HESI HESI Critical Care
CRITICAL CARE2019TEST
TEST BANK
BANKRNRN
1. A pt is turning and the chest tube falls out. What should the nurse tell the pt to do?
• Exhale forcefully and cough rapidly
2. On admission the client is septic due do a ruptured appendix. The vital signs shows that the
pt has a 39.8 C temp, WBC 18,000, and bp of 68/4?. (there will be more values but I don’t
remember them) What class of medication is needed?
• Vasoconstrictor
3. There will be list of lab values that include a normal sodium level, a slightly elevated WBC,
another value that I don’t remember but it was normal and a BNP of 800.
• BNP 800
4. The vent HIGH alarm is going off. What is the reason the alarm is going off?
• Check for kink in tubing
5. A pt with a basilar skull fractur has blood leaking from their nose and ears. What
intervention should the nurse do?
• Gently dab blood from ear with a gauze and observe for Halo
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25,
PCO2, anD HCO3 24. What does the patient have?
• Resp. Acidosis
*Remember: If the CO2 is high it will always be resp. acidosis
2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is
in SVT. What is the nursing intervention?
• Coach client in relaxation and deep breathing.
3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow
by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What
should you do?
• Increase drip by 1 unit/hour
4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.
• 33
5). DKA math question
• 1,000mL NS with 30 Meq of Sodium
6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?
• Assist client with turning, coughing, and deep breathing
7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and
This study source was downloaded by 100000854252934 from CourseHero.com on 11-11-2022 10:11:15 GMT -06:00
https://www.coursehero.com/file/59886677/Critical-Care-HESI-notes-Copypdf/
, hyperventilating. What is the priority intervention?
• Auscultate lungs
8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her
into the ED. Husband states that she has not been feeling well and that she needed help getting
ready today. (Patient has SIAH). What should you do?
• Initiate fall precautions
*Remember that SIAH causes seizures so you have to put the client on fall precaution
9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse has
to prepare for cardioversion. What task can the UAP do?
• Bring Resuscitation cart to the bedside
10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion
was successful?
This study source was downloaded by 100000854252934 from CourseHero.com on 11-11-2022 10:11:15 GMT -06:00
https://www.coursehero.com/file/59886677/Critical-Care-HESI-notes-Copypdf/
CRITICAL CARE2019TEST
TEST BANK
BANKRNRN
1. A pt is turning and the chest tube falls out. What should the nurse tell the pt to do?
• Exhale forcefully and cough rapidly
2. On admission the client is septic due do a ruptured appendix. The vital signs shows that the
pt has a 39.8 C temp, WBC 18,000, and bp of 68/4?. (there will be more values but I don’t
remember them) What class of medication is needed?
• Vasoconstrictor
3. There will be list of lab values that include a normal sodium level, a slightly elevated WBC,
another value that I don’t remember but it was normal and a BNP of 800.
• BNP 800
4. The vent HIGH alarm is going off. What is the reason the alarm is going off?
• Check for kink in tubing
5. A pt with a basilar skull fractur has blood leaking from their nose and ears. What
intervention should the nurse do?
• Gently dab blood from ear with a gauze and observe for Halo
1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25,
PCO2, anD HCO3 24. What does the patient have?
• Resp. Acidosis
*Remember: If the CO2 is high it will always be resp. acidosis
2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is
in SVT. What is the nursing intervention?
• Coach client in relaxation and deep breathing.
3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow
by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What
should you do?
• Increase drip by 1 unit/hour
4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.
• 33
5). DKA math question
• 1,000mL NS with 30 Meq of Sodium
6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?
• Assist client with turning, coughing, and deep breathing
7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and
This study source was downloaded by 100000854252934 from CourseHero.com on 11-11-2022 10:11:15 GMT -06:00
https://www.coursehero.com/file/59886677/Critical-Care-HESI-notes-Copypdf/
, hyperventilating. What is the priority intervention?
• Auscultate lungs
8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her
into the ED. Husband states that she has not been feeling well and that she needed help getting
ready today. (Patient has SIAH). What should you do?
• Initiate fall precautions
*Remember that SIAH causes seizures so you have to put the client on fall precaution
9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse has
to prepare for cardioversion. What task can the UAP do?
• Bring Resuscitation cart to the bedside
10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion
was successful?
This study source was downloaded by 100000854252934 from CourseHero.com on 11-11-2022 10:11:15 GMT -06:00
https://www.coursehero.com/file/59886677/Critical-Care-HESI-notes-Copypdf/
