CRITICAL CARE HESI EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 100% VERIFIED GRADED A+
VAP
meticulous oral care, HOB 35-40, PPI, DVT prophylaxis, sedation vacation,
condensation
High pressure alarms
biting the tube OR something is blocked (need to suction)
Low pressure alarms
disconnect
ET tube placement
CO2 detector changes color, chest rise & fall, auscultation, IF you don't hear something
on one side, it's in the right main, pull the tube back. Check placement with XRAY
Patient is extubated, low pressure & high pressure alarm sounds
Bag them
Care with ventilators
hyperoxygenate, only suction for a short amount of time
Complications of A-Line
INFECTION, may give heparin to prevent clots
ICP
Normal range 0-15. Aseptic technique to prevent infection
Failure to sense, failure to capture (pacemaker)
Pacemaker fires (straight line) but the QRS follows later; how to treat it - increase the
amplitude first.
MODS
Can result from sepsis or trauma. VS change (tachypnea, high HR, low BP) if MAP is
consistently low, it is indicative of MODS
Esophageal varices
Results from liver failure, HTN in esophagus, or lower & upper GI bleeds. May rupture
and bleed.
SOLUTIONS 100% VERIFIED GRADED A+
VAP
meticulous oral care, HOB 35-40, PPI, DVT prophylaxis, sedation vacation,
condensation
High pressure alarms
biting the tube OR something is blocked (need to suction)
Low pressure alarms
disconnect
ET tube placement
CO2 detector changes color, chest rise & fall, auscultation, IF you don't hear something
on one side, it's in the right main, pull the tube back. Check placement with XRAY
Patient is extubated, low pressure & high pressure alarm sounds
Bag them
Care with ventilators
hyperoxygenate, only suction for a short amount of time
Complications of A-Line
INFECTION, may give heparin to prevent clots
ICP
Normal range 0-15. Aseptic technique to prevent infection
Failure to sense, failure to capture (pacemaker)
Pacemaker fires (straight line) but the QRS follows later; how to treat it - increase the
amplitude first.
MODS
Can result from sepsis or trauma. VS change (tachypnea, high HR, low BP) if MAP is
consistently low, it is indicative of MODS
Esophageal varices
Results from liver failure, HTN in esophagus, or lower & upper GI bleeds. May rupture
and bleed.
