HESI Critical Care 2021 TEST BANK

RN

1). Pt has a long history of smoking. Pt comes in with sob. These are the ABG’s: pH 7.25, PCO2

50, anD HCO3 24. What does the patient have?

Resp. Acidosis

*Remember: If the CO2 is high it will always be resp. acidosis

2). Female comes in the ED and says that her “heart is pounding outside of her chest. Client is

in SVT. What is the nursing intervention?

Coach client in relaxation and deep breathing.

3). This is an insulin PROTOCOL question. You will be given a protocol that you need to follow

by the MD. The pt insulin is infused at 5 units/hr and her current glucose reading is 165. What

Increase drip by 1 unit/hour

4). Calculate question. The number will be 1,500,000 IU, in 500mL of 0.9% NS.

33

5). DKA math question

1,000mL NS with 30 Meq of Sodium

6). Older client comes in with CAP and SpO2 89%. What is the priority intervention?

Assist client with turning, coughing, and deep breathing

7). Pt received an ETT 7 days ago and is currently on 50% O2. The pt is currently anxious and

hyperventilating. What is the priority intervention?

Auscultate lungs

8). Client has not been taking cortisone for either 2 weeks or 2 months and husband brings her

into the ED. Husband states that she has not been feeling well and that she needed help getting

ready today. (Patient has SIAH). What should you do?

Initiate fall precautions

*Remember that SIAH causes seizures so you have to put the client on fall precaution

9). UAP is coming to assist a nurse in a situation where the pt is having SVT and the nurse has

to prepare for cardioversion. What task can the UAP do?

Bring Resuscitation cart to the bedside

10). A pt has a cardioversion due to uncontrolled A Fib. What vital shows that the cardioversion

was successful?