NCLEX Critical Care Questions with answers
The nurse is caring for an intubated client whose oxygen saturation begins to
drop. What action should the nurse do next? - ....🔰VERIFIED ANSWERS....
✔✔Auscultate lungs sounds bilaterally
- need to determine cause before you do something next
When caring for a client with a left radial artery catheter, which assessment
data obtained by the nurse indicates the need to take immediate action? - ....🔰
VERIFIED ANSWERS.... ✔✔Patient's left hand is cooler than the right
What is an Allen's test? - ....🔰VERIFIED ANSWERS.... ✔✔a method of
gauging the flow of blood in the hands it's used to determine adequate
collateral blood flow in the hand by evaluating the patency of the radial and
ulnar arteries
- patient makes fist, occlude radial and ulnar arteries, open fist, palm shows
pallor, release pressure on ulnar artery, color comes back to hand
The nurse is caring for a client on a mechanical ventilator. The settings on the
ventilator have just been changed, and the standing prescription is to draw
arterial blood gases 30 minutes after a ventilator change. In anticipation of this
blood draw, what intervention should the nurse implement? - ....🔰VERIFIED
ANSWERS.... ✔✔Avoid suctioning the patient
The nurse is caring for a client with surgical complications who requires
continuous total parenteral nutrition (TPN). The nurse assists the health care
provider with the insertion of a subclavian triple lumen central venous access
, device. What is the nurse's priority action before initiating the TPN infusion?
- ....🔰VERIFIED ANSWERS.... ✔✔Check results of the chest x-ray
What is Guillain-Barré syndrome (GBS)? - ....🔰VERIFIED ANSWERS....
✔✔Guillain-Barré syndrome (GBS) is an acute, immune-mediated
polyneuropathy that is most often accompanied by ascending muscle paralysis
and absence of reflexes. Lower-extremity weakness progresses over hours to
days to involve the thorax, arms, and cranial nerves (CNs).
What is the life threatening complication of Guillain-Barré syndrome? - ....🔰
VERIFIED ANSWERS.... ✔✔Respiratory compromise from the paralysis
ascending into the thoracic region.
- Monitoring for rate/depth of respirations and measuring serial bedside vital
capacity (spirometry) help to detect this early in the disease course.
The charge nurse is evaluating the skills of a new registered nurse (RN)
assigned to care for a client with shock. Which action taken by the new RN
indicates a need for further education? - ....🔰VERIFIED ANSWERS....
✔✔Places the patient with sepsis in high fowlers position
- this causes BP to decrease
What is pulmonary artery wedge pressure? (PAWP) - ....🔰VERIFIED
ANSWERS.... ✔✔indirect measure of pressure in the left ventricle at the end of
diastole
- 6-12
A registered nurse is precepting a new nurse in the intensive care unit. The
client is sedated with propofol, on a mechanical ventilator, and is receiving
The nurse is caring for an intubated client whose oxygen saturation begins to
drop. What action should the nurse do next? - ....🔰VERIFIED ANSWERS....
✔✔Auscultate lungs sounds bilaterally
- need to determine cause before you do something next
When caring for a client with a left radial artery catheter, which assessment
data obtained by the nurse indicates the need to take immediate action? - ....🔰
VERIFIED ANSWERS.... ✔✔Patient's left hand is cooler than the right
What is an Allen's test? - ....🔰VERIFIED ANSWERS.... ✔✔a method of
gauging the flow of blood in the hands it's used to determine adequate
collateral blood flow in the hand by evaluating the patency of the radial and
ulnar arteries
- patient makes fist, occlude radial and ulnar arteries, open fist, palm shows
pallor, release pressure on ulnar artery, color comes back to hand
The nurse is caring for a client on a mechanical ventilator. The settings on the
ventilator have just been changed, and the standing prescription is to draw
arterial blood gases 30 minutes after a ventilator change. In anticipation of this
blood draw, what intervention should the nurse implement? - ....🔰VERIFIED
ANSWERS.... ✔✔Avoid suctioning the patient
The nurse is caring for a client with surgical complications who requires
continuous total parenteral nutrition (TPN). The nurse assists the health care
provider with the insertion of a subclavian triple lumen central venous access
, device. What is the nurse's priority action before initiating the TPN infusion?
- ....🔰VERIFIED ANSWERS.... ✔✔Check results of the chest x-ray
What is Guillain-Barré syndrome (GBS)? - ....🔰VERIFIED ANSWERS....
✔✔Guillain-Barré syndrome (GBS) is an acute, immune-mediated
polyneuropathy that is most often accompanied by ascending muscle paralysis
and absence of reflexes. Lower-extremity weakness progresses over hours to
days to involve the thorax, arms, and cranial nerves (CNs).
What is the life threatening complication of Guillain-Barré syndrome? - ....🔰
VERIFIED ANSWERS.... ✔✔Respiratory compromise from the paralysis
ascending into the thoracic region.
- Monitoring for rate/depth of respirations and measuring serial bedside vital
capacity (spirometry) help to detect this early in the disease course.
The charge nurse is evaluating the skills of a new registered nurse (RN)
assigned to care for a client with shock. Which action taken by the new RN
indicates a need for further education? - ....🔰VERIFIED ANSWERS....
✔✔Places the patient with sepsis in high fowlers position
- this causes BP to decrease
What is pulmonary artery wedge pressure? (PAWP) - ....🔰VERIFIED
ANSWERS.... ✔✔indirect measure of pressure in the left ventricle at the end of
diastole
- 6-12
A registered nurse is precepting a new nurse in the intensive care unit. The
client is sedated with propofol, on a mechanical ventilator, and is receiving
