CRITICAL CARE HESI REVIEW EXAM QUESTIONS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A+
what are things you should do first?
assess and safety
i.e. with PE - listen to lung sounds
with a bleed - put on gloves
vent pressure alarm causes
kinked tubing, secretions, coughing, biting, need suctioning, laying on tube
what should you do if there are vent issues you cannot fix?
bag the patient until respiratory comes
what kind of patient would you assign a new nurse?
easiest heart rhythm
I.e. afib w controlled ventricular response
acetaminophen overdose
acetylcysteine (mucomyst)
a young teen is in the ER with friends and his mom, when should you assess his
pain?
when he is alone
addison crisis treatment
give steroids and fluids then monitor electrolytes
what is the best assessment of renal function?
I&O
milrinone
vasodilator and increases contractility
run in a with a different IV than lasix - they are not compatible
what should you do when a burn patient complains about swallowing?
assess their breath sounds - they may have inhalation injury
, SCI and paralysis
if injury occurs below cervical spine, patient may be able to move arms. if cervical -
could cause quadriplegia and respiratory paralysis
SCI/skull fracture we look for...
CSF leakage - nasal drip do halo test and check for glucose
GCS
never totals 0
scores range from 3-15
less than 7 is comatose
highest is 11 on patient we ventilator
during a PAP insertion, it is the nurse's job to...
assess the waveform and make note of the pressures
hypokalemia ekg
flat and high t waves
hyperkalemia ekg
tall tented t waves
if a patient misses dialysis, what would their EKG look like?
tall tented t waves (hyperkalemia)
BNP
100 or less is normal
D dimer
should be less than 0.5
it is high with a PE
alcoholic
give ativan (tremors)
chest tubes
drainage system should always be below the level of the chest tube
chest tube chamber is not fluctuating...
check the tubing... is the system okay? assess the breath sounds
how would you dress a wound to the chest?
tape over 3 sides leaving one open
COMPLETE SOLUTIONS VERIFIED GRADED A+
what are things you should do first?
assess and safety
i.e. with PE - listen to lung sounds
with a bleed - put on gloves
vent pressure alarm causes
kinked tubing, secretions, coughing, biting, need suctioning, laying on tube
what should you do if there are vent issues you cannot fix?
bag the patient until respiratory comes
what kind of patient would you assign a new nurse?
easiest heart rhythm
I.e. afib w controlled ventricular response
acetaminophen overdose
acetylcysteine (mucomyst)
a young teen is in the ER with friends and his mom, when should you assess his
pain?
when he is alone
addison crisis treatment
give steroids and fluids then monitor electrolytes
what is the best assessment of renal function?
I&O
milrinone
vasodilator and increases contractility
run in a with a different IV than lasix - they are not compatible
what should you do when a burn patient complains about swallowing?
assess their breath sounds - they may have inhalation injury
, SCI and paralysis
if injury occurs below cervical spine, patient may be able to move arms. if cervical -
could cause quadriplegia and respiratory paralysis
SCI/skull fracture we look for...
CSF leakage - nasal drip do halo test and check for glucose
GCS
never totals 0
scores range from 3-15
less than 7 is comatose
highest is 11 on patient we ventilator
during a PAP insertion, it is the nurse's job to...
assess the waveform and make note of the pressures
hypokalemia ekg
flat and high t waves
hyperkalemia ekg
tall tented t waves
if a patient misses dialysis, what would their EKG look like?
tall tented t waves (hyperkalemia)
BNP
100 or less is normal
D dimer
should be less than 0.5
it is high with a PE
alcoholic
give ativan (tremors)
chest tubes
drainage system should always be below the level of the chest tube
chest tube chamber is not fluctuating...
check the tubing... is the system okay? assess the breath sounds
how would you dress a wound to the chest?
tape over 3 sides leaving one open
