Critical Care HESI Remediation
The nurse is caring for a client who has just been brought into the emergency department
after a myocardial infarction. Which action is the priority for this client?
a. Administer pain medications.
b. Begin educating the client about what to expect in the cath lab.
c. Administer 2-4L oxygen by nasal cannula.
d. Obtain an electrocardiogram. - correct answer-c
The nurse is preparing discharge instructions for a client diagnosed with acute coronary
syndrome. Which is an expected outcome when effective client education is provided?
a. The client will verbalize lifestyle changes that are needed.
b. The client will require additional teaching.
c. The client will question the need to take hypertensive medications.
d. qThe client will refuse to adhere to a cardiac diet. - correct answer-a
The nurse assesses a client with suspected acute pericarditis. Which assessment finding is
most consistent with this condition?
a. Slow deep breathing.
b. Stabbing chest pain.
c. Bradycardia.
d. Pain relieved by supine position. - correct answer-b
A client is admitted to the coronary intensive care unit with a diagnosed acute heart failure
(HF) and myocardial infarction (MI). Which medication would the nurse anticipate the
healthcare provider to prescribed to the client to decrease the preload and afterload, slow
down their respirations, and reduce their anxiety and pain due to the MI?
a. Enalapril (Vasotec).
b. Morphine sulfate (Contin, MSIR).
c. Hydrochlorothiazide (HCTZ, Urozide).
,d. Diazepam (Valium, Diastat, Diazemuls). - correct answer-b
The nurse is planning care for a client who was just diagnosed with acute pericarditis. Which
screening test should the nurse educate the client about?
a. Creatinine clearance.
b. 12-lead electrocardiogram.
c. Dobutamine stress test.
d. Blood transfusion. - correct answer-b
An unstable client with hyperglycemic hyperosmolar syndrome (HHS) has been assigned to
the nurse. Which action should the nurse take initially?
a. Insert a urinary catheter.
b. Prepare to administer isotonic IV fluids.
c. Evaluate the client's airway.
d. Place two large bore IVs. - correct answer-c
An arterial blood gas (ABG) analysis is drawn for a client. The results show pH of 7.30;
PaCO2 of 68 mm Hg and an HCO3 of 24 mEq/L. What should the nurse interpret this blood
gas as?
a. Compensated metabolic alkalosis.
b. Uncompensated respiratory acidosis.
c. Compensated metabolic acidosis.
d. Uncompensated respiratory alkalosis. - correct answer-b
The nurse is assessing a client who is experiencing shortness of breath, intercostal
retractions, nasal flaring, inspiratory and expiratory wheezing, who has not not shown any
respiratory improvement after two administrations of albuterol nebulizer treatments. Which is
a common trigger for acute asthma exacerbation?
a. Ingested allergen.
b. Exposure to warm air.
c. Hypocapnia.
d. Inactivity. - correct answer-a
, When caring for a client with acute coronary syndrome, which action should the nurse take
to reduce the risk of further injury?
a. Be prepared to begin antithrombin therapy.
b. Begin discharge education on diet.
c. Increase the client's physical activity.
d. Stop intravenous fluids. - correct answer-a
client is admitted to the coronary intensive care unit with a diagnosed acute heart failure
(HF) and myocardial infarction (MI). Which medication would the nurse anticipate the
healthcare provider to prescribed to the client to decrease the preload and afterload, slow
down their respirations, and reduce their anxiety and pain due to the MI?
a. Enalapril (Vasotec).
b. Morphine sulfate (Contin, MSIR).
c. Hydrochlorothiazide (HCTZ, Urozide).
d. Diazepam (Valium, Diastat, Diazemuls). - correct answer-b
The nurse performs a 12-lead electrocardiogram (ECG) on a client who is in the first hour of
care after a myocardial infarction (MI). The client's T-waves appear tall and peaked. How
should the nurse interpret this finding?
a. This is a normal finding in the first hour after an MI.
b. This is a warning sign for an impending massive heart attack.
c. This as abnormal because T-waves are typically inverted during an acute MI.
d. This tracing should be compared with a previous 12-lead ECG prior to interpretation. -
correct answer-a
The nurse is preparing a client for discharge after a percutaneous coronary intervention.
