HESI RN CRITICAL CARE /CRITICAL CARE RN HESI EXIT
ACTUAL EXAM TEST BANK LATEST QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
whats one of the main differences between use of
cardioversion and use of defibrillation? - __100% correct
answer as carioversion is used for patients who have a
pulse
what is cardioversion? - __100% correct answer as the
delivery of synchronized electrical shocks to the
myocardium
What about patients with A-fib or A-flutter who need
cardioversion? - __100% correct answer as the patient must
be on anticoagulant therapy for 6-8 weeks before we can
do elective cardioversion on them
who is encouraged to get an ICD? - __100% correct answer
as patients who are post-cardiac arrest/sudden death
,what does the ICD do? - __100% correct answer as it
delivers a shock when the patient's heart goes into v-tach
or v-fib (shockable rhythm). it's purpose is to detect life-
threatening arrhythmias and defibrillate
how to deactivate an ICD - __100% correct answer as place
a magnet over it
post op ICD complications - __100% correct answer as
dysrhythmias, bleeding, cardiac tamponade
what should patients continue to use after implantation
of ICD? - __100% correct answer as they should continue to
take their anti-dysrhythmia medications
what should ICD patients do if they experience a shock? -
__100% correct answer as they should lie down and contact
the physician immediately
what should ICD patient's carry after discharge? - __100%
correct answer as medic-alert bracelet
,MODS - __100% correct answer as progressive dysfunction
of 2 or more organ systems as a result of uncontrolled
inflammatory response to severe illness or injury
which organs are most severely affected by MODS? -
__100% correct answer as lungs, kidneys, splanchnic bed,
liver
there is a maldistribution (could be too much in one
organ and too little in another)
what is cell damage caused by in MODS - __100% correct
answer as massive release of toxic metabolites
(widespread inflammation)
manifestations of MODS - __100% correct answer as rapid
loss of consciousness (lack of oxygenated blood to the
brain)
, non-palpable pulse (decreased cardiac output or extreme
vasodilation)
cold, dusky extremities (lack of O2 to the tissues)
slow and shallow breaths (lack of oxygen to diaphragm
so it's not working)
unmeasurable O2 sat (very little oxygen in the
extremities)
Primary injury to the heart - __100% correct answer as If
the initial injury is in the heart, blood will back up and sit
in other organs such as the lungs. this will cause lack of
gas exchange. (progressive dysfunction of organs)
What organ is usually the first to be affected? - __100%
correct answer as the lungs. people with respiratory
problems have a high chance of developing MODS.
ACTUAL EXAM TEST BANK LATEST QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
whats one of the main differences between use of
cardioversion and use of defibrillation? - __100% correct
answer as carioversion is used for patients who have a
pulse
what is cardioversion? - __100% correct answer as the
delivery of synchronized electrical shocks to the
myocardium
What about patients with A-fib or A-flutter who need
cardioversion? - __100% correct answer as the patient must
be on anticoagulant therapy for 6-8 weeks before we can
do elective cardioversion on them
who is encouraged to get an ICD? - __100% correct answer
as patients who are post-cardiac arrest/sudden death
,what does the ICD do? - __100% correct answer as it
delivers a shock when the patient's heart goes into v-tach
or v-fib (shockable rhythm). it's purpose is to detect life-
threatening arrhythmias and defibrillate
how to deactivate an ICD - __100% correct answer as place
a magnet over it
post op ICD complications - __100% correct answer as
dysrhythmias, bleeding, cardiac tamponade
what should patients continue to use after implantation
of ICD? - __100% correct answer as they should continue to
take their anti-dysrhythmia medications
what should ICD patients do if they experience a shock? -
__100% correct answer as they should lie down and contact
the physician immediately
what should ICD patient's carry after discharge? - __100%
correct answer as medic-alert bracelet
,MODS - __100% correct answer as progressive dysfunction
of 2 or more organ systems as a result of uncontrolled
inflammatory response to severe illness or injury
which organs are most severely affected by MODS? -
__100% correct answer as lungs, kidneys, splanchnic bed,
liver
there is a maldistribution (could be too much in one
organ and too little in another)
what is cell damage caused by in MODS - __100% correct
answer as massive release of toxic metabolites
(widespread inflammation)
manifestations of MODS - __100% correct answer as rapid
loss of consciousness (lack of oxygenated blood to the
brain)
, non-palpable pulse (decreased cardiac output or extreme
vasodilation)
cold, dusky extremities (lack of O2 to the tissues)
slow and shallow breaths (lack of oxygen to diaphragm
so it's not working)
unmeasurable O2 sat (very little oxygen in the
extremities)
Primary injury to the heart - __100% correct answer as If
the initial injury is in the heart, blood will back up and sit
in other organs such as the lungs. this will cause lack of
gas exchange. (progressive dysfunction of organs)
What organ is usually the first to be affected? - __100%
correct answer as the lungs. people with respiratory
problems have a high chance of developing MODS.
