CRITICAL CARE HESI 2024-2025 WITH VERIFIED QUESTIONS
AND CORRECT ANSS GRADED A+ GUARANTEED PASS
The medic calculating fluid resuscitation for young adult male who was burned in a
bloody accident at 1200 and is seen in the ER at 1400. The HCP determines that the
patient has burn over 30% of his body, mainly over his arms and chest. Using the
Parkland formula for fluid resuscitation, the patient is to receive 7000 mL of fluid in 24
hours. Which goal should the medic establish for this patients plan of care? - ANS- By
2000, the patient will have received 3500 mL of fluid
When caring for a patient on a vent, which finding provides the greatest indication that the
patient has an open airway? - ANS-Bilateral breath sounds can be auscultated
The medic performs a prescribed a neurological check at the beginning of the shift on a
patient who was admitted with a subarachnoid brain attack (Stroke). The patient's GCS
is
9. What information is most important for the medic to determine? - ANS-The patient's
previous GCS score
An adult female with a history of type 1 diabetes has been vomiting for the past 48
hours and is admitted to the ICU with DKA. Which assessment finding warrants
immediate intervention by the medic? - ANS-Excessive thirst
A patient admitted to the ICU after a colon resection with the formation of the loop
colostomy. The medic determines that the patients abdominal dressing is clean and dry.
Vital signs are: HR: 130, temperature: 100, BP: 88/65, and urine output of 10 mL/hr.
What interventions should the medic implement? - ANS-Give a 500 mL IV fluid bolus
challenge
A patient is admitted with syncopal episodes related to a third degree heart block. After
the placement of a transcutaneous pacemaker, the medic observes several episodes
the pacemaker failure to sense. What action should the medic take? - ANS- Increase
the sensitivity
A patient is receiving CPR. After systole is confirmed in two leads and sending the
transcutaneous pacemaker, which IV medication should be administered? - ANS-
Epinephrine (adrenaline)
A patient has a chest tube connected to a closed water seal drainage system with
suction. What equipment should the medic always have available at the patients
bedside?
- ANS-Occlusive dressing
, Bretylium 1 mg/min via infusion is prescribed for a patient and ventricular tachycardia.
The available solution is 500 mL D5W contains bretylium 1 gram. The medic should
program the infusion time to deliver how many mL/hr? - ANS-30
The patient is receiving an infusion of nitroglycerin 100 mg and 500 mL D5W at 6 mL/hr.
How many mcg/min of nitroglycerin is infusing? - ANS-20
A patient arrives in the ER complaining of pain. What description of pain should
prompt the medic to suspect it originated in the myocardium? - ANS-Produces chest
heaviness with left arm pain
Four days ago a chest tube was inserted into the second intercostal space of a patient
who has a pneumothorax. Today the medic notes that there is no fluctuation in the
water-seal chamber of the Pleuravac. Which intervention would be most appropriate for
the medic to implement? - ANS-Assess the patients breath sounds of the affected lung
In developing a care plan for a patient that has a chest tube due to a hemothorax, the
medic should recognize which intervention is essential? - ANS-Encourage the patient
to breathe deeply and cough at frequent intervals
A postoperative patient is admitted the ICU with an inflated pressure infuser
containing solution of heparin 2 units/mL attached to an intraarterial cannula. Which
finding indicated that the heparin infusion has achieved its therapeutic use? - ANS-
Intra- arterial cannula remain patent
The medic suspects that a patient with a central venous catheter in the left subclavian
vein is experiencing an embolism. What signs and symptoms are most indicative of this
condition? - ANS-Anxiety, confusion, lightheadedness, and loss consciousness
A female patient has been in systole for 20 minutes. She is intubated, and epinephrine
(adrenaline) 1 mg and atropine sulfate 1 mg IV were administered, with no change in
rhythm. What intervention should the medic implement? - ANS-Bring members of the
family to a private area to discuss the desire to continue life saving efforts
The medic is evaluating a patients central venous pressure reading that are trending
upwards. What nursing diagnosis is supported but the pathophysiological mechanism
most likely causing this increase? - ANS-Impaired cardiac output
The high pressure alarm on a mechanical vent is alarming. What intervention should the
medic implement immediately? - ANS-Auscultate bilaterally for breath sounds and
confirm endotracheal suctioning
A patient with a history of vasovagal attacks resulting in brady-dysrhythmias. Which
instruction is the most important in the teaching plan? - ANS-Use stool softeners
regularly
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