Critical Care Exit Hesi Test Exam Questions With 100% Verified Solutions

Critical Care Exit Hesi Test Exam Questions With 100% Verified Solutions 65-year-old female arrives in the ER with shortness of breath and chest pain, nurse accidentally administers 10 mg of morphine sulfate instead of 4 mg as prescribed. Later, the client's respiratory rate is 10 breaths/minute, oxygen saturation is 98%, and she states that her pain has subsided The client would not be able to prove malpractice in court Deep vein thrombosis on heparin protocol based on a tPTT of 65 to 95 seconds. The current PTT resultis 35 seconds Increase the rate of the heparin infusion Calculate the rate of this rhythm strip (It should be 90-100 depending on which set of 6 squares you use) A client is admitted to the emergency room because of an overdose of acetaminophen (Tylenol) Acetylcysteine (Mucomyst) The antidote for acetaminophen (Tylenol) is acetylcysteine (Mucomyst) For increase magnesium level Give calcium gluconate Patient admitted with a Dx of diabetic ketoacidosis (DKA) with scant urinary output, K+2.5 mEq/l, pHof 7.26, T 98ºF, HR 128 bpm, RR 36, and BP 90/52 Pottasium IV at 20 mEq/250 ml over 1 hour Irregular respiratory rate with periods of apnea lasting 10 to 15 seconds Apply supplemental O2 The alarm of a client’s pulse oximeter sounds and the nurse notes that the oxygen saturation rate is indicated at 85% Administer oxygen by face mask Doing CPR on intubated client with palpable pulse during 2-min cycle of chest compressions, absent breath sounds over left lung prepare for the endotracheal tube to be repositioned Unresponsive client who ingested an unknown number of meperidine (DEMOROL) 50mg tablets. Naloxone (NARCAN) 0.4mg IV is administered, and the client is now responding to verbal stimuli. Which finding in the next hour requires immediate action by the nurse Difficulty in arousing Patient in the MICU. What problem is a client probably experiencing who has an easily obliterated radial pulse and below-normal pressures, (BP), (CVP), (PAP), and pulmonary under pressure Hypovolemic shock PRI interval depolarization and repolarization Which is the highest for carcinogenic shock traumatic amputation from the groin down (there one of the choice a pt w/ gunshot wound to the chestand abdomen) *HESI HINT: if Cardiogenic shock exits in the presence of pulmonary edema (ex. from pump failure), position pt to reduce venous return (high fowler’s w/ legs down) in order to reduce further venous return to the left ventricle Patient with wrist restraints the nurse first slides two fingers under the restraints and then notes that the ties are secured to the side rail using a quick-release tie Reposition the restraints ties, securing them to the bed frame Nursing home patient admitted with urinary sepsis and has a single-lumen, peripherallyinserted central catheter (PICC). Four medications are prescribed for 9:00 the nurse is running behind schedule(Zosyn) over 30 minutes q8 hours first During a family baseball game, an adult male is hot on the head with a bat, and he is suspected of sustaining an epidural bleed “Was your husband knocked out by the blow” CPR for a pregnant lady Heimlich w/ chest compression *HESI HINT: At 20wks gestation & beyond, the gravid uterus should be shifted to the left by placing the women in a 15-30 degree angled, left lateral position or by using a wedge under her right side to tilt her to her left Patient has received 250 ml of 0.9% normal saline through the IV line in the last hour and is now tachypneic, and has a pulse rate of 120 beats/minute, with a pulse volume of +4. Decrease the saline to keep-open rate In EKG reading which complex represents depolarization of the ventricles QRS complex The risk for metabolic shock syndrome Toxic Shock Syndrome 23 year-old male brought to the ER by a group of fraternity brothers after a hazing event at the university.Blood alcohol level (BAL) of 3.8 and a Glasgow Coma Scale of 3 Initiate IV access using Lactated Ringer’s solution 1000ml with thiamine 100mg The nurse in the emergency department is using the simple triage and rapid transport (START) systemto assess victims of a hurricane A yellow disaster tag means critical injuries and require immediate intervention Electrical burn pt put him in a cardiac telemetry monitor A pt on a trachea/endotrach with gurgling sound always pick suctioning Metabolic syndrome high cholesterol & high BP (cardiac strip) IV Line Flush line before and after compatible IV solution Priority pt Ruptured spleen life threatening Endotrach has slipped into right main bronchus of no breath sounds are heard (Audio/Visual) Pleaurvac, know how to set vac at 850 39 to 48 Glucose Notify healthcare provider of client’s status Disseminated intravascular coagulation (DIC) best test to diagnose, D-Dimer Septic shock-best class of medicine to give are Anti infectives A 6-year old boy was hit with a bat while playing at school. He has a splinter of wood imbedded in hiseye Have the parent take the child for emergency help Patient admitted two hours ago with confusion, Kussmaul respirations, and warm, flushed skin. Thehealthcare provider determines the client is in acute renal failure (ARF) Hourly neurological assessments 14-year-old male arrives at the ER in status epilepticus. He was diagnosed with a seizure disorder inchildhood Acute withdrawal from anticonvulsant medication Most important symptom the nurse should monitor the client for while assisting with the insertion of asubclavian central venous catheter Shortness of breath Patient with Hx of chronic atrial fibrillation Be sure to take the prescribed daily aspirin Most important for the nurse to use an IV pump and/or Buretrol when initiating IV therapy after whichsurgical procedure Craniotomy Acute renal failure with a serum potassium of 7.5mEq/L. based on this finding Administer a retention enema of Kayexalate A client admitted to the hospital is suspected of having meningitis