Page 1 of 20
CRITICAL CARE HESI EXAM | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
Which interventions are appropriate for a right-handed client
recovering from a right sided CVA?
a. bed low and locked
b. call bell placed on right side
c. notepad and pen available
d. pillows to support the right side
e. reposition q2h while supporting the right side - ✔✔✔ Correct
Answer > A, B
How is total parenteral nutrition (TPN) administered? - ✔✔✔ Correct
Answer > via a central vein catheter such as PICC
A client with acute pancreatitis is admitted to the ICU. The nurse
knows that which interventions are most important for this
client? - ✔✔✔ Correct Answer > - fluid resuscitation r/t the fact that
third spacing can cause hypovolemia
- nutrition
,Page 2 of 20
- pain management
- electrolyte replacement (hypocalcemia, hypomagnesemia)
Hypertonic solutions are typically administered into peripheral
veins. T/F? - ✔✔✔ Correct Answer > False! Hypertonic solutions can
cause sclerosis, phlebitis and swelling, thus need to be inserted
centrally
A patient receiving TPN suddenly develops hypokalemia, shallow
respirations, confusion and weakness. What might be occurring?
- ✔✔✔ Correct Answer > Key word: TPN--> refeeding syndrome
Washed red blood cells - ✔✔✔ Correct Answer > infusion of normal
RBC that have been washed to remove plasma, platelets and
leukocytes.
- Given to patients have hypersensitivity to blood components
Fresh frozen plasma - ✔✔✔ Correct Answer > replacement of plasma
ONLY which may contain clotting factors and colloids
- needs RH and ABO compatibility because antibodies dwell in
the plasma!
Deferoxamine IV - ✔✔✔ Correct Answer > removes excess iron in the
kidneys and promotes excretion of it
, Page 3 of 20
Cauda Equina Syndrome - ✔✔✔ Correct Answer > -Injury at the L1 level
and below resulting in a LMN lesion
-Flaccid paralysis w/no spinal reflex activity resulting in
incontinence
Catheter ablation - ✔✔✔ Correct Answer > brief delivery of
radiofrequency energy to destroy areas of heart tissue that may
be causing arrhythmias
with a right sided CVA, the left side is affected. C, D and E are
optimal interventions for a left sided stroke.
LeVeen Shunt - ✔✔✔ Correct Answer > a system used to treat ascites.
Fluid is shunted from the abdominal cavity into the superior vena
cava into circulation
Cross contamination vs. auto-contamination - ✔✔✔ Correct Answer > -
cross contamination involves transfer of microbes from person
to person while auto contamination is transfer of microbes from
one site of the body to another
- to prevent cross--> wash hands, isolation
- to prevent auto--> apply new sterile gloves per dressing, dress
each wound separately, debride
CRITICAL CARE HESI EXAM | FREQUENTLY
TESTED QUESTIONS WITH CORRECT
ANSWERS | BRAND NEW!
Which interventions are appropriate for a right-handed client
recovering from a right sided CVA?
a. bed low and locked
b. call bell placed on right side
c. notepad and pen available
d. pillows to support the right side
e. reposition q2h while supporting the right side - ✔✔✔ Correct
Answer > A, B
How is total parenteral nutrition (TPN) administered? - ✔✔✔ Correct
Answer > via a central vein catheter such as PICC
A client with acute pancreatitis is admitted to the ICU. The nurse
knows that which interventions are most important for this
client? - ✔✔✔ Correct Answer > - fluid resuscitation r/t the fact that
third spacing can cause hypovolemia
- nutrition
,Page 2 of 20
- pain management
- electrolyte replacement (hypocalcemia, hypomagnesemia)
Hypertonic solutions are typically administered into peripheral
veins. T/F? - ✔✔✔ Correct Answer > False! Hypertonic solutions can
cause sclerosis, phlebitis and swelling, thus need to be inserted
centrally
A patient receiving TPN suddenly develops hypokalemia, shallow
respirations, confusion and weakness. What might be occurring?
- ✔✔✔ Correct Answer > Key word: TPN--> refeeding syndrome
Washed red blood cells - ✔✔✔ Correct Answer > infusion of normal
RBC that have been washed to remove plasma, platelets and
leukocytes.
- Given to patients have hypersensitivity to blood components
Fresh frozen plasma - ✔✔✔ Correct Answer > replacement of plasma
ONLY which may contain clotting factors and colloids
- needs RH and ABO compatibility because antibodies dwell in
the plasma!
Deferoxamine IV - ✔✔✔ Correct Answer > removes excess iron in the
kidneys and promotes excretion of it
, Page 3 of 20
Cauda Equina Syndrome - ✔✔✔ Correct Answer > -Injury at the L1 level
and below resulting in a LMN lesion
-Flaccid paralysis w/no spinal reflex activity resulting in
incontinence
Catheter ablation - ✔✔✔ Correct Answer > brief delivery of
radiofrequency energy to destroy areas of heart tissue that may
be causing arrhythmias
with a right sided CVA, the left side is affected. C, D and E are
optimal interventions for a left sided stroke.
LeVeen Shunt - ✔✔✔ Correct Answer > a system used to treat ascites.
Fluid is shunted from the abdominal cavity into the superior vena
cava into circulation
Cross contamination vs. auto-contamination - ✔✔✔ Correct Answer > -
cross contamination involves transfer of microbes from person
to person while auto contamination is transfer of microbes from
one site of the body to another
- to prevent cross--> wash hands, isolation
- to prevent auto--> apply new sterile gloves per dressing, dress
each wound separately, debride
