Critical Care Exit HESI QUESTIONS AND ANSWERS 2022

Critical Care Exit HESI

Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800 nurse notes

telemetry pattern shows second degree heart block with Ventricular rate of 50. Action

Hold scheduled dose and notify HCP of telemetry pattern

Nurse is reviewing client ECG and determines PR interval prolonged. Indicates

Increased conduction time from the SA node to the AV junction

When assessing a restless, intubated client on mechanical ventilation, nurse auscultates breath sounds on

right side only. Action

Reposition the depth of the ET tube

Nurse called to a train derailment likely caused by terrorist bomb. Triage in order

Middle-aged man wandering around

Woman sitting on ground with blanket

Crying child held by another passenger

Mother and father just arrived on scene

Client with pneumonia admitted with severe SOB, ABGs pH 7.30, PaO2 60, PaCO2 62, HCO3 35.

Which needs immediate communication to HCP

Drowsiness and diff in arousing

Assess a 78 year old with L sided HF. Symptoms

Dyspnea, cough, fatigue

Caring for a burn patient with serum potassium of 4. Question which medication

Potassium

Patient admitted with deep 2nd degree burns of thighs, chest and arms covering 40% BSA. Fluid shift after

burn so nurse expects

Decreased cardiac output

Patient bedridden for 2 wks with following lab values: pH 7.37, PO2 90, PCO2 40, HCO3 25,

hypoalbuminemia and hypocalcemia. Priority action

Turn patient side to side q2h

Which age group should nurse assess first

40 year old with sickle cell crisis

There has been a major disaster. Triage nurse should give which patient priority

Cut over eye

Move which patient to medical surgical unit

Patient with ABNL liver levels

One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do

Take patient to ICU and arrange for respiratory patient to stay in PACU

Carotid picture

Point to neck

Someone with wound vac how to make sure it is effective

Check seal to make sure no leaks

Magnesium antidote

Calcium gluconate

Patient having trouble swallowing when wife gives drink of water

Assess gag reflex OR may have been thickening answer-there were two alike

Chest tube becomes disconnected

Get new saline bottle to stick end into until reconnect tube

Patient in ventricular fibrillation

Defib shock once

Know calcium levels….there was a question with calcium 5.0 and the answer was

patient with hyperthyroidism taking inderal (propanalol)

Chest tube volume 125

Mark container between 100 and 150

Heart sounds audio

S1S2

Patient on benzos

Answer is not narcan

???

Abdominal rigidity

4 patients-which one more concern

Low Hgb level

4 patients with conditions of concern-priority

Make sure patient has units of blood available

Patient on Heparin going for surgery in a.m.,-priority

Assess patient for bleeds

Patient with fever of 101-best nursing Dx

r/t temperature elevation

Listening and hearing silence, then kortokoff sound what to do

follow through by checking BP

Patient with pancreatitis and elevated liver function-what expect of patient

patient drinks alcohol daily or lots/wk (alcohol related answer for sure)