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Critical Care HESI Exam – Questions & Answers
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Critical Care HESI Exam – Questions & AnswersA client recovering from a percutaneous coronary intervention (PCI) after an
acute myocardial infarction is being transferred from the PACU to the Cardiac
ICU. Which assessment finding should the PACU nurse inform the healthcare
provider of immediately?
a. onset of chest pain
b. need to apply pressure dressing
c. presence of occasional PVCs
d. absence of any urinary output during PACU stay Correct Ans - a.
onset of chest pain
This suggests the onset of another MI and reocclusion of a vessel.
What is the preferred treatment of an acute MI within 12 hours of symptom
onset? Correct Ans - PCI; places a stent in the affected coronary artery
How often must a PCI pressure dressing site be assessed? Correct Ans -
q30min for 4 hours
qh thereafter
Central Venous Pressure (CVP) Correct Ans - the pressure of blood in
the thoracic vena cava, near the right atrium of the heart; reflects the amount
of blood returning to the heart and the ability of the heart to pump the blood
into the arterial system; normal is 2-6 mmHg
Sensitivity of a pacemaker Correct Ans - pacing devices ability to
detect what electrical activity is being generated by the patient's heart to
prevent any competition between the hearts intrinsic activity
Contrast Induced Nephropathy (CIN) Correct Ans - A sudden
deterioration in renal function that is caused by intravascular administration
of iodinated contrast medium; typically seen with angiplasty/angiography
Signs of tension pneumothorax Correct Ans - 1. affected side will have
decreased or absent lung sounds
2. cyanosis
3. Tracheal deviation (late sign)
, 4. distended neck veins
5. tachycardia, tachypnea
Pneumatic Antishock Garment Correct Ans - An inflatable device that
covers the legs and abdomen; used to splint the lower extremities or pelvis, or
to control bleeding in the lower extremities or pelvis.
- used for intraperitoneal hemorrhage
What is the expected ABG of a pulmonary embolism? Correct Ans -
Tachypnea and tachycardia--> respiratory alkalosis
A client is brought to the emergency department following a motor vehicle
accident. Initial assessment reveals that the client is unconscious with a blood
pressure of 165/73 mmHg, HR 50 bpm, RR 8 and irregular, temperature of
103 F. What do you suspect is happening? Correct Ans - The findings
reveal Cushing's Triad (hypertension with widening pulse pressure,
bradycardia and bradypnea); this indicates increased ICP
Symptoms of Right Ventricular Hypertrophy Correct Ans - fatigue,
swelling, weakness, chest pain, SOB, dizziness
The nurse is caring for a client who is being weaned from mechanical
ventilation. Which assessment finding indicates that the client is ready to the
the endotracheal tube removed? Correct Ans - - pulse ox: 98% with a T
piece
- evidence of reversal of the underlying cause of respiratory failure
-PEEP <8 and FiO2 <0.50
- hemodynamic stability
- ability to initiate an inspiratory effort.
A client with ARDS was endotracheally intubated and transferred to the ICU
12 hours ago. Upon assessment, the nurse notes bilateral rales and diminished
breath sounds in the right middle lobe and bilateral lower lobes, as well as
bluish nail beds. Based on the client's presentation, which actions should be
taken? Correct Ans - - Place the patient in prone position
- administer prescribed Lasix
Pulmonary Capillary Wedge Pressure Correct Ans - placed in the
pulmonary artery to indirectly measure left atrial pressure; 4-12
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