Which statement by the client indicates that teaching has been effective?
a. "I no longer need medications now that I am all cleaned out."
b. "I should report fainting to my cardiologist."
c. "I'll follow up with my cardiologist if needed."
d. "I should begin exercising once I return home." - correct answer-b
The nurse is caring for a client who has just been brought into the emergency department
after a myocardial infarction. Which action is the priority for this client?
a. Administer pain medications.
b. Begin educating the client about what to expect in the cath lab.
c. Administer 2-4L oxygen by nasal cannula.
d. Obtain an electrocardiogram. - correct answer-c
The nurse is preparing discharge instructions for a client diagnosed with acute coronary
syndrome. Which is an expected outcome when effective client education is provided?
a. The client will verbalize lifestyle changes that are needed.
b. The client will require additional teaching.
c. The client will question the need to take hypertensive medications.
d. qThe client will refuse to adhere to a cardiac diet. - correct answer-a
The nurse assesses a client with suspected acute pericarditis. Which assessment finding is
most consistent with this condition?
a. Slow deep breathing.
b. Stabbing chest pain.
c. Bradycardia.
d. Pain relieved by supine position. - correct answer-b
A client is admitted to the coronary intensive care unit with a diagnosed acute heart failure
(HF) and myocardial infarction (MI). Which medication would the nurse anticipate the
healthcare provider to prescribed to the client to decrease the preload and afterload, slow
down their respirations, and reduce their anxiety and pain due to the MI?
a. Enalapril (Vasotec).
b. Morphine sulfate (Contin, MSIR).
c. Hydrochlorothiazide (HCTZ, Urozide).
,d. Diazepam (Valium, Diastat, Diazemuls). - correct answer-b
The nurse is planning care for a client who was just diagnosed with acute pericarditis. Which
screening test should the nurse educate the client about?
a. Creatinine clearance.
b. 12-lead electrocardiogram.
c. Dobutamine stress test.
d. Blood transfusion. - correct answer-b
An unstable client with hyperglycemic hyperosmolar syndrome (HHS) has been assigned to
the nurse. Which action should the nurse take initially?
a. Insert a urinary catheter.
b. Prepare to administer isotonic IV fluids.
c. Evaluate the client's airway.
d. Place two large bore IVs. - correct answer-c
An arterial blood gas (ABG) analysis is drawn for a client. The results show pH of 7.30;
PaCO2 of 68 mm Hg and an HCO3 of 24 mEq/L. What should the nurse interpret this blood
gas as?
a. Compensated metabolic alkalosis.
b. Uncompensated respiratory acidosis.
c. Compensated metabolic acidosis.
d. Uncompensated respiratory alkalosis. - correct answer-b
The nurse is assessing a client who is experiencing shortness of breath, intercostal
retractions, nasal flaring, inspiratory and expiratory wheezing, who has not not shown any
respiratory improvement after two administrations of albuterol nebulizer treatments. Which is
a common trigger for acute asthma exacerbation?
a. Ingested allergen.
b. Exposure to warm air.
c. Hypocapnia.
d. Inactivity. - correct answer-a
, When caring for a client with acute coronary syndrome, which action should the nurse take
to reduce the risk of further injury?
a. Be prepared to begin antithrombin therapy.
b. Begin discharge education on diet.
c. Increase the client's physical activity.
d. Stop intravenous fluids. - correct answer-a
client is admitted to the coronary intensive care unit with a diagnosed acute heart failure
(HF) and myocardial infarction (MI). Which medication would the nurse anticipate the
healthcare provider to prescribed to the client to decrease the preload and afterload, slow
down their respirations, and reduce their anxiety and pain due to the MI?
a. Enalapril (Vasotec).
b. Morphine sulfate (Contin, MSIR).
c. Hydrochlorothiazide (HCTZ, Urozide).
d. Diazepam (Valium, Diastat, Diazemuls). - correct answer-b
The nurse performs a 12-lead electrocardiogram (ECG) on a client who is in the first hour of
care after a myocardial infarction (MI). The client's T-waves appear tall and peaked. How
should the nurse interpret this finding?
a. This is a normal finding in the first hour after an MI.
b. This is a warning sign for an impending massive heart attack.
c. This as abnormal because T-waves are typically inverted during an acute MI.
d. This tracing should be compared with a previous 12-lead ECG prior to interpretation. -
correct answer-a
The nurse is preparing a client for discharge after a percutaneous coronary intervention.
Which statement by the client indicates that teaching has been effective?
a. "I no longer need medications now that I am all cleaned out."
b. "I should report fainting to my cardiologist."
c. "I'll follow up with my cardiologist if needed."
d. "I should begin exercising once I return home." - correct answer-b
