2024 HESI RN CRITICAL CARE /CRITICAL CARE
RN HESI EXIT ACTUAL EXAM TEST BANK LATEST
55 QUESTIONS WITH VERIFIED ANSWERS
Terms in this set (55)
A 47-year-old female Decreased cardiac output
client is admitted to the
cardiac ICU with an acute
MI, which occurred
following a vigorous as a
goal workout. She tells the
nurse, "I just had a little
indigestion; I'll be fine a
little while." Which client
problem has the highest
priority?
Adult female with a history Give IV hydrocortisone
of chronic adrenal
insufficiency is admitted to
the ICU for adrenal crisis.
Which intervention should
the nurse implement first?
An adult female with a Excessive thirst
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 nurse?
,After an endotracheal Auscultate breath sounds bilaterally in lung fields
tube is placed for a client
who requires mechanical
ventilation, which
intervention should the
nurse implant first?
As part of the treatment Decreasing the formation and secretion of pancreatic
plan for a client diagnosed enzyme
with acute pancreatitis, the
nurse plans to withhold
oral fluids. What is the
primary purpose of
withholding fluids from
this client?
As the nurse is turning a have the client exhale forcefully, and place a vaseline
client with a chest tube, gauze over the insertion site
the chest tube becomes
dislodged from the
pleural space. What action
should the nurse take
first?
Bretylium 1 mg/min via 30
infusion is prescribed for a
client and ventricular
tachycardia. The available
solution is 500 mL D5W
contains bretylium 1 gram.
The nurse should program
the infusion time to deliver
how many mL/hr?
, A client admitted to the Give a 500 mL IV fluid bolus challenge
ICU after a colon
resection with the
formation of the loop
colostomy. The nurse
determines that the clients
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
nurse implement?
A client arrives in the ER Produces chest heaviness with left arm pain
complaining of pain. What
description of pain should
prompt the nurse to
suspect it originated in the
myocardium?
A client arrives in the ER Gently dab blood from the ear with a sterile gauze
via ambulance with injuries and observe for Halo
that resulted from being
hit by a bus. Vital signs on
admission are: BP 126/78,
HR 100 bpm, RR 28,
temperature 99F. Bloody
drainage is noted at the
clients left ear canal. What
should the nurse do to
assess for possible basilar
skull fracture and cerebral
spinal fluid leak?
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