HESI EXIT CRITICAL CARE PRACTICE EXAM QUESTIONS WITH ANSWERS [VERIFIED ALREADY GRADED A+]
Nurse plans to administer a dose of metoprolol at 0900 to a client with HTN. At 0800
nurse notestelemetry 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 onright 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 passengerMother 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 2
nd degree burns of thighs, chest and arms covering 40% BSA.
Fluid shift afterburn 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
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