CRITICAL CARE HESI – SET 2 WITH
CORRECT QUESTIONS AND ANSWERS
The nurse calculating fluid resuscitation for young male who was burned in a bloody accident at
12 noon and is seen in the emergency center at 2 pm. The healthcare provider determines that the
client has burns over 30% of his body, mainly on the arms and chest. Using the Parkland formula
for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 hours. Which goal should
the nurse established for this clients plan of care - CORRECT-ANSWERS-By 8 pm, the
client will have received 3500 mL of fluid
When caring for a client on a ventilator, which finding provides the greatest indication that the
client has an open airway? - CORRECT-ANSWERS-Bilateral breath sounds can be
auscultating
The nurse performs a neurological check at the beginning of the shift on a client who was
admitted to the hospital with a subarachnoid brain attack (stroke). The client's Glasgow coma
scale (GCS) is 9. Which information is most important for the nurse to determine - CORRECT-
ANSWERS-The client's previous GCS score
An adult female with a history of type 1 diabetes mellitus has been vomitting for the past 48
hours and is admitted to the intensive care unit with diabetic ketoacidosis (DKA). Which
assessment finding warrants immediate intervention by the nurse? - CORRECT-ANSWERS-
excessive thirst
A client is admitted to the intensive care unit (ICU) after a colon resection with a formation of
the loop colostomy. The nurse determines that the clients abdominal dressing is clean and dry.
Vital signs are heart rate is 130, temperature 101, blood pressure 88/65 mmHg, and urine output
, 10 mL/hour. Which interventions should the nurse implement? - CORRECT-ANSWERS-Give
a 500 mL IV fluid bolus challenge
A client is admitted with a syncopal episodes related to a third-degree heart block. After the
placement of a transcutaneous pacemaker, the nurse observes several episodes the pacemaker
failure to sense. What action should the nurse take? - CORRECT-ANSWERS-Increase the
sensitivity
A client is receiving cardiopulmonary resuscitation. After systole is confirmed in two leads and
sending the transcutaneous pacemaker, which intravenous medication should be administered -
CORRECT-ANSWERS-epinephrine (adrenaline)
A client has a chest tube connected to a closed water-seal drainage system with suction. What
equipment should the nurse always have available at the client's bedside - CORRECT-
ANSWERS-Occulsive dressing (just in case tube comes out)
The client is receiving an infusion of nitroglycerin 100 mg and 500 mL DS W at 6mL/hour. How
many mcg per min of nitroglycerin is infusing? - CORRECT-ANSWERS-20
Bretylium 1mg/minute via infusion is prescribed for s client and ventricular tachycardia. The
available solution 500 mL DSW contains bretylium 1 gram. The nurse should program the
infusion time to deliver how many mL per hour - CORRECT-ANSWERS-30
A client arrives in the emergency department complaining in pain. Which description of pain
should prompt the nurse to suspect that it originated in the myocardium? - CORRECT-
ANSWERS-Produces chest heaviness along with left arm pain
Four days ago a chest tube was inserted into the second intercostal space of a client who has a
pneumothorax. Today the nurse notes that there is no fluctuation in the water-seal chamber of the
CORRECT QUESTIONS AND ANSWERS
The nurse calculating fluid resuscitation for young male who was burned in a bloody accident at
12 noon and is seen in the emergency center at 2 pm. The healthcare provider determines that the
client has burns over 30% of his body, mainly on the arms and chest. Using the Parkland formula
for fluid resuscitation, the client is to receive 7000 mL of fluid in 24 hours. Which goal should
the nurse established for this clients plan of care - CORRECT-ANSWERS-By 8 pm, the
client will have received 3500 mL of fluid
When caring for a client on a ventilator, which finding provides the greatest indication that the
client has an open airway? - CORRECT-ANSWERS-Bilateral breath sounds can be
auscultating
The nurse performs a neurological check at the beginning of the shift on a client who was
admitted to the hospital with a subarachnoid brain attack (stroke). The client's Glasgow coma
scale (GCS) is 9. Which information is most important for the nurse to determine - CORRECT-
ANSWERS-The client's previous GCS score
An adult female with a history of type 1 diabetes mellitus has been vomitting for the past 48
hours and is admitted to the intensive care unit with diabetic ketoacidosis (DKA). Which
assessment finding warrants immediate intervention by the nurse? - CORRECT-ANSWERS-
excessive thirst
A client is admitted to the intensive care unit (ICU) after a colon resection with a formation of
the loop colostomy. The nurse determines that the clients abdominal dressing is clean and dry.
Vital signs are heart rate is 130, temperature 101, blood pressure 88/65 mmHg, and urine output
, 10 mL/hour. Which interventions should the nurse implement? - CORRECT-ANSWERS-Give
a 500 mL IV fluid bolus challenge
A client is admitted with a syncopal episodes related to a third-degree heart block. After the
placement of a transcutaneous pacemaker, the nurse observes several episodes the pacemaker
failure to sense. What action should the nurse take? - CORRECT-ANSWERS-Increase the
sensitivity
A client is receiving cardiopulmonary resuscitation. After systole is confirmed in two leads and
sending the transcutaneous pacemaker, which intravenous medication should be administered -
CORRECT-ANSWERS-epinephrine (adrenaline)
A client has a chest tube connected to a closed water-seal drainage system with suction. What
equipment should the nurse always have available at the client's bedside - CORRECT-
ANSWERS-Occulsive dressing (just in case tube comes out)
The client is receiving an infusion of nitroglycerin 100 mg and 500 mL DS W at 6mL/hour. How
many mcg per min of nitroglycerin is infusing? - CORRECT-ANSWERS-20
Bretylium 1mg/minute via infusion is prescribed for s client and ventricular tachycardia. The
available solution 500 mL DSW contains bretylium 1 gram. The nurse should program the
infusion time to deliver how many mL per hour - CORRECT-ANSWERS-30
A client arrives in the emergency department complaining in pain. Which description of pain
should prompt the nurse to suspect that it originated in the myocardium? - CORRECT-
ANSWERS-Produces chest heaviness along with left arm pain
Four days ago a chest tube was inserted into the second intercostal space of a client who has a
pneumothorax. Today the nurse notes that there is no fluctuation in the water-seal chamber of the
