HESI RN CRITICAL CARE /CRITICAL CARE
RN HESI EXIT ACTUAL EXAM TEST BANK
LATEST 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+
Adult female with a history of chronic adrenal
insufficiency is admitted to the ICU for adrenal crisis.
Which intervention should the nurse implement first? -
__100% correct answer as Give IV hydrocortisone
a female college student suffered second and third
degree burns when lighter fluid was tossed into the
flames of a campfire. The burns extended along the
posterior surface of each arm from the deltoid region to
the hands and the interior surfaces of both legs from the
groin to ankles. According to the rule of nines, what
percentage of the clients body surface area is burned? -
__100% correct answer as 27%
Nursing care from a 58 year old female client with
postoperative complication include central venous
,pressure monitoring. What is the most important
consideration a in monitoring the CVP? - __100% correct
answer as The zero point on the manometer must be
level with the right atrium (4th intercostal space)
A male client is admitted to the cardiac ICU with chest
pain that began 12 hours ago. The nurse recognizes
increased ventricular ectopy. Based on this assessment
finding, what action is most important for the nurse to
implement? - __100% correct answer as Initiate the units
anti arrhythmic protocol if symptomatic
A client is being treated for a MI that occurred less than 6
hours ago. The cardiologist suspects 100% occlusion of
the right coronary artery. The nurse is likely to find that
the clients 12 lead EKG on admission exhibits which
finding? - __100% correct answer as Sinus bradycardia, Q
waves and ST elevation in the inferior leads, QRS
lengthening
Six hours after surgery for a ruptured appendix, the client
has a WBC of 17,000 mm3, abdominal tenderness, and
,abdominal rigidity. The nurse should recognize the client
is exhibiting symptoms of which condition? - __100%
correct answer as Peritonitis
The nurse assess the telemetry monitor of a client who is
24 hours postoperative for a permanent pacemaker
insertion. The nurse notes that the pacemaker spike is
present prior to each QRS complex in lead 2. What
intervention should the nurse implement? - __100%
correct answer as Document that the client is
experiencing a paced rhythm
The nurse assess a female client following surgery for a
gun shot wound to the abdomen and determined that
the dressing is saturated with blood and petechiae on the
extremities. Her current BP is 80/40, HR 130 bpm. Which
laboratory finding confirms the presence of
disseminating intravascular regulation? - __100% correct
answer as Postive D Dimer
, The nurses calculating fluid resuscitation for young adult
male who was burned in a bloody accident at 1200 and is
seen in the ER at 1400. The HCP determines that the
client has burn over 30% of his body, mainly over his
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 establish for this
clients plan of care? - __100% correct answer as By 2000,
the client will have received 3500 mL of fluid
When caring for a client on a vent, which finding provides
the greatest indication that the client has an open
airway? - __100% correct answer as Bilateral breath sounds
can be auscultated
The nurse performs a prescribed a neurological check at
the beginning of the shift on a client who was admitted
with a subarachnoid brain attack (Stroke). The client's
GCS is 9. What information is most important for the
nurse to determine? - __100% correct answer as The
client's previous GCS score
RN HESI EXIT ACTUAL EXAM TEST BANK
LATEST 350 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED
A+
Adult female with a history of chronic adrenal
insufficiency is admitted to the ICU for adrenal crisis.
Which intervention should the nurse implement first? -
__100% correct answer as Give IV hydrocortisone
a female college student suffered second and third
degree burns when lighter fluid was tossed into the
flames of a campfire. The burns extended along the
posterior surface of each arm from the deltoid region to
the hands and the interior surfaces of both legs from the
groin to ankles. According to the rule of nines, what
percentage of the clients body surface area is burned? -
__100% correct answer as 27%
Nursing care from a 58 year old female client with
postoperative complication include central venous
,pressure monitoring. What is the most important
consideration a in monitoring the CVP? - __100% correct
answer as The zero point on the manometer must be
level with the right atrium (4th intercostal space)
A male client is admitted to the cardiac ICU with chest
pain that began 12 hours ago. The nurse recognizes
increased ventricular ectopy. Based on this assessment
finding, what action is most important for the nurse to
implement? - __100% correct answer as Initiate the units
anti arrhythmic protocol if symptomatic
A client is being treated for a MI that occurred less than 6
hours ago. The cardiologist suspects 100% occlusion of
the right coronary artery. The nurse is likely to find that
the clients 12 lead EKG on admission exhibits which
finding? - __100% correct answer as Sinus bradycardia, Q
waves and ST elevation in the inferior leads, QRS
lengthening
Six hours after surgery for a ruptured appendix, the client
has a WBC of 17,000 mm3, abdominal tenderness, and
,abdominal rigidity. The nurse should recognize the client
is exhibiting symptoms of which condition? - __100%
correct answer as Peritonitis
The nurse assess the telemetry monitor of a client who is
24 hours postoperative for a permanent pacemaker
insertion. The nurse notes that the pacemaker spike is
present prior to each QRS complex in lead 2. What
intervention should the nurse implement? - __100%
correct answer as Document that the client is
experiencing a paced rhythm
The nurse assess a female client following surgery for a
gun shot wound to the abdomen and determined that
the dressing is saturated with blood and petechiae on the
extremities. Her current BP is 80/40, HR 130 bpm. Which
laboratory finding confirms the presence of
disseminating intravascular regulation? - __100% correct
answer as Postive D Dimer
, The nurses calculating fluid resuscitation for young adult
male who was burned in a bloody accident at 1200 and is
seen in the ER at 1400. The HCP determines that the
client has burn over 30% of his body, mainly over his
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 establish for this
clients plan of care? - __100% correct answer as By 2000,
the client will have received 3500 mL of fluid
When caring for a client on a vent, which finding provides
the greatest indication that the client has an open
airway? - __100% correct answer as Bilateral breath sounds
can be auscultated
The nurse performs a prescribed a neurological check at
the beginning of the shift on a client who was admitted
with a subarachnoid brain attack (Stroke). The client's
GCS is 9. What information is most important for the
nurse to determine? - __100% correct answer as The
client's previous GCS score
