When it increased, it will
cause more ICP.
There is a question about SIAH and normal lab values that would be
associated with this disease.
HYPERkalimemia and HYPOnatremia
A pt has a Glasgow coma scale of 14. What should the nurse do?
Document the findings
When caring for a client on a ventilator which finding shows the airway is open?
Bilateral breath sounds can be auscultated
Pt is in the ICU after a colon resection. The vital signs are: 135hr, temp
103, and BP of 88/65 and urine output of 10mL/ hr. What should the nurse do?
Give a 500mL IV bolus challenge.
There will be another question just like 18. The scenario will be different
but the BP will be very low as well.
The answer will be the same as 18 but it will not say challenge.
A client has syncopal episodes due to 3rd degree block. The patient receives
a transcutaneous pacemaker. The nurse observes that there are several episodes
the pacemaker fails to sense. What should the nurse do?
Increase the sensitivity
Which of these drugs are the strongest or most effective vasodilators?
Lidocaine
There will be another math question. It’s mcg to mg. 4mcg/kg and client weighs 165
lbs.
Page 1|9
, 3.5 mL/hr
A FEMALE falls down a flight of stairs and is having trouble walking and
bearing weight. The MD prescribes hydrocodone for pain and an xray. What
should the nurse do?
Have the client take a urine pregnancy test
24) , A pt with a chest tube has the tube dislodged from the pleural space. What is
the nursing intervention?
Place an occlusive dressing with tape on 3 sides
A postoperative client is admitted to the ED with an Intra arterial (IA) canula. There
is heparin infusing at 2 units per mL. Which finding indicates the heparin has achieved
therapeutic use?
The IA remain patent
A pt arrives to the ED with pain. Which description should prompt the nurse to
suspect an MI?
Produces chest heaviness with left arm pain
What equipment should always be made available at the bedside for a pt with a chest
tube?
Occlusive dressing
What things should be done to determine if an ETT tube is in place. This is the
select all that apply. There will be 3 answers.
Chest Xray, the chest rises and falls bilaterally, and auscultate breath sounds
Pt comes in with SEVERE hypotension. What medication should you expect there
to be a prescription for?
Amiodaron
A female client has been asystole for 20 minutes and there has been no
change in the client’s condition. The client is also intubated. What should the nurse
do?
Talk to the family members in a private area about desire to continue life support
A 47-year-old female client that comes in and thinks they have indigestion due to
vigorous workout. Which client problem has the highest priority?
Decreased cardiac output
Page 2|9
