{"id":113380,"date":"2023-08-16T00:45:06","date_gmt":"2023-08-16T00:45:06","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113380"},"modified":"2023-08-16T00:45:07","modified_gmt":"2023-08-16T00:45:07","slug":"hesi-critical-care-2023-version-a-and-b-critical-care-hesi-exit-exam-2023-questions-and-correct-answersagrade","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/16\/hesi-critical-care-2023-version-a-and-b-critical-care-hesi-exit-exam-2023-questions-and-correct-answersagrade\/","title":{"rendered":"HESI CRITICAL CARE 2023 VERSION A AND B\/ CRITICAL CARE HESI EXIT EXAM 2023 QUESTIONS AND CORRECT ANSWERS|AGRADE"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>lOMoAR cPSD|19500986<br>HESI CRITICAL CARE 2023 VERSION A AND<br>B\/ CRITICAL CARE HESI EXIT EXAM 2023<br>QUESTIONS AND CORRECT<br>ANSWERS|AGRADE<br>VERSION A<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>1.ID: 20123067301<br>The nurse is assessing a client who is 12 hours postoperative for the<br>removal of a benign pituitary brain tumor and has been placed in a drug<br>induced coma with normal saline 0.9% infusing at 125 mL\/hr. The client&#8217;s<br>heart rate is 90 beats\/minute, blood pressure 100\/60 mmHg, and the<br>indwelling urinary catheter has drained 250 mL of pale yellow urine in the<br>last 30 minutes into the collection bag. After reporting these \u6600\u6900ndings to the<br>healthcare provider, which action should the nurse implement?<br>A. Identify the underlying cause of this condition. Incorrect<br>B. Prepare to administer desmopressin (DDAVP). Correct<br>C. Decrease the intravenous \u6600\u6c00uids to a maintenance rate.<br>D. Replace \u6600\u6c00uid losses with D5W every shift.<br>Awarded 0.0 points out of 1.0 possible points.<\/li>\n\n\n\n<li>2.ID: 20123066699<br>An intubated client is in the process of being weaned off ventilator support.<br>The client&#8217;s baseline parameters are temperature 98.2 F (36.8 C), heart rate<br>88 beats\/minute, respirations 14 breaths\/minute, blood pressure 112\/78<br>mmHg, and oxygen saturation 94%. Which assessment \u6600\u6900ndings would<br>indicate to the nurse that the client is tolerating the weaning procedure?<br>Neurogenic diabetes insipidus (DI) is a condition that can occur when there<br>is trauma to the brain such as tumors or injury to the brain in particular the<br>pituitary or hypothalamus area. DI can also occur with cerebral edema<br>present. The antidiuretic hormone de\u6600\u6900ciency occurs rapidly and results in<br>polyuria, anywhere between 5- 40 liters of urine\/24 hours. The client<br>demonstrates signs and symptoms of hypovolemia. Electrolyte imbalances<br>include hypernatremia, along with hypokalemia and hypercalcemia when it<br>is neurogenic etiology. Clients with neurogenic DI are primarily controlled<br>through administration of exogenous ADH preparations, of which<br>desmopressin (DDAVP) is most commonly used. Fluid output is carefully<br>monitored and \u6600\u6c00uids are replaced every hour.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>Once an identi\u6600\u6900ed organ donor has been declared clinically brain dead, the<br>primary focus of care changes from preserving life to preserving organ<br>(Select all that apply.)<br>A. Oxygen saturation is 91%. Correct<br>B. Slight nasal \u6600\u6c00aring is present.<br>C. Heart rate is 97 beats\/minute. Correct<br>D. Work of breathing is done by client. Correct<br>E. Respiratory rate is 36 breaths\/minute.<br>Awarded 0.0 points out of 0.99 possible points.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>3.ID: 20123066697<br>The nurse is assessing a burn victim who suffered destruction of the<br>epidermis and some of the dermis of the entire right arm and half the length<br>of the right leg. How should the nurse document the burn assessment<br>\u6600\u6900ndings?<br>A. Super\u6600\u6900cial, 18% TBSA.<br>B. Super\u6600\u6900cial partial-thickness, 18% TBSA. Correct<br>C. Deep-partial thickness, 27% TBSA.<br>D. Full-thickness, 27% TBSA.<br>Awarded 1.0 points out of 1.0 possible points.<\/li>\n\n\n\n<li>4.ID: 20123066695<br>The critical care nurse is providing care for a client diagnosed clinically brain<br>dead and identi\u6600\u6900ed as an organ donor. Which are the nurse&#8217;s priorities in<br>providing care? (Select all that apply.)<br>A. Sustaining a state of hypothermia.<br>B. Maintaining a normal blood pressure. Correct<br>C. Ensuring adequate oxygenation and ventilation. Correct<br>D. Treating any coagulopathy, thrombocytopenia and<br>anemia. Correct<br>E. Monitoring arterial blood gases and serum electrolytes<br>levels. Correct<br>A &#8220;super\u6600\u6900cial partial-thickness&#8221; burn involves destruction of the epidermis<br>layer and some of the dermis layer. The total body surface area (%TBSA) is<br>easily calculated by using the &#8220;rule of nines&#8221; method. In this case,<br>involvement of one arm is calculated as 9% TBSA and one-half of a leg is 9%<br>TBSA for a combined total of 18% TBSA. A total leg involvement is<br>calculated as 18% TBSA.<br>Criteria that indicates a client is tolerating weaning off ventilator support are<br>respirations greater than 8 breaths\/minute, but less than 35 breaths\/minute;<br>oxygen saturation above 90%; heart rate that does not increase more than<br>20% from baseline heart rate; most of the work of breathing is performed by<br>the client; and no signs of accessory muscles are used for breathing.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>Awarded 1.0 points out of 1.0 possible points.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"5\">\n<li>5.ID: 20123066691<br>A client is admitted to the intensive care unit with hematemesis related to<br>esophageal varices. Which assessment \u6600\u6900nding should the nurse identify that<br>is the result of an estimated blood loss at 35% of total blood volume?<br>A. Absent bowel sounds. Correct<br>B. Coma.<br>C. Anuria.<br>D. Abdominal pain.<br>Awarded 1.0 points out of 1.0 possible points.<\/li>\n\n\n\n<li>6.ID: 20123066689<br>The nurse is planning care for a client admitted to the intensive care unit<br>with acute infected necrotizing pancreatitis. Which diagnostic procedure<br>should the nurse prepare the client to expect the healthcare provider to<br>prescribe?<br>A. Contrast-enhanced computed tomography (CT). Correct<br>B. Endoscopic retrograde cholangiopancreatography<br>(ERCP). Incorrect<br>C. Abdominal radiography.<br>D. Abdominal ultrasound.<br>Awarded 0.0 points out of 1.0 possible points.<\/li>\n\n\n\n<li>7.ID: 20123066686<br>The nurse is caring for a client admitted to the surgical intensive care unit<br>(ICU) after undergoing gastrointestinal surgery. Which intervention should<br>the nurse include in the plan of care to minimize the risk for vomiting?<br>A. Maintain patency of nasogastric tube to low intermittent<br>suction. Correct<br>Contrast-enhanced computed tomography (CT) is the imaging modality of<br>choice to evaluate peripancreatic necrosis.<br>Massive blood loss redirects a signi\u6600\u6900cant amount of blood \u6600\u6c00ow to vital<br>organs. A client who has lost 30% to 40% of the total blood volume will<br>exhibit absent bowel sounds, lethargy, and increased serum potassium.<br>functioning. This is done by maintaining normal blood pressures, \u6600\u6c00uid levels,<br>electrolytes levels, serum glucose levels, and normothermia. Mechanical<br>ventilation is provided to maintain adequate oxygenation and normal acidbase balance. If needed, pharmaceutical support is provided for the<br>treatment of anemia, coagulopathy, thrombocytopenia, and diabetes<br>insipidus. Physiological changes occur to bodily functions as the result of<br>decreased perfusion within the brain.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">lOMoAR cPSD|19500986<br>Gastrointestinal (GI) surgery often requires postoperative nasogastric tube<br>(NGT) insertion for low intermittent suction to prevent intestinal blockage<br>due to absent or decreased peristalsis. The plan of care should include<br>maintaining patency of the NGT to low intermittent suction, which empties<br>the stomach and minimizes nausea and vomiting.<br>B. Provide a soft, bland diet with oral liquids, such as diluted juices.<br>C. Initiate Dextrose 5% in Lactated Ringer&#8217;s (D 5LR) solution IV at<br>125 mL\/hour.<br>D. Insert a rectal tube followed with progressive mobilization<br>techniques.<br>Awarded 1.0 points out of 1.0 possible points.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>8.ID: 20123066684<br>A client is admitted to the intensive care unit with hepatic encephalopathy<br>secondary to cirrhosis. The client is lethargic and confused. The healthcare<br>provider prescribes lactulose. Which \u6600\u6900nding indicates a positive response to<br>the medication?<br>A. An increase in alertness and orientation. Correct<br>B. Serum ammonia level 80 mcg\/dL (47 mol\/L). Incorrect<br>C. Multiple diarrheal stools per day.<br>D. Decreased jaundice of skin and sclera.<br>Awarded 0.0 points out of 1.0 possible points.<\/li>\n\n\n\n<li>9.ID: 20123066682<br>The nurse is caring for a client who is admitted to the critical care unit with<br>a closed head injury sustained in a motor vehicle collision. Which \u6600\u6900nding in<br>the client&#8217;s vital sign \u6600\u6c00owsheet indicates an increase in intracranial<br>pressure?<br>A. Heart rate 45 beats per minute and blood pressure 180\/80 mm<br>Hg. Correct<br>B. Heart rate 70 beats per minute and blood pressure 140\/100 mm<br>Hg.<br>C. Heart rate 90 beats per minute and blood pressure 120\/80 mm<br>Hg.<br>D. Heart rate 110 beats per minute and blood pressure 80\/40 mm<br>Hg.<br>Hepatic dysfunction causes an elevated ammonia levels that cause mental<br>status changes in clients with hepatic encephalopathy. Lactulose, an<br>osmotic laxative and colonic acidi\u6600\u6900er, pulls ammonia from the serum into<br>the gut to facilitate ammonia elimination. An improved mental state<br>indicates a positive response to lactulose.<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>lOMoAR cPSD|19500986lOMoAR cPSD|19500986HESI CRITICAL CARE 2023 VERSION A ANDB\/ CRITICAL CARE HESI EXIT EXAM 2023QUESTIONS AND CORRECTANSWERS|AGRADEVERSION A lOMoAR cPSD|19500986Once an identi\u6600\u6900ed organ donor has been declared clinically brain dead, theprimary focus of care changes from preserving life to preserving organ(Select all that apply.)A. Oxygen saturation is 91%. CorrectB. Slight nasal \u6600\u6c00aring is present.C. Heart [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113380","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113380"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113380\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}