CRITICAL CARE HESI EXAM QUESTIONS WITH COMPLETE
SOLUTIONS VERIFIED 100% GUARANTEED PASS
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24
respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention
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?
increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS
33
DKA math question
1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention?
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?
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?
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
bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the
cardioversion was successful?
normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention
, position client on the left side
pt. receiving dopamine. monitor for what
monitor urinary output
during insertion of swan gans, what should nurse do
monitor for dysrhythmias
which vital signs are contraindicative of ICP?
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
hyperkalemia and hyponatremia
pt. 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. vitals are HR 135, temp 103, BP 88/65,
urine output 10 mL/hr. intervention?
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
increase the sensitivity
which of these drugs are the strongest for most effective vasodilators
lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs
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
have the client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention
place an occlusive dressing with take on 3 sides
SOLUTIONS VERIFIED 100% GUARANTEED PASS
pt. long history of smoking; sob; ABG pH7.25, PCO2 50, HCO3 24
respiratory acidosis (if CO2 is high it will always be resp. acidosis)
"heart is pounding outside of her chest" client is in SVT; intervention
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?
increase drip by 1 unit/hr
calculate; 1,500,000 IU in 500 mL of 0.9% NS
33
DKA math question
1000 mL NS with 30 mEq of sodium
older client comes in with CAP and SpO2 89%. what is priority intervention?
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?
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?
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
bring resuscitation cart to the bedside
pt has cardioversion due to uncontrolled a fib. what vital shows that the
cardioversion was successful?
normal sinus rhythm with HR 84
pt. has ortho surgery and 12 hrs after surgery is anxious with SOB; intervention
, position client on the left side
pt. receiving dopamine. monitor for what
monitor urinary output
during insertion of swan gans, what should nurse do
monitor for dysrhythmias
which vital signs are contraindicative of ICP?
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
hyperkalemia and hyponatremia
pt. 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. vitals are HR 135, temp 103, BP 88/65,
urine output 10 mL/hr. intervention?
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
increase the sensitivity
which of these drugs are the strongest for most effective vasodilators
lidocaine
mcg to mg; 4mcg/kg and client weighs 165 lbs
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
have the client take a urine pregnancy test
pt. with chest tube has the tube dislodged from pleural space; intervention
place an occlusive dressing with take on 3 sides